Skip to main content
Log in

Behavior Problems in Individuals with Cornelia de Lange Syndrome: Population-Specific Validation of the Behavior Problem Inventory-01

  • ORIGINAL ARTICLE
  • Published:
Journal of Developmental and Physical Disabilities Aims and scope Submit manuscript

Abstract

The purpose of this study was to validate the Behavior Problem Inventory-01 (BPI-01; Rojahn J Autism Dev Disord 31:577–588, 2001) in a population of 179 individuals with Cornelia de Lange Syndrome (CdLS) and to extend the literature on the behavioral phenotype of individuals with CdLS. We also set out to determine the relationship between the frequency of self-injurious behavior (SIB), stereotyped behavior, and aggressive/destructive behavior topographies with the level of intellectual disability (ID). The BPI-01 among the individuals with CdLS showed a sufficient factor structure and internal consistency of each of the three assessed construct (SIB, stereotyped behavior, and aggressive/destructive behaviors). Similar to the findings in other populations with intellectual disabilities, those with severe/profound intellectual impairment exhibited significantly more frequent SIB and stereotypic behavior than those with moderate or mild intellectual impairment or average intellectual abilities while no statistically a differences were noted for aggressive behavior across levels of intellectual impairment. There is a need for uniformity of assessment tools across different study to improve our ability to compare results across different prevalence studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. Each of the three subscales contains an open item so that raters can add a clinically relevant topography for a particular individual that was not represented in the BPI-01. Buy that count the BPI-01 consists of 51 items.

References

  • Arnott, B., McConachie, H., Meins, E., Fernyhough, C., Couteur, A. L., Turner, M., et al. (2010). The frequency of restricted and repetitive behaviors in a community sample of 15-month-old infants. Journal of Developmental and Behavioral Pediatrics, 31(3), 223–229. doi:10.1097/DBP.0b013e3181d5a2ad.

    Article  PubMed  Google Scholar 

  • Arron, K., Oliver, C., Moss, J., Berg, K., & Burbridge, C. (2011). The prevalence and phenomenology of self-injurious and aggressive behavior in genetic syndromes. Journal of Intellectual Disability Research, 55, 109–120. doi:10.1111/j.1365-2788.2010.01337.x.

    Article  PubMed  Google Scholar 

  • Berg, K., Arron, K., Burbridge, C., Moss, J., & Oliver, C. (2007). Carer-reported contemporary health problems in people with severe and profound intellectual disability and genetic syndromes. Journal of Policy and Practice in Intellectual Disabilities, 4, 120–128. doi:10.1111/j.1741-1130.2007.00109.x.

    Article  Google Scholar 

  • Bodfish, J. W., Symons, F. S., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: comparisons to mental retardation. Journal of Autism and Developmental Disorders, 30, 237–243.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates.

    Google Scholar 

  • Dorsett, D., & Krantz, I. D. (2009). On the molecular etiology of Cornelia de Lange syndrome. Annals of the New York Academy of Sciences, 1151, 22–37.

    Article  PubMed  Google Scholar 

  • Farmer, C., & Aman, M. G. (2009). Development of the Children’s Scale of Hostility and Aggression: reactive/proactive (C-SHARP). Research in Developmental Disabilities, 30, 1155–1167.

    Article  PubMed  Google Scholar 

  • González, M. L., Dixon, D. R., Rojahn, J., Esbensen, A. J., Matson, J. L., Terlonge, C., et al. (2009). The Behavior Problems Inventory: reliability and factor validity in institutionalized adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 22, 223–235.

    Article  Google Scholar 

  • Hall, S. S., Arron, K., Sloneem, J., & Oliver, C. (2008). Health and sleep problems in Cornelia de Lange syndrome: a case control study. Journal of Intellectual Disability Research, 52, 458–468. doi:10.1111/j.1365-2788.2008.01047.x.

    Article  PubMed  Google Scholar 

  • Hawley, P. P., Jackson, L. G., & Kurnit, D. M. (1985). Sixty-four patients with Brachmann-de Lange syndrome: a survey. American Journal of Medical Genetics, 20, 453–459.

    Article  PubMed  Google Scholar 

  • Hyman, P., Oliver, C., & Hall, S. (2002). Self-injurious behavior, self-restraint, and compulsive behaviors in Cornelia de Lange syndrome. American Journal on Mental Retardation, 107(2), 146–154.

    Article  PubMed  Google Scholar 

  • Ireland, M., Donnai, D., & Burn, J. (1993). Brachmann-de Lange syndrome: delineation of the clinical phenotype. American Journal of Medical Genetics, 47, 959–964.

    Article  PubMed  Google Scholar 

  • Jackson, L., Kline, A. D., Barr, M. A., & Koch, S. (1993). De Lange syndrome: a clinical review of 310 individuals. American Journal of Medical Genetics, 47, 940–946.

    Article  PubMed  Google Scholar 

  • Leekam, S., Tandos, J., McConachie, H., Meins, E., Parkinson, K., Wright, C., et al. (2007). Repetitive behaviours in typically developing 2-year-olds. Journal of Child Psychology and Psychiatry, 48(11), 1131–1138. doi:10.1111/j.1469-7610.2007.01778.x.

    Article  PubMed  Google Scholar 

  • Luzzani, S., Macchini, F., Valade, A., Milani, D., & Selicorni, A. (2003). Gastroesophageal reflux and Cornelia de Lange syndrome: typical and atypical symptoms. American Journal of Medical Genetics A, 119, 283–287.

    Google Scholar 

  • Matlock, S. T., & Aman, M. G. (2011). Development of the Adult Scale of Hostility and Aggression: reactive-proactive (A-SHARP). American Journal on Intellectual and Developmental Disabilities, 116(2), 130–141. doi:10.1352/1944-7558-116.2.130.

    Article  PubMed  Google Scholar 

  • McClintock, K., Hall, S., & Oliver, C. (2003). Risk markers associated with challenging behaviours in people with intellectual disabilities: a meta-analytic study. Journal of Intellectual Disability Research, 47, 405–416. doi:10.1046/j.1365-2788.2003.00517.x.

    Google Scholar 

  • Moss, J., & Oliver, C. (2008). The repetitive behaviour scale. Manual for administration and scorer interpretation. University of Birmingham.

  • Moss, J., Oliver, C., Arron, K., Burbidge, C., & Berg, K. (2009). The prevalence and phenomenology of repetitive behavior in genetic syndromes. Journal of Autism and Developmental Disorders, 39, 572–588.

    Article  PubMed  Google Scholar 

  • Moss, J., Oliver, C., Hall, S., Arron, K., Sloneem, J., & Petty, J. (2005). The association between environmental events and self-injurious behaviour in Cornelia de Lange syndrome. Journal of Intellectual Disability Research, 49, 269–277. doi:10.1111/j.1365-2788.2005.00649.x.

    Article  PubMed  Google Scholar 

  • Oliver, C., Berg, K., Moss, J., Arron, K., & Burbidge, C. (2011). Delineation of behavioral phenotypes in genetic syndromes: characteristics of autism spectrum disorder, affect and hyperactivity. Journal of Autism and Developmental Disorders, 41, 1019–1032.

    Article  PubMed  Google Scholar 

  • Oliver, C., Sloneem, J., Hall, S., & Arron, K. (2009). Self-injurious behaviour in Cornelia de Lange syndrome: prevalence and phenomenology. Journal of Intellectual Disability Research, 53, 575–589.

    Article  PubMed  Google Scholar 

  • Oliver, C., McClintock, K., Hall, S., Smith, M., Dagnan, D., & Stenfert-Kroese, B. (2003). Assessing the severity of challenging behaviour: psychometric properties of the Challenging Behaviour Interview (CBI). Journal of Applied Research into Intellectual Disabilities, 16, 53–61.

    Article  Google Scholar 

  • Peters-Scheffer, N., Didden, R., Green, V. A., Sigafoos, J., Korzilius, H., Pituch, K., et al. (2008). The Behavior Flexibility Rating Scale-Revised (BFRS-R): factor analysis, internal consistency, inter-rater and intra-rater reliability and convergent validity. Research in Developmental Disabilities, 29, 398–407. doi:10.1016/j.ridd.2007.07.004.

    Article  PubMed  Google Scholar 

  • Ptacek, L. J., Opitz, J. M., Smith, D. W., Gerritsen, T., & Waisman, H. A. (1963). The Cornelia de Lange syndrome. The Journal of Pediatrics, 63, 1000–1020.

    Article  PubMed  Google Scholar 

  • Rojahn, J., Matson, J. L., Lott, D., Esbensen, A. J., & Smalls, Y. (2001). The Behavior Problems Inventory: an instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. Journal of Autism and Developmental Disorders, 31, 577–588.

    Article  PubMed  Google Scholar 

  • Rojahn, J., Rowe, E. W., Sharber, A. C., Hastings, R. P., Matson, J. L., Didden, R., et al. (2012a). The Behavior Problems Inventory-Short Form (BPI-S) for Individuals with Intellectual Disabilities I: development and provisional clinical reference data. Journal of Intellectual Disability Research, 56, 527–545.

    Article  PubMed  Google Scholar 

  • Rojahn, J., Rowe, E. W., Sharber, A. C., Hastings, R. P., Matson, J. L., Didden, R., et al. (2012b). The Behavior Problems Inventory-Short Form (BPI-S) for Individuals with Intellectual Disabilities II: reliability and validity. Journal of Intellectual Disability Research., 56, 546–565.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We thank the Cornelia de Lange Syndrome Foundation USA for their assistance with participant recruitment and the caregivers that provided data for the study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Johannes Rojahn.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rojahn, J., Barnard-Brak, L., Richman, D. et al. Behavior Problems in Individuals with Cornelia de Lange Syndrome: Population-Specific Validation of the Behavior Problem Inventory-01. J Dev Phys Disabil 25, 505–515 (2013). https://doi.org/10.1007/s10882-012-9329-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10882-012-9329-6

Keywords

Navigation