The Impact of Optical Factors on Resolution Acuity in Children with Down Syndrome

This study evaluates the impact in the stability and management of the marriage of parents of a child with Down or Rett Syndrome. Morbidity of the syndromes and the marital status of the couples before and after the birth of the affected children were considered variables. The divorce rate in families with Down syndrome was 10%, similar to the Brazilian rate population. In Rett Syndrome, the divorce rate was significantly higher, 23.5%. The higher morbidity of Rett Syndrome, and the moment of diagnosis could be relevant factors for the increased divorce rate related to this syndrome.

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Influence of CHDs on psycho-social and neurodevelopmental outcomes in children with Down syndrome

Cardiology in the Young ◽

10.1017/s1047951115000062 ◽

2015 ◽

Vol 26 (2) ◽

pp. 250-256 ◽

Cited By ~ 9

Author(s):

Jeannie Visootsak ◽

Lillie Huddleston ◽

Allison Buterbaugh ◽

Adrienne Perkins ◽

Stephanie Sherman ◽

...

Keyword(s):

Down Syndrome ◽

Parenting Stress ◽

Home Environment ◽

Parental Stress ◽

Septal Defect ◽

Atrioventricular Septal Defect ◽

Defect Group ◽

Neurodevelopmental Outcomes ◽

Children With Down Syndrome ◽

The Impact

AbstractObjectiveTo evaluate the family psycho-social outcomes of children with Down syndrome and atrioventricular septal defect, and examine the impact of these variables on the child’s neurodevelopmental outcome.MethodsThis was a cross-sectional study that consisted of 57 children with Down syndrome – 20 cases and 37 controls – of ~12–14 months of age. In both groups, we assessed the development of the child, the quality of the child’s home environment, and parenting stress.ResultsCompared with the Down syndrome without CHD group, the atrioventricular septal defect group revealed lower scores in all developmental domains, less optimal home environments, and higher parental stress. Significant differences in development were seen in the areas of cognition (p=0.04), expressive language (p=0.05), and gross motor (p<0.01). The Home Observation for Measurement of the Environment revealed significant differences in emotional and verbal responsiveness of the mother between the two groups. The Parenting Stress Index revealed that the Down syndrome with atrioventricular septal defect group had a significantly higher child demandingness subdomain scores compared with the Down syndrome without CHD group.ConclusionsThe diagnosis of a CHD in addition to the diagnosis of Down syndrome may provide additional stress to the child and parents, elevating parental concern and disrupting family dynamics, resulting in further neurodevelopmental deficits. Finding that parental stress and home environment may play a role in the neurodevelopmental outcomes may prompt new family-directed interventions and anticipatory guidance for the families of children with Down syndrome who have a CHD.

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The impact of the "Developmental Resource Stimulation Programme" (DRSP) on children with Down syndrome

South African Journal of Occupational Therapy ◽

10.17159/2310-3833/2016/v46n1a8 ◽

2016 ◽

Vol 46 (1) ◽

Author(s):

Dorothy Charmaine Russell ◽

Rita van Heerden ◽

Santie van Vuuren ◽

André Venter ◽

Gina Joubert

Keyword(s):

Down Syndrome ◽

Children With Down Syndrome ◽

Developmental Resource ◽

The Impact

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1651 The impact of Covid-19 on thyroid surveillance offered to children with down syndrome

10.1136/archdischild-2021-rcpch.773 ◽

2021 ◽

Author(s):

Shiela Puri ◽

Bethany McLelland ◽

Nicola Bryce

Keyword(s):

Down Syndrome ◽

Children With Down Syndrome ◽

The Impact

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Sleep, Function, Behaviour and Cognition in a Cohort of Children with Down Syndrome

Brain Sciences ◽

10.3390/brainsci11101317 ◽

2021 ◽

Vol 11 (10) ◽

pp. 1317

Author(s):

Jasneek K Chawla ◽

Anne Bernard ◽

Helen Heussler ◽

Scott Burgess

Keyword(s):

Down Syndrome ◽

Sleep Disorders ◽

Sleep Problem ◽

Sleep Problems ◽

Functional Impairments ◽

Sleep Habits ◽

Sleep Study ◽

Children With Down Syndrome ◽

Daytime Function ◽

The Impact

Objective: To describe the sleep problems experienced by children with Down syndrome attending a tertiary sleep clinic and relationship with behaviour, function and cognition. Methods: Data were collected from children with Down syndrome aged 3–18 years old. Carers completed the Abbreviated Child Sleep Habits Questionnaire, Child Behaviour Checklist and Life-Habits Questionnaire at enrolment. Cognitive assessment (Stanford-Binet 5) was undertaken by a trained psychologist. Children received management for their sleep problem as clinically indicated. Results: Forty-two subjects with a median age of 6.8 years (Interquartile Range-IQR 4.5, 9.8) were enrolled. A total of 92% were referred with snoring or symptoms of Obstructive Sleep Apnoea (OSA), with 79% of those referred having had previous ENT surgery. Thus, 85% of all participants underwent a sleep study and 61% were diagnosed with OSA (OAHI ≥ 1/h). Based on questionnaires, 86% of respondents indicated that their child had a significant sleep disorder and non-respiratory sleep problems were common. Non-respiratory problems included: trouble going to sleep independently (45%), restless sleep (76%), night-time waking (24%) and bedtime resistance (22%). No significant correlations were found between sleep measures (behavioural and medical sleep problems) and the behavioural, functional or cognitive parameters. Conclusion: Sleep disorders were very common, especially non-respiratory sleep problems. OSA was common despite previous surgery. No association was found between sleep-related problems (snoring, sleep-study-confirmed OSA or non-respiratory sleep problem) and parent-reported behavioural problems, functional impairments or intellectual performance. This may reflect limitations of the measures used in this study, that in this population ongoing problems with daytime function are not sleep related or that a cross-sectional assessment does not adequately take into account the impacts of past disease/treatments. Further research is required to further evaluate the tools used to evaluate sleep disorders, the impact of those disorder on children with Down syndrome and interventions which improve both sleep and daytime function.

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