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Ger E, Manfredi M, Osório AAC, Ribeiro CF, Almeida A, Güdel A, Calbi M, Daum MM. Duration of face mask exposure matters: evidence from Swiss and Brazilian kindergartners' ability to recognise emotions. Cogn Emot 2024:1-15. [PMID: 38576358 DOI: 10.1080/02699931.2024.2331795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 03/09/2024] [Indexed: 04/06/2024]
Abstract
Wearing facial masks became a common practice worldwide during the COVID-19 pandemic. This study investigated (1) whether facial masks that cover adult faces affect 4- to 6-year-old children's recognition of emotions in those faces and (2) whether the duration of children's exposure to masks is associated with emotion recognition. We tested children from Switzerland (N = 38) and Brazil (N = 41). Brazil represented longer mask exposure due to a stricter mandate during COVID-19. Children had to choose a face displaying a specific emotion (happy, angry, or sad) when the face wore either no cover, a facial mask, or sunglasses. The longer hours of mask exposure were associated with better emotion recognition. Controlling for the hours of exposure, children were less likely to recognise emotions in partially hideen faces. Moreover, Brazilian children were more accurate in recognising happy faces than Swiss children. Overall, facial masks may negatively impact children's emotion recognition. However, prolonged exposure appears to buffer the lack of facial cues from the nose and mouth. In conclusion, restricting facial cues due to masks may impair kindergarten children's emotion recognition in the short run. However, it may facilitate their broader reading of facial emotional cues in the long run.
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Affiliation(s)
- Ebru Ger
- Department of Psychology, University of Bern, Bern, Switzerland
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Mirella Manfredi
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Ana Alexandra Caldas Osório
- Developmental Disorders Program, Mackenzie Presbyterian University, São Paulo, Brazil
- Mackenzie Center for Research in Childhood and Adolescence, Mackenzie Presbyterian University, São Paulo, Brazil
| | | | - Alessandra Almeida
- Department of Psychology, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Annika Güdel
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Marta Calbi
- Department of Philosophy "Piero Martinetti", State University of Milan, Milan, Italy
| | - Moritz M Daum
- Department of Psychology, University of Zurich, Zurich, Switzerland
- Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland
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Campos LB, Kcrmar M, Osório AAC. Predictors of screen exposure among infants under 2 years of age during the COVID-19 pandemic. Infant Behav Dev 2023; 73:101885. [PMID: 37647779 DOI: 10.1016/j.infbeh.2023.101885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 08/16/2023] [Accepted: 08/17/2023] [Indexed: 09/01/2023]
Abstract
Contradicting pediatric societies' recommendations, studies show that screen exposure begins at the first year of life for many children worldwide, with parental needs, educational purposes, and parental stress emerging as associated factors. However, the COVID-19 pandemic has likely worsened this scenario. This study aims to: 1) estimate the average daily screen exposure time for Brazilian infants aged 0-23 months during the COVID-19 pandemic based on caregiver report; 2) analyze the correlation between average exposure time, parental motivations for exposure, parental burnout levels and infant age; and 3) test the predictive role of parental motivations, burnout, and infant age on infant screen exposure. For this purpose, 139 parents (living in Brazil) answered online to questionnaires on infant screen exposure, parental motivations for exposure (four subscales: Parental Needs; Educational; Child's Desires/Family Routine; Behavioral Control), and parental burnout (Total score; four subscales: Emotional Exhaustion; Contrast; Feelings of Being Fed Up; Emotional Distancing). On average, infants were exposed to screens for 131 min/day. Higher scores on the four parental motivation subscales and higher parental burnout (specifically the Contrast subscale) correlated with longer exposure times. Furthermore, the motivation subscales Parental Needs and Child's Desires/family routine, the burnout subscale Contrast and infant age predicted greater screen exposure, while the burnout scale Feelings of Being Fed Up predicted less exposure. Our results suggest that infants in Brazil were exposed to substantial amounts of screen time during the pandemic. Interventions aiming to reduce screen time must consider parental motivations and parental burnout/mental health along with infant age.
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Affiliation(s)
- Livia Branco Campos
- Developmental Disorders Postgraduate Program, Center for Biological and Health Sciences, Mackenzie Presbiterian University, São Paulo, Brazil.
| | - Marina Kcrmar
- Communication Department, Wake Forest University, NC, United States
| | - Ana Alexandra Caldas Osório
- Developmental Disorders Postgraduate Program, Center for Biological and Health Sciences, Mackenzie Presbiterian University, São Paulo, Brazil
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Galati MCR, Hollist CS, do Egito JHT, Osório AAC, Parra GR, Neu C, de Moraes Horta AL. Sexual dysfunction, depression, and marital dissatisfaction among Brazilian couples. J Sex Med 2023; 20:260-268. [PMID: 36763940 DOI: 10.1093/jsxmed/qdac004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 09/13/2022] [Accepted: 09/17/2022] [Indexed: 01/20/2023]
Abstract
BACKGROUND Health professionals treating sexual dysfunction and relational dissatisfaction recognize that they are multifactorial phenomena, and depression can be bidirectionally associated with both. AIM The purpose of this study was to investigate sexual dysfunction in heterosexual couples in relation to the quality of their marital relationship and depression symptoms. METHODS The sample consisted of 100 heterosexual couples recruited in Brazil. Both partners of each couple completed the Golombok-Rust Inventory of Sexual Satisfaction and the Golombok-Rust Inventory of Marital Satisfaction, which were translated and adapted, and the Beck Depression Inventory, which was validated for the Brazilian population. Both partners completed their questionnaires separately, and the couple's surveys were linked to preserve conjugal data for dyadic analysis. The Actor-Partner Interdependence Model was used to understand how sexual dysfunction in couples is related to depression and relationship quality among and between partners. RESULTS Sexual dysfunction was found to be strongly associated with dissatisfaction in the relationship (husbands, β = 0.57, P < 0.001; wives, β = 0.60, P < 0.001), and a positive association was found between depressive symptoms and marital dissatisfaction (husbands, β = .32, P < .001; wives β = .40, P < .001). CLINICAL IMPLICATION The results suggest that it is important for health professionals to be aware of the dyadic impact of struggles with both sex and the relationship and the presence of depression symptoms in patients who seek care for sexual complaints or depression and who are in a marital relationship. STRENGTHS AND LIMITATIONS The different results found for men and women may shed light on the biopsychosocial dimensions of human sexuality. When treated as a purely physical experience, sex is myopic. In this study we demonstrated psychosocial aspects associated with gender and sexuality, and the partner's variables were found to have a greater impact on women than they did on the men. A limitation of this study is that the sample is not generalizable as it is not demographically representative of all socioeconomic groups in Brazil. Furthermore, the participants in this sample did not have clinical levels of depression, so the results cannot be extended to couples in which one or both spouses have depressive disorder. CONCLUSION It was found that sexual dysfunction is strongly associated with the quality of the couple relationship, and that the quality of relationship plays a mediating role between depression and marital quality, especially for the women.
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Affiliation(s)
| | - Cody S Hollist
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Nebraska, United States
| | | | - Ana Alexandra Caldas Osório
- Developmental Disorders Program and Mackenzie Center for Research in Childhood and Adolescence, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Gilbert R Parra
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Nebraska, United States
| | - Christopher Neu
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Nebraska, United States
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Dos Santos Afonso Junior A, Machado-Pinheiro W, Osório AAC, Seabra AG, Teixeira MCTV, de Araújo Nascimento J, Carreiro LRR. Association between ADHD symptoms and inhibition-related brain activity using functional near-infrared spectroscopy (fNIRS). Neurosci Lett 2023; 792:136962. [PMID: 36375626 DOI: 10.1016/j.neulet.2022.136962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Revised: 11/04/2022] [Accepted: 11/08/2022] [Indexed: 11/13/2022]
Abstract
Attention deficit hyperactivity disorder (ADHD) is associated with deficits in inhibitory functions including interference control, inhibition of prepotent/automatic responses and suppression of already initiated responses. This study used functional near-infrared spectroscopy (fNIRS) to investigate the neural basis of these three forms of inhibition assessed by a recently developed behavioral protocol combining the Stroop-matching/stop-signal task in twenty-five young adults with inattention, impulsivity and/or hyperactivity symptoms. The severity of ADHD symptoms was measured using the Adult ADHD Self-Report Scale (ASRS). The concentration of oxygenated hemoglobin (HbO) was assessed in the dorsolateral prefrontal cortex (DLPFC), inferior frontal gyrus (IFG) and temporoparietal regions (TP) during the Stroop-matching/stop-signal task. Correlations yielded significant associations between ASRS scores and HbO concentration in frontal regions during blocks with stop-signal tasks, namely the right IFG, the left DLPFC and the left IFG. This study revealed that different types of inhibition involve unique frontal and temporoparietal activities and linked frontal dysfunction during the suppression of ongoing responses to the severity of ADHD symptoms.
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Affiliation(s)
- Armando Dos Santos Afonso Junior
- Postgraduate Program in Developmental Disorders at Mackenzie Presbyterian University, São Paulo, Brazil; Mackenzie Center for Research in Childhood and Adolescence, São Paulo, Brazil.
| | | | - Ana Alexandra Caldas Osório
- Postgraduate Program in Developmental Disorders at Mackenzie Presbyterian University, São Paulo, Brazil; Mackenzie Center for Research in Childhood and Adolescence, São Paulo, Brazil
| | - Alessandra Gotuzo Seabra
- Postgraduate Program in Developmental Disorders at Mackenzie Presbyterian University, São Paulo, Brazil; Mackenzie Center for Research in Childhood and Adolescence, São Paulo, Brazil
| | - Maria Cristina Triguero Veloz Teixeira
- Postgraduate Program in Developmental Disorders at Mackenzie Presbyterian University, São Paulo, Brazil; Mackenzie Center for Research in Childhood and Adolescence, São Paulo, Brazil
| | | | - Luiz Renato Rodrigues Carreiro
- Postgraduate Program in Developmental Disorders at Mackenzie Presbyterian University, São Paulo, Brazil; Mackenzie Center for Research in Childhood and Adolescence, São Paulo, Brazil
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Manfredi M, Fernandes Rodrigues Pereira E, Horta Tabosa do Egito J, Scarano de Mendonça J, Caldas Osório AA. Altruistic helping in young children with ASD: A preliminary study. Res Dev Disabil 2021; 118:104067. [PMID: 34425543 DOI: 10.1016/j.ridd.2021.104067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 08/10/2021] [Accepted: 08/15/2021] [Indexed: 06/13/2023]
Abstract
It has long been claimed that individuals with an autism spectrum disorder (ASD) show impaired prosocial behavior, however there is little direct evidence in support of this claim and inconsistencies have been reported in the literature. Therefore, the goal of this study was to compare the levels of altruistic behavior in 15 young children with an ASD and 14 children with Down syndrome, paired in chronological age (age range between 2 years and 8 months and 6 years and 2 months) and non-verbal intellectual ability. Our results showed that children with an ASD engaged less frequently in altruistic behavior compared to the DS group. In addition, we found a significant negative correlation between the severity of autism symptoms and altruistic behavior in the ASD group, suggesting that the more severe the symptoms of ASD, the less frequent the altruistic behaviors. Conversely, no significant correlations were found between non-verbal IQ level and performance in the altruistic behavior tasks, in either group. Overall, our results suggest that, regardless of intellectual skills, the ability to engage in altruistic behavior is compromised in young children with ASD.
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Affiliation(s)
- Mirella Manfredi
- Department of Psychology, University of Zurich, Zurich, Switzerland.
| | | | - Júlia Horta Tabosa do Egito
- Graduate Program on Developmental Disorders, Center for Biological and Health Sciences, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Julia Scarano de Mendonça
- Graduate Program on Developmental Disorders, Center for Biological and Health Sciences, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Ana Alexandra Caldas Osório
- Graduate Program on Developmental Disorders, Center for Biological and Health Sciences, Mackenzie Presbyterian University, São Paulo, Brazil
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Abstract
There is evidence that school-aged children with cerebral palsy (CP) may present deficits in executive functions (EF) greater than would be expected considering their intellectual ability. However, no studies have focused on characterizing EF in this group at an earlier critical period - the preschool years. Furthermore, and given evidence from typically-developing (TD) children, deficits in EF are associated with potential detrimental effects on social and educational development - which can include drawing. Our aim was to compare preschool children with CP, matched in chronological age and intellectual ability with a group of TD children, regarding their executive functioning and drawing abilities. In addition, we examined the relationships between these variables in each of the groups. Twenty-eight children were evaluated in executive functions and drawing tasks. Differences were found in some aspects of cognitive flexibility and inhibitory control, but not in working memory. Additionally, the quality of the drawings was significantly poorer in the CP group. In the TD group, there was an association between greater inhibitory control (but not cognitive flexibility or working memory) and drawing quality. In the CP group, although non-significant, medium-sized correlations were observed between drawing and several aspects of executive functioning. Overall, our results suggest more similarities than differences in the executive functioning of children with CP (and preserved cognitive ability) and TD children. However, there were still important between-group differences in their drawing abilities. There was also a distinct pattern of associations between drawing and executive functions in the clinical group.
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Affiliation(s)
- Tania Cristina Freire
- Departamento de Arte e Reabilitação, Associação de Assistência à Criança Deficiente , São Paulo, Brazil
| | - Ana Alexandra Caldas Osório
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie , São Paulo, Brazil
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Osório AAC, Brunoni AR. Transcranial direct current stimulation in children with autism spectrum disorder: a systematic scoping review. Dev Med Child Neurol 2019; 61:298-304. [PMID: 30451290 DOI: 10.1111/dmcn.14104] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/06/2018] [Indexed: 12/22/2022]
Abstract
AIM Our aim was to review available studies which test transcranial direct current stimulation (tDCS) to reduce symptom severity in children with autism spectrum disorder (ASD). METHOD We performed a systematic scoping review in PubMed and PsychINFO databases for studies employing tDCS in children and adolescents with ASD. RESULTS We found five studies (two small randomized controlled studies, one experimental study, one quasi-experimental study, and one case study) reporting positive effects of tDCS in ASD symptom reduction. Study design varied greatly and sample size ranged from 1 to 20 patients. INTERPRETATION Preliminary evidence is encouraging of the potential usefulness of tDCS for treatment of ASD in children and adolescents. It suggests tentative support for reductions in symptom severity and, according to parental reports and clinical observations, improvements in some aspects of language. However, the evidence is sparse and of low quality, so the true effect of tDCS is likely to be substantially different from the estimate of effect in this review. Therefore, future randomized controlled trials are needed to draw conclusions regarding tDCS efficacy in paediatric samples with ASD. WHAT THIS PAPER ADDS There is low confidence in the estimate of effect, but tentatively encouraging results warrant further investigation.
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Affiliation(s)
- Ana Alexandra Caldas Osório
- Social and Cognitive Neuroscience Laboratory, Mackenzie Presbyterian University, São Paulo, Brazil.,Developmental Disorders Graduate Program, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Andre Russowsky Brunoni
- University Hospital, University of São Paulo, São Paulo, Brazil.,Service of Interdisciplinary Neuromodulation, Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil.,Laboratory of Neuroscience and National Institute of Biomarkers in Neuropsychiatry, Department and Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil.,Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
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Brunoni D, Blascovi-Assis SM, Osório AAC, Seabra AG, Amato CADLH, Teixeira MCTV, Rocha MMD, Carreiro LRR. Microcephaly and other Zika virus related events: the impact on children, families and health teams. Cien Saude Colet 2018; 21:3297-3302. [PMID: 27783802 DOI: 10.1590/1413-812320152110.16832016] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 06/27/2016] [Indexed: 11/21/2022] Open
Abstract
The present study aimed to present an overview of recent national and international research on the Zika virus (ZIKV), as well as to explore possible action plans focused on children, their families and the health teams involved.Therefore, the study proposes the implementation of tracking systems in order to identify, describe and characterize the potential correlates of prenatal exposure to ZIKV, divided into three lines of action: 1. Diagnostic and etiological evaluation as well as screening of developmental problems in children confirmed or suspected of prenatal ZIKV infection. 2. Investigation of the emotional impact, quality of life, coping strategies and support network of the affected children and their families. 3. Training of multidisciplinary teams to conduct assessments and intervention programs throughout these children's development, especially in the first three years of life. In conclusion, the recent ZIKV outbreak in Brazil and several other Latin American countries places a significant burden on the health care systems: to understand the real meaning of a potential new teratogen; to unravel the pathogenic mechanisms of ZIKV, particularly in a prevention perspective; and to recognize the broad spectrum of clinical manifestations in order to devise intervention programs.
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Affiliation(s)
- Decio Brunoni
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie. R. Consolação 930, Consolação. 01302-907 São Paulo SP Brasil.
| | - Silvana Maria Blascovi-Assis
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie. R. Consolação 930, Consolação. 01302-907 São Paulo SP Brasil.
| | - Ana Alexandra Caldas Osório
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie. R. Consolação 930, Consolação. 01302-907 São Paulo SP Brasil.
| | - Alessandra Gotuzo Seabra
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie. R. Consolação 930, Consolação. 01302-907 São Paulo SP Brasil.
| | - Cibelle Albuquerque de la Higuera Amato
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie. R. Consolação 930, Consolação. 01302-907 São Paulo SP Brasil.
| | - Maria Cristina Triguero Veloz Teixeira
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie. R. Consolação 930, Consolação. 01302-907 São Paulo SP Brasil.
| | - Marina Monzani da Rocha
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie. R. Consolação 930, Consolação. 01302-907 São Paulo SP Brasil.
| | - Luiz Renato Rodrigues Carreiro
- Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie. R. Consolação 930, Consolação. 01302-907 São Paulo SP Brasil.
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do Egito JHT, Ferreira GMR, Gonçalves MI, Osório AAC. Brief Report: Factor Analysis of the Brazilian Version of the Adult Autism Spectrum Quotient. J Autism Dev Disord 2017; 48:1847-1853. [DOI: 10.1007/s10803-017-3424-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Osório AAC, do Egito JHT, Martins GC, Kim CA, Honjo RS, Sampaio ADCS, Mesquita ARM, Macedo EC, Boggio PS, Teixeira MCTV. Associations between fetal testosterone and pro-social tendencies, anxiety and autistic symptoms in Williams syndrome: a preliminary study. Int J Dev Disabil 2017; 65:82-88. [PMID: 34141327 PMCID: PMC8115471 DOI: 10.1080/20473869.2017.1376163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Objective: Fetal testosterone (fT) has organizational effects on the developing human nervous system and can be reliably estimated by the ratio between the length of the second and fourth digits - 2D:4D. Previous studies reported altered patterns of fT in some developmental disabilities (e.g. ASD) relative to typically developing individuals (TD). Williams syndrome (WS) is a rare genetic disorder characterized by exacerbated empathy and social approach and heightened anxiety. Recent reports also highlight the co-occurrence of significant levels of autistic symptoms. Despite constituting an interesting model to study androgenic contributions to social behavior, no studies have sought to explore fT in WS. The main aims of this preliminary study were two-fold: (a) to compare 2D:4D in WS and TD; (b) to analyze the pattern of associations between 2D:4D and hypersociability, affective and cognitive empathy, anxiety and autistic symptoms in WS. Methods: 2D:4D were measured from digital scans of the ventral surface of the right hand. Hypersociability, empathy, anxiety and autistic symptoms were obtained from parental reports. Results: There were no significant differences in 2D:4D between WS than TD. In WS lower fT (higher 2D:4D) was significantly associated with hypersociability and affective empathy, as well as marginally associated with anxiety/depression scores. In contrast, cognitive empathy was marginally and negatively associated with 2D:4D, while levels of autistic symptoms were unrelated with this measure. Conclusion: Our results suggest that fT may be implicated in the emergence of several cardinal features of WS, namely hypersociability, affective empathy and anxiety, but not in ASD symptoms.
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Affiliation(s)
- Ana Alexandra Caldas Osório
- Social and Cognitive Neuroscience Laboratory, Developmental Disorders Program, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Júlia Horta Tabosa do Egito
- Social and Cognitive Neuroscience Laboratory, Developmental Disorders Program, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Gabriela Carneiro Martins
- Social and Cognitive Neuroscience Laboratory, Developmental Disorders Program, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Chong Ae Kim
- Instituto da Criança, Faculdade de Medicina da, Universidade de São Paulo, São Paulo, Brazil
| | - Rachel Sayuri Honjo
- Instituto da Criança, Faculdade de Medicina da, Universidade de São Paulo, São Paulo, Brazil
| | | | | | - Elizeu Coutinho Macedo
- Social and Cognitive Neuroscience Laboratory, Developmental Disorders Program, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Paulo Sérgio Boggio
- Social and Cognitive Neuroscience Laboratory, Developmental Disorders Program, Mackenzie Presbyterian University, São Paulo, Brazil
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