Symptoms of Autism Spectrum Disorder in Individuals with Down Syndrome

There is a growing body of evidence to suggest that individuals with Down syndrome (DS) are diagnosed with autism spectrum disorders (ASD) at a higher rate than individuals in the general population. Nonetheless, little is known regarding the unique presentation of ASD symptoms in DS. The current st...

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Main Authors: Amanda Dimachkie Nunnally, Vivian Nguyen, Claudine Anglo, Audra Sterling, Jamie Edgin, Stephanie Sherman, Elizabeth Berry-Kravis, Laura del Hoyo Soriano, Leonard Abbeduto, Angela John Thurman
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/10/1278
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author Amanda Dimachkie Nunnally
Vivian Nguyen
Claudine Anglo
Audra Sterling
Jamie Edgin
Stephanie Sherman
Elizabeth Berry-Kravis
Laura del Hoyo Soriano
Leonard Abbeduto
Angela John Thurman
author_facet Amanda Dimachkie Nunnally
Vivian Nguyen
Claudine Anglo
Audra Sterling
Jamie Edgin
Stephanie Sherman
Elizabeth Berry-Kravis
Laura del Hoyo Soriano
Leonard Abbeduto
Angela John Thurman
author_sort Amanda Dimachkie Nunnally
collection DOAJ
description There is a growing body of evidence to suggest that individuals with Down syndrome (DS) are diagnosed with autism spectrum disorders (ASD) at a higher rate than individuals in the general population. Nonetheless, little is known regarding the unique presentation of ASD symptoms in DS. The current study aims to explore the prevalence and profiles of ASD symptoms in a sample of individuals with DS (<i>n</i> = 83), aged between 6 and 23 years. Analysis of this sample (<i>M<sub>Age</sub></i> = 15.13) revealed that approximately 37% of the sample met the classification cut-off for ASD using the Autism Diagnostic Observation Schedule 2 (ADOS-2) Calibrated Severity Score (CSS), an indicator of the participants’ severity of ASD-related symptoms. Item-level analyses revealed that multiple items on Module 2 and Module 3 of the ADOS-2, mostly in the Social Affect (SA) subdomain, differentiated the children with DS who did not meet ASD classification (DS-only) from those who did (DS + ASD). Lastly, comparisons of individuals with DS-only and those with DS + ASD differed significantly on the syntactic complexity of their expressive language. These findings shed light on the unique presentation of ASD symptoms in a sample of individuals with DS and suggest that expressive language abilities may play a pivotal role in the presentation of ASD symptoms in DS.
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spelling doaj.art-fdabcb82a1e741c0af4ae30577037f122023-11-22T17:36:40ZengMDPI AGBrain Sciences2076-34252021-09-011110127810.3390/brainsci11101278Symptoms of Autism Spectrum Disorder in Individuals with Down SyndromeAmanda Dimachkie Nunnally0Vivian Nguyen1Claudine Anglo2Audra Sterling3Jamie Edgin4Stephanie Sherman5Elizabeth Berry-Kravis6Laura del Hoyo Soriano7Leonard Abbeduto8Angela John Thurman9MIND Institute, University of California Davis Health, 2825 50th Street, Sacramento, CA 95816, USAMIND Institute, University of California Davis Health, 2825 50th Street, Sacramento, CA 95816, USAMIND Institute, University of California Davis Health, 2825 50th Street, Sacramento, CA 95816, USAWaisman Center and Department of Communication Sciences and Disorders, University of Wisconsin-Madison, Madison, WI 53706, USADepartment of Psychology, University of Arizona, Tucson, AZ 85721, USADepartment of Human Genetics, School of Medicine, Emory University, Atlanta, GA 30322, USADepartments of Pediatrics, Neurological Sciences and Biochemistry, Rush University Medical Center, Chicago, IL 60612, USAMIND Institute, University of California Davis Health, 2825 50th Street, Sacramento, CA 95816, USAMIND Institute, University of California Davis Health, 2825 50th Street, Sacramento, CA 95816, USAMIND Institute, University of California Davis Health, 2825 50th Street, Sacramento, CA 95816, USAThere is a growing body of evidence to suggest that individuals with Down syndrome (DS) are diagnosed with autism spectrum disorders (ASD) at a higher rate than individuals in the general population. Nonetheless, little is known regarding the unique presentation of ASD symptoms in DS. The current study aims to explore the prevalence and profiles of ASD symptoms in a sample of individuals with DS (<i>n</i> = 83), aged between 6 and 23 years. Analysis of this sample (<i>M<sub>Age</sub></i> = 15.13) revealed that approximately 37% of the sample met the classification cut-off for ASD using the Autism Diagnostic Observation Schedule 2 (ADOS-2) Calibrated Severity Score (CSS), an indicator of the participants’ severity of ASD-related symptoms. Item-level analyses revealed that multiple items on Module 2 and Module 3 of the ADOS-2, mostly in the Social Affect (SA) subdomain, differentiated the children with DS who did not meet ASD classification (DS-only) from those who did (DS + ASD). Lastly, comparisons of individuals with DS-only and those with DS + ASD differed significantly on the syntactic complexity of their expressive language. These findings shed light on the unique presentation of ASD symptoms in a sample of individuals with DS and suggest that expressive language abilities may play a pivotal role in the presentation of ASD symptoms in DS.https://www.mdpi.com/2076-3425/11/10/1278Down syndromeautism spectrum disorderco-occurringprevalence
spellingShingle Amanda Dimachkie Nunnally
Vivian Nguyen
Claudine Anglo
Audra Sterling
Jamie Edgin
Stephanie Sherman
Elizabeth Berry-Kravis
Laura del Hoyo Soriano
Leonard Abbeduto
Angela John Thurman
Symptoms of Autism Spectrum Disorder in Individuals with Down Syndrome
Brain Sciences
Down syndrome
autism spectrum disorder
co-occurring
prevalence
title Symptoms of Autism Spectrum Disorder in Individuals with Down Syndrome
title_full Symptoms of Autism Spectrum Disorder in Individuals with Down Syndrome
title_fullStr Symptoms of Autism Spectrum Disorder in Individuals with Down Syndrome
title_full_unstemmed Symptoms of Autism Spectrum Disorder in Individuals with Down Syndrome
title_short Symptoms of Autism Spectrum Disorder in Individuals with Down Syndrome
title_sort symptoms of autism spectrum disorder in individuals with down syndrome
topic Down syndrome
autism spectrum disorder
co-occurring
prevalence
url https://www.mdpi.com/2076-3425/11/10/1278
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