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The Impact of Developmental Behavioral Pediatrics in a Population of Children with Down Syndrome

Daphna Shaw1, Sari Bar1, Jane Dimmitt Champion2

  • 1Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, TX, United States of America.

Journal of Pediatric Nursing
|November 19, 2020
PubMed

Insights

Early detection of co-occurring conditions in children with Down syndrome (DS) is crucial. Integrating developmental specialists improved the identification of neurodevelopmental diagnoses in DS patients.

Area of Science:

  • Pediatric medicine
  • Neurodevelopmental disorders
  • Genetics

Background:

  • Children with Down syndrome (DS) exhibit unique developmental patterns.
  • They face a higher risk of co-occurring neurodevelopmental conditions like autism spectrum disorder (ASD), anxiety, and attention deficit/hyperactivity disorder (ADHD).
  • Timely diagnosis of these conditions is vital for the child's and family's well-being.

Purpose of the Study:

  • To evaluate the effectiveness of identifying secondary neurodevelopmental diagnoses in a specialized Down syndrome clinic.
  • To assess the impact of integrating developmental-behavioral specialists on diagnostic rates.

Main Methods:

  • A retrospective chart review was conducted on children aged 2-17 with DS.
  • Data were analyzed from January 2018 to August 2019, comparing diagnoses before and after the inclusion of developmental-behavioral specialists.
  • Statistical analyses included t-tests and Chi-square tests.

Main Results:

  • The study included 145 children at T1 and 225 at T2.
  • A significant increase in the detection of language disorder (p < 0.0001), intellectual disability (p < 0.0001), and developmental/behavioral diagnoses (p < 0.0001) was observed after specialist integration.
  • The percentage of males identified was 51.7% in T1 and 56.0% in T2.

Conclusions:

  • Developmental and behavioral assessments are essential for detecting co-morbid conditions in pediatric DS populations.
  • These assessments help prevent diagnostic overshadowing, ensuring comprehensive care.
  • Interprofessional teams, including pediatric nurse practitioners, are key to effective health supervision and assessment for children with DS.
Abstract

Keywords:
Behavioral healthChild developmentMental healthNeurodevelopmental disorderNursingPediatric down syndrome

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