Skip to main content
Log in

Brief Report: Contrasting Profiles of Everyday Executive Functioning in Smith–Magenis Syndrome and Down Syndrome

  • Brief Report
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Everyday executive function (EF) was examined in Smith–Magenis syndrome (SMS), associated with high risk of behaviour disorder, and Down syndrome (DS), associated with relatively low risk of behaviour disorder. Caregivers of 13 children with SMS and 17 with DS rated everyday EF using the Behavioral Rating Inventory of Executive Functioning-Preschool. Greater everyday EF deficits relative to adaptive ability were evident in SMS than in DS. The SMS profile of everyday EF abilities was relatively uniform; in DS emotional control strengths and working memory weaknesses were evident. Findings implicate broad everyday EF difficulties in SMS compared to DS, corresponding with increased rates of behaviour disorder in SMS. Findings further suggest that everyday EF profiles may, in part, be syndrome related.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Notes

  1. This difference was also significant in Mann–Whitney analysis, U = 17.5, p < .001.

  2. This difference was also significant in a Wilcoxon analysis Z = −2.54, p = .011.

  3. These differences were also significant in a Wilcoxon analysis; Inhibit Z = −3.43, p = .001, Plan/Organize Z = −3.32, p = .001 and Working Memory Z = −3.62, p < .001 but not Shift Z = −2.38, p = .017.

References

  • Arron, K., Oliver, C., Moss, J., Berg, K., & Burbidge, C. (2011). The prevalence and phenomenology of self-injurious and aggressive behaviour in genetic syndromes. Journal of Intellectual Disability Research, 55(2), 109–120.

    Article  PubMed  Google Scholar 

  • Baddeley, A., & Jarrold, C. (2007). Working memory and Down syndrome. Journal of Intellectual Disability Research, 51(12), 925–931.

    Article  PubMed  Google Scholar 

  • Carr, J. (2012). Six weeks to 45 years: A longitudinal study of a population with Down syndrome. Journal of Applied Research in Intellectual Disabilities, 25(5), 414–422.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988), Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum.

    Google Scholar 

  • Collacott, R., Cooper, S., Branford, D., & McGrother, C. (1998). Behaviour phenotype for Down’s syndrome. The British Journal of Psychiatry, 172(1), 85–89.

    Article  PubMed  Google Scholar 

  • Cuskelly, M., & Dadds, M. (1992). Behavioural problems in children with Down’s syndrome and their siblings. Journal of Child Psychology and Psychiatry, 33(4), 749–761.

    Article  PubMed  Google Scholar 

  • Daunhauer, L. A., Fidler, D. J., Hahn, L., Will, E., Lee, N. R., & Hepburn, S. (2014). Profiles of everyday executive functioning in young children with Down syndrome. American Journal on Intellectual and Developmental Disabilities, 119(4), 303–318.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dykens, E. M., Finucane, B. M., & Gayley, C. (1997). Brief report: Cognitive and behavioral profiles in persons with Smith-Magenis syndrome. Journal of Autism and Developmental Disorders, 27(2), 203–211.

    Article  PubMed  Google Scholar 

  • Dykens, E. M., & Smith, A. C. M. (1998). Distinctiveness and correlates of maladaptive behaviour in children and adolescents with Smith-Magenis syndrome. Journal of Intellectual Disability Research, 42, 481–489.

    Article  PubMed  Google Scholar 

  • Emerson, E., Kiernan, C., Alborz, A., Reeves, D., Mason, H., Swarbrick, R., … Hatton, C (2001). The prevalence of challenging behaviors: A total population study. Research in Developmental Disabilities, 22(1), 77–93.

    Article  PubMed  Google Scholar 

  • Fidler, D., Hepburn, S., & Rogers, S. (2006). Early learning and adaptive behaviour in toddlers with Down syndrome: Evidence for an emerging behavioural phenotype? Down Syndrome Research and Practice, 9(3), 37–44.

    Article  Google Scholar 

  • Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Gioia, G. A., Espy, K. A., & Isquith, P. K. (2003). BRIEF-P: Behavior rating inventory of executive function-preschool version: Professional manual. Lutz: Psychological Assessment Resources.

    Google Scholar 

  • Greenberg, F., Guzzetta, V., Deocaluna, R. M., Magenis, R. E., Smith, A. C. M., Richter, S. F., … Lupski, & J, R. (1991). Molecular analysis of the Smith-Magenis syndrome—A possible contiguous-gene syndrome associated with del(17)(P11.2). American Journal of Human Genetics, 49(6), 1207–1218.

    PubMed  PubMed Central  Google Scholar 

  • Griffith, E. M., Pennington, B. F., Wehner, E. A., & Rogers, S. J. (1999). Executive functions in young children with autism. Child Development, 70, 817–832.

    Article  PubMed  Google Scholar 

  • Gropman, A. L., Duncan, W. C., & Smith, A. C. M. (2006). Neurologic and developmental features of the Smith-Magenis syndrome (del 17p11.2). Pediatric Neurology, 34(5), 337–350.

    Article  PubMed  Google Scholar 

  • Kasari, C., Mundy, P., Yirmiya, N., & Sigman, M. (1990). Affect and attention in children with Down syndrome. American Journal on Mental Retardation, 95(1), 55–67.

    PubMed  Google Scholar 

  • Lanfranchi, S., Jerman, O., Dal Pont, E., Alberti, A., & Vianello, R. (2010). Executive function in adolescents with Down syndrome. Journal of Intellectual Disability Research, 54(4), 308–319.

    Article  PubMed  Google Scholar 

  • Lee, N. R., Anand, P., Will, E., Adeyemi, E. I., Clasen, L. S., Blumenthal, J. D., … Edgin, & J, O. (2015). Everyday executive functions in Down syndrome from early childhood to young adulthood: Evidence for both unique and shared characteristics compared to youth with sex chromosome trisomy (XXX and XXY). Frontiers in Behavioral Neuroscience, 9, 264.

    PubMed  PubMed Central  Google Scholar 

  • Lee, N. R., Fidler, D. J., Blakeley-Smith, A., Daunhauer, L., Robinson, C., & Hepburn, S. L. (2011). Caregiver report of executive functioning in a population-based sample of young children with Down syndrome. American Journal on Intellectual and Developmental Disabilities, 116(4), 290–304.

    Article  PubMed  PubMed Central  Google Scholar 

  • Martin, G. E., Klusek, J., Estigarribia, B., & Roberts, J. E. (2009). Language characteristics of individuals with Down syndrome. Topics in Language Disorders, 29(2), 112.

    Article  PubMed  PubMed Central  Google Scholar 

  • Martin, S. C., Wolters, P. L., & Smith, A. C. M. (2006). Adaptive and maladaptive behavior in children with Smith-Magenis syndrome. Journal of Autism and Developmental Disorders, 36(4), 541–552.

    Article  PubMed  Google Scholar 

  • McAllister, T. W. (2008). Neurobehavioral sequelae of traumatic brain injury: Evaluation and management. World Psychiatry, 7(1), 3–10.

    Article  PubMed  PubMed Central  Google Scholar 

  • Melyn, M. A., & White, D. T. (1973). Mental and developmental milestones of noninstitutionalized Down’s syndrome children. Pediatrics, 52(4), 542–545.

    PubMed  Google Scholar 

  • Morgan, A. B., & Lilienfeld, S. O. (2000). A meta-analytic review of the relation between antisocial behavior and neuropsychological measures of executive function. Clinical Psychology Review, 20(1), 113–136.

    Article  PubMed  Google Scholar 

  • Moss, J., Oliver, C., Arron, K., Burbidge, C., & Berg, K. (2009). The prevalence and phenomenology of repetitive behavior in genetic syndromes. Journal of Autism and Developmental Disorders, 39(4), 572–588.

    Article  PubMed  Google Scholar 

  • Oliver, C., Berg, K., Moss, J., Arron, K., & Burbidge, C. (2011). Delineation of behavioral phenotypes in genetic syndromes: Characteristics of autism spectrum disorder, affect and hyperactivity. Journal of Autism and Developmental Disorders, 41(8), 1019–1032.

    Article  PubMed  Google Scholar 

  • Oliver, C., & Richards, C. (2015). Practitioner review: Self-injurious behaviour in children with developmental delay. Journal of Child Psychology and Psychiatry, 56(10), 1042–1054.

    Article  PubMed  Google Scholar 

  • Osório, A., Cruz, R., Sampaio, A., Garayzábal, E., Carracedo, Á., & Fernández-Prieto, M. (2012). Cognitive functioning in children and adults with Smith-Magenis syndrome. European Journal of Medical Genetics, 55(6), 394–399.

    Article  PubMed  Google Scholar 

  • Porter, M. A., Coltheart, M., & Langdon, R. (2007). The neuropsychological basis of hypersociability in Williams and Down syndrome. Neuropsychologia, 45(12), 2839–2849.

    Article  PubMed  Google Scholar 

  • Rowe, J., Lavender, A., & Turk, V. (2006). Cognitive executive function in Down’s syndrome. British Journal of Clinical Psychology, 45(1), 5–17.

    Article  PubMed  Google Scholar 

  • Schalock, R. L., Borthwick-Duffy, S. A., Bradley, V. J., Buntinx, W. H., Coulter, D. L., Craig, E. M., & Yeager, M. H. (2010). Intellectual disability: Definition, classification, and systems of supports (p. 259). Washington, DC: American Association on Intellectual and Developmental Disabilities.

  • Sherman, E. M., & Brooks, B. L. (2010). Behavior rating inventory of executive function–preschool version (BRIEF-P): Test review and clinical guidelines for use. Child Neuropsychology, 16(5), 503–519.

    Article  Google Scholar 

  • Slager, R. E., Lynn, T., Newton, T. L., Vlangos, C. N., Finucane, B., & Elsea, S. H. (2003). Mutations in RAI1 associated with Smith-Magenis syndrome. Nature Genetics, 33(4), 466–468.

    Article  PubMed  Google Scholar 

  • Sloneem, J., Oliver, C., Udwin, O., & Woodcock, K. A. (2011). Prevalence, phenomenology, aetiology and predictors of challenging behaviour in Smith-Magenis syndrome. Journal of Intellectual Disability Research: JIDR, 55(2), 138–151.

    Article  PubMed  Google Scholar 

  • Snyder, H. R., Kaiser, R. H., Warren, S. L., & Heller, W. (2015). Obsessive-compulsive disorder is associated with broad impairments in executive function: A meta-analysis. Clinical Psychological Science, 3(2), 301–330.

    Article  PubMed  Google Scholar 

  • Sparrow, S. S., Balla, D. A., Cicchetti, D. V., Harrison, P. L., & Doll, E. A. (1984). Vineland adaptive behavior scales. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Sparrow, S., Cicchetti, D., & Balla, D. (2005). Vineland adaptive behavior scales: (Vineland II), survey interview form/caregiver rating form. Livonia, MN: Pearson Assessments.

    Google Scholar 

  • Stores, R., Stores, G., Fellows, B., & Buckley, S. (1998). Daytime behaviour problems and maternal stress in children with Down’s syndrome, their siblings, and non-intellectually disabled and other intellectually disabled peers. Journal of Intellectual Disability Research, 42(3), 228–237.

    Article  PubMed  Google Scholar 

  • Tassé, M. J., Schalock, R. L., Balboni, G., Bersani, H. Jr., Borthwick-Duffy, S. A., Spreat, S., … Zhang, D (2012). The construct of adaptive behavior: Its conceptualization, measurement, and use in the field of intellectual disability. American Journal on Intellectual and Developmental Disabilities, 117(4), 291–303.

    Article  PubMed  Google Scholar 

  • Toplak, M. E., West, R. F., & Stanovich, K. E. (2013). Do performance-based measures and ratings of executive function assess the same construct? Journal of Child Psychology and Psychiatry, 54(2), 131–143.

    Article  PubMed  Google Scholar 

  • Udwin, O., Webber, C., & Horn, I. (2001). Abilities and attainment in Smith-Magenis syndrome. Developmental Medicine and Child Neurology, 43(12), 823–828.

    Article  PubMed  Google Scholar 

  • Walz, N. C., & Benson, B. A. (2002). Behavioral phenotypes in children with Down syndrome, Prader-Willi syndrome, or Angelman syndrome. Journal of Developmental and Physical Disabilities, 14(4), 307–321.

    Article  Google Scholar 

  • Wilde, L., Mitchell, A., & Oliver, C. (2016). Differences in social motivation in children with Smith–Magenis syndrome and Down syndrome. Journal of Autism and Developmental Disorders, 46(6), 2148–2159.

    Article  PubMed  Google Scholar 

  • Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57(11), 1336–1346.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The research reported here was supported by funding from Cerebra. The authors would like to thank all participants and their families. The authors are indebted to the Smith-Magenis Foundation UK and the Down’s Syndrome Association for their assistance with recruitment of children with Smith–Magenis syndrome and Down syndrome, respectively.

Author Contributions

LW conceived of the study, participated in its design and coordination, performed the statistical analyses, participated in the interpretation of the data, and drafted the manuscript. CO conceived of the study, participated in its design and interpretation of the data, and helped to draft the manuscript. Both authors read and approved the final manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lucy Wilde.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wilde, L., Oliver, C. Brief Report: Contrasting Profiles of Everyday Executive Functioning in Smith–Magenis Syndrome and Down Syndrome. J Autism Dev Disord 47, 2602–2609 (2017). https://doi.org/10.1007/s10803-017-3140-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-017-3140-2

Keywords

Navigation