Profiles of Caregiver-Reported Executive Function in Children with Down Syndrome.

Kaylyn Van Deusen, Mark A Prince, Anna J Esbensen, Jamie O Edgin, Emily K Schworer, Angela John Thurman, Lina R Patel, Lisa A Daunhauer, Deborah J Fidler
Author Information
  1. Kaylyn Van Deusen: Human Development and Family Studies, Colorado State University, Fort Collins, CO 80523, USA.
  2. Mark A Prince: Department of Psychology, Colorado State University, Fort Collins, CO 80523, USA. ORCID
  3. Anna J Esbensen: Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. ORCID
  4. Jamie O Edgin: Sonoran University Center for Excellence in Developmental Disabilities, University of Arizona, Tucson, AZ 85721, USA.
  5. Emily K Schworer: Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. ORCID
  6. Angela John Thurman: Department of Psychiatry, MIND Institute, University of California Davis Health, Sacramento, CA 95817, USA.
  7. Lina R Patel: Department of Psychiatry, University of Colorado-Anschutz Medical Campus, Aurora, CO 80045, USA.
  8. Lisa A Daunhauer: Human Development and Family Studies, Colorado State University, Fort Collins, CO 80523, USA.
  9. Deborah J Fidler: Human Development and Family Studies, Colorado State University, Fort Collins, CO 80523, USA. ORCID

Abstract

Children with Down syndrome (DS) are at risk for challenges with aspects of executive function (EF). The current study explores whether heterogeneity in EF profiles can be detected within a sample of children with DS. Participants were 69 children with DS, ages 3-10 years (M = 6.23, SD = 1.91). T-scores from a caregiver-report measure of executive function were modeled using latent profile analysis, and auxiliary analyses examined the association between demographic and biomedical factors and probability of profile membership. The two-profile solution was the best fit for the sample, with a profile that involved elevated scores in working memory only ("Working Memory Only" profile; 43% of sample) and a "Multi-Domain" profile that involved elevated scores in planning, inhibition, and working memory (57%). The presence of congenital heart defects was associated with a higher probability of assignment to the Multi-Domain profile. Findings from this study contribute to the characterization of heterogeneous outcomes associated with DS.

Keywords

References

  1. J Biomed Inform. 2009 Apr;42(2):377-81 [PMID: 18929686]
  2. J Intellect Disabil Res. 2019 Mar;63(3):205-214 [PMID: 30461108]
  3. Struct Equ Modeling. 2013 Jan;20(1):1-26 [PMID: 25419096]
  4. J Dev Behav Pediatr. 2022 Jan 1;43(1):1-8 [PMID: 34001744]
  5. J Neurodev Disord. 2014;6(1):16 [PMID: 26491488]
  6. Brain Dev. 2018 Mar;40(3):181-187 [PMID: 29054333]
  7. J Neurodev Disord. 2021 Apr 19;13(1):16 [PMID: 33874886]
  8. J Neurodev Disord. 2009 Mar;1(1):33-45 [PMID: 19865612]
  9. Am J Ment Retard. 2005 Jul;110(4):312-22 [PMID: 15941367]
  10. J Pediatr Psychol. 2014 Mar;39(2):188-203 [PMID: 24277770]
  11. Am J Intellect Dev Disabil. 2011 Jul;116(4):290-304 [PMID: 21740257]
  12. Am J Occup Ther. 2005 Mar-Apr;59(2):129-38 [PMID: 15830612]
  13. J Dev Behav Pediatr. 2010 Apr;31(3):181-91 [PMID: 20375732]
  14. Res Dev Disabil. 2021 Feb;109:103838 [PMID: 33422805]
  15. Sci Rep. 2020 Nov 23;10(1):20345 [PMID: 33230240]
  16. F1000Res. 2016 Mar 23;5: [PMID: 27019699]
  17. J Intellect Disabil Res. 2020 Sep;64(9):713-724 [PMID: 32666591]
  18. Am J Med Genet. 1998 Jun 5;77(5):431-8 [PMID: 9632176]
  19. Ment Retard Dev Disabil Res Rev. 2007;13(3):247-61 [PMID: 17910087]
  20. Res Dev Disabil. 2013 May;34(5):1770-80 [PMID: 23501586]
  21. Cogn Psychol. 2000 Aug;41(1):49-100 [PMID: 10945922]
  22. J Intellect Disabil Res. 2022 Jan;66(1-2):108-120 [PMID: 33650746]
  23. J Intellect Disabil Res. 2022 Jan;66(1-2):32-49 [PMID: 34750907]
  24. J Intellect Disabil Res. 2013 Sep;57(9):887-92 [PMID: 22998351]
  25. Multivariate Behav Res. 2006 Dec 1;41(4):499-532 [PMID: 26794916]
  26. J Int Neuropsychol Soc. 2015 Jan;21(1):34-49 [PMID: 25487044]
  27. Am J Intellect Dev Disabil. 2018 Nov;123(6):514-528 [PMID: 30421968]
  28. J Speech Lang Hear Res. 2001 Feb;44(1):179-91 [PMID: 11218101]
  29. Am J Med Genet. 1998 Nov 16;80(3):213-7 [PMID: 9843040]
  30. Child Neuropsychol. 2021 Nov;27(8):1054-1072 [PMID: 33938385]
  31. Am J Intellect Dev Disabil. 2014 Jul;119(4):303-18 [PMID: 25007296]
  32. Annu Rev Clin Psychol. 2020 May 7;16:431-454 [PMID: 32075434]
  33. J Intellect Disabil Res. 2018 Jan;62(1):41-52 [PMID: 29214700]
  34. Pediatrics. 2021 Oct;148(4): [PMID: 34561266]
  35. Res Dev Disabil. 2021 Jan;108:103802 [PMID: 33341075]
  36. Congenit Heart Dis. 2016 Jan-Feb;11(1):26-33 [PMID: 26914309]
  37. J Intellect Disabil Res. 2014 Sep;58(9):830-7 [PMID: 24206083]
  38. Med Sci Monit. 2015 Jul 01;21:1904-10 [PMID: 26132100]
  39. Cardiol Young. 2016 Feb;26(2):250-6 [PMID: 25683160]
  40. Infants Young Child. 2005 Jul-Sep;18(3):234-244 [PMID: 26224992]
  41. J Pediatr. 2013 Oct;163(4):1163-8 [PMID: 23885965]
  42. Alcohol Clin Exp Res. 2000 Jun;24(6):882-91 [PMID: 10888079]
  43. J Child Psychol Psychiatry. 2017 Apr;58(4):361-383 [PMID: 28035675]
  44. Front Psychol. 2018 May 04;9:660 [PMID: 29780346]
  45. Curr Dir Psychol Sci. 2012 Feb;21(1):8-14 [PMID: 22773897]
  46. Dev Neuropsychol. 2017;42(6):351-368 [PMID: 28985480]
  47. J Autism Dev Disord. 1999 Apr;29(2):171-7 [PMID: 10382139]
  48. Am J Med Genet A. 2011 Nov;155A(11):2688-91 [PMID: 21932314]
  49. J Intellect Disabil Res. 2022 Jan;66(1-2):1-8 [PMID: 34888975]
  50. J Intellect Disabil Res. 2017 Sep;61(9):877-887 [PMID: 28726285]
  51. J Intellect Disabil Res. 2022 Mar;66(3):265-281 [PMID: 34984734]
  52. Dev Sci. 2015 May;18(3):404-19 [PMID: 25283764]

Grants

  1. R21 HD101000/NICHD NIH HHS
  2. R01 HD088409/NICHD NIH HHS
  3. UL1 TR002535/NCATS NIH HHS
  4. R01 HD099150/NICHD NIH HHS
  5. P50 HD103526/NICHD NIH HHS
  6. R01 HD093754/NICHD NIH HHS

Word Cloud

Created with Highcharts 10.0.0profileDSexecutivefunctionsampleChildrensyndromeEFstudychildren=latentanalysisprobabilityinvolvedelevatedscoresworkingmemoryassociatedriskchallengesaspectscurrentexploreswhetherheterogeneityprofilescandetectedwithinParticipants69ages3-10yearsM623SD191T-scorescaregiver-reportmeasuremodeledusingauxiliaryanalysesexaminedassociationdemographicbiomedicalfactorsmembershiptwo-profilesolutionbestfit"WorkingMemoryOnly"43%"Multi-Domain"planninginhibition57%presencecongenitalheartdefectshigherassignmentMulti-DomainFindingscontributecharacterizationheterogeneousoutcomesProfilesCaregiver-ReportedExecutiveFunctionSyndromeDown

Similar Articles

Cited By