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Family perspectives about Down syndrome
Brian G Skotko1,2, Susan P Levine3, Eric A Macklin2,4
1Division of Medical Genetics, Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts.
Families with a member with Down syndrome (DS) report predominantly positive experiences, including pride and love. Sibling relationships are influenced by parental attitudes and younger siblings
Area of Science:
- Family Studies
- Genetics
- Developmental Psychology
Background:
- Healthcare providers are recommended to discuss the potential impact of having a child with Down syndrome (DS) on the family unit.
- Limited existing research has surveyed families regarding their lived experiences with DS.
Purpose of the Study:
- To investigate family attitudes and experiences related to having a member with Down syndrome.
- To understand the impact of family dynamics and parental perceptions on the well-being of individuals with DS and their siblings.
Main Methods:
- A mailed questionnaire survey was distributed to members of six diverse Down syndrome non-profit organizations across the United States.
- Data were collected from 1,961 parents/guardians, 761 siblings, and 283 individuals with DS, totaling 41 family units analyzed.
Main Results:
- A significant majority of families (83%) expressed pride in their family member with DS, and 87% reported feeling love for them.
- Younger siblings (ages 9-11) reported embarrassment if parents/guardians also felt embarrassed by their sibling with DS.
- Positive parental perceptions of sibling relationships correlated with siblings reporting higher levels of love and liking for their brother/sister with DS.
Conclusions:
- Modern families with members with Down syndrome tend to exhibit predominantly positive themes and attitudes.
- Family dynamics, particularly parental attitudes towards the child with DS and sibling relationships, significantly influence family members' feelings.
- While positive themes dominate, challenges within these families are also present and should be acknowledged.
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