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Overview of
Neurocognitive and
Behavioral AssessmentsSarah N. Mattson, Ph.D.San Diego State University
Outline of Presentation
Overview of assessments General ability measures Social and communication behavior Behavior ratings
Findings from previous assessments
General Ability Measures
Bayley-III: Bayley Scales of Infant and Toddler Development-third edition Ages: 1 to 42 months Administration time: 45-60 minutes
DAS-II: Differential Abilities Scale-second edition Ages: 2:6 to 17:11 years Administration time: ~45 minutes
WAIS-IV: Wechsler Adult Intelligence Scale-fourth edition Ages: 16:0 to 90:11 years Administration time: ~60 minutes
Social and Communication Behavior
ADOS: Autism Diagnostic Observation Schedule Description: a semi-structured assessment used
to evaluate social and communication behavior across developmental levels and ages
Ages: toddlers to adults Administration time: 30-45 minutes
Behavior Ratings
VABS-II: Vineland Adaptive Behavior Scale-second edition Questionnaire and interview format Assesses adaptive behavior (personal and social skills
needed for daily living)
SCQ: Social Communication Questionnaire Assesses communication skills and social functioning
CBCL: Child Behavior Checklist Assesses adaptive and maladaptive behavioral functioning
DBD: Disruptive Behavior Disorder Rating Scale Assesses disruptive behaviors like those seen in ADHD
Research Involvement
Location: San Diego State University
Direct assessment ~2 hours to complete assessments
Parent assessment ~1-2 hours to complete questionnaires ~1 hour to complete interview at CBT
Compensation: ~ $20 financial incentive and feedback from testing
Previously Reported
Delayed development, including motor and speech
Mild to severe intellectual disabilities
Learning difficulties
Behavior Problems including compulsive behavior, short attention span, distractibility
Results from Ongoing Research
Parent and Child Questionnaire Medical Issues Developmental Milestones School & Behavior
Behavior Ratings
Relation to Deletion Size
Medical IssuesN %
Heart Problems 22 75.9%
Heart Surgery 7 24.1%
Blood Problems 25 86.2%
Ever Hospitalized 22 75.9%
CT Scan or MRI of Brain 21 72.4%
Seizures 4 13.8%
Current Meds 20 69.0%
Feeding or Eating Problems 22 75.9%
Gastrointestinal Problems 20 69.0%
Recurring Infections 21 72.4%
Hearing Problems 19 65.5%
Vision Problems 24 82.8%
Data from 2006/2008, N = 29
Developmental Milestones
Typical Development
Age in Months MN
(SD)
“Not Yet” N
(%)Crawl 9 17.96 (8.13) 1 (2.9%)
Eat solid foods 6 17.72 (13.18) 0 (0.0%)
Sit up without support 9 13.45 (5.86) 0 (0.0%)
Say first word 12 25.30 (11.95) 0 (0.0%)
Walk 12-18 28.84 (15.13) 1 (2.9%)Stay dry during the day 24 48.71 (20.22) 7 (20.0%)
Data from 2006/2008, N = 35
School & Behavior
N %
Attends School 27 93.1%
Special Education 26 89.7%
Repeated Grade 5 17.2%
Other Special Services 27 93.1%
Any Behavior Problems 21 72.4%
Dx ADHD 12 41.4%
Dx Learning Disability 15 51.7%
Data from 2006/2008, N = 29
Behavioral Functioning
anx/
depr
with
draw
som
atic
socp
rob
thou
ght
attn
delin
q
aggr
es40
50
60
70
80
JS
Scale
T-S
core
Behavioral Functioning
anx/
depr
with
draw
som
atic
socp
rob
thou
ght
attn
delin
q
aggr
es40
50
60
70
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JSDS
Scale
T-S
core
Deletion Size & IQ
7 8 9 10 11 12 13 14 15 16 1740455055606570758085
Deletion
IQ E
sti
mate
r = -.83
Deletion Size & Adaptive Behavior
7 8 9 10 11 12 13 14 15 16 1740
50
60
70
80
90
100
110
120
Deletion
VA
BS
Com
posit
e
r = -.58
Deletion Size & Behavior
7 8 9 10 11 12 13 14 15 16 1740
50
60
70
80
90
Deletion
CB
CL T
ota
l T-S
core
r = -.71
Summary So Far…
Behavioral assessments support previous reports and may be unique from other developmental conditions
Understanding the relation between deletion size and cognition and behavior will provide important information that will help families, especially those with new diagnoses
Plans for the Future
Further examine our existing data and continue to collect new information
Seek external funding for research activities
THANK YOU!
We couldn’t do this without you -