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A systematic review and meta‐analysis of intellectual, neuropsychological, and psychoeducational functioning in neurofibromatosis type 1
Journal article   Open access   Peer reviewed

A systematic review and meta‐analysis of intellectual, neuropsychological, and psychoeducational functioning in neurofibromatosis type 1

Andrew J. D. Crow, Jennica M. Janssen, Carolina Marshall, Anne Moffit, Laura Brennan, Christian G. Kohler, David R. Roalf and Paul J. Moberg
American journal of medical genetics. Part A, v 188(8), pp 2277-2292
Aug 2022
PMID: 35546306
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302478View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

academic clinical assessment cognitive intelligence NF1 research synthesis
Neurofibromatosis Type 1 (NF1) is a common genetic disorder frequently associated with cognitive deficits. Despite cognitive deficits being a key feature of NF1, the profile of such impairments in NF1 has been shown to be heterogeneous. Thus, we sought to quantitatively synthesize the extant literature on cognitive functioning in NF1. A random‐effects meta‐analysis of cross‐sectional studies was carried out comparing cognitive functioning of patients with NF1 to typically developing or unaffected sibling comparison subjects of all ages. Analyses included 50 articles (Total NNF1 = 1,522; MAge = 15.70 years, range = 0.52–69.60), yielding 460 effect sizes. Overall moderate deficits were observed [g = −0.64, 95% CI = (−0.69, −0.60)] wherein impairments differed at the level of cognitive domain. Deficits ranged from large [general intelligence: g = −0.95, 95% CI = (−1.12, −0.79)] to small [emotion: g = −0.37, 95% CI = (−0.63, −0.11)]. Moderation analyses revealed nonsignificant contributions of age, sex, educational attainment, and parental level of education to outcomes. These results illustrate that cognitive impairments are diffuse and salient across the lifespan in NF1. Taken together, these results further demonstrate efforts should be made to evaluate and address cognitive morbidity in patients with NF1 in conjunction with existing best practices.

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Collaboration types
Domestic collaboration
Web of Science research areas
Genetics & Heredity
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