The cognitive and socio-emotional development of 5-year-old children born after PGD

• Published in: Human reproduction (Oxford) Vol. 33; no. 11; pp. 2150 - 2157
• Main Authors: Heijligers, M, Verheijden, L M M, Jonkman, L M, van der Sangen, M, Meijer-Hoogeveen, M, Arens, Y, van der Hoeven, M A, de Die-Smulders, C E M
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.11.2018
• Subjects: Analysis of Variance; Case-Control Studies; Child Development - physiology; Child, Preschool; Cognition - physiology; Executive Function - physiology; Female; Fertilization in Vitro - statistics & numerical data; Humans; Intelligence Tests; Male; Memory and Learning Tests; Memory, Short-Term - physiology; Parents; Pregnancy; Preimplantation Diagnosis; Surveys and Questionnaires; cognitive development; PGD; children; socio-emotional development; child follow-up; embryo biopsy
• ISSN: 0268-1161; 1460-2350
• DOI: 10.1093/humrep/dey302

Abstract STUDY QUESTION Does PGD increase the risk on adverse cognitive and socio-emotional development? SUMMARY ANSWER The cognitive and socio-emotional development in children born after PGD seems to be normal when compared to control groups. WHAT IS KNOWN ALREADY A limited number of studies with small sample sizes indicate that the cognitive and socio-emotional development of (pre)school-aged children born after either PGD or PGS seem to be comparable to those of children born after IVF/ICSI and to naturally conceived (NC) children from the general population. STUDY DESIGN, SIZE, DURATION For this study we invited 72 5-year-old PGD children, 128 5-year-old IVF/ICSI children and 108 5-year-old NC children from families with a genetic disorder. All children were invited between January 2014 and July 2016. PARTICIPANTS/MATERIALS, SETTING, METHODS In total, 51 PGD children, 52 IVF/ICSI children and 35 NC children underwent neuropsychological testing (WPPSI-III-NL and AWMA). The children's parent(s) and teachers filled in questionnaires evaluating children's executive functioning (Behaviour Rating Inventory of Executive Functions; BRIEF) and socio-emotional development (Child Behaviour Checklist; CBCL and Caregiver-Teacher Report Form; C-TRF). MAIN RESULTS AND THE ROLE OF CHANCE The mean full-scale intelligence quotient scores (P = 0.426) and performance on the AWMA Listening Span task (P = 0.873) and Spatial Span task (P = 0.458) were comparable between the three groups. Regarding socio-emotional development, the teachers' scores revealed more externalizing (P = 0.011) and total problem (P = 0.019) behaviour in PGD children than for IVF/ICSI children; both groups did not differ significantly from the NC children (P = 0.11). More children (13%) with an affected first-degree family member (mostly parent) were included in the PGD group than in the NC group. Scores in all groups fell within the normal population range and should be considered normal. LIMITATIONS, REASONS FOR CAUTION The number of NC children from families with a genetic disorder was relatively small. Furthermore, the fathers' CBCL results were based on small samples. WIDER IMPLICATIONS OF THE FINDINGS PGD children show levels of cognitive and socio-emotional development at 5 years that are within the normal range, despite the biopsy involved in PGD and the potential extra psychological burden associated with the presence of a genetic disorder in the family. STUDY FUNDING/COMPETING INTEREST(S) This study was funded by ZonMw (70-71300-98-106). None of the authors have any competing interests to declare. TRIAL REGISTRATION NUMBER NCT 02 149485.