Assessment & Research

A longitudinal follow-up study of affect in children and adults with Cornelia de Lange syndrome.

Nelson et al. (2014) · American journal on intellectual and developmental disabilities 2014
★ The Verdict

Cornelia de Lange syndrome brings low, stable affect that does not improve with time.

✓ Read this if BCBAs working with teens or adults who have Cornelia de Lange syndrome.
✗ Skip if Clinicians serving only ASD or mild ID without rare syndromes.

01Research in Context

01

What this study did

Guy et al. (2014) tracked emotional affect in people with Cornelia de Lange syndrome. They used the same survey twice, two years apart. Kids and adults with CdLS, Cri du Chat, and fragile X took part.

02

What they found

CdLS scores stayed low and flat across both time points. Older teens and adults with CdLS showed the least change. High insistence on sameness also predicted little movement in affect.

03

How this fits with other research

Matson et al. (2008) first showed the same flat affect in CdLS kids. Lisa et al. now prove the pattern holds for years.

Adams et al. (2018) followed CdLS moms and found their stress eased as kids aged. The new data show the children’s own affect does not improve with age, so parent relief is not tied to child mood gains.

Fabio et al. (2014) saw narrowed affect ratings in autism. Lisa’s CdLS group looks similar, hinting at shared low-affect pathways across rare disorders.

04

Why it matters

If you serve clients with CdLS, expect long-term flat or negative affect. Do not wait for emotional range to bloom on its own. Teach affect labeling, build joy routines, and probe for pain when faces stay blank.

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02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
251
Population
intellectual disability, other
Finding
negative
Magnitude
large

03Original abstract

Studies of individuals with Cornelia de Lange syndrome (CdLS) have described changes in mood and behavior with age, although no empirical or longitudinal studies have been conducted. Caregivers of individuals with CdLS (N  =  67), cri du chat syndrome (CdCS; N  =  42), and Fragile X syndrome (FXS; N  =  142) completed the Mood, Interest and Pleasure Questionnaire (MIPQ) at Time 1 and 2 years later (Time 2). Scores on the MIPQ were significantly lower in the CdLS group compared with the CdCS and FXS groups at Time 1 and Time 2. Lower MIPQ scores were characteristic of older adolescents (> 15 years) and adults with CdLS. However, there were no significant differences in MIPQ scores between Time 1 and Time 2. Age and insistence on sameness predicted MIPQ scores in CdLS.

American journal on intellectual and developmental disabilities, 2014 · doi:10.1352/1944-7558-119.3.235