在Phelan-McDermid综合征中适应能力的纵向轨迹
Siddharth Srivastava1, Kristina Johnson1, Cristan Farmer1
1Siddharth Srivastava and Kristina Johnson, Department of Neurology, Rosamund Stone Zander Translational Neuroscience Center, Boston Children's Hospital, Harvard Medical School; Cristan Farmer, Neurodevelopmental and Behavioral Phenotyping Service, National Institute of Mental Health, National Institutes of Health; Tess Levy, Seaver Autism Center for Research and Treatment, Mount Sinai School of Medicine and Department of Psychiatry, Icahn School of Medicine at Mount Sinai; Audrey Thurm, Neurodevelopmental and Behavioral Phenotyping Service, National Institute of Mental Health, National Institutes of Health; Latha Valluripalli Soorya, Department of Psychiatry & Behavioral Sciences, Rush University Medical Center; Rajna Filip-Dhima and Aisling Quinlan, Department of Neurology, Rosamund Stone Zander Translational Neuroscience Center, Boston Children's Hospital, Harvard Medical School; Jonathan A. Bernstein, Department of Pediatrics, Stanford University School of Medicine; Elizabeth Berry-Kravis, Department of Pediatrics, Department of Neurological Sciences, and Department of Anatomy and Cell Biology, Rush University Medical Center; Craig M. Powell, Department of Neurobiology, University of Alabama at Birmingham Heersink School of Medicine and Civitan International Research Center, University of Alabama at Birmingham; Joseph D. Buxbaum, Seaver Autism Center for Research and Treatment, Mount Sinai School of Medicine, Department of Psychiatry, Icahn School of Medicine at Mount Sinai; Department of Genetics and Genomic Sciences and Department of Neuroscience, Mount Sinai School of Medicine; Mustafa Sahin, Department of Neurology, Rosamund Stone Zander Translational Neuroscience Center and F.M. Kirby Neurobiology Center, Boston Children's Hospital, Harvard Medical School; Alexander Kolevzon, Seaver Autism Center for Research and Treatment, Mount Sinai School of Medicine and Department of Psychiatry, Icahn School of Medicine at Mount Sinai.
根据纵向研究数据,费兰-麦克德米德综合征 (PMS) 在沟通和日常生活技能方面表现出缓慢的适应性行为增长,但没有社会化. 增长尺度值 (GSV) 比PMS患者的标准分数更好地捕捉个人进展.
科学领域:
- 神经发育障碍
- 遗传学
- 行为科学
背景情况:
- 菲兰-麦克德米德综合征 (PMS) 是一种由SHANK3单双缺陷引起的遗传性疾病,缺乏全面的自然史数据.
- 了解PMS适应性行为的发展轨迹对于有效的干预策略至关重要.
研究的目的:
- 预期评估费兰-麦克德米德综合征患者在两年内适应性行为的纵向变化.
- 为了比较标准分数与成长尺度值 (GSV) 在评估PMS发展进展中的有用性.
主要方法:
- 一项前性,纵向性自然史研究对99名讲英语的参与者 (年龄在3至21岁) 进行了为期两年的分子PMS诊断.
- 使用维尼兰适应性行为尺度 (第二版) 评估适应性行为,分析基线,12个月和24个月的域级标准得分和子域级GSV.
- 使用线性混合效应模型分析受试者内部时间效应和横截面年龄效应.
主要成果:
- 沟通,社交和日常生活技能的标准分数下降或保持不变.
- 分域GSV表明受体和书面沟通以及个人和家庭日常生活技能的显著增长.
- 尽管标准分数整体下降,但社会化子域GSV没有显著变化.
结论:
- 费兰-麦克德米德综合征的特征是适应行为受损,特定的沟通和日常生活技能缓慢但可测量的增长.
- 与标准分数相比,增长尺度值 (GSV) 提供了比标准分数更敏感的个人发育进展指标.
- 这些发现突显了使用GSVs来细致地解释PMS等罕见遗传疾病的发展轨迹的重要性.
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