Related Experiment Video
Updated: May 2, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Communication and self-esteem in adults with Down syndrome
Claire Jackson1, Penny Cavenagh, John Clibbens
1Michael Rutter Centre, Maudsley Hospital, London, UK.
Background:
It is estimated that around 50-90% of people with learning disabilities experience difficulties in communicating. Previous research has linked communication difficulties and self-esteem in other populations, yet this relationship has not previously been investigated for people with Down syndrome.
Aims:
To explore the relationship between communication and self-esteem in adults with Down syndrome. This research also aimed to offer an empowering and inclusive opportunity for adults with learning disabilities to be involved in research.
Methods & Procedures:
Recruitment took place via a charity established for people with Down syndrome. Twelve adults with Down syndrome and an adult they nominated were approached. A qualitative methodology was selected to explore communication and self-esteem. A thematic analysis focused on the qualitative data collected via semi-structured interviews.
Outcomes & Results:
Major themes within the data revealed that a relationship between communication and self-esteem may exist for adults with Down syndrome.
Conclusions & Implication:
This study demonstrated that people with Down syndrome may experience low self-esteem that may be linked to communication. The clinical implications of this are considered and areas for future research are identified.
Related Concept Videos
Self-Evaluation: Self-Enhancement and Self-Verification
Sources of Self-Esteem III: Social Comparison
Protecting Self-Esteem
Sources of Self-Esteem I: Family Experience
Self-Esteem
Self-Discrepancy and Its Effects

