Childhood predictors of written expression in late adolescents with 22q11.2 deletion syndrome: a longitudinal study.
N Hamsho, K M Antshel, T L Eckert and 1 others
PMID 28276184WHAT IT FOUND
Youth with 22q11DS had written expression scores far below average.
Girls with 22q11DS scored higher than boys. Childhood verbal IQ, executive function, and language predicted later writing; verbal IQ decline did not.
Key findings
01The 22q11DS group scored lower than the combined control group on written expression at all three time points, and its scores were approximately two standard deviations below the mean.
02Childhood Verbal IQ and gender predicted adolescent written expression in the combined control group; in the 22q11DS group, gender, Performance IQ, executive function, and language also predicted adolescent written expression.
03Verbal IQ change was not significantly associated with adolescent written expression in the 22q11DS group.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study used a single testing episode at each time point to describe writing, so a single test score may not capture everyday writing ability. The data came from a larger study about psychosis risk, not written expression, so measures such as fine motor skills were not included. The community control group included people with ADHD or learning disabilities, so the control findings should not be read as typical development. The study did not know whether participants had individualised education plans or other interventions before or during the study, so intervention history may have influenced scores. For participants who joined at Time 2, Time 1 scores were imputed from Time 2 scores, which may affect the childhood predictor analyses. Different intelligence tests were used depending on age, with WISC-III for younger participants and WAIS-III for older participants, which may have affected analyses involving IQ. The study is observational, so significant predictors are associations, not proof that a deficit causes poor writing or that treating it will help.
Declared interests
The supplied publication types list N.I.H. extramural research support. No conflict-of-interest statement is included in the supplied text.