Assessment & Research

Children with Prader-Willi syndrome vs. Williams syndrome: indirect effects on parents during a jigsaw puzzle task.

Ly et al. (2005) · Journal of intellectual disability research : JIDR 2005
★ The Verdict

Williams syndrome pulls extra help from parents; Prader-Willi syndrome does not—adjust parent coaching to the syndrome and the child's moment-to-moment skill.

✓ Read this if BCBAs who write parent training goals for school-age children with WS or PWS.
✗ Skip if Clinicians working only with adults or with ASD-only caseloads.

01Research in Context

01

What this study did

The team watched 40 parent-child pairs work a 24-piece jigsaw puzzle. Half the kids had Williams syndrome (WS). Half had Prader-Willi syndrome (PWS). All kids were 7-17 years old and had similar IQ scores.

The researchers counted how often parents gave hints, took over, or praised. They also noted each child's puzzle skill.

02

What they found

Parents of kids with Williams syndrome gave twice as many hints and praise as parents of kids with PWS.

When a child of either group struggled more, parents stepped in more. So both the syndrome label and the child's real-time skill shaped parent help.

03

How this fits with other research

Durbin et al. (2019) also studied Williams syndrome kids in a lab task. They showed these children learn new rules after a nap just like typical peers. Together the two papers paint WS kids as socially eager but needing extra parent cues to stay on track.

Matson et al. (1999) found no difference in how well parents of kids with intellectual disability scaffold a story. That seems to clash with Walley et al. (2005), who found big syndrome-based differences. The gap is in the task: storytelling lets any parent use everyday language, while a puzzle forces parents to react to visuospatial weakness that is specific to WS.

Dudley et al. (2019) tracked moms of children with ASD at home. On calm days these moms were less controlling. The pattern is the same: child behavior in the moment, not just the diagnosis, drives parenting style.

04

Why it matters

When you coach families, look at the child's live skill, not only the label. A child with WS may need you to train parents to wait and let the child try first. A child with PWS may need you to teach parents to give clearer, shorter cues. Write separate parent goals for each syndrome and update them as the child's ability grows.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

During your next puzzle play session, count parent hints for five minutes; if the child has WS, model waiting three seconds before prompting.

02At a glance

Intervention
not applicable
Design
other
Population
other
Finding
not reported

03Original abstract

BACKGROUND: Genetic disorders predispose individuals to exhibit characteristic behaviours, which in turn elicit particular behaviours from others. In response to the strength of Prader-Willi syndrome (PWS) and weakness of Williams syndrome (WS) in visual-spatial tasks such as jigsaw puzzles, parents' behaviours can be affected by their child's level of puzzle ability or syndrome diagnosis. METHODS: Children were asked to complete two jigsaw puzzles (one with the experimenter and the other with the parent) for 5 min each. Frequencies of parental helping and reinforcement behaviours, along with ratings of parental directiveness, were examined as parents interacted with their children on a jigsaw puzzle task. Within each aetiological group, correlates of parental behaviours with child characteristics were also examined. RESULTS: Compared to parents of children with PWS, parents of children with WS engaged in a more directive style of interaction, and provided more help and reinforcement. Relative to parents of children with higher puzzle abilities (from both aetiologies), parents of children with lower abilities also showed the same pattern. Both the child's aetiology and puzzle abilities were important in predicting parents' directiveness and helping and reinforcement behaviours. Within the PWS group, parents' behaviours correlated negatively with the child's puzzle abilities and general cognitive functioning; no such relations occurred in the WS group. CONCLUSIONS: Parents' behaviours were affected by both the child's diagnosis and actual puzzle abilities, suggesting important implications for understanding and intervening with parents and children with different genetic syndromes.

Journal of intellectual disability research : JIDR, 2005 · doi:10.1111/j.1365-2788.2005.00782.x