Challenging Behavior in Down Syndrome: Initial Surveys Evaluating Co-occurrence
Keywords:Down syndrome, Trisomy 21, Functional assessment, challenging behavior, caregivers
Down syndrome (DS) is a developmental disability caused by trisomy of chromosome 21 and as with other developmental disabilities, individuals with DS may present with challenging behavior (e.g., aggression, tantrums, self-injurious behavior; Feeley & Jones, 2006). The purpose of this study was to evaluate the presence of challenging behavior in those with DS by surveying caregivers of individuals with DS via Qualtrics. A link to our survey was sent out to national and local organizations that support the DS population with a request to disseminate the link. Given limited response, the survey was modified (shorted and reorganized) and a link to the revised survey was disseminated via Facebook to groups focused on DS. Although both surveys received limited responses, there are preliminary findings worth exploring further. Aggression, noncompliance, and tantrum behaviors were frequently reported behavior and, escape and attention were the most reported perceived functions of behavior. Challenging behavior is reported in DS by caregivers. Future research should be conducted to examine the prevalence and function of challenging behavior in DS to develop effective preventative approaches to challenging behavior while promoting skill acquisition.
References or Bibliography
Bowring, D. L., Totsika, V., Hastings, R. P., Toogood, S., & McMahon, M. (2017). Prevalence of psychotropic medication use and association with challenging behaviour in adults with an intellectual disability: A total population study. Journal of Intellectual Disability Research, 61(6), 604-617. https://doi.org/10.1111/jir.12359
Capone, G., Goyal, P., Ares, W., & Lannigan, E. (2006). Neurobehavioral disorders in children, adolescents, and young adults with Down syndrome. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 142C, 158–172. https://doi.org/10.1002/ajmg.c.30097
Charlot, L. R., Weigle, K. L., & Holingue, C. B. (2021) Mental and physical health conditions of individuals with intellectual and developmental disabilities (IDD) with and without Down syndrome (DS). Journal of Mental Health Research in Intellectual Disabilities, 14(1), 122-134. https://doi.org/10.1080/19315864.2020.1864687
Coe, D.A., Matson, J.L., Russell, D.W., Slifer, K.J., Capone, G.T., Baglio, C., & Stallings, S. (1999). Behavior problems of children with Down syndrome and life events. Journal of Autism and Developmental Disorders, 29(2), 149-156. https://doi.org/10.1023/a:1023044711293
de Winter, C., F., Jansen, A. A. C. & Evenhuis, H. M. (2011). Physical conditions and challenging behaviour in people with intellectual disability: A systematic review. Journal of Intellectual Disability Research, 55(7), 675-698. https://doi.org/10.1111/j.1365-2788.2011.01390.x
Downes, A. Anixt, J. S., Esbensen, A. J., Wiley, S., Meinzen-Derr, J. (2015). Psychotropic medication use in children and adolescents with Down syndrome. Journal of Developmental & Behavioral Pediatrics, 36(8), 613-619. https://doi.org/10.1097/DBP.0000000000000179
Dykens, E. M., Shah, B., Davis, B., Baker, C., Fife, T., & Fitzpatrick, J. (2015). Psychiatric disorders in adolescents and young adults with Down syndrome and other intellectual disabilities. Journal of Neurodevelopmental Disorders, 7(9). https://doi.org/10.1186/s11689-015-9101-1
Feeley, K, & Jones, E. (2006). Addressing challenging behaviour in children with Down syndrome: The use of applied behaviour analysis for assessment and intervention. Down Syndrome Research and Practice, 11(2), 64-77. https://doi.org/10.3104/perspectives.316
Gilmore, L., Campbell, J., & Cuskelly, M. (2010). Developmental expectations, personality
stereotypes, and attitudes towards inclusive education: Community and teacher views of Down syndrome. International Journal of Disability, Development, and Education, 50(1); 65-76. https://doi.org/10.1080/1034912032000053340
Kazemi, M., Salehi, M., Kheirollahi, M. (2016). Down syndrome: Current status, challenges and future perspectives. International Journal of Molecular and Cellular Medicine, 5(3), 125-133. PMCID: PMC5125364
Kerins, G., Petrovic, K., Bruder, M., & Gruman, C. (2007). Medical conditions and medication use in adults with Down syndrome: A descriptive analysis. Down Syndrome Research and Practice, 12(2), 141-147. https://doi.org/10.3104/reports.2009
Lukowski, A. F., Milojevich, H. M., & Eales, L. (2019). Chapter eight: Cognitive functioning in children with Down syndrome: Current knowledge and future directions. Janette B. Benson (Ed). Advances in Child Development and Behavior, 56, 257-289. https://doi.org/10.1016/bs.acdb.2019.01.002
Myrbakk, E. & von Tetzchner, S. (2008). Psychiatric disorders and behavior problems in people with intellectual disability. Research in Developmental Disabilities, 29(4), 316-332. https://doi.org/10.1016/j.ridd.2007.06.002
Nevill, R.E. & Benson, B.A. (2018). Risk factors for challenging behaviour and psychopathology in adults with Down syndrome. Journal of Intellectual Disability Research, 62(2), 941-951. https://doi.org/10.1111/jir.12541
Pikora, T.J., Bourke, J., Bathgate, K., Foley, K., Lennox, N., & Leonard, H. (2014). Health conditions and their impact among adolescents and young adults with Down syndrome. Plos One, 9(5), e96868. https://doi.org/10.1371/journal.pone.0096868
Presson, A.P., Partyka, G., Jensen, K.M., Devine, O.J., Rasmussen, S.A., McCabe, L.L., & McCabe, E.R.B. (2013). Current estimate of Down syndrome population prevalence in the United States. The Journal of Pediatrics, 163(4); 1163-1168. https://doi.org/10.1016/J.JPEDS.2013.06.013
Royal College of Psychiatrists. (2021). Stopping the Over-Medication of People with Intellectual
Disability, Autism or Both (STOMP) and Supporting Treatment and Appropriate Medication in Paediatrics (STAMP) (Position Statement PS05/21). Royal College of Psychiatrists.
Saloviita, T., Consegnatie, S., Kontu, E., Pirttimaa, R., Fiorin, I. (2016). Children with Down
syndrome in Finland and Italy: Comparing adaptive behavior and services. International Journal of Developmental Disabilities, 63(2), 91-98. https://doi.org/10.1080/20473869.2016.1144299
Smith, B., & Fox, L. (2003). Systems of service delivery: A synthesis of evidence relevant to young children at risk of or who have challenging behavior. Tampa: University of South Florida, Center for Evidence-Based Practice: Young Children with Challenging Behavior.
Smith, M., Manduchi, B., Burke, É., Carroll, R., McCallion, P., & McCarron, M. (2020). Communication difficulties in adults with intellectual disability: Results from a national cross-sectional study. Research in Developmental Disabilities, 97, 1035572. https://doi.org/10.1016/j.ridd.2019.103557
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