Reducing challenging behaviors and fostering efficient learning of children with CHARGE syndrome

Dijk, J.P.M. van; Kort, Arno de

doi:10.1002/ajmg.a.30548

Cited by 16 publications

(11 citation statements)

References 11 publications

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“…Many children with CHARGE have communication problems and are not properly understood by their parents or care takers [Daelman, 2003]. We agree with Van Dijk and De Kort 2005, and Thelin and Fussner 2005 that early intervention with regard to language and communication is needed. Although other problem behaviors, such as autistic features, tics, stereotyped behavior and emotional instability, occur often, they do not seem to be a distinct feature in CHARGE syndrome, because a lot but not all persons with CHARGE syndrome show them.…”

Section: Discussionmentioning

confidence: 87%

“…Although other problem behaviors, such as autistic features, tics, stereotyped behavior and emotional instability, occur often, they do not seem to be a distinct feature in CHARGE syndrome, because a lot but not all persons with CHARGE syndrome show them. The clinical observation that behavioral problems occur frequently should not contaminate our view on individual variation within CHARGE syndrome, because survey studies are inadequate in helping to understand the problems of a particular individual [Van Dijk and De Kort, 2005].…”

Section: Discussionmentioning

confidence: 99%

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CHARGE syndrome: Relations between behavioral characteristics and medical conditions

et al. 2006

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The behaviors and medical problems in 27 persons with CHARGE syndrome were studied, because it was hypothesized that their behavior might be partly dependent on the heterogeneous medical status. With the exception of more tics, cardiac surgery was associated with positive behaviors: less withdrawn behavior, better mood, and a more easy temperament. Tube feeding was also related to positive behavior, since participants with a history of tube feeding showed less intense behavior. Cerebral deficits were associated with three problem behaviors: more intense and withdrawn behavior and a worse mood. Deaf-blindness was associated with developmental delays in expressive and overall communication level, and recurrent middle ear infections correlated with delays in written language. Of all medical conditions, only the presence or absence of heart defects and cardiac surgery could differentiate between the participants with regard to the number of behavioral problems. Participants with heart surgery especially, had less behavior problems. The number of operations and hospitalizations was not associated with behavior, but the total length of the hospitalizations was. Long hospital stays were associated with less problem behavior, especially internalizing behaviors. Cerebral and heart problems did not result in longer hospital stays, whereas esophageal reflux did. Age effects were reflected in older participants, who showed more internalizing problems. Heart surgery and hospitalization may be protective factors, but the protection might not be the actual surgery or hospital stay, as there may be other variables that are the actual cause, such as reduced vitality or altered parent child interactions after heart surgery. The study could not confirm a significant association between medical conditions and autism found in previous studies.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

CHARGE syndrome: Relations between behavioral characteristics and medical conditions

et al. 2006

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“…Poor communication with others is related to emotional and behavioral problems in children with developmental disabilities ( Sigafoos, 2000 ; Kevan, 2003 ). Thus, the emotional and behavioral disturbances that are common in persons with CDB ( Van Dijk and de Kort, 2005 ; Jacobsen et al, 2009 ; Nelson et al, 2013 ) may be attributable to limited communicational abilities. Accordingly, providing support and guidance to parents and their children to improve their reciprocal communication and emotional connection to each other may result in preventing the development of emotional and behavioral problems in children with CDB ( Martens et al, 2014a ,b).…”

Section: Introductionmentioning

confidence: 99%

Effect of Tactile Imitation Guidance on Imitation and Emotional Availability. A Case Report of a Mother and Her Child With Congenital Deafblindness

Peltokorpi

Daelman²,

Salo

et al. 2020

Front. Psychol.

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Interaction between parents and children with congenital deafblindness (CDB) is easily hampered due to dual sensory loss. This case report examines imitation and emotional availability in interaction between a mother and her 3-year-old child with CDB first in unguided play and then in three play sessions with tactile imitation guidance. The video recorded play sessions were analyzed for frequency, length, and modality of imitation. Emotional Availability Scales were used to code the emotional quality of interaction. The results showed that before the guidance the mother imitated the child mainly vocally. After the guidance, the use of tactility in imitations increased. Imitation exchanges lasted longest in the last session. The emotional availability between the mother and the child was higher after the guidance. Further research is needed to confirm the positive outcomes of this case study.

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“…Many children with CHARGE syndrome display a set of challenging and problematic externalizing behaviors, including self-injury, aggression, and explosive/unstable behavior (Souriau et al 2005, Thelin and Fussner 2005, Van Dijk and de Kort 2005. In addition to the aforementioned psychiatric (e.g., OCD, Autism), other disorders such as anxiety and depression (31% and 24% respectively) accompany CHARGE syndrome (Souriau et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Exposure Therapy with a Non-Verbal Child: A Case Report

Zeiger¹,

Petrovic-Dovat²,

Bansal³

2017

AJSS

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Exposure Therapy (ET), a component of Cognitive-Behavioral Therapy (CBT), has long been used to treat psychiatric disorders including anxiety disorders, such as, Post-Traumatic Stress Disorder (PTSD), Obsessive-Compulsive Disorder, and, more recently, Selective Mutism. ET aims to reduce the levels of anxiety an individual experiences by gradually exposing them to said distressing stimulus. Although effective, this treatment type has not been applied to children suffering with a complex combination of genetic and psychiatric disorders, and intellectual disabilities. The following case study focuses on a 10-year-old girl with a history of medical illnesses including CHARGE syndrome, a rare genetic disorder. After an emergency surgical procedure, the child developed a myriad of psychiatric symptoms associated with PTSD and Selective Mutism after experiencing a stressful medical hospitalization. An exposure-based intervention was developed and implemented with frequency data pertaining to the symptoms were assessed prior, during, and post intervention. Outcome data were positive, demonstrating a decrease in the child's anxious behaviors after a single exposure-based session.

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Reducing challenging behaviors and fostering efficient learning of children with CHARGE syndrome

Cited by 16 publications

References 11 publications

CHARGE syndrome: Relations between behavioral characteristics and medical conditions

CHARGE syndrome: Relations between behavioral characteristics and medical conditions

Effect of Tactile Imitation Guidance on Imitation and Emotional Availability. A Case Report of a Mother and Her Child With Congenital Deafblindness

Exposure Therapy with a Non-Verbal Child: A Case Report

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