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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Behavior Regulation Abilities in Children With Prader-Willi Syndrome and Their Impact on Daily Life: At the
Nawelle Famelart1, A M Camblats2, J Cortadellas3
1Centre de Référence Maladies Rares PRADORT, Hôpital des Enfants, CHU de Toulouse, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France. famelart.n@chu-toulouse.fr.
Insights
Children with Prader-Willi Syndrome (PWS) show distinct cognitive and emotional regulation deficits. These underlying mechanisms contribute to varied behavioral issues in PWS, impacting daily life differently across individuals.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Neurology
- Genetics
Background:
- Prader-Willi Syndrome (PWS) is a rare genetic disorder characterized by hypothalamic dysfunction, global developmental delay, and specific developmental trajectories.
- Behavioral and psychiatric disorders are common in children with PWS, manifesting with significant variability.
Purpose of the Study:
- To investigate the interplay between emotion, cognitive, and behavioral regulation in children with PWS.
- To understand how these regulatory abilities impact the daily lives of children with PWS.
Main Methods:
- A cohort of 25 children with PWS (ages 9-15) and 25 age-matched controls participated.
- Assessments evaluated cognitive/executive functions, affective/behavioral issues, and family impact for both groups.
Main Results:
- Children with PWS exhibited significant deficits in cognitive, executive, and affective domains compared to controls.
- Inter-individual variability was high, with cluster analysis identifying three subgroups: cognitive/executive deficits, high affective problems, or relatively preserved skills.
- No significant differences in family impact were found across the three PWS subgroups.
Conclusions:
- Cognitive and emotional regulatory mechanisms appear to underlie the diverse behavioral problems observed in children with PWS.
- This study provides novel insights into the heterogeneity of PWS manifestations and their regulatory underpinnings.
Purpose:
Prader-Willi Syndrome (PWS) is a rare, complex, genetic neurodevelopmental disorder that induces a hypothalamic dysfunction with a global developmental delay and specific trajectories. Behavioral and psychiatric disorders are recurrent in PWS, emerging during childhood and varying considerably in their manifestations. This study aimed to gain a better understanding of the relationship between emotion, cognitive and behavioral regulation abilities in children with PWS, and explore the impact on daily life.
Methods:
Twenty-five children with PWS aged between 9 and 15 took part in the study, along with an equal number of age-matched control children. A series of assessments was proposed to children and their parents to measure cognitive and executive competencies, affective and behavioral problems, and family impact.
Results:
The children with PWS were clearly distinguished from the control group, displaying marked deficits in cognitive skills, including executive ones, and affective problems. Inter-task correlation analyses showed that many variables were significantly interrelated in the PWS group, in contrast with the control group. Inter-individual variation was strong and cluster analyses revealed that three subgroups emerged; one marked by cognitive and executive deficits, a second by a high level of affective problems, while a third displayed relatively preserved cognitive, executive and emotional skills. The three clusters did not differ in the family impact.
Conclusion:
The variability of behavioral problems observed in children with PWS seems to be underpinned by cognitive and emotional regulatory mechanisms. This original approach is discussed in light of the literature.
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