Neurobehavioural Patterns in the Diagnosis of Autism Spectrum Disorder in Down Syndrome.

Document Type

Article

Publication Date

9-2025

Identifier

DOI: 10.1111/jir.70015

Abstract

BACKGROUND: Autism spectrum disorder (ASD) is common in Down syndrome (DS). There are no standardised screening/assessment tools for evaluating ASD in DS.

METHODS: We utilised a novel validated questionnaire, the ND-PROM, to investigate differences in developmental skills and behaviours among children with DS only, ASD only and DS + ASD.

RESULTS: Data analysis using ANOVA tests and post hoc t-tests revealed item-level differences between groups in domains specific to ASD (nonverbal communication, social-emotional understanding, social interaction, independent play, restrictive and repetitive behaviours and interests and sensory processes) and not specific to ASD (expressive language, receptive language, adaptive/toileting, challenging behaviours, mental health and impulse/ADHD).

CONCLUSION: ASD-specific symptoms best distinguished DS only and DS + ASD groups, while non-ASD symptoms best distinguished ASD only and DS + ASD groups. Items that best differentiate groups are presented.

Journal Title

Journal of intellectual disability research : JIDR

Volume

69

Issue

9

First Page

809

Last Page

821

MeSH Keywords

Humans; Down Syndrome; Autism Spectrum Disorder; Male; Child; Female; Child, Preschool; Adolescent; Comorbidity

PubMed ID

40662456

Keywords

Down syndrome and autism; autism; diagnosis; neurobehavioural patterns

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