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. 2017;2(1-2):89-100.
doi: 10.3233/TRD-170012. Epub 2017 May 8.

The effects of disease-related symptoms on daily function in Wolfram Syndrome

Tasha Doty  1   2 , Erin R Foster  1   3 , Bess Marshall  4 , Samantha Ranck  2 , Tamara Hershey  2   3   5
Affiliations

The effects of disease-related symptoms on daily function in Wolfram Syndrome

Tasha Doty et al. Transl Sci Rare Dis. 2017.

Abstract

Objective: To investigate daily function among individuals with Wolfram Syndrome (WFS) and examine whether any limitations are related to disease-related symptoms.

Methods: WFS (n = 31), Type 1 diabetic (T1DM; n = 25), and healthy control (HC; n = 29) participants completed the Pediatric Quality of Life Questionnaire (PEDSQL) Self and Parent Report. PEDSQL domain scores were compared among these groups and between WFS patients with and without specific disease-related symptoms. Relationships between PEDSQL scores and symptom severity as assessed by the Wolfram Unified Rating Scale (WURS) Physical Scale were also examined.

Results: Across most domains, the WFS group had lower PEDSQL Self and Parent Report scores than the T1DM and HC groups. WFS participants with urinary, sleep, and temperature regulation problems had lower PEDSQL scores than those without. The WURS Physical Scale correlated with Self and Parent Report PEDSQL domains. WFS group Self and Parent Reports correlated with each other.

Conclusions: The WFS group reported lower daily function compared to T1DM and HC groups. Within WFS, worse symptom severity and the specific symptoms of sleep, temperature regulation, and urinary problems were associated with poorer daily function. These findings provide rationale for an increased emphasis on identifying, treating and understanding these less well-known symptoms of WFS.

Keywords: Wolfram Syndrome; daily function; diabetes mellitus; pediatric quality of life inventory.

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Conflict of interest statement

Conflict of interest The authors declare that they have no conflict of interest.

Figures

Fig.1
Fig.1
Between Group Means of the PEDSQL Parent (Panel A) and Self (Panel B) Report. The Total Score is comprised of the Physical and Psychosocial domains; Emotional, Social, and School/ Work functioning make up the Psychosocial domain. *different from the other groups.
Fig.2
Fig.2
Relationship between the Pediatric Quality of Life (PEDSQL) Self Report Total Score and the Wolfram Unified Rating Scale (WURS) Physical Scale (r = –0.470, p = 0.009). When the two WURS outliers are removed, the relationship remains significant (r = –0.459, p = 0.014).
See this image and copyright information in PMC

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