Onnivello S, Schworer E K, Prince M A, Daunhauer L A, Fidler D J
Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy.
Waisman Center, University of Wisconsin-Madison, Madison, WI, USA.
J Intellect Disabil Res. 2023 Mar;67(3):228-238. doi: 10.1111/jir.12997. Epub 2022 Dec 9.
Down syndrome (DS) generally predisposes children to a pattern of relative developmental strengths and challenges, but within-syndrome heterogeneity is also commonly observed across many dimensions. The present research examines whether heterogeneity in developmental presentation can be detected during infancy in DS and whether factors associated with differing profiles can be identified.
Infants with DS (n = 75; age range: 3.9-17.6 months) were administered the Bayley Scales of Infant Development III (Bayley-III). A primary caregiver provided information regarding developmental history and family demographics. Latent profile analysis was conducted to identify whether early profiles were present across the five Bayley-III domains.
Three developmental profiles were observable within the sample: a 'Mild Delay' Profile, an 'Moderate Delay' Profile and a 'Pronounced Delay' Profile. In addition, chronological age, having received heart surgery and having received occupational therapy were associated with probability of profile membership.
Findings from this study contribute to the growing knowledgebase regarding heterogenous presentations associated with DS and can inform early intervention planning.
唐氏综合征(DS)通常使儿童呈现出相对的发育优势和挑战模式,但在许多维度上也普遍观察到综合征内的异质性。本研究探讨了唐氏综合征患儿在婴儿期是否能检测出发育表现的异质性,以及是否能识别出与不同特征相关的因素。
对患有唐氏综合征的婴儿(n = 75;年龄范围:3.9 - 17.6个月)进行贝利婴幼儿发展量表第三版(Bayley - III)测试。主要照顾者提供了有关发育史和家庭人口统计学的信息。进行潜在剖面分析,以确定在贝利婴幼儿发展量表第三版的五个领域中是否存在早期特征。
样本中可观察到三种发育特征:“轻度延迟”特征、“中度延迟”特征和“明显延迟”特征。此外,实际年龄、接受过心脏手术以及接受过职业治疗与特征归属概率相关。
本研究结果有助于增加关于唐氏综合征相关异质性表现的知识库,并可为早期干预计划提供信息。