The effects of the child with Down syndrome on maternal stress

This article examines the nature and correlates of stress in mothers of children with Down syndrome. In the first part of our study, we compared 27 mothers of children with Down syndrome with 15 mothers of children with heterogeneous causes of learning difficulty. Using Abidin's (1995) Parenting Stress Index (PSI), mothers in the Down syndrome group reported lower total child‐related stress levels, particularly concerning the degree to which the mother considers the child acceptable and reinforcing. In the second part, we identified predictors of stress in mothers of children and adolescents with Down syndrome (N = 37). Children's behaviour problems related to higher levels of overall and specific domains of child‐related stress, and children who were reported as being more cheerful and outgoing had parents who judged their offspring as more acceptable and reinforcing. Mothers also rated their children as less reinforcing when offspring were older.     

Intelligence and family marital structure: the case of adolescents from monogamous and polygamous families among Bedouin Arabs in Israel

The levels of intelligence among Bedouin Arab adolescents from monogamous and polygamous families living in the Negev region of Israel were examined. A shortened version of the Raven's Progressive Matrices (RPM) test (S. Elbedour, T. J. Bouchard, & Y. Hur, 1997; J. Raven, J. C. Raven, & J. H. Court, 1998) was used to assess intelligence. There were no significant test score differences between adolescents from monogamous families and adolescents from polygamous families. In addition, participants with 2 mothers tended to have lower RPM scores than those with 3 or 4 mothers, and participants with related parents tended to have lower RPM scores than participants with unrelated parents. One major finding of this study is that polygamous family marital structures tended not to have deleterious effects on the Bedouin Arab adolescents' RPM test scores.     

Relationships between self-regulation and personality scores of persons with Down syndrome.

This study examined the associations of self-regulation (scores on self-assertion and self control) with personality traits for 76 persons with Down syndrome. Analysis shows self-assertion scores were correlated with scores for all personality traits. The correlations were significant with Emotionality and Playfulness for people with Down syndrome but not for those without Down syndrome (n=40). Self-control scores significantly correlated with scores on controlling and attachment for both groups. Emotionality was related to scores on self-control for students without Down syndrome but not for those with Down syndrome.     

What Do Parents of Children with Down Syndrome Think about Non-Invasive Prenatal Testing (NIPT)?

This study explores the attitudes of parents of children with Down syndrome towards non-invasive prenatal testing (NIPT) and widening the scope of prenatal screening. Three focus groups (n = 16) and eleven individual interviews with Dutch parents (and two relatives) of children with Down syndrome were conducted. Safety, accuracy and earlier testing were seen as the advantages of NIPT. Some participants were critical about the practice of screening for Down syndrome, but acknowledged that NIPT enables people to know whether the fetus is affected and to prepare without risking miscarriage. Many feared uncritical use of NIPT and more abortions for Down syndrome. Concerns included the consequences for the acceptance of and facilities for children with Down syndrome, resulting in more people deciding to screen. Participants stressed the importance of good counseling and balanced, accurate information about Down syndrome. Testing for more disorders might divert the focus away from Down syndrome, but participants worried about “where to draw the line”. They also feared a loss of diversity in society. Findings show that, while parents acknowledge that NIPT offers a better and safer option to know whether the fetus is affected, they also have concerns about NIPT’s impact on the acceptance and care of children with Down syndrome.     

Intelligence and Family Marital Structure: The Case of Adolescents From Monogamous and Polygamous Families Among Bedouin Arabs in Israel

Abstract

The levels of intelligence among Bedouin Arab adolescents from monogamous and polygamous families living in the Negev region of Israel were examined. A shortened version of the Raven's Progressive Matrices (RPM) test (S. Elbedour, T. J. Bouchard, & Y. Hur, 1997; J. Raven, J. C. Raven, & J. H. Court, 1998) was used to assess intelligence. There were no significant test score differences between adolescents from monogamous families and adolescents from polygamous families. In addition, participants with 2 mothers tended to have lower RPM scores than those with 3 or 4 mothers, and participants with related parents tended to have lower RPM scores than participants with unrelated parents. One major finding of this study is that polygamous family marital structures tended not to have deleterious effects on the Bedouin Arab adolescents' RPM test scores.     

Imitation and representational development in young children with Down syndrome

Competence in object search and pretend play are argued to reflect young children's representational abilities and appear delayed in children with Down syndrome relative to social and imitative skills. This paper explores the effects on object search and play of this social strength in children with Down syndrome. Three experiments compared performance on traditional tasks with modified tasks designed to assess the role of imitation in object search and pretend play. Children with Down syndrome, relative to typically‐developing children, were able and willing to imitate hiding actions when no object was hidden (Experiment 1). When imitation was prevented in object search, children with Down syndrome searched less effectively than typically‐developing children (Experiment 2). In play, children with Down syndrome expressed more willingness to imitate a counter‐functional action, modelled by the experimenter, despite apparent competence in spontaneous functional play (Experiment 3). These findings indicate that object search and play behaviours of children with Down syndrome rely more heavily on imitation than is the case for typically‐developing children. The implications for the development of children with Down syndrome and models of representational development are discussed.     

Memory coding in individuals with Down syndrome

Previous research has identified a deficit in phonological short-term memory in individuals with Down syndrome.

The present work aimed to analyze how a group of 30 individuals with Down syndrome performed in a picture span task compared with 30 typically developing children of the same mental age. The task involved four conditions (i.e., dissimilar, phonologically similar, visually similar, and long-name items) chosen to analyze the strategy used by individuals with Down syndrome to code visually presented nameable items.

Individuals with Down syndrome performed less well than typically developing children. Both groups showed the visual similarity effect.

Taken together, our results confirm that individuals with Down syndrome have a verbal working memory deficit, even when nameable items are presented visually. Mental age appears to be an important determinant of memory coding stage in individuals with Down syndrome.     

Parents attributions of blame for the birth of a child with down syndrome: A pilot study

Abstract

Attributing blame to others for negative events is consistently associated with poor adjustment. We report here a study assessing whether failure to detect a problem on screening, in this case Down syndrome not detected during prenatal screening, is associated with blame and poor adjustment in parents. Twenty eight mothers and 23 fathers of children with Down syndrome were interviewed. Although no parent blamed themselves or their partner, eight fathers and five mothers blamed health professionals or the health care system in general for not preventing the birth of their children with Down syndrome prenatally. None of the parents who declined testing were blaming. Six of the 11 parents who received a negative test and seven of the 34 not offered a test blamed others. Both mothers and fathers who blamed others reported significantly higher parenting stress. Mothers, but not fathers, who blamed others were significantly more angry and depressed than those who did not.     

A computational model for solving problems from the Raven’s Progressive Matrices intelligence test using iconic visual representations

We describe a computational model for solving problems from Raven’s Progressive Matrices (RPM), a family of standardized intelligence tests. Existing computational models for solving RPM problems generally reason over amodal propositional representations of test inputs. However, there is considerable evidence that humans can also apply imagery-based reasoning strategies to RPM problems, in which processes rooted in perception operate over modal representations of test inputs. In this paper, we present the “affine model,” a computational model that simulates modal reasoning by using iconic visual representations together with affine and set transformations over these representations to solve a given RPM problem. Various configurations of the affine model successfully solve between 33 and 38 of the 60 problems on the Standard Progressive Matrices, which matches levels of performance for typically developing 9- to 11-year-old children. This suggests that, for at least a sizeable subset of RPM problems, it is not always necessary to extract amodal symbols in order to arrive at the correct answer, and iconic visual representations constitute a sufficient form of representation to successfully solve these problems. We intend for the affine model to serve as a complementary computational account to existing propositional models, which together may provide an integrated, dual-process account of human problem solving on the RPM.     

Evaluation of upper limb movements in children with Down’s syndrome: A systematic review

The aim of the present study was to perform a review of the literature on current quantitative clinical methods for the evaluation of upper limb movements in children and adolescents with Down syndrome, with a focus on describing the variables, protocols, motor function and motor control.MethodsA survey of PubMed, Scielo, BVS Bireme and PEDro databases using the following key words: upper limb and EMG and Down syndrome; upper limb and kinematics and Down syndrome; upper limb and motion analysis and Down syndrome; movement and upper limb and Down syndrome; upper limb and Down syndrome; reach and Down syndrome.ResultsIn all, 344 articles and five were selected to compose the present systematic review. No standardization was found among the studies analyzed with regard to data collection, data processing or procedures for the evaluation of the variables.ConclusionA kinematic evaluation is effective for the discussion of the results, but methodological differences among the studies and inconsistent results exert a negative influence on clinical interpretations and the possibility of reproducibility. The standardization of an upper limb movement evaluation protocol using kinematic analysis is important, as it would provide the basis for comparable, reproducible results and facilitate the planning of treatment interventions.     

Impaired verbal short-term memory in Down syndrome reflects a capacity limitation rather than atypically rapid forgetting

Individuals with Down syndrome suffer from relatively poor verbal short-term memory. Recent work has indicated that this deficit is not caused by problems of audition, speech, or articulatory rehearsal within the phonological loop component of Baddeley and Hitch's working memory model. Given this, two experiments were conducted to investigate whether abnormally rapid decay underlies the deficit. In a first experiment, we attempted to vary the time available for decay using a modified serial recall procedure that had both verbal and visuospatial conditions. No evidence was found to suggest that forgetting is abnormally rapid in phonological memory in Down syndrome, but a selective phonological memory deficit was indicated. A second experiment further investigated possible problems of decay in phonological memory, restricted to item information. The results indicated that individuals with Down syndrome do not show atypically rapid item forgetting from phonological memory but may have a limited-capacity verbal short-term memory system.     

Exploring the correlates of impaired non‐word repetition in Down syndrome

Non‐word repetition, in which participants hear and repeat unfamiliar verbal stimuli, is thought to provide a particularly sensitive measure of verbal short‐term memory capacity. However, performance on this task can also be constrained by hearing and speech production skills, and by an individuals' linguistic knowledge. This study examined real word and non‐word repetition in a sample of 18 children and adolescents with Down syndrome, and compared their performance to that of a control group of 18 typically developing children in order to determine the extent of any impairment in repetition performance in Down syndrome, and the correlates of performance in each group. Individuals with Down syndrome were impaired in repetition performance, although both groups showed similar benefits of linguistic knowledge on repetition accuracy. An analysis of the correlates of non‐word repetition revealed a double dissociation between the patterns of associations seen in the two groups. Among typically developing individuals, non‐word repetition was related to an independent measure of verbal short‐term memory but not to vocabulary knowledge. However, among individuals with Down syndrome, performance was related to vocabulary knowledge but not verbal short‐term memory span. This contrast is consistent with the view that impairment to verbal short‐term memory prevents this system from fully supporting non‐word repetition in Down syndrome.     

Short-Term Memory Deficits Are Not Uniform in Down and Williams Syndromes

Neuropsychological investigation of the development of the mnesic function in mental retardation has primarily focused on evaluating short-term memory (STM). Studies have often documented a reduced verbal short-term memory span in individuals with mental retardation and with Down syndrome in particular, compared to groups of mental age-matched controls. However, recent evidence suggests that verbal short-term memory is not equally impaired in all individuals with mental retardation. Findings in children with Williams syndrome are particularly relevant in this regard. Also, data concerning STM for visual information suggest that visual-object and visual-spatial working memory may be differently compromised in people with mental retardation. In particular, individuals with Williams syndrome exhibit specific difficulties in visual-spatial but not in visual-object working memory tasks compared to typically-developing children matched for mental age. Instead, people with Down syndrome show reduced performance in both visual-spatial and visual-object tests. Taken together, these results reinforce the view that intellectual disability is not a unitary condition characterized by homogeneous slowness of cognitive development but a variety of conditions in which some cognitive functions may be more disrupted than others. The finding that the working memory deficit in individuals with Williams and Down syndrome may be qualitatively differentiated also supports the hypothesis that it is not simply a manifestation of general cognitive impairment but, rather, the expression of a specific deficit of a discrete cognitive ability.     

Language and communication development in Down syndrome

Although there is considerable variability, most individuals with Down syndrome have mental retardation and speech and language deficits, particularly in language production and syntax and poor speech intelligibility. This article describes research findings in the language and communication development of individuals with Down syndrome, first briefly describing the physical and cognitive phenotype of Down syndrome, and two communication related domains-hearing and oral motor skills. Next, we describe language development in Down syndrome, focusing on communication behaviors in the prelinguistic period, then the development of language in children and adolescents, and finally language development in adults and the aging period. We describe language development in individuals with Down syndrome across four domains: phonology, semantics, syntax, and pragmatics. Wethen suggest strategies for intervention and directions for research relating to individuals with Down syndrome.     

A developmental study of handedness in Down syndrome pupils.

Assessed hand preference in 7- to 9-yr.-old and 13- to 15-yr.-old pupils with Down syndrome (n = 41) was compared with control schoolchildren (n = 50) of the same ages. A significant increase in left-handedness and mixed-handedness was noted in Down syndrome groups compared with the normal population. Younger Down syndrome pupils were less consistent in their hand preference than the older pupils and the normal controls.     

Bridging Uncharted Waters in Georgia: Down Syndrome Association of Atlanta Outreach to Latino/a Families

Receiving the news that your newborn child has Down syndrome is difficult for most parents; difficulties which are compounded by language and cultural barriers for immigrant Latino/a families. The metro Atlanta area has shown a large increase in this population in the last 10 years, and increasing numbers of Latino/a parents with children with Down syndrome are coming in contact with the health care system. Experiences and observations regarding the formation of a Latino/a support group for parents of children with Down syndrome in Atlanta are described. In addition, efforts to integrate these Latino/a parents into a parent education conference sponsored by the Down Syndrome Association of Atlanta are also recounted. Finally, reflections upon the lessons learned and individual and organizational changes that occurred as a result of the process are discussed.     

Effects of a Genetic Counseling Model on Mothers of Children with Down Syndrome: A Brazilian Pilot Study

Down syndrome occurs in approximately 1:600 live births. Genetic counseling is indicated for these families and may be beneficial for adaptation to the challenges that accompany by this diagnosis. Although the basic counseling goals are similar, there are many models of genetic counseling practiced around the world. The aim of this article is to report the results of a pilot study that evaluated the level of satisfaction with a model of service delivery of genetic counseling practiced in Brazil, the knowledge assimilated about Down syndrome and whether this process resulted in a feeling of well-being and psychological support. Thirty mothers of under 6-month-old children with Down syndrome were interviewed after having two sessions of genetic counseling in a public healthcare service within a period of 30 days. A semi-structured questionnaire was developed by the researchers to collect identification, socioeconomic and demographic data and to assess the client’s satisfaction with the model of genetic counseling. Data were collected using both open and closed questions. The reported level of satisfaction was high. The knowledge assimilated about Down syndrome after only two sessions was considered technically vague by raters in 44 % of cases. Most mothers (96.7 %) reported that genetic counseling was beneficial and provided psychological support. The model was considered satisfactory, but further research is needed to identify ways to improve knowledge retention by this population. These results highlight the utility of referring families for genetic counseling when there is a suspicion of a diagnosis of Down syndrome.     

Processing locational and orientational information

In choice reaction time (RT) tasks, college students verified the truth of displays expressing spatial relations between two objects. The relations werelocational (A is left of B) ororientational (A and B are horizontal). The objects were names of states in the United States, symbols, or letter arrays. The objects were memorized prior to the display (states and letters) or were presented as part of the display (symbols and letters). In the location tasks with both states and symbols, locatives were spatial (right, left, above, below) or compass (north, south, east, west). Distance between states was also varied. When location was judged, horizontally aligned stimuli resulted in slower responses than vertically aligned stimuli, independently of materials and locative set. Reaction time was inversely related to distance. When orientation was judged, responses to horizontal pairs of states were slower than responses to vertical pairs of states, responses to horizontal pairs of letters were faster than responses to vertical pairs, and RT did not depend upon the orientation of symbols. This pattern of results suggests that orientational judgments are influenced by type of materials and the entext to which the material has been encoded (i.e., memorized). Locational judgments reflect a potent source of difficulty not present in orientation tasks, namely, telling left from right. Alternative explanations of the right-left effect are discussed.