Williams-Beuren综合征儿童和青少年的行为和认知表型。

Maria Cristina Triguero Veloz Teixeira, Camila Rondinelli Cobra Monteiro, Renata de Lima Velloso, Chong Ae Kim, Luiz Renato Rodrigues Carreiro
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引用次数: 15

摘要

背景:Williams-Beuren综合征(WBS)是由7号染色体(7q11-23区)长臂多个基因缺失引起的一种遗传性疾病,可导致行为和智力障碍。为了有效地对这些儿童进行教育包容,需要多学科方法来指导教师和家长。目的:描述一组患有WBS的儿童和青少年的行为、认知和语言特征,并确定自闭症行为。方法:5 ~ 16岁WBS儿童青少年10例,发育典型儿童青少年10例,按性别、年龄匹配。用于评估的工具有:非语言智力测验(字母r);儿童行为检查表(CBCL/1½-5;开始/ 6 - 18);语言考试(TIPITI)和自闭症筛查问卷(ASQ)。结果:WBS组表现出更多的行为改变,更多的注意力不集中和社会问题。在字母- r量表上,WBS的智力得分低于年龄平均水平(67.8分)。对照组(CG)得分为平均(101.2)。与CG组相比,WBS组在形态句法结构上存在差异,在TIPITI亚测试中回声数量增加。结论:基于WBS个体的行为和认知问题,由于这些特征对学习能力的干扰,需要进行多学科的随访,重点是认知刺激和行为控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Behavioral and cognitive phenotype of children and adolescents with Williams-Beuren Syndrome.

Background: Williams-Beuren Syndrome (WBS) is a genetic disorder caused by the deletion of multiples genes of long arm of chromosome 7 (region 7q11-23), which causes behavioral and intellectual disability. For the effectiveness of educational inclusion of these children, multidisciplinary approaches are needed to guide teachers and parents.

Aim: to describe the behavioral, cognitive and language profiles and to identify autistic behavior in a group of children and adolescents with WBS.

Method: 10 children and adolescents with WBS, aged 5 to 16 years, and 10 children and adolescents with typical development, matched by gender and age. Instruments used for assessment were: Nonverbal Intelligence Test (Leiter-R); Child Behavior Checklist (CBCL/1½-5; CBCL/6-18); Language Exam (TIPITI) and the Autism Screening Questionnaire (ASQ).

Results: the group with WBS presented a greater number of behavioral changes with more inattention and social problems. Regarding the Leiter-R scale the intelligence scores were below the average for age (67.8 points) in WBS. The control group (CG) scored into the average (101.2). The group with WBS presented discrepancy in the morphosyntactic structure as well as an increased number of echolalia in the subtests of TIPITI, when compared to the CG.

Conclusion: based on the behavioral and cognitive problems found in individuals with WBS, the need for a multidisciplinary follow-up focused on cognitive stimulation and behavior control is confirmed, due to the interference of these characteristics in learning abilities.

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