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Behavioral problems in children with Down syndrome
M S Bhatia1, Madhulika Kabra, Savita Sapra
1Department of Psychiatry ,University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110 095, India. manbhatia1@rediffmail.com
Insights
Children with Down syndrome exhibit significantly more behavioral problems than typically developing children. Parental attitudes also differ, with mothers showing varied indulgence and fathers demonstrating neglect across developmental spheres.
Area of Science:
- Developmental Psychology
- Pediatric Behavioral Health
- Genetics and Neurodevelopment
Background:
- Down syndrome is a genetic condition associated with developmental delays.
- Behavioral issues are common in children with Down syndrome, impacting families.
- Understanding parental attitudes is crucial for supporting these children.
Purpose of the Study:
- To compare behavioral problems in children with Down syndrome versus a control group.
- To assess parental attitudes towards children with Down syndrome.
- To investigate the prevalence of psychiatric disorders in children with Down syndrome and their siblings.
Main Methods:
- A study group of 40 children with Down syndrome and a control group of 40 children were recruited.
- Behavioral problems were screened using the Behavior Screening Questionnaire (BSQ).
- Parental attitudes were assessed using the Attitude Screening Questionnaire for mothers and fathers.
Main Results:
- 55% of children with Down syndrome showed behavioral problems compared to 12.5% in the control group.
- Behavioral issues in Down syndrome spanned feeding, socialization, toilet training, and sleep.
- Mothers displayed indulgent to neglectful attitudes, while fathers showed neglect across all spheres.
Conclusions:
- Children with Down syndrome have a higher prevalence of behavioral problems across multiple domains.
- Parental attitudes towards children with Down syndrome vary significantly and require attention.
- There is an elevated risk of psychiatric disorders in children with Down syndrome and their siblings.
Abstract:
Forty consecutive children with Down syndrome were included as the Study Group (SG). The Control Group (CG) consisted of forty children attending the immunization clinic in pediatric OPD. Behavior Screening Questionnaire (BSQ) was used to screen the study groups as well as their siblings and control group for behavioral problems. The assessment of parental attitudes was done on Attitude Screening Questionnaire which includes 2 separate questionnaire for mother and father. Twenty two children (55%) with Down's syndrome showed behavioral problems as compared to 5 (12.5%) in control group. Children with Down's syndrome showed behavioral problems related to all the spheres (feeding, socialization, toilet training and sleep) as compared to control group. Mothers showed highly indulgent attitude as related to feeding to nearly total neglect as related to socialization and toilet training whereas in Paternal Attitude Screening Questionnaire, there was total neglect in all the spheres as compared to control group. There is higher prevalence of psychiatric disorders in children with Down's syndrome and their siblings.
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