Evidence map›Paper›PMID 30942555›Full record

ArticleAmerican journal of medical genetics. Part A2019

Maladaptive behaviors in individuals with Angelman syndrome.

Anjali Sadhwani, Jennifer M Willen, Nicole LaVallee, Miganush Stepanians, Hillary Miller, Sarika U Peters, Rene L Barbieri-Welge, Lucia T Horowitz, Lisa M Noll, Rachel J Hundley and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. The Impact of Fragile X Syndrome on Caregivers: A Systematic Review.Journal of intellectual disability research : JIDR · 2026
    Pooled it
  2. Quality of life of parents with children with congenital abnormalities: a systematic review with meta-analysis of assessment methods and levels of quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. [Angelman syndrome in adulthood].Revista de neurologia · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Anxiety in Angelman Syndrome.American journal on intellectual and developmental disabilities · 2022
    Article
  19. Article
  20. Clinical aspects of a large group of adults with Angelman syndrome.American journal of medical genetics. Part A · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 2 countries.

Anjali SadhwaniDepartment of Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Jennifer M WillenDivision of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Nicole LaValleePROMETRIKA, LLC, Cambridge, Massachusetts.
Miganush StepaniansPROMETRIKA, LLC, Cambridge, Massachusetts.
Hillary MillerDivision of Genetics and Genomics, Department of Biostatistics, Boston Children's Hospital, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Sarika U PetersDivision of Developmental Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Rene L Barbieri-WelgeDevelopmental Evaluation Clinic, Rady Children's Hospital San Diego, San Diego, California.
Lucia T HorowitzGreenwood Genetic Center, Greenwood, South Carolina.
Lisa M NollPsychology Service, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Rachel J HundleyDivision of Developmental Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Lynne M BirdDepartment of Pediatrics, University of California, San Diego.
Wen-Hann TanDivision of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-1593-6149
Boston Children's Hospital · USPromega (United States) · USVanderbilt University · USBaylor College of Medicine · USGreenwood Genetic Center · USRady Children's Hospital-San Diego · USUniversity of San Diego · US

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Training and Career Development ComponentU54HD061222 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PERCY, ALAN KENNETH · 2009 to 2019
$12.4M
RARE DISEASE CRC FOR NEW THERAPIES AND NEW DIAGNOSTICSU54RR019478 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI BEAUDET, ARTHUR L. · 2003 to 2008
$7.3M
Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
NCATS NIH HHS UL1 TR002541NCRR NIH HHS U54 RR019478NICHD NIH HHS U54 HD061222NICHD NIH HHS U54 HD083211
6 · The paper itself

Abstract

Maladaptive behaviors are challenging and a source of stress for caregivers of individuals with Angelman Syndrome (AS). There is limited information on how these maladaptive behaviors vary over time among individuals with AS due to different genetic etiologies. In this study, caregivers of 301 individuals with AS were asked questions about their child's behavior and completed the Aberrant Behavior Checklist-Community version (ABC-C). Developmental functioning was evaluated with either the Bayley Scales of Infant Development, Third Edition (Bayley-III) or the Mullen Scales of Early Learning (MSEL). Family functioning was assessed using the parent-completed Parenting Stress Index (PSI) and the Family Quality of Life questionnaire (FQoL). Approximately 70% of participants had AS due to a deletion on the maternally-inherited copy of chromosome 15q11q13. Results revealed that at baseline, individuals with AS had low scores in the domains of lethargy (mean: 2.6-4.2 depending on genotype) and stereotypy (mean: 2.3-4.2 depending on genotype). Higher cognitive functioning was associated with increased irritability (r = 0.32, p < .01). Hyperactivity (p < .05) and irritability (p < .05) increased with age across all genotypes and should be ongoing targets for both behavioral and pharmacological treatment. Concerns for short attention span were endorsed by more than 70% of caregivers at baseline. Maladaptive behaviors, particularly hyperactivity, irritability and aggression, adversely affected parental stress, and family quality of life.

Indexed as

Stereotyped BehaviorAdolescentAdultAllelesAngelman SyndromeChildChild, PreschoolDisease SusceptibilityFemaleGenetic Predisposition to DiseaseGenotypeHumansInfantMaleParentingQuality of Lifebehavioral symptomsbehavior rating scaledevelopmental disabilitiesproblem behavior

Identifiers

PMID30942555
PMCPMC8407596
OpenAlexW2926119635

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.