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Early development in Rett syndrome - the benefits and difficulties of a birth cohort approach
Peter B Marschik1,2,3, Sanne Lemcke4, Christa Einspieler1
1a Institute of Physiology, Research Unit iDN - Interdisciplinary Developmental Neuroscience , Medical University of Graz , Graz , Austria.
Insights
Investigating early development in Rett syndrome (RTT) using prospective methods shows promise for understanding pre-diagnostic behaviors. Future studies should incorporate specific developmental indicators for better insights into RTT and other neurodevelopmental disorders.
Area of Science:
- Neurodevelopmental Disorders
- Genetics and Neurological Disorders
Background:
- Rett syndrome (RTT) early development is typically studied retrospectively.
- Prospective research designs are increasingly used for disorders with late phenotypical onset, like autism spectrum disorder.
Purpose of the Study:
- To prospectively explore early developmental behaviors in individuals later diagnosed with Rett syndrome.
- To investigate early motor, speech-language, socio-communicative behaviors, mood, and sleep patterns in RTT.
Main Methods:
- Utilized data from the Danish National Birth Cohort for a quasi-prospective study.
- Focused on early developmental milestones and behaviors.
Main Results:
- The quasi-prospective methodology demonstrated potential for RTT research.
- Identified areas for future investigation in early development.
Conclusions:
- Prospective methods offer a promising avenue for RTT research.
- Future cohort studies should include specific developmental indicators for a broader understanding of neurodevelopmental disorders.
Purposes:
Typically, early (pre-diagnostic) development in individuals later diagnosed with Rett syndrome (RTT) has been investigated retrospectively using parent reports, medical records and analysis of home videos. In recent years, prospective research designs have been increasingly applied to the investigation of early development in individuals with late phenotypical onset disorders, for example, autism spectrum disorder.
Methods:
In this study, data collected by the Danish National Birth Cohort lent itself to prospective exploration of the early development of RTT, in particular early motor-, speech-language, and socio-communicative behaviors, mood, and sleep.
Results And Conclusions:
Despite limitations, this quasi prospective methodology proved promising. In order to add substantially to the body of knowledge, however, specific questions relating to peculiarites in early development could usefully be added to future cohort studies. As this involves considerable work, it may be more realistic to consider a set of indicators which point to a number of developmental disorders rather than to one.
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