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Published on: August 21, 2015
Food and Non-Food-Related Behavior across Settings in Children with Prader-Willi Syndrome
Marie G Gantz1, Sara M Andrews1, Anne C Wheeler1
1RTI International, Research Triangle Park, NC 27709, USA.
Insights
Parents and teachers report similar general and non-food behaviors in children with Prader-Willi syndrome (PWS). However, parents report more food-related issues, especially when mothers have less education, highlighting setting-specific challenges.
Area of Science:
- Behavioral Science
- Pediatrics
- Genetics
Background:
- Prader-Willi syndrome (PWS) is a complex genetic disorder affecting multiple systems.
- Behavioral challenges, including food-related issues, are common in PWS.
- Understanding behavior variations across settings is crucial for effective management.
Purpose of the Study:
- To describe and compare food- and non-food-related behaviors of children with PWS in home and school settings.
- To examine parent and teacher perceptions of these behaviors.
- To identify factors influencing behavioral reporting differences.
Main Methods:
- Utilized the Global Assessment of Individual's Behavior (GAIB) with 7 subscales.
- Collected data from 86 parents and 63 teachers of children aged 3-18 with PWS.
- Analyzed differences in reported behaviors based on setting and socio-demographic factors.
Main Results:
- General Behavior Problem, Non-Food-Related Behavior Problem, and Non-Food-Related Obsessive Speech and Compulsive Behavior (OS/CB) scores showed no significant differences between parent and teacher reports.
- Parents reported higher Food-Related Behavior Problem scores than teachers, particularly when mothers had less than a college education.
- Parents reported higher Food-Related OS/CB scores than teachers; however, teachers rated overall OS/CB as more interfering with daily activities.
Conclusions:
- Parent and teacher reports on PWS behaviors vary, especially concerning food-related issues and their impact.
- Maternal education level may influence the reporting of food-related behavior problems.
- Tailored interventions considering setting-specific behaviors and socio-demographic factors are needed to improve outcomes for children with PWS.
Abstract:
This study sought to describe food- and non-food-related behaviors of children aged 3 to 18 years with Prader-Willi syndrome (PWS) in home and school settings, as assessed by 86 parents and 63 teachers using 7 subscales of the Global Assessment of Individual's Behavior (GAIB). General Behavior Problem, Non-Food-Related Behavior Problem, and Non-Food-Related Obsessive Speech and Compulsive Behavior (OS/CB) scores did not differ significantly between parent and teacher reports. Food-Related Behavior Problem scores were higher in parent versus teacher reports when the mother had less than a college education (difference of 13.6 points, 95% Confidence Interval (CI) 5.1 to 22). Parents assigned higher Food-Related OS/CB scores than teachers (difference of 5.7 points, 95% CI 2.4 to 9.0). Although teachers reported fewer Food-Related OS/CB, they scored overall OS/CB higher for interfering with daily activities compared with parents (difference of 0.9 points, 95% CI 0.4 to 1.4). Understanding how behaviors manifest in home and school settings, and how they vary with socio-demographic and patient characteristics can help inform strategies to reduce behavior problems and improve outcomes.
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