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Parent-Reported Social Skills in Children with Neurofibromatosis Type 1: Longitudinal Patterns and Relations with
Danielle M Glad1, Christina L Casnar2, Brianna D Yund3
1Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI.
Insights
Social skills challenges in neurofibromatosis type 1 (NF1) begin in early childhood and persist into school age. Attention-deficit/hyperactivity disorder (ADHD) symptoms negatively impact social skills, while cognitive function does not show a significant relationship.
Area of Science:
- Neuroscience
- Developmental Psychology
- Genetics
Background:
- Social skills difficulties are frequently observed in school-aged children with neurofibromatosis type 1 (NF1).
- Limited research exists on the early emergence and longitudinal development of social skills in young children with NF1.
Purpose of the Study:
- To characterize the onset of social skills challenges in early childhood NF1.
- To examine the longitudinal progression of social skills into school age.
- To explore the relationship between social skills, ADHD symptomatology, and cognitive functioning in NF1.
Main Methods:
- Study involved three samples of children with NF1: early childhood (ages 3-6), school age (ages 9-13), and a combined group.
- Parent-reported measures assessed social skills, ADHD symptoms, and cognitive abilities.
- Longitudinal and cross-sectional analyses were conducted.
Main Results:
- Social skills difficulties are apparent in early childhood and remain relatively stable.
- Early childhood social skills ratings predict school-age social skills.
- ADHD symptomatology, particularly inattentive symptoms, negatively correlated with social skills.
- Cognitive functioning did not show a significant association with social skills.
Conclusions:
- Social skills deficits are present from early childhood in NF1 and persist.
- This study highlights the stability of social skills challenges across development in NF1.
- Further research into interventions for social skills support in NF1 is warranted.
Objective:
Social skills difficulties are commonly reported by parents and teachers of school age (SA) children with neurofibromatosis type 1 (NF1). Investigations of social skills of young children with NF1 are scarce. This study aimed to characterize the emergence of social skills challenges beginning in early childhood, examine social skills longitudinally into SA, and explore interrelations with attention-deficit hyperactivity disorder (ADHD) symptomatology and cognitive functioning among children with NF1 cross-sectionally and longitudinally.
Method:
Three samples of children with NF1 and their parents participated: (1) early childhood (n = 50; ages 3-6; mean [M] = 3.96, SD = 1.05), (2) SA (n = 40; ages 9-13; [M] = 10.90, SD = 1.59), and (3) both early childhood and SA (n = 25). Parent-reported social skills (Social Skills Rating System and Social Skills Improvement System), ADHD symptomatology (Conners Parent Rating Scales - Revised and Conners - Third Edition), and parent-reported cognitive abilities (Differential Ability Scales - Second Edition) were evaluated.
Results:
Parental ratings of social skills were relatively stable throughout childhood. Ratings of social skills at the end of early childhood significantly predicted school-age social skills. Parental ratings of ADHD symptomatology showed significant negative relations with social skills. Early childhood inattentive symptoms predicted school-age social skills ratings. Cognitive functioning was not significantly related to social skills.
Conclusion:
Parent-reported social skills difficulties are evident during early childhood. This work adds to the literature by describing the frequency and stability of social skills challenges in early childhood and in the school-age period in NF1. Research about interventions to support social skills when difficulties are present is needed.
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