Internalising and Externalising Symptoms and Their Association with the Family Environment in Young Children with Williams Syndrome: A Longitudinal Study
Abstract
:1. Introduction
1.1. Internalising and Externalising Symptoms in WS
1.2. Effect of Demographic Variables and Cognitive Ability
1.3. Family Environment and Internalising and Externalising Symptoms
1.4. The Current Study
2. Method
2.1. Participants
2.2. Measures
2.2.1. Child Behaviour Checklist for Children Ages 1.5–5 (CBCL/1.5–5) and Child Behaviour Checklist for Children Ages 6–18 (CBCL/6–18) [24]
2.2.2. Combining the CBCL/1.5–5 and CBCL/6–18
2.2.3. The Family Environment Scale (FES; [29])
2.2.4. The Mullen Scales of Early Learning (MSEL; [32])
2.2.5. Differential Ability Scales, Second Edition (DAS-II; [33])
2.2.6. Combining MSEL and DAS-II Scores
2.3. Procedure
2.4. Analytic Approach
3. Results
3.1. Longitudinal Trajectory of CBCL Profiles in WS and TD Controls
3.2. CBCL Profiles in WS and TD Children at Time 1 and Time 2
3.3. Comparison of WS to TD at Time 1 and Time 2
3.4. Correlations between Sex, Chronological Age, Cognitive Ability, and CBCL Profile
3.5. Relationship between FES and CBCL in WS and TD Controls
3.6. FES Profile in WS and TD Children at Time 1
4. Discussion
4.1. Longitudinal Trajectory of CBCL Profiles
4.2. CBCL Profiles and Associations with Demographic Variables and Cognitive Ability
4.3. Relationship between the Family Environment and Psychopathology Symptomology
4.4. Profile of the Family Environment in Families of WS and TD Children
4.5. Practical Implications
4.6. Limitations and Future Research
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A. Associations with SES and Parent Education
Measure | WS | TD | ||||||
---|---|---|---|---|---|---|---|---|
SES | Mother | Father | Parent | SES | Mother | Father | Parent | |
CBCL Subscales | ||||||||
Summary | ||||||||
Total Problems | −0.13 | −0.05 | −0.03 | −0.05 | −0.09 | 0.09 | 0.13 | 0.14 |
Internalising Problems | −0.03 | 0.08 | 0.32 | 0.24 | 0.03 | 0.08 | 0.13 | 0.13 |
Externalising Problems | −0.03 | −0.07 | 0.05 | −0.01 | −0.11 | 0.00 | 0.15 | 0.11 |
Syndrome | ||||||||
Anxious/Depressed | 0.07 | 0.22 | 0.28 | 0.30 | 0.06 | −0.11 | −0.03 | −0.08 |
Withdrawn/Depressed a | 0.49 | 0.18 | 0.15 | 0.18 | 0.16 | −0.03 | 0.18 | 0.11 |
Somatic Complaints a | −0.47 | −0.36 | −0.25 | −0.25 | −0.14 | 0.08 | 0.09 | 0.14 |
Attention Problems a | 0.17 | −0.23 | −0.07 | −0.17 | −0.05 | −0.29 | 0.08 | −0.12 |
Aggressive Behaviour a | −0.06 | −0.08 | 0.06 | 0.03 | −0.11 | −0.01 | 0.07 | 0.05 |
DSM-Orientated | ||||||||
Affective Problems a | −0.17 | 0.01 | 0.24 | 0.16 | −0.20 | −0.02 | −0.02 | −0.03 |
Anxiety Problems | −0.16 | 0.13 | 0.14 | 0.16 | −0.02 | −0.06 | −0.11 | −0.11 |
ADH Problems a | 0.01 | −0.33 | 0.07 | −0.12 | 0.01 | −0.08 | 0.21 | 0.07 |
OD Problems a | −0.16 | −0.21 | 0.01 | −0.08 | −0.13 | 0.09 | 0.17 | 0.16 |
FES Subscales | ||||||||
Cohesion | −0.16 | 0.25 | 0.38 | 0.38 | −0.19 | 0.31 | 0.27 | 0.38 |
Expressiveness | −0.34 | −0.02 | 0.27 | 0.16 | −0.27 | 0.27 | 0.27 | 0.35 |
Conflict | 0.14 | −0.03 | −0.15 | −0.11 | 0.29 | −0.22 | 0.10 | −0.07 |
Independence | 0.23 | 0.21 | 0.03 | 0.13 | 0.04 | 0.43 ** | −0.20 | 0.12 |
Achievement Orientation | −0.38 | −0.15 | 0.04 | −0.06 | −0.29 | 0.16 | −0.31 | −0.12 |
Intellectual Cultural Orientation | −0.02 | 0.37 | 0.48 | 0.51 | 0.06 | 0.51 ** | 0.23 | 0.47 ** |
Active Recreational Orientation | −0.10 | 0.24 | 0.15 | 0.23 | −0.21 | 0.26 | 0.29 | 0.35 |
Moral Religious Emphasis | −0.05 | 0.04 | 0.38 | 0.26 | 0.07 | 0.34 | 0.40 ** | 0.48 ** |
Organisation | 0.16 | −0.06 | 0.50 | 0.28 | 0.20 | 0.10 | 0.18 | 0.19 |
Control | 0.13 | 0.00 | 0.49 | 0.30 | 0.02 | −0.07 | −0.15 | −0.14 |
CBCL Subscales | WS | TD | ||||||
---|---|---|---|---|---|---|---|---|
SES2 | Mother | Father | Parent | SES2 | Mother | Father | Parent | |
Summary | ||||||||
Total Problems | −0.49 | −0.31 | −0.35 | −0.39 | 0.23 | −0.22 | 0.11 | −0.06 |
Internalising Problems | −0.45 | −0.35 | −0.15 | −0.29 | 0.28 | −0.28 | −0.18 | −0.29 |
Externalising Problems | −0.38 | −0.23 | −0.49 | −0.44 | 0.22 | −0.14 | 0.25 | 0.08 |
Syndrome | ||||||||
Anxious/Depressed a | −0.41 | 0.45 | −0.28 | −0.48 | 0.28 | −0.15 | −0.14 | −0.17 |
Withdrawn/Depressed a | −0.00 | 0.11 | 0.05 | 0.07 | 0.03 | −0.28 | 0.02 | −0.13 |
Somatic Complaints a | −0.29 | −0.40 | −0.16 | −0.36 | 0.06 | −0.24 | −0.25 | −0.28 |
Attention Problems a | −0.03 | 0.00 | −0.16 | −0.09 | 0.16 | 0.05 | 0.13 | 0.13 |
Aggressive Behaviour a | −0.37 | −0.21 | −0.48 | −0.38 | 0.41 ** | −0.12 | 0.14 | 0.05 |
DSM-Orientated | ||||||||
Affective Problems a | −0.36 | −0.19 | −0.08 | −0.17 | 0.19 | −0.32 | 0.15 | −0.08 |
Anxiety Problems | −0.58 | −0.31 | −0.30 | −0.36 | 0.17 | −0.03 | −0.16 | −0.13 |
ADH Problems a | −0.13 | 0.00 | −0.13 | −0.02 | 0.27 | 0.03 | 0.19 | 0.12 |
OD Problems a | −0.26 | −0.25 | −0.34 | −0.32 | 0.32 | −0.15 | 0.17 | 0.04 |
Appendix B. Associations with Demographic Variables
CBCL Subscales | WS | TD | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Sex | Age | Global DQ | Verbal DQ | NV DQ | Sex | Age | Global DQ | Verbal DQ | NV DQ | |
Time 1 | ||||||||||
Summary | ||||||||||
Total Problems | −0.39 | 0.27 | 0.17 | −0.18 | 0.29 | −0.04 | −0.09 | −0.13 | −0.14 | −0.08 |
Internalising Problems | −0.09 | −0.08 | 0.32 | −0.14 | 0.08 | 0.07 | 0.25 | −0.07 | −0.05 | −0.08 |
Externalising Problems | −0.20 | 0.32 | 0.34 | 0.05 | 0.32 | −0.11 | −0.13 | −0.17 | −0.23 | −0.12 |
Syndrome | ||||||||||
Anxious/Depressed | −0.16 | 0.05 | 0.37 | 0.03 | 0.27 | 0.21 | 0.40 ** | −0.34 | −0.01 | −0.01 |
Withdrawn/Depressed a | 0.47 | −0.51 | 0.04 | 0.03 | −0.58 | −0.04 | 0.07 | −0.00 | 0.06 | −0.04 |
Somatic Complaints a | −0.25 | 0.27 | 0.03 | −0.02 | 0.31 | −0.13 | 0.01 | 0.03 | −0.08 | 0.03 |
Attention Problems a | −0.03 | 0.29 | −0.04 | −0.01 | −0.01 | −0.04 | −0.07 | −0.09 | −0.20 | −0.10 |
Aggressive Behaviour a | −0.32 | 0.25 | 0.12 | 0.03 | 0.25 | −0.11 | −0.09 | −0.13 | −0.22 | −0.13 |
DSM-Orientated | ||||||||||
Affective Problems a | −0.45 | 0.16 | 0.36 | 0.24 | 0.22 | 0.04 | −0.35 | −0.10 | −0.06 | −0.06 |
Anxiety Problems | −0.17 | 0.37 | 0.49 | 0.19 | 0.43 | 0.27 | 0.37 | −0.06 | −0.06 | −0.06 |
ADH Problems a | −0.04 | 0.19 | −0.14 | −0.18 | 0.03 | −0.03 | −0.36 | −0.13 | −0.19 | −0.09 |
OD Problems a | −0.18 | 0.35 | 0.20 | 0.16 | 0.27 | −0.04 | −0.03 | −0.16 | −0.16 | −0.19 |
Time 2 | ||||||||||
Summary | ||||||||||
Total Problems | −0.19 | 0.40 | 0.33 | 0.05 | 0.14 | 0.01 | 0.12 | −0.09 | 0.07 | −0.10 |
Internalising Problems | −0.24 | −0.04 | 0.05 | −0.35 | −0.23 | 0.29 | 0.31 | −0.08 | 0.06 | −0.06 |
Externalising Problems | −0.19 | 0.45 | 0.37 | 0.09 | 0.26 | −0.04 | 0.02 | −0.02 | 0.14 | −0.05 |
Syndrome | ||||||||||
Anxious/Depressed a | −0.38 | 0.19 | 0.09 | −0.15 | 0.12 | 0.39 ** | 0.33 | −0.13 | −0.02 | −0.06 |
Withdrawn/Depressed a | −0.10 | −0.53 | −0.15 | −0.15 | −0.55 | 0.03 | 0.01 | 0.10 | 0.06 | 0.22 |
Somatic Complaints a | −0.14 | 0.12 | 0.13 | −0.03 | −0.05 | 0.12 | 0.10 | −0.14 | −0.03 | −0.13 |
Attention Problems a | 0.28 | 0.07 | 0.40 | 0.40 | −0.10 | −0.14 | 0.17 | −0.07 | −0.07 | −0.12 |
Aggressive Behaviour a | −0.26 | 0.44 | 0.37 | 0.24 | 0.26 | −0.05 | 0.16 | 0.01 | 0.05 | 0.03 |
DSM-Orientated | ||||||||||
Affective Problems a | −0.26 | 0.05 | 0.16 | 0.08 | −0.21 | 0.17 | −0.16 | −0.08 | 0.08 | −0.03 |
Anxiety Problems | −0.20 | 0.38 | 0.25 | −0.05 | 0.22 | 0.34 | 0.24 | −0.14 | 0.02 | −0.14 |
ADH Problems a | 0.36 | 0.14 | 0.35 | 0.40 | 0.18 | −0.18 | 0.15 | −0.09 | −0.14 | −0.08 |
OD Problems a | −0.26 | 0.51 | 0.28 | 0.19 | 0.29 | −0.03 | 0.04 | −0.04 | 0.14 | −0.07 |
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Measure | WS (n = 16) | TD (n = 46) | ||||||
---|---|---|---|---|---|---|---|---|
Time Point | ||||||||
Time 1 | Time 2 | Time 1 | Time 2 | |||||
Mean (SD) | Range | Mean (SD) | Range | Mean (SD) | Range | Mean (SD) | Range | |
CA (years) a | 4.28 (1.58) | 2.17–6.92 | 6.62 (1.83) | 3.98–9.48 | 4.82 (1.67) | 2.23–7.86 | 7.45 (1.75) | 4.87–11.12 |
Overall DQ b/IQ c | 54.47 (19.89) | 29.36–69.13 | - | - | 107.21 (11.72) | 86.14–135.01 | - | - |
Verbal DQ b/IQ c | 57.12 (15.95) | 23.71–93 | - | - | 107.48 (11.51) | 85–142 | - | - |
Nonverbal DQ b/IQ c | 58.96 (11.83) | 35–75 | - | - | 105.69 (13.88) | 84.49–148 | - | - |
Family SES d | 3.43 (1.50) | 1–5 | 3.43 (1.50) | 1–5 | 4.65 (0.74) | 2–5 | 4.52 (0.91) | 2–5 |
Years of Education | ||||||||
Mother | 14.13 (2.10) | 10–17 | 14.91 (1.95) | 12–18 | ||||
Father | 13.00 (2.33) | 9–17 | 14.07 (2.23) | 10–18 | ||||
Average Parent Years of Education | 13.57 (1.88) | 9.50–16 | 14.49 (1.62) | 11–18 | ||||
n | % | n | % | |||||
Gender distribution | 8 M 8 F | 50 50 | 17 M 29 F | 37 63 | ||||
Family Ethnicity | ||||||||
% Oceanian | 42 | 44 | ||||||
% European | 17 | 20 | ||||||
% Asian | 0 | 5 | ||||||
% Middle Eastern | 8 | 0 | ||||||
% Other/Mix e | 33 | 31 |
CBCL Subscales | WS | TD | Between-Group Comparisons (WS vs. TD) b | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Time 1 | Time 2 | Change over Time (WS T1 vs. T2) a | Time 1 | Time 2 | Change over Time (TD T1 vs. T2) a | Time 1 | Time 2 | |||||||||||||
Mean (SD) | Range | Mean (SD) | Range | T (15) | p | d | Mean (SD) | Range | Mean (SD) | Range | T (45) | p | d | T (df) | p | d | T (df) | p | d | |
Summary Scales | ||||||||||||||||||||
Total Problems | 59 (11.69) | 37–77 | 62.43 (10.97) | 37–77 | −1.12 | 0.28 | −0.28 | 44.67 (8.07) | 28–64 | 43 (9.78) | 28–68 | −1.22 | 0.23 | −0.18 | 5.36 (60) | <0.01 | 1.56 | 6.89 (60) | <0.01 | 2.00 |
Internalising Problems | 56.06 (9.48) | 33–71 | 56.43 (10.06) | 33–72 | −1.15 | 0.89 | −0.04 | 47.07 (8.56) | 29–61 | 43.65 (10.03) | 29–65 | −2.10 | 0.04 | −0.31 | 4.31 (60) | <0.01 | 1.25 | 3.61 (60) | <0.01 | 1.05 |
Externalising Problems | 59.06 (12.02) | 40–80 | 63.44 (9.24) | 47–76 | −1.51 | 0.15 | −0.38 | 45.57 (9.68) | 28–67 | 43.30 (10.39) | 28–76 | −1.32 | 0.19 | −0.20 | 5.02 (60) | <0.01 | 1.46 | 6.07 (60) | <0.01 | 1.76 |
Syndrome Scales | ||||||||||||||||||||
Anxious/Depressed | 54.19 (5.04) | 50–66 | 56.44 (7.14) | 50–78 | −1.12 | 0.28 | −0.28 | 52.41 (4.14) | 50–66 | 51.93 (3.81) | 50–66 | −0.75 | 0.46 | −0.11 | 1.87 (60) | 0.07 | 0.54 | 2.13 (18.63) | 0.05 | 0.80 |
Withdrawn/Depressed c | 57.75 (5.97) | 50–67 | 57.63 (7.09) | 50–73 | 0.07 | 0.94 | 0.02 | 52.15 (4.08) | 50–68 | 51.87 (3.22) | 50–66 | −0.47 | 0.64 | −0.07 | 3.75 (18.12) | <0.01 | 1.44 | 2.92 (18.58) | <0.01 | 1.09 |
Somatic Complaints c | 57.56 (7.22) | 50–72 | 57.81 (7.54) | 50–72 | −0.12 | 0.91 | −0.03 | 53.72 (4.44) | 50–68 | 52.46 (4.72) | 50–65 | −1.40 | 0.17 | −0.21 | 2.64 (19.64) | 0.02 | 0.94 | 2.05 (18.74) | 0.05 | 0.76 |
Attention Problems c | 65.44 (8.52) | 51–77 | 69.13 (9.72) | 52–90 | −1.36 | 0.20 | −0.34 | 51.93 (3.45) | 50–68 | 51.91 (5.29) | 50–77 | −0.03 | 0.97 | −0.01 | 5.96 (19.18) | <0.01 | 2.16 | 6.93 (16.34) | <0.01 | 3.01 |
Aggressive Behaviour c | 59.75 (9.10) | 50–79 | 62.31 (10.48) | 50–84 | −0.189 | 0.25 | −0.30 | 52.22 (4.19) | 50–69 | 52.24 (5.11) | 50–72 | 0.03 | 0.97 | 0.01 | 3.14 (18.40) | <0.01 | 1.18 | 3.75 (16.70) | <0.01 | 1.58 |
DSM-Orientated Scales | ||||||||||||||||||||
Affective Problems c | 60.19 (6.68) | 50–75 | 61.81 (10.26) | 50–82 | −0.76 | 0.46 | −0.29 | 51.82 (3.42) | 50–66 | 52.17 (3.06) | 50–63 | 0.67 | 0.51 | 0.10 | 4.64 (17.25) | <0.01 | 1.88 | 3.82 (16.20) | <0.01 | 1.68 |
Anxiety Problems | 57.75 (8.21) | 50–73 | 58.31 (8.28) | 50–80 | −0.22 | 0.83 | −0.06 | 53.24 (5.87) | 50–73 | 53.5 (6.25) | 50–73 | 0.39 | 0.70 | 0.06 | 2.16 (60) | 0.04 | 0.63 | 2.65 (59) | <0.01 | 0.77 |
ADH Problems c | 62.13 (8.90) | 50–76 | 62.13 (9.14) | 50–80 | 0.11 | 0.91 | 0.03 | 51.96 (3.99) | 50–67 | 51.61 (4.71) | 50–76 | −0.45 | 0.65 | −0.07 | 4.62 (18.01) | <0.01 | 1.78 | 4.31 (17.07) | <0.01 | 1.77 |
OD Problems c | 59.31 (8.87) | 50–80 | 57.63 (6.54) | 50–69 | 1.08 | 0.30 | 0.27 | 52.58 (3.79) | 50–67 | 52.93 (5.49) | 50–73 | 0.60 | 0.55 | 0.09 | 2.70 (19.15) | 0.01 | 0.98 | 2.92 (18.70) | <0.01 | 1.09 |
Scales | WS (n = 16) | TD (n = 46) | ||||
---|---|---|---|---|---|---|
% Increase | % Decrease | % No Change | % Increase | % Decrease | % No Change | |
Summary | ||||||
Total Problems | 43.50 | 12.50 | 43.50 | 19.60 | 15.20 | 65.20 |
Internalising Problems | 12.50 | 18.75 | 68.75 | 30.40 | 17.40 | 52.20 |
Externalising Problems | 25.00 | 75.00 | 0.00 | 32.60 | 17.40 | 50.00 |
Syndrome | ||||||
Anxious/Depressed | 31.25 | 12.50 | 56.25 | 13.00 | 8.70 | 78.30 |
Withdrawn/Depressed | 18.75 | 31.25 | 50.00 | 10.90 | 8.70 | 80.40 |
Somatic Complaints | 18.75 | 18.75 | 62.50 | 19.60 | 10.90 | 69.60 |
Attention Problems | 50.00 | 18.75 | 31.25 | 2.20 | 4.30 | 93.50 |
Aggressive Behaviour | 37.5.0 | 18.75 | 43.75 | 8.70 | 4.30 | 87.00 |
DSM-Orientated | ||||||
Affective Problems | 18.75 | 18.75 | 62.5 | 6.70 | 6.70 | 86.70 |
Anxiety Problems | 31.25 | 18.75 | 50.00 | 13.30 | 11.10 | 75.60 |
Attention-Deficit Hyperactivity Problems | 31.25 | 25.00 | 43.75 | 13.30 | 6.70 | 80.00 |
Oppositional Defiant Problems | 6.25 | 25.00 | 68.75 | 4.40 | 8.90 | 86.70 |
CBCL Subscales | WS | TD | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
FES Time 1 | FES Time 1 | |||||||||||||||||||
Coh | Exp | Conf | Ind | AO | ICO | ARO | MRE | Org | Cont | Coh | Exp | Conf | Ind | AO | ICO | ARO | MRE | Org | Cont | |
Time 1 | ||||||||||||||||||||
Summary Scales | ||||||||||||||||||||
Total Problems | −0.03 | −0.23 | 0.51 | −0.36 | 0.00 | −0.09 | −0.21 | 0.45 | −0.05 | 0.32 | −0.09 | 0.11 | 0.38 ** | −0.04 | −0.01 | −0.22 | −0.39 ** | 0.16 | −0.08 | 0.18 |
Internalising Problems | 0.31 | 0.24 | 0.29 | −0.17 | −0.04 | 0.06 | 0.16 | 0.26 | 0.06 | 0.24 | −0.04 | 0.09 | 0.23 | 0.00 | −0.01 | −0.11 | −0.31 | 0.11 | 0.15 | 0.06 |
Externalising Problems | −0.10 | −0.30 | 0.56 | −0.22 | 0.01 | −0.15 | −0.16 | 0.36 | 0.02 | 0.38 | 0.00 | 0.20 | 0.38 | −0.03 | 0.01 | −0.20 | −0.31 | 0.14 | −0.07 | 0.23 |
Syndrome Scales | ||||||||||||||||||||
Anxious/Depressed | 0.32 | 0.09 | 0.31 | −0.22 | 0.04 | −0.02 | 0.08 | 0.25 | 0.13 | 0.18 | −0.17 | −0.02 | 0.30 | −0.09 | 0.08 | −0.21 | −0.15 | −0.04 | 0.04 | 0.15 |
Withdrawn/Depressed a | 0.14 | 0.13 | −0.06 | 0.14 | −0.20 | −0.12 | 0.14 | −0.26 | −0.04 | −0.12 | 0.00 | 0.18 | 0.16 | 0.03 | −0.28 | −0.02 | −0.14 | 0.08 | 0.04 | 0.01 |
Somatic Complaints a | 0.16 | 0.61 | 0.20 | −0.08 | 0.08 | 0.02 | 0.33 | −0.17 | −0.21 | −0.12 | −0.11 | −0.01 | 0.25 | −0.08 | 0.03 | −0.09 | −0.25 | 0.15 | 0.13 | −0.00 |
Attention Problems a | −0.11 | −0.50 | 0.66 ** | −0.15 | 0.10 | −0.40 | −0.40 | 0.30 | 0.19 | 0.33 | −0.15 | −0.06 | 0.29 | −0.15 | −0.11 | −0.17 | −0.20 | −0.00 | −0.06 | 0.19 |
Aggressive Behaviour a | 0.02 | −0.33 | 0.49 | −0.26 | 0.04 | −0.15 | −0.17 | 0.41 | 0.01 | 0.27 | −0.13 | 0.18 | 0.30 | −0.11 | −0.06 | −0.23 | −0.24 | 0.06 | −0.05 | 0.31 |
DSM-Orientated Scales | ||||||||||||||||||||
Affective Problems a | 0.18 | 0.04 | 0.55 | −0.44 | 0.01 | 0.01 | −0.17 | 0.21 | −0.07 | 0.18 | −0.23 | −0.06 | 0.27 | −0.00 | 0.06 | −0.23 | −0.45 ** | 0.05 | −0.15 | 0.35 |
Anxiety Problems | 0.42 | 0.27 | 0.35 | −0.30 | −0.10 | −0.12 | 0.12 | 0.01 | 0.02 | −0.03 | −0.18 | −0.01 | 0.24 | −0.01 | 0.16 | −0.16 | −0.21 | −0.09 | 0.09 | 0.16 |
ADH Problems a | −0.12 | −0.38 | 0.39 | −0.20 | −0.02 | −0.33 | −0.22 | 0.56 | 0.13 | 0.41 | −0.18 | 0.10 | 0.27 | −0.20 | −0.14 | −0.19 | −0.269 | .12 | −0.19 | 0.04 |
OD Problems a | 0.08 | −0.21 | 0.54 | −0.24 | 0.05 | −0.20 | −0.09 | 0.33 | −0.08 | 0.29 | −0.00 | 0.29 | 0.18 | −0.03 | −0.04 | −0.04 | −0.11 | .14 | −0.04 | 0.17 |
Time 2 | ||||||||||||||||||||
Summary Scales | ||||||||||||||||||||
Total Problems | −0.29 | 0.07 | 0.49 | −0.04 | 0.26 | −0.21 | −0.12 | −0.08 | −0.48 | −0.27 | −0.40 ** | −0.26 | 0.57 ** | −0.35 | −0.36 | −0.16 | −0.41 ** | −2.8 | −0.33 | −0.00 |
Internalising Problems | −0.05 | 0.07 | 0.12 | −0.32 | 0.12 | −0.21 | −0.30 | 0.40 | −0.25 | −0.05 | −0.30 | −0.25 | 0.26 | −0.20 | −0.15 | −0.20 | −0.43 ** | −0.41 ** | −0.16 | −0.05 |
Externalising Problems | −0.27 | −0.19 | 0.54 | −0.03 | 0.11 | −0.38 | −0.17 | −0.01 | −0.47 | −0.24 | −0.37 | −0.21 | 0.53 ** | −0.33 | −0.41 ** | −0.27 | −0.33 | −0.14 | −0.38 ** | −0.03 |
Syndrome Scales | ||||||||||||||||||||
Anxious/Depressed a | −0.43 | −0.28 | 0.24 | −0.51 | 0.09 | −0.56 | −0.48 | 0.52 | −0.03 | −0.03 | −0.16 | −0.09 | 0.07 | −0.15 | 0.04 | −0.04 | −0.34 | −0.35 | −0.07 | −0.04 |
Withdrawn/Depressed a | −0.10 | 0.20 | −0.07 | −0.34 | 0.05 | 0.14 | −0.15 | −0.00 | −0.34 | −0.00 | −0.05 | 0.03 | 0.14 | −0.11 | −0.31 | −0.21 | −0.24 | −0.24 | −0.26 | 0.17 |
Somatic Complaints a | 0.37 | 0.23 | 0.31 | −0.46 | 0.04 | −0.28 | −0.24 | 0.06 | −0.35 | −0.18 | −0.20 | −0.20 | 0.07 | 0.02 | 0.14 | 0.14 | −0.32 | −0.21 | 0.06 | −0.16 |
Attention Problems a | −0.35 | 0.02 | 0.37 | 0.17 | 0.16 | −0.10 | 0.00 | −0.24 | −0.56 | −0.22 | 0.01 | −0.05 | 0.23 | 1.05 | −0.18 | −0.08 | −0.05 | 0.00 | −0.12 | 0.15 |
Aggressive Behaviour a | −0.28 | −0.25 | 0.57 | −0.16 | 0.02 | −0.47 | −0.20 | 0.08 | −0.47 | −0.22 | −0.18 | −0.23 | 0.32 | −0.22 | −0.35 | −0.00 | −0.15 | −0.31 | −0.33 | −0.01 |
DSM-Orientated Scales | ||||||||||||||||||||
Affective Problems a | −0.25 | 0.09 | 0.39 | −0.38 | 0.23 | −0.25 | −0.47 | 0.14 | −0.48 | −0.14 | −0.40 ** | −0.25 | 0.40 ** | −0.26 | −0.22 | −0.23 | −0.40 ** | −0.32 | −0.34 | −0.01 |
Anxiety Problems | −0.26 | −0.17 | 0.11 | −0.25 | 0.08 | −0.40 | −0.18 | 0.38 | −0.13 | −0.12 | −0.21 | −0.19 | 0.12 | −0.10 | 0.11 | −0.04 | −0.38 | −0.38 | 0.04 | −0.10 |
ADH Problems a | −0.15 | −0.20 | 0.19 | 0.20 | 0.18 | −0.01 | −0.13 | 0.06 | −0.52 | 0.07 | 0.17 | −0.04 | 0.17 | −0.11 | −0.31 | −0.14 | −0.01 | −0.02 | −0.16 | 0.10 |
OD Problems a | −0.06 | −0.38 | 0.56 | −0.27 | −0.17 | −0.56 | −0.25 | 0.19 | −0.17 | −0.04 | −0.28 | −0.20 | 0.39 ** | 0.10 | −0.41 ** | −0.05 | −21 | −0.21 | −0.46 ** | −0.06 |
FES Subscales | Group | ||||||
---|---|---|---|---|---|---|---|
WS (n = 16) | TD (n = 46) | Between-Group Comparisons (WS-TD) | |||||
M (SD) | Range | M (SD) | Range | T (59) | p | Cohen’s d | |
Cohesion | 54.44 (13.78) | 11–65 | 56.76 (10.53) | 25–65 | −0.70 | 0.49 | −0.20 |
Expressiveness | 54.69 (11.22) | 34–71 | 55.38 (12.06) | 22–71 | −0.20 | 0.84 | −0.06 |
Conflict | 44.63 (9.72) | 33–65 | 47.16 (10.65) | 33–70 | −0.83 | 0.41 | −0.24 |
Independence | 39.00 (9.47) | 29–53 | 41.31 (10.79) | 21–61 | −0.76 | 0.45 | −0.22 |
Achievement Orientation | 41.50 (11.76) | 13–59 | 40.00 (12.67) | 13–59 | .41 | 0.68 | 0.12 |
Intellectual Cultural Orientation | 45.44 (10.80) | 30–69 | 55.16 (9.73) | 41–69 | −0.33 ** | <0.01 | −0.96 ** |
Active Recreational Orientation | 48.44 (12.20) | 23–64 | 54.47 (11.56) | 33–69 | −1.72 | 0.08 | −0.51 |
Moral Religious Emphasis | 51.13 (13.22) | 32–71 | 45.02 (11.88) | 32–71 | 1.71 | 0.09 | 0.50 |
Organisation | 52.50 (11.03) | 32–69 | 51.76 (12.30) | 26–69 | .21 | 0.83 | 0.06 |
Control | 51.00 (11.67) | 27–70 | 54.13 (11.08) | 27–76 | −0.96 | 0.34 | −0.28 |
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Ilic, T.; Porter, M.A.; Reeve, J.L. Internalising and Externalising Symptoms and Their Association with the Family Environment in Young Children with Williams Syndrome: A Longitudinal Study. Children 2023, 10, 1717. https://doi.org/10.3390/children10101717
Ilic T, Porter MA, Reeve JL. Internalising and Externalising Symptoms and Their Association with the Family Environment in Young Children with Williams Syndrome: A Longitudinal Study. Children. 2023; 10(10):1717. https://doi.org/10.3390/children10101717
Chicago/Turabian StyleIlic, Tamara, Melanie A. Porter, and Jessica L. Reeve. 2023. "Internalising and Externalising Symptoms and Their Association with the Family Environment in Young Children with Williams Syndrome: A Longitudinal Study" Children 10, no. 10: 1717. https://doi.org/10.3390/children10101717