Relationship Between Parent and Teacher Reported Executive Functioning and Maladaptive Behaviors in Children With Down Syndrome

2021 ◽  
Vol 126 (4) ◽  
pp. 307-323
Author(s):  
Anna J. Esbensen ◽  
Emily K. Hoffman ◽  
Rebecca C. Shaffer ◽  
Lina R. Patel ◽  
Lisa M. Jacola
Keyword(s):  
Down Syndrome ◽  
Executive Functioning ◽  
Externalizing Behavior ◽  
Child Behavior Checklist ◽  
Teacher Ratings ◽  
Maladaptive Behavior ◽  
School Age Children ◽  
Children With Down Syndrome ◽  
Behavior Rating Inventory ◽  
Parent And Teacher Ratings

Abstract The current study evaluates the concurrent relationship between parent ratings of executive functioning and maladaptive behavior among children and adolescents with Down syndrome and then repeats this evaluation using teacher reports. Parents and teachers of 63 school-age children with Down syndrome rated the child's executive functioning (Behavior Rating Inventory of Executive Function) and behaviors (Achenbach Child Behavior Checklist). For parent and teacher ratings, elevated behavior dysregulation predicted higher levels of rule-breaking, aggressive, and externalizing behavior. For teacher ratings, elevated behavior dysregulation also predicted higher levels of inattention problems. Among both parent and teacher ratings, greater metacognitive difficulties predicted challenges with attention. Understanding the relationship between these constructs has important implications for targets of intervention and developing preventative strategies.

scholarly journals Reliability of Informant-Report Measures of Executive Functioning in Children With Down Syndrome

2019 ◽  
Vol 124 (3) ◽  
pp. 220-233 ◽  
Author(s):  
Anna J. Esbensen ◽  
Emily K. Hoffman ◽  
Rebecca Shaffer ◽  
Elizabeth Chen ◽  
Lina Patel ◽  
...  
Keyword(s):  
Gender Differences ◽  
Down Syndrome ◽  
Executive Functioning ◽  
Normative Data ◽  
Teacher Ratings ◽  
Behavior Rating ◽  
Children With Down Syndrome ◽  
Behavior Rating Inventory ◽  
Clinically Significant ◽  
And Gender

Abstract The current study evaluates the psychometric properties of the Behavior Rating Inventory of Executive Function (BRIEF) with children with Down syndrome. Caregivers of 84 children with Down syndrome rated their child's behavior with the BRIEF. Teacher ratings were obtained for 57 children. About 40% of children with Down syndrome were reported by parents, and 70% by teachers, to exhibit clinically significant challenges with executive functioning. Distribution of scores was normal, internal consistency for subscales was questionable to primarily excellent, and inter-rater reliability was poor to good. Normative data conversions controlled for age, IQ, and gender differences, with some exceptions. The study findings suggest that the BRIEF and its subscales generally performed in a psychometrically sound manner among children with Down syndrome.

scholarly journals Profiles of Everyday Executive Functioning in Young Children With Down Syndrome

2014 ◽  
Vol 119 (4) ◽  
pp. 303-318 ◽  
Author(s):  
Lisa A. Daunhauer ◽  
Deborah J. Fidler ◽  
Laura Hahn ◽  
Elizabeth Will ◽  
Nancy Raitano Lee ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Executive Functioning ◽  
Inhibitory Control ◽  
Matched Control ◽  
Control Group ◽  
Typically Developing ◽  
Children With Down Syndrome ◽  
Mental Age ◽  
Complementary Role ◽  
Behavior Rating Inventory

Abstract We investigated executive functioning (EF) in children with Down syndrome (DS; n  =  25) and typically developing (TD) children matched for mental age (MA; n  =  23) using the Behavior Rating Inventory of Executive Function-Preschool. We sought to (1) compare children with DS to a developmentally matched control group, and (2) to characterize the EF profile of children with DS. Across teacher and parent reports, significant deficits in working memory and planning were observed in the DS group. Parents, but not teachers, of children with DS also reported difficulties in inhibitory control relative to the comparison group. Results extend earlier findings regarding EF impairments in children with DS. The complementary role inhibitory control may play in this profile is discussed.

Mental State Language Use in Children with Down Syndrome and the Role of Caregivers

2021 ◽  
Vol 42 (04) ◽  
pp. 318-329
Author(s):  
Marie Moore Channell ◽  
Rebekah Bosley
Keyword(s):  
Down Syndrome ◽  
Language Development ◽  
Mental State ◽  
Social Communication ◽  
School Age Children ◽  
School Age ◽  
Children With Down Syndrome ◽  
Mental State Language ◽  
State Language

AbstractChildren with Down syndrome (DS) have both strengths and difficulties in speech, language, and social communication. Mental state language—the ability to discuss others' perspectives such as their thoughts, feelings, and intentions—represents a foundational social communicative skill that is delayed in many children with DS, even into the school-age years. The purpose of this article is to review the evidence base on mental state language development in school-age children with DS, focusing in particular on assessment and intervention. We discuss assessment procedures that are both age appropriate and developmentally appropriate for this population. We also present preliminary data highlighting the role of caregivers in supporting mental state language development in school-age children with DS through shared storytelling. We propose that interventions aimed at supporting mental state language development in DS should include a focus on caregiver–child shared storybook reading, even in the school-age years. Therefore, we discuss key considerations for clinicians when teaching caregivers strategies for supporting mental state language and social communication in children with DS.

The Evaluation of a Personal Narrative Language Intervention for School-Age Children With Down Syndrome

2017 ◽  
Vol 122 (4) ◽  
pp. 310-332 ◽  
Author(s):  
Lizbeth Finestack ◽  
Katy H. O'Brien ◽  
Jolene Hyppa-Martin ◽  
Kristen A. Lyrek
Keyword(s):  
Down Syndrome ◽  
Personal Narrative ◽  
School Age Children ◽  
Single Subject ◽  
School Age ◽  
Children With Down Syndrome ◽  
Narrative Skills ◽  
Treatment Gains ◽  
Mean Length Of Utterance ◽  
Study Participants

Abstract The purpose of this study was to evaluate the feasibility of an intervention focused on improving personal narrative skills of school-age children with Down syndrome (DS) using an approach involving visual supports. Four females with DS, ages 10 through 15 years, participated in this multiple baseline across participants single-subject experimental design study. Participants completed 18 intervention sessions that targeted personal narrative goals. Parents completed a survey regarding their perspectives of the intervention. Two participants made small treatment gains in mean length of utterance. One participant had small to medium gains on all macrostructural measures. Parent perspectives were positive. Results support the feasibility of personal narrative interventions for individuals with DS when visual support is provided.

scholarly journals C-57 Prematurity and Perinatal Insult: Examining the relationships between parent and teacher ratings of executive functioning and academic readiness

2019 ◽  
Vol 34 (6) ◽  
pp. 1086-1086
Author(s):  
C Gore ◽  
D Hill ◽  
S Lee
Keyword(s):  
Working Memory ◽  
Executive Functioning ◽  
School Readiness ◽  
Teacher Ratings ◽  
Academic Readiness ◽  
Emotional Control ◽  
Academic Problems ◽  
History Of ◽  
Reading Measures ◽  
Parent And Teacher Ratings

Abstract Objective Extremely preterm children and those with a history of perinatal insult (e.g., hemorrhage, hypoxic-ischemic injury) show higher rates of cognitive and academic problems, including executive functioning (EF). EF becomes increasingly important in elementary school as curriculum demands increase. The current study examines the relationship between parent- and teacher-reported EF and early academic performance in this population at school-age. Method This study reviewed retrospective neuropsychological evaluations in a sample of 135 patients (ages 3:9-10:5 years, M = 5.8) from an outpatient neurodevelopmental follow-up program for children with perinatal complication. Parent and teacher measures included: Behavior Assessment Scale for Children (BASC-2, 3) and Behavioral Rating Inventory of Executive Functioning (BRIEF, P, 2). Standardized child measures included: Bracken School Readiness (BBCS-III), and subtests from Wechsler Individual Achievement Test (WIAT-III) and Comprehensive Test of Phonological Processing (CTOPP-2). Results BRIEF parent ratings of working memory (p = 0.34) and emotional control (p = .025) were negatively correlated with school readiness. BRIEF teacher inhibition and working memory ratings were negatively correlated with math performance (p = .004 to p = .044), as well as rapid naming (p = .002 to p = .047) and school readiness (p = .048). BRIEF teacher ratings of planning/organization (p = .027), shifting (p = .024), and emotional control (p = .010) were negatively correlated with pre-reading measures. A 95% confidence interval was used. Conclusions Parent and teacher ratings of EF were significantly correlated with measures of academic readiness, early math skill, and pre-reading measures in this sample of children with a history of perinatal complications. Caregiver ratings can be useful in identifying children at-risk for academic problems upon school entry and requiring further neuropsychological evaluation.

scholarly journals Caregiver Report of Executive Functioning in a Population-Based Sample of Young Children With Down Syndrome

2011 ◽  
Vol 116 (4) ◽  
pp. 290-304 ◽  
Author(s):  
Nancy Raitano Lee ◽  
Deborah J. Fidler ◽  
Audrey Blakeley-Smith ◽  
Lisa Daunhauer ◽  
Cordelia Robinson ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Executive Function ◽  
Young Children ◽  
Population Based ◽  
Specific Pattern ◽  
Older Individuals ◽  
Children With Down Syndrome ◽  
Mental Age ◽  
Behavior Rating Inventory ◽  
Caregiver Report

Abstract The current study describes everyday executive function (EF) profiles in young children with Down syndrome. Caregivers of children with Down syndrome (n  =  26; chronological ages  =  4–10 years; mental ages  =  2–4 years) completed the Behavior Rating Inventory of Executive Function—Preschool (BRIEF-P; G. A. Gioia, K. A. Espy, & P. K. Isquith, 2003), a caregiver report measure of everyday/functional EF skills in multiple domains. On the BRIEF-P, elevations were noted on a global EF composite as well as the Working Memory and Plan/Organize scales in particular (relative to norms developed for typically developing children of a similar mental age). These results suggest a specific pattern of EF weaknesses in young children with Down syndrome, consistent with the extant literature that has focused primarily on older individuals who have been tested using laboratory EF tasks.

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