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01-01-2019 | Original Contribution

Education and employment trajectories from childhood to adulthood in individuals with 22q11.2 deletion syndrome

Authors: Mariela Mosheva, Virginie Pouillard, Yael Fishman, Lydia Dubourg, Dafna Sofrin-Frumer, Yaffa Serur, Abraham Weizman, Stephan Eliez, Doron Gothelf, Maude Schneider

Published in: European Child & Adolescent Psychiatry | Issue 1/2019

Abstract

22q11.2 deletion syndrome (22q11.2DS) is the most common known microdeletion in humans occurring in 1 out of 2000–4000 live births, with increasing numbers of individuals with the microdeletion living into adulthood. The aim of the study was to explore the education and employment trajectories of individuals with 22q11.2DS from childhood to adulthood in a large cohort composed of two significant samples. 260 individuals with 22q11.2DS, 134 male and 126 female, aged 5–59 years (mean age 21.3 ± 10.8 years) were evaluated at two sites, Geneva (GVA) and Tel Aviv (TA). Psychiatric comorbidities, IQ score, and adaptive functioning were assessed using gold-standard diagnostic tools. Demographic factors, such as data about education, employment, marital status, and living status, were collected. Children entering elementary school (5–12 years) were significantly more likely to attend a mainstream school, while adolescents were significantly more likely to attend special education schools (p < 0.005). Cognitive abilities, and not adaptive functioning, predicted school placement. Among adults with 22q11.2DS (n = 138), 57 (41.3%) were unemployed, 46 (33.3%) were employed in open market employment, and 35 (25.4%) worked in assisted employment. In adulthood, adaptive functioning more than cognitive abilities predicted employment. Surprisingly, psychotic spectrum disorders were not found to be associated with employment. Individuals with 22q11.2DS are characterized by heterogeneity in educational and employment profiles. We found that cognitive abilities and adaptive functioning, and not the presence of psychiatric disorders, are key factors in school placement and employment. These factors should, therefore, be taken into account when planning optimal development of individuals with 22q11.2DS.

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Title: Education and employment trajectories from childhood to adulthood in individuals with 22q11.2 deletion syndrome
Authors: Mariela Mosheva
Virginie Pouillard
Yael Fishman
Lydia Dubourg
Dafna Sofrin-Frumer
Yaffa Serur
Abraham Weizman
Stephan Eliez
Doron Gothelf
Maude Schneider
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: European Child & Adolescent Psychiatry / Issue 1/2019
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-018-1184-2

At a glance: The STEP trials

Springer Medicine

Education and employment trajectories from childhood to adulthood in individuals with 22q11.2 deletion syndrome

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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