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Journal of intellectual disability research : JIDR
Oct, 2015;59 (10): 902-13.

Social cognitive training in adolescents with chromosome 22q11.2 deletion syndrome: feasibility and preliminary effects of the intervention.

V Shashi, W Harrell, S Eack, C Sanders, A McConkie-Rosell, M S Keshavan, M J Bonner, K Schoch, S R Hooper
Author Information
  1. V Shashi: Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
  2. W Harrell: Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
  3. S Eack: School of Social Work and Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
  4. C Sanders: Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
  5. A McConkie-Rosell: Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
  6. M S Keshavan: Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
  7. M J Bonner: Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
  8. K Schoch: Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
  9. S R Hooper: Department of Allied Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
PMID: 25871427 DOI: 10.1111/jir.12192

Abstract

BACKGROUND: Children with chromosome 22q11.2 deletion syndrome (22q11DS) often have deficits in social cognition and social skills that contribute to poor adaptive functioning. These deficits may be of relevance to the later occurrence of serious psychiatric illnesses such as schizophrenia. Yet, there are no evidence-based interventions to improve social cognitive functioning in children with 22q11DS.
METHODS: Using a customised social cognitive curriculum, we conducted a pilot small-group-based social cognitive training (SCT) programme in 13 adolescents with 22q11DS, relative to a control group of nine age- and gender-matched adolescents with 22q11DS.
RESULTS: We found the SCT programme to be feasible, with high rates of compliance and satisfaction on the part of the participants and their families. Our preliminary analyses indicated that the intervention group showed significant improvements in an overall social cognitive composite index.
CONCLUSIONS: SCT in a small-group format for adolescents with 22q11DS is feasible and results in gains in social cognition. A larger randomised controlled trial would permit assessment of efficacy of this promising novel intervention.

Keywords

behavioural phenotypes genetics intellectual disability mental health psychiatric disorders

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Grants

  1. R01 MH078015/NIMH NIH HHS
  2. R34 MH091314/NIMH NIH HHS

MeSH Term

Adolescent
Child
Cognitive Behavioral Therapy
DiGeorge Syndrome
Feasibility Studies
Female
Humans
Male
Pilot Projects
Social Perception
Social Skills
Treatment Outcome
Journal Article
Article has an altmetric score of 6

Word Cloud

Created with Highcharts 10.0.0social22q11DScognitiveadolescentsSCTinterventionchromosome22q112deletiondeficitscognitionfunctioningpsychiatrictrainingprogrammegroupfeasiblepreliminaryBACKGROUND:ChildrensyndromeoftenskillscontributepooradaptivemayrelevancelateroccurrenceseriousillnessesschizophreniaYetevidence-basedinterventionsimprovechildrenMETHODS:Usingcustomisedcurriculumconductedpilotsmall-group-based13relativecontrolnineage-gender-matchedRESULTS:foundhighratescompliancesatisfactionpartparticipantsfamiliesanalysesindicatedshowedsignificantimprovementsoverallcompositeindexCONCLUSIONS:small-groupformatresultsgainslargerrandomisedcontrolledtrialpermitassessmentefficacypromisingnovelSocialsyndrome:feasibilityeffectsbehaviouralphenotypesgeneticsintellectualdisabilitymentalhealthdisorders

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