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Leisure Activities in Prader-Wlli Syndrome: Implications for Health, Cognition and Adaptive Functioning

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Abstract

Although hyperphagia and compulsivity in Prader-Willi syndrome (PWS) are well described, recreation and adaptive skills are relatively unexplored. Parents of 123 participants with PWS (4–48 years) completed measures of their child’s adaptive, recreation, and problem behaviors. Offspring received cognitive testing. Watching TV was the most frequent recreational activity, and was associated with compulsivity and skin picking. BMIs were negatively correlated with physical play, and highest in those who watched TV and played computer games. Computer games and physical activities were associated with higher IQ and adaptive scores. People with PWS and other disabilities need to watch less TV and be more engaged in physical activities, games, and leisure pursuits that are fun, and may bring cognitive or adaptive advantages.

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References

  • Boer, H., Holland, A., Whittington, J., Butler, J., Webb, T., & Clarke, D. (2002). Psychotic illness in people with PWS due to chromosome 15 maternal uniparental disomy. Lancet, 359, 135.

    Article  PubMed  Google Scholar 

  • Butler, M. G., Bittel, D. C., Kibiryeva, N., Talebizadeh, Z., & Thompson, T. (2004). Behavioral differences among subjects with Prader-Willi syndrome and type I or type II deletion and maternal disomy. American Academy of Pediatrics, 113, 565–573.

    Google Scholar 

  • Clarke, D., Boer, H., Whittington, J., Holland, A., Butler, J., & Webb, T. (2002). Prader-Willi syndrome, compulsive and ritualistic behaviors: the first population-based study. British Journal of Psychology, 180, 358–362.

    Google Scholar 

  • Costello, A. B. & Osborne, J. (2005). Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Practical Assessment Research & Evaluation, 10(7). 1–9.

    Google Scholar 

  • Didden, R., Korziliuz, H., & Curfs, L. M. G. (2010). Skin-picking in individuals with Prader-Willi syndrome: Prevalence, functional assessment, and its comorbidity with compulsive and self-injurious behaviours. Journal of applied Research in Developmental Disabilities, 20, 409–415.

    Article  Google Scholar 

  • Dykens, E. M. (2002). Are jigsaw puzzle skills “spared” in persons with Prader-Willi syndrome? Journal of Child Psychology and Psychiatry, 43, 343–352.

    Article  PubMed  Google Scholar 

  • Dykens, E. M., Goff, B. J., Hodapp, R. M., Davis, L., Devanzo, P., Moss, F., et al. (1997). Eating themselves to death: Have “personal rights” gone too far in treating people with Prader-Willi syndrome? Mental Retardation, 35, 312–314.

    Article  PubMed  Google Scholar 

  • Dykens, E. M., Hodapp, R. M., Walsh, K., & Nash, L. J. (1992). Adaptive and maladaptive behavior in Prader-Willi syndrome. Journal of the American Academy of Child and Adolescent Psychiatry, 131, 1131–1136.

    Article  Google Scholar 

  • Dykens, E. M., Leckman, J. F., & Cassidy, S. B. (1996). Obsessions and compulsions in Prader-Willi syndrome. Journal of Child Psychology and Psychology, 37, 995–1002.

    Article  Google Scholar 

  • Dykens, E. M., Lee, E., & Roof, E. (2011). Prader-Willi syndrome and autism spectrum disorders: An evolving story. Journal of Neurodevelopmental Disorders, 3, 225–237.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dykens, E. M., Maxwell, M., Pantino, E., Kossler, R., & Roof, E. (2007). Assessment of hyperphagia in Prader-Willi syndrome. Obesity, 15, 1816–1826.

    Article  PubMed  Google Scholar 

  • Dykens, E. M., & Roof, E. (2008). Behavior in Prader-Willi syndrome: Relationships to genetic subtypes and age. Journal of Child Psychology and Psychiatry, 49, 1011–1018.

    Article  Google Scholar 

  • Dykens, E. M., Rosner, B., & Butterbaugh, G. (1998). Exercise and sports in people with developmental disabilities: Positive physical and psychosocial effects. Child and Adolescent Psychiatric Clinics of North America, 7, 757–772.

    PubMed  Google Scholar 

  • Dykens, E. M., & Shah, B. (2003). Psychiatric disorders in Prader-Willi syndrome: Epidemiology and treatment. CNS Drugs, 17, 167–178.

    Article  PubMed  Google Scholar 

  • Feurer, I., Dimitropoulos, A., Stone, W., Roof, E., Butler, M., & Thompson, T. (1998). The latent variable structure of the compulsive behavior checklist in people with Prader-Willi syndrome. Journal of Intellectual Disability Research, 42, 472–480.

    Article  PubMed  Google Scholar 

  • Foster, J. A., Gore, S. A., & West, D. S. (2006). Altering TV viewing habits: An unexplored strategy for adult obesity intervention? American Journal of Health Behavior, 30, 3–14.

    Article  PubMed  Google Scholar 

  • Frey, G. C. (2004). Comparison of physical activity levels between adults with and without mental retardation. Journal of Physical Activity and Health, 1, 235–245.

    Google Scholar 

  • Frey, G. C., Buchanan, A. M., & Sandt, D. R. (2005). “I’d rather watch TV”: An examination of physical activity in adults with mental retardation. Mental Retardation, 43, 241–254.

    Article  PubMed  Google Scholar 

  • Fulton, J. E., Wang, X. W., Yore, M. M., Carlson, S. A., Galuska, D. A., & Caspersen, C. J. (2009). Television viewing, computer use, and BMI among U.S. children and adolescents. Journal of Physical Activity and Health, 6(Suppl. 1), S28–S35.

    PubMed  Google Scholar 

  • Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989). Yale-Brown Obsessive-Compulsive Scale: Development, use, and reliability. Archives of General Psychiatry, 46, 1006–1011.

    Article  PubMed  Google Scholar 

  • Hamer, M., Stamatakis, E., & Mishra, G. (2009). Psychological distress, television viewing, and physical activity in children aged 4 to 12 years. Pediatrics, 123, 1263–1268.

    Article  PubMed  Google Scholar 

  • Hamer, M., Stamatakis, E., & Mishra, G. D. (2010). Television- and screen-based activity and mental well-being in adults. American Journal of Preventative Medicine, 38, 375–380.

    Article  Google Scholar 

  • Hartley, S. L., MacLean, W. E., Butler, M. G., Zarcone, J., & Thompson, T. (2005). Maladaptive behaviors and risk factors among the genetic subtypes of Prader-Willi syndrome. American Journal of Medical Genetics, 136, 140–145.

    PubMed Central  PubMed  Google Scholar 

  • Holland, A. J., Whittington, J. E., Butler, J., Webb, T., Boer, H., & Clarke, D. (2003). Behavioural phenotypes associated with specific genetic disorders: evidence from a population-based study of people with Prader-Willi syndrome. Psychological Medicine, 33, 141–153.

    Article  PubMed  Google Scholar 

  • Holm, V. A., Cassidy, S. B., Butler, M. G., Hanchett, J. M., Greenswag, L. R., Whitman, B. Y., et al. (1993). Prader-Willi syndrome: Consensus diagnostic criteria. Pediatrics, 92, 398–402.

    Google Scholar 

  • Kaufman, A. S., & Kaufman, N. L. (2004). Kaufman brief intelligence test-2. Minneapolis, MN: Pearson.

    Google Scholar 

  • Lambourne, K., & Tomporowski, P. (2010). The effect of exercise-induced arousal on cognitive task performance: A meta-regression analysis. Brain Research, 1341, 12–24.

    Article  PubMed  Google Scholar 

  • Mackey, A. P., Hill, S. S., Stone, S. I., & Bunge, S. A. (2011). Differential effects of reasoning and speed training in children. Developmental Science, 14, 582–590.

    Article  PubMed  Google Scholar 

  • Milner, K. M., Craig, E. E., Thompson, R. J., Veltman, M. W., Thomas, N. S., Roberts, S., et al. (2005). Prader-Willi syndrome: Intellectual disabilities and behavioral features by genetic subtype. Journal of Child Psychology and Psychiatry, 46, 1089–1096.

    Article  PubMed  Google Scholar 

  • Rimmer, J. H., Chen, M.-D., McCubbin, J. A., Drum, C., & Peterson, J. (2010). Exercise intervention research on persons with disabilities: What we know and where we need to go. American Journal of Physical Medicine and Rehabilitation, 89, 249–263.

    Article  PubMed  Google Scholar 

  • Roof, E., Stone, W., MacLean, W., Feurer, I. D., Thompson, T., & Butler, M. G. (2000). Intellectual characteristics of Prader-Willi syndrome: Comparison of genetic subtypes. Journal of Intellectual Disability Research, 44, 25–30.

    Article  PubMed  Google Scholar 

  • Rosner, B. A., Hodapp, R. M., Fidler, D. J., Sagun, J. N., & Dykens, E. M. (2004). Social competence in persons with Prader-Willi, Williams and Down syndromes. Journal of Applied Research in Intellectual Disabilities, 17, 209–217.

    Article  Google Scholar 

  • Sellinger, M. H., Hodapp, R. M., & Dykens, E. M. (2006). Leisure activities in individuals with Prader-Willi, Williams, and Down syndromes. Journal of Developmental and Physical Disabilities, 18, 59–71.

    Article  Google Scholar 

  • Soni, S., Whittington, J., Holland, A. J., Webb, T., Maina, E., Boer, H., et al. (2007). The course and outcome of psychiatric illness in people with Prader-Willi syndrome: Implications for management and treatment. Journal of Intellectual Disability Research, 51, 32–42.

    Article  PubMed  Google Scholar 

  • Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland Adaptive Behavior Scales-II. Minneapolis, MN: Pearson Publishers.

    Google Scholar 

  • Varela, M. C., Kok, F., Setian, N., Kim, C., & Koiffmann, C. (2005). Impact of molecular mechanisms, including deletion size, on Prader-Willi syndrome phenotype: study of 75 patients. Clinical Genetics, 67, 47–52.

    Article  PubMed  Google Scholar 

  • Veltman, M. W., Craig, E. E., & Bolton, P. F. (2005). Autism spectrum disorders in Prader-Willi and Angelman syndromes: A systematic review. Psychiatric Genetics, 15, 243–254.

    Article  PubMed  Google Scholar 

  • Verdine, B. N., Troseth, G. L., Hodapp, R. M., & Dykens, E. M. (2008). Strategies and correlates of jigsaw puzzle and visual-spatial performance in persons with Prader-Willi syndrome and matched controls. American Journal on Mental Retardation, 113, 343–355.

    Article  PubMed  Google Scholar 

  • Whittington, J., & Holland, T. (2004). Prader-Willi syndrome: Development and manifestations. UK: Cambridge University Press.

    Book  Google Scholar 

  • Whittington, J., Holland, A., Webb, T., Butler, J., Clarke, D., & Boer, H. (2004). Cognitive abilities and genotype in a population-based sample of people with Prader-Willi syndrome. Journal of Intellectual Disability Research, 48, 172–187.

    Article  PubMed  Google Scholar 

  • Zarcone, J., Napolitano, D., Peterson, C., Ferraioli, S., Caruso-Anderson, M., Holsen, L., et al. (2007). The relationship between compulsive behavior and academic achievement across three genetic subtypes of Prader-Willi syndrome. Journal of Intellectual Disabilities Research, 51, 478–487.

    Article  Google Scholar 

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Acknowledgments

The author thanks the families who graciously participated in this research, as well as Elizabeth Roof, MA, Senior Research Scientist, and Research Assistants Grace Kulbaba and Lauren Deisenroth for their expertise in collecting data and working with families. The author is grateful to Robert Hodapp, PhD for his feedback on an earlier draft of this manuscript. This work was supported by NICHD Grants R01HD035684, U54 HD061222, and P30HD015052.

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Correspondence to Elisabeth M. Dykens.

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Dykens, E.M. Leisure Activities in Prader-Wlli Syndrome: Implications for Health, Cognition and Adaptive Functioning. J Autism Dev Disord 44, 294–302 (2014). https://doi.org/10.1007/s10803-012-1462-7

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  • DOI: https://doi.org/10.1007/s10803-012-1462-7

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