Behavioral phenotype and sleep problems in SATB2-associated syndrome

Authors

Allison Pierce Cotton, University of Arkansas for Medical Sciences
Gokarakonda, University of Arkansas for Medical Sciences
Aisling R. Caffrey, University of Rhode Island
Yuri A. Zarate, University of Arkansas for Medical Sciences
Nihit Kumar, University of Arkansas for Medical Sciences

Document Type

Article

Date of Original Version

7-1-2020

Abstract

Aim: To determine the nature and frequency of behavioral phenotypes and sleep disturbances in individuals with SATB2-associated syndrome (SAS). Method: The Strengths and Difficulties Questionnaire (SDQ) and an age-appropriate sleep questionnaire were distributed to the parents of individuals with SAS. All scores were compared to available normative data. Results: Thirty-one individuals completed the assessment (18 females, 13 males; mean age 7y 4mo [SD 4y 1mo], range 2–16y). Individuals with SAS had significantly higher Total Difficulty scores than the normative sample (14.9 [SD 5.8] vs 7.1 [SD 5.7], p<0.001). A high frequency of emotional problems (22.6% vs 8%, p=0.01), peer problems (48.4% vs 10%, p<0.001), hyperactivity (48.4% vs 9%, p<0.001), and low prosocial behaviors (45.2% vs 9%, p<0.001) contribute to the behavioral profile in SAS. Concurrent sleeping difficulties were also frequently identified. Ten individuals in the 5 to 15 years age range had at least one sleep disorder (mean Sleep Disturbance Scale for Children total score 40.9 [SD 8.4] vs 35.1 [SD 7.7], p<0.001). Interpretation: With previous limited available objective neurobehavioral data on the SAS population, we reported evidence of high-risk for a broad spectrum of burdensome behavioral phenotype and concurrent sleeping difficulties, the latter being particularly prevalent during early childhood. Routine assessment and treatment for behavioral issues and sleep problems is recommended. What this paper adds: Emotional and peer problems, hyperactivity, and low prosocial behavior are common in SATB2-associated syndrome. The Strength and Difficulties Questionnaire Total Difficulty scores are atypical in nearly half of individuals. Behavioral difficulties are perceived as burdensome to over half of the parents. Nearly half of individuals have at least one sleep disorder. Sleep–wake transition disorders were most common.

Publication Title, e.g., Journal

Developmental Medicine and Child Neurology

Volume

62

Issue

7

Citation/Publisher Attribution

Cotton, Allison P., Gokarakonda, Aisling R. Caffrey, Yuri A. Zarate, and Nihit Kumar. "Behavioral phenotype and sleep problems in SATB2-associated syndrome." Developmental Medicine and Child Neurology 62, 7 (2020): 827-832. doi: 10.1111/dmcn.14330.