Skip to main content

Advertisement

Log in

Brief Report: Major Depressive Disorder with Psychotic Features in Williams Syndrome: A Case Series

  • Brief Report
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Descriptions of individuals with Williams syndrome (WS) and co-morbid major depressive disorder (MDD) with psychotic features have not appeared in the literature. In addition to reviewing previous reports of psychotic symptoms in persons with WS, this paper introduces clinical histories and therapeutic management strategies for three previously unreported adults with WS diagnosed with co-morbid MDD with psychotic features. Co-morbid medical disorders common in WS are highlighted with regard to safe and appropriate pharmacological treatment. The importance of assessment for co-morbid MDD with psychotic features in individuals with WS is emphasized.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn.). Arlington, VA: American Psychiatric Publishing.

    Book  Google Scholar 

  • Bak, M., Fransen, A., Janssen, J., van Os, J., & Drukker, M. (2014). Almost all antipsychotics result in weight gain: A meta-analysis. PLoS ONE, 9(4), e94112.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bradley, E. A., & Udwin, O. (1989). William’s syndrome in adulthood: A case study focusing on psychological and psychiatric aspects. Journal of Mental Deficiency Research, 33(2), 175–184.

    PubMed  Google Scholar 

  • Castro, V. M., Clements, C. C., Murphy, S. N., Gainer, V. S., Fava, M., Weilburg, J. B., … Perlis, R. H. (2013). QT interval and antidepressant use: A cross sectional study of electronic health records. BMJ (Clinical Research ed.), 346, f288.

    Google Scholar 

  • Cherniske, E. M., Carpenter, T. O., Klaiman, C., Young, E., Bregman, J., Insogna, K., … Pober, B. R. (2004). Multisystem study of 20 older adults with Williams syndrome. American Journal of Medical Genetics Part A, 131A(3), 255–264.

    Article  Google Scholar 

  • Chung, A. K., & Chua, S. E. (2011). Effects on prolongation of Bazett’s corrected QT interval of seven second-generation antipsychotics in the treatment of schizophrenia: A meta-analysis. Journal of Psychopharmacology, 25, 646–666.

    Article  PubMed  Google Scholar 

  • Cohn, T. A., & Sernyak, M. J. (2006). Metabolic monitoring for patients treated with antipsychotic medications. Canadian Journal of Psychiatry, 51(8), 492–501.

    Article  PubMed  Google Scholar 

  • Collins, R. T., Azia, P. F., Gleason, M. M., Kaplan, P. B., & Shah, M. J. (2010). Abnormalities of cardiac repolarization in Williams syndrome. American Journal of Cardiology, 106, 1029–1033.

    Article  PubMed  Google Scholar 

  • Dodd, H. F., & Porter, M. A. (2009). Psychopathology in Williams syndrome: The effect of individual differences across the life span. Journal of Mental Health Research in Intellectual Disabilities, 2(2), 89–109.

    Article  Google Scholar 

  • Dykens, E. M. (2003). Anxiety, fears, and phobias in persons with Williams syndrome. Developmental Neuropsychology, 23(1–2), 291–316.

    Article  PubMed  Google Scholar 

  • Leyfer, O. T., Woodruff-Borden, J., Klein-Tasman, B. P., Fricke, J. S., & Mervis, C. B. (2006). Prevalence of psychiatric disorders in 4 to 16-year-olds with Williams syndrome. American Journal of Medical Genetics Part B, 141B(6), 615–622.

    Article  Google Scholar 

  • Pineiro, M. L., Roberts, A. M., Waxler, J. L., Mullett, J. E., Pober, B. R., & McDougle, C. J. (2014). N-acetylcysteine for neuropsychiatric symptoms in a woman with Williams syndrome. Journal of Child Neurology, 29(11), NP135–NP138.

    Article  PubMed  Google Scholar 

  • Pober, B. R. (2010). Williams-Beuren syndrome. New England Journal of Medicine, 362, 239–252.

    Article  PubMed  Google Scholar 

  • Pober, B. R., Wang, E., Caprio, S., Petersen, K. F., Brandt, C., Stanley, T., … Gulanski, B. (2010). High prevalence of diabetes and pre-diabetes in adults with Williams syndrome. American Journal of Medical Genetics Part C, 154C(2), 291–298.

    Article  Google Scholar 

  • Salgado, H., & Martins-Correia, L. (2014). Williams syndrome and psychosis: A case report. Journal of Medical Case Reports, 8(1), 2–6.

    Article  Google Scholar 

  • Savoja, V., & Vicari, S. (2010). Development of erosive gastrointestinal lesions during risperidone treatment in two patients with Williams syndrome. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 34(4), 711–712.

    Article  PubMed  Google Scholar 

  • Stinton, C., Elison, S., & Howlin, P. (2010). Mental health problems in adults with Williams syndrome. American Journal on Intellectual and Developmental Disabilities, 115(1), 3–18.

    Article  PubMed  Google Scholar 

  • Strømme, P., Bjørnstad, P. G., & Ramstad, K. (2002). Prevalence estimation of Williams syndrome. Journal of Child Neurology, 17(4), 269–271.

    Article  PubMed  Google Scholar 

  • Wessel, A., Gravenhorst, V., Buchhorn, R., Gosch, A., Partsch, C. J., & Pankau, R. (2004). Risk of sudden death in the Williams–Beuren syndrome. American Journal of Medical Genetics Part A, 127A(3), 234–237.

    Article  PubMed  Google Scholar 

  • Zarchi, O., Diamond, A., Weinberger, R., Abbott, D., Carmel, M., Frisch, A., … Gothelf, D. (2014). A comparative study of the neuropsychiatric and neurocognitive phenotype in two microdeletion syndromes: Velocardiofacial (22q11.2 deletion) and Williams (7q11.23 deletion) syndromes. European Psychiatry, 29(4), 203–210.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank the Nancy Lurie Marks Family Foundation for their support.

Author information

Authors and Affiliations

Authors

Contributions

FV made substantial contributions to the conceptualization and design, acquisition of data, and drafting of the manuscript. CK made substantial contributions to analysis and interpretation of the data and revising the manuscript critically for important intellectual content. JM made substantial contributions to the acquisition of data and revising the manuscript critically for important intellectual content. JW made substantial contributions to the analysis and interpretation of the data and revising the manuscript critically for important intellectual content. MP made substantial contributions to the analysis and interpretation of the data and revising the manuscript critically for important intellectual content. BP made substantial contributions to the analysis and interpretation of the data and revising the manuscript critically for important intellectual content. CM made substantial contributions to the conceptualization and design, acquisition of data, drafting of the manuscript, and revising the manuscript critically for important intellectual content. Each author gave final approval of the version of the manuscript to be published.

Corresponding author

Correspondence to Christopher J. McDougle.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Valdes, F., Keary, C.J., Mullett, J.E. et al. Brief Report: Major Depressive Disorder with Psychotic Features in Williams Syndrome: A Case Series. J Autism Dev Disord 48, 947–952 (2018). https://doi.org/10.1007/s10803-017-3384-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-017-3384-x

Keywords

Navigation