Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder

Abstract Background Pragmatics is an area that can be affected in a wide variety of disorders. In this sense, Syndromic Autism is defined as a disorder in which a causal link is established between an associated syndrome and Autism Spectrum Disorder (ASD). Likewise, Down Syndrome (DS) is one of the...

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Main Authors: Sara Cortés Escudero, Esther Moraleda Sepúlveda
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Psychology
Subjects:
Online Access:https://doi.org/10.1186/s40359-023-01508-5
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author Sara Cortés Escudero
Esther Moraleda Sepúlveda
author_facet Sara Cortés Escudero
Esther Moraleda Sepúlveda
author_sort Sara Cortés Escudero
collection DOAJ
description Abstract Background Pragmatics is an area that can be affected in a wide variety of disorders. In this sense, Syndromic Autism is defined as a disorder in which a causal link is established between an associated syndrome and Autism Spectrum Disorder (ASD). Likewise, Down Syndrome (DS) is one of the main genetically based syndromes in which ASD is described as one of its possible manifestations. In this direction, people with DS are described as social beings whereas in ASD there seems to be a specific alteration of this domain. Methods In this study, pragmatic performance was analysed in a sample of 72 participants, where comparisons were made between the scores obtained by children with ASD (n = 24), with DS (n = 24) and with DS + ASD (n = 24). Results The Social Communication Questionnaire (SCQ), the Block Objective and Criterial Language Battery (BLOC-SR) and the Neuropsychology subtest (NEPSY-II) aimed at Theory of Mind (ToM) identified significant differences between the groups. However, two-to-two comparisons reported no significant differences between DS and DS + ASD. Conclusions Although several studies report differences between the three proposed groups, our data seem to suggest that ASD symptomatology in DS is associated with Intellectual Developmental Disorder (IDD). However, the lack of solid scientific evidence regarding comorbid diagnosis makes further research along these lines indispensable. Trial registration This study was approved by the Ethics Committee for Social Research at UCLM with reference CEIS-704,511-L8M4.
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spelling doaj.art-3c762e7bce094187ae6354aaf91193df2024-03-05T20:45:05ZengBMCBMC Psychology2050-72832024-02-011211810.1186/s40359-023-01508-5Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorderSara Cortés Escudero0Esther Moraleda Sepúlveda1Department of Psychology, Faculty of Health Sciences, University of Castilla-La-ManchaDepartment of Psychology, Faculty of Pychology, University Complutense. Campus de SomosaguasAbstract Background Pragmatics is an area that can be affected in a wide variety of disorders. In this sense, Syndromic Autism is defined as a disorder in which a causal link is established between an associated syndrome and Autism Spectrum Disorder (ASD). Likewise, Down Syndrome (DS) is one of the main genetically based syndromes in which ASD is described as one of its possible manifestations. In this direction, people with DS are described as social beings whereas in ASD there seems to be a specific alteration of this domain. Methods In this study, pragmatic performance was analysed in a sample of 72 participants, where comparisons were made between the scores obtained by children with ASD (n = 24), with DS (n = 24) and with DS + ASD (n = 24). Results The Social Communication Questionnaire (SCQ), the Block Objective and Criterial Language Battery (BLOC-SR) and the Neuropsychology subtest (NEPSY-II) aimed at Theory of Mind (ToM) identified significant differences between the groups. However, two-to-two comparisons reported no significant differences between DS and DS + ASD. Conclusions Although several studies report differences between the three proposed groups, our data seem to suggest that ASD symptomatology in DS is associated with Intellectual Developmental Disorder (IDD). However, the lack of solid scientific evidence regarding comorbid diagnosis makes further research along these lines indispensable. Trial registration This study was approved by the Ethics Committee for Social Research at UCLM with reference CEIS-704,511-L8M4.https://doi.org/10.1186/s40359-023-01508-5Autism spectrum disorder (ASD)Down Syndrome (DS)Dual diagnosisPragmatic skillsCommunication
spellingShingle Sara Cortés Escudero
Esther Moraleda Sepúlveda
Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder
BMC Psychology
Autism spectrum disorder (ASD)
Down Syndrome (DS)
Dual diagnosis
Pragmatic skills
Communication
title Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder
title_full Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder
title_fullStr Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder
title_full_unstemmed Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder
title_short Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder
title_sort pragmatic competence in people with dual diagnosis down syndrome and autism spectrum disorder
topic Autism spectrum disorder (ASD)
Down Syndrome (DS)
Dual diagnosis
Pragmatic skills
Communication
url https://doi.org/10.1186/s40359-023-01508-5
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