Defining Mental and Behavioural Disorders in Genetically Determined Neurodevelopmental Syndromes with Particular

Anthony J Holland1, Lucie C S Aman1, Joyce E Whittington1

  • 1Department of Psychiatry, University of Cambridge, Cambridge CB2 8AH, UK.

Genes
|December 15, 2019
PubMed

Insights

Genetically determined neurodevelopmental syndromes present unique mental and behavioral disorders. The Research Domain Criteria framework offers a model to classify these disorders by linking behaviors to neural mechanisms.

Area of Science:

  • Neuroscience
  • Genetics
  • Psychiatry

Background:

  • Neurodevelopmental syndromes have distinct developmental paths, cognitive profiles, and predispositions to mental/behavioral disorders.
  • Current diagnostic systems (DSM-5, ICD-10) and applied behavioral analysis frameworks face challenges in conceptualizing these syndrome-specific disorders.
  • Syndrome-specific psychopathology is linked to genetic abnormalities, raising questions about shared etiology and treatment efficacy with general population disorders.

Purpose of the Study:

  • To propose a novel framework for classifying psychiatric and behavioral disorders within genetically determined neurodevelopmental syndromes.
  • To integrate diagnostic, psychological, and developmental perspectives for a more accurate taxonomy.
  • To establish a model that connects specific behaviors to underlying neural mechanisms.

Main Methods:

  • Utilizing Prader-Willi syndrome as a case study.
  • Applying the conceptual framework of the Research Domain Criteria (RDoC).
  • Integrating data from diagnostic criteria, psychological assessments, and developmental trajectories.

Main Results:

  • The Research Domain Criteria provides a viable model for a syndrome-specific taxonomy.
  • This model facilitates the alignment of observed behaviors with identifiable neural mechanisms.
  • It offers a structured approach to understanding the unique psychopathology associated with genetic syndromes.

Conclusions:

  • The proposed RDoC-based model offers a more precise way to understand and classify mental and behavioral disorders in neurodevelopmental syndromes.
  • This approach is crucial for developing targeted interventions by linking behaviors to neural underpinnings.
  • Further research is needed to refine this taxonomy and its clinical applications.

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