The autistic phenotype in Down syndrome: differences in adaptive behaviour versus Down syndrome alone and autistic disorder alone
- PMID: 22152436
- PMCID: PMC3814552
The autistic phenotype in Down syndrome: differences in adaptive behaviour versus Down syndrome alone and autistic disorder alone
Abstract
The autistic phenotype in Down syndrome (DS) is marked by a characteristic pattern of stereotypies, anxiety and social withdrawal. Our aim was to study adaptive behaviour in DS with and without autistic comorbidity using the Vineland Adaptive Behaviour Scales (VABS), the Childhood Autism Rating Scales (CARS) and the DSM IV-TR criteria. We assessed 24 individuals and established three groups: Down syndrome (DS), DS and autistic disorder (DS-AD), and autistic disorder (AD). The DS and DS-AD groups showed statistically significantly similar strengths on the VABS (in receptive and domestic skills). The DS and DS-AD subjects also showed similar strengths on the CARS (in imitation and relating), differing significantly from the AD group. The profile of adaptive functioning and symptoms in DS-AD seemed to be more similar to that found in DS than to the profile emerging in AD. We suggest that the comorbidity of austistic symptoms in DS hampered the acquisition of adaptive skills more than did the presence of DS alone.
Figures
Similar articles
-
Comorbidity of autistic spectrum disorders in children with Down syndrome.Dev Med Child Neurol. 1999 Mar;41(3):153-8. doi: 10.1017/s001216229900033x. Dev Med Child Neurol. 1999. PMID: 10210247
-
Autistic disorders in Down syndrome: background factors and clinical correlates.Dev Med Child Neurol. 2001 Nov;43(11):750-4. doi: 10.1017/s0012162201001372. Dev Med Child Neurol. 2001. PMID: 11730149
-
A comparative evaluation of adaptive behavior in children and adolescents with autism, Down syndrome, and normal development.J Autism Dev Disord. 1991 Jun;21(2):187-96. doi: 10.1007/BF02284759. J Autism Dev Disord. 1991. PMID: 1830878
-
Assessing general cognitive and adaptive abilities in adults with Down syndrome: a systematic review.J Neurodev Disord. 2019 Aug 30;11(1):20. doi: 10.1186/s11689-019-9279-8. J Neurodev Disord. 2019. PMID: 31470792 Free PMC article.
-
Down Syndrome Disintegrative Disorder: A Clinical Regression Syndrome of Increasing Importance.Pediatrics. 2020 Jun;145(6):e20192939. doi: 10.1542/peds.2019-2939. Pediatrics. 2020. PMID: 32471843 Review.
Cited by
-
Developmental trends of communicative skills in children with chromosome 14 aberrations.Eur J Pediatr. 2017 Apr;176(4):455-464. doi: 10.1007/s00431-017-2859-2. Epub 2017 Jan 25. Eur J Pediatr. 2017. PMID: 28124115
-
Neurologic complications of Down syndrome: a systematic review.J Neurol. 2021 Dec;268(12):4495-4509. doi: 10.1007/s00415-020-10179-w. Epub 2020 Sep 12. J Neurol. 2021. PMID: 32920658
-
Co-occurring Down Syndrome and Autism Spectrum Disorder: Cognitive, Adaptive, and Behavioral Characteristics.J Autism Dev Disord. 2022 Mar;52(3):1235-1246. doi: 10.1007/s10803-021-05016-6. Epub 2021 Apr 27. J Autism Dev Disord. 2022. PMID: 33905067
-
Caregivers' experience of having a child with Down syndrome: a meta-synthesis.BMC Nurs. 2025 Jan 20;24(1):66. doi: 10.1186/s12912-024-02652-y. BMC Nurs. 2025. PMID: 39833779 Free PMC article.
-
Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder.BMC Psychol. 2024 Feb 15;12(1):74. doi: 10.1186/s40359-023-01508-5. BMC Psychol. 2024. PMID: 38360760 Free PMC article.
References
-
- Kent L , Evans J , Paul M , Sharp M . Comorbidity of autistic spectrum disorders in children with Down syndrome . Dev Med Child Neurol . 1999 ; 41 : 153 – 158 . - PubMed
-
- Molloy CA , Murray DS , Kinsman A , et al. Differences in the clinical presentation of Trisomy 21 with and without autism . J Intellect Disabil Res . 2009 ; 53 : 143 – 151 . - PubMed
-
- Lowenthal R , Paula CS , Schwartzman JS , Brunoni D , Mercadante MT . Prevalence of pervasive developmental disorder in Down’s syndrome . J Autism Dev Disord . 2007 ; 37 : 1394 – 1395 . - PubMed
-
- Carr J . Long-term-outcome for people with Down’s syndrome . J Child Psychol Psychiatry . 1994 ; 35 : 425 – 439 . - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Medical