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Co‐occurring medical and behavioural conditions in children with Down syndrome with or without ADHD symptom presentation.

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Title: Co‐occurring medical and behavioural conditions in children with Down syndrome with or without ADHD symptom presentation.
Authors: Esbensen, A. J., Vincent, L. B., Epstein, J. N., Kamimura‐Nishimura, K., Wiley, S., Angkustsiri, K., Abbeduto, L., Fidler, D., Anixt, J. S., Froehlich, T. E.
Source: Journal of Intellectual Disability Research. Mar2022, Vol. 66 Issue 3, p282-296. 15p. 3 Charts.
Subjects: Adolescent development, Executive function, Parent attitudes, Down syndrome, Child development, Child behavior, College teacher attitudes, Attention-deficit hyperactivity disorder, Sleep disorders, Behavior disorders, Teenagers' conduct of life, Allergies, Seizures (Medicine), Comorbidity, Algorithms, Symptoms, Children
Geographic Terms: Midwest (U.S.)
Abstract: Background: Co‐occurring attention deficit hyperactivity disorder (ADHD) is a challenge to characterise in the presence of other medical conditions commonly present in children with Down syndrome (DS). The current study examined differences among children with DS with or without ADHD symptomatology in terms of demographics, developmental level, co‐occurring medical conditions, and parent and teacher ratings of behaviour and executive functioning. Methods: Parents and teachers of 108 school‐age children with DS provided ratings of ADHD symptoms, behaviour problems and executive functioning skills. Children with DS and ADHD symptom presentation, as identified by a scoring algorithm, were compared with those without ADHD symptom presentation on demographic characteristics, developmental level, co‐occurring medical conditions and parent‐report and teacher‐report measures of behaviours and executive functioning. Results: Sleep disorders, disruptive behaviour disorder, allergies and seizures were more common in children with DS and ADHD symptom presentation than in children without ADHD symptom presentation. After controlling for ADHD medication use, children with DS and ADHD symptom presentation had poorer performance than those without ADHD symptom presentation on parent behaviour ratings, teacher behaviour ratings and parent but not teacher ratings of executive functioning. No significant group differences in demographic characteristics or developmental level were identified. Conclusions: Higher rates of co‐occurring medical conditions present in children with DS and ADHD symptom presentation support the need for thorough differential diagnoses. The different pattern of group differences between parent‐report and teacher‐report has implications for diagnostic practices across settings as well as for treatment. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Co‐occurring medical and behavioural conditions in children with Down syndrome with or without ADHD symptom presentation.
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  Data: <searchLink fieldCode="AR" term="%22Esbensen%2C+A%2E+J%2E%22">Esbensen, A. J.</searchLink><br /><searchLink fieldCode="AR" term="%22Vincent%2C+L%2E+B%2E%22">Vincent, L. B.</searchLink><br /><searchLink fieldCode="AR" term="%22Epstein%2C+J%2E+N%2E%22">Epstein, J. N.</searchLink><br /><searchLink fieldCode="AR" term="%22Kamimura‐Nishimura%2C+K%2E%22">Kamimura‐Nishimura, K.</searchLink><br /><searchLink fieldCode="AR" term="%22Wiley%2C+S%2E%22">Wiley, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Angkustsiri%2C+K%2E%22">Angkustsiri, K.</searchLink><br /><searchLink fieldCode="AR" term="%22Abbeduto%2C+L%2E%22">Abbeduto, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Fidler%2C+D%2E%22">Fidler, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Anixt%2C+J%2E+S%2E%22">Anixt, J. S.</searchLink><br /><searchLink fieldCode="AR" term="%22Froehlich%2C+T%2E+E%2E%22">Froehlich, T. E.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Intellectual+Disability+Research%22">Journal of Intellectual Disability Research</searchLink>. Mar2022, Vol. 66 Issue 3, p282-296. 15p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Adolescent+development%22">Adolescent development</searchLink><br /><searchLink fieldCode="DE" term="%22Executive+function%22">Executive function</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+attitudes%22">Parent attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Down+syndrome%22">Down syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Child+development%22">Child development</searchLink><br /><searchLink fieldCode="DE" term="%22Child+behavior%22">Child behavior</searchLink><br /><searchLink fieldCode="DE" term="%22College+teacher+attitudes%22">College teacher attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+disorders%22">Behavior disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers'+conduct+of+life%22">Teenagers' conduct of life</searchLink><br /><searchLink fieldCode="DE" term="%22Allergies%22">Allergies</searchLink><br /><searchLink fieldCode="DE" term="%22Seizures+%28Medicine%29%22">Seizures (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Algorithms%22">Algorithms</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Midwest+%28U%2ES%2E%29%22">Midwest (U.S.)</searchLink>
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  Data: Background: Co‐occurring attention deficit hyperactivity disorder (ADHD) is a challenge to characterise in the presence of other medical conditions commonly present in children with Down syndrome (DS). The current study examined differences among children with DS with or without ADHD symptomatology in terms of demographics, developmental level, co‐occurring medical conditions, and parent and teacher ratings of behaviour and executive functioning. Methods: Parents and teachers of 108 school‐age children with DS provided ratings of ADHD symptoms, behaviour problems and executive functioning skills. Children with DS and ADHD symptom presentation, as identified by a scoring algorithm, were compared with those without ADHD symptom presentation on demographic characteristics, developmental level, co‐occurring medical conditions and parent‐report and teacher‐report measures of behaviours and executive functioning. Results: Sleep disorders, disruptive behaviour disorder, allergies and seizures were more common in children with DS and ADHD symptom presentation than in children without ADHD symptom presentation. After controlling for ADHD medication use, children with DS and ADHD symptom presentation had poorer performance than those without ADHD symptom presentation on parent behaviour ratings, teacher behaviour ratings and parent but not teacher ratings of executive functioning. No significant group differences in demographic characteristics or developmental level were identified. Conclusions: Higher rates of co‐occurring medical conditions present in children with DS and ADHD symptom presentation support the need for thorough differential diagnoses. The different pattern of group differences between parent‐report and teacher‐report has implications for diagnostic practices across settings as well as for treatment. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1111/jir.12911
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        Text: English
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        PageCount: 15
        StartPage: 282
    Subjects:
      – SubjectFull: Adolescent development
        Type: general
      – SubjectFull: Executive function
        Type: general
      – SubjectFull: Parent attitudes
        Type: general
      – SubjectFull: Down syndrome
        Type: general
      – SubjectFull: Child development
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      – SubjectFull: Child behavior
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      – SubjectFull: College teacher attitudes
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      – SubjectFull: Attention-deficit hyperactivity disorder
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      – SubjectFull: Sleep disorders
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      – SubjectFull: Behavior disorders
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      – SubjectFull: Teenagers' conduct of life
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      – SubjectFull: Allergies
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      – SubjectFull: Seizures (Medicine)
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      – SubjectFull: Symptoms
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      – SubjectFull: Children
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      – SubjectFull: Midwest (U.S.)
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      – TitleFull: Co‐occurring medical and behavioural conditions in children with Down syndrome with or without ADHD symptom presentation.
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              Text: Mar2022
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