Assessment & Research

Communication profiles of individuals with Down's syndrome, Angelman syndrome and pervasive developmental disorder.

Duker et al. (2002) · Journal of intellectual disability research : JIDR 2002
★ The Verdict

Down, Angelman, and PDD groups look alike when asking or naming, but Angelman learners rarely echo—so skip echoic drills and go straight to signs or devices.

✓ Read this if BCBAs writing communication plans for learners with Down syndrome, Angelman syndrome, or ASD in school or clinic settings.
✗ Skip if Clinicians only treating high-verbal ASD without genetic syndromes.

01Research in Context

01

What this study did

The team compared how three groups use words to get what they want. They looked at children and adults with Down syndrome, Angelman syndrome, and pervasive developmental disorder.

They scored each person on three verbal skills: asking for items (mands), naming items (tacts), and repeating what they hear (echoics).

02

What they found

Down syndrome learners named and echoed better than they asked. Angelman learners almost never echoed. All three groups asked and named at about the same level.

No big gaps showed up between the syndromes on mands or tacts. The stand-out clue was the missing echoics in Angelman syndrome.

03

How this fits with other research

Godfrey et al. (2019) later showed that kids with both Down syndrome and autism can look different from either condition alone. Their work extends this 2002 snapshot by adding autism-symptom numbers.

Greer et al. (2013) also studied Angelman syndrome and found high autism-screen scores. This backs up the echoic gap seen here, but adds that social joy can still be strong in AS.

Scior et al. (2023) interviewed caregivers and described rich, multi-modal communication in Angelman syndrome. Their qualitative detail fills in why echoics are weak: many use signs, gestures, or devices instead of spoken repeats.

04

Why it matters

Use these quick profiles to pick first communication goals. If you see Angelman syndrome, skip pure echoic drills and start with signs or AAC. If you see Down syndrome, build asking skills first because naming is already ahead. The papers that followed keep confirming these patterns, so you can trust the shortcut.

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Test three echoic trials; if the learner has Angelman syndrome and gets zero correct, swap to sign or AAC mand training that day.

02At a glance

Intervention
not applicable
Design
other
Sample size
77
Population
down syndrome, autism spectrum disorder, other
Finding
not reported

03Original abstract

The communication profiles of individuals with Down's syndrome (DS), Angelman syndrome (AS) and pervasive developmental disorder (PDD) were investigated and contrasted. Seventy-seven individuals participated in the study. A within-group analysis revealed that those with DS performed better on tacting or labelling and echoing than on manding or requesting. No other effects were found, apart from an absence of echoing in those with AS, a result that is hardly surprising. A between-groups analysis revealed no differences between the aetiological groups in terms of their use of mands or requests and tacts. Individuals with DS and PDD did not differ in their scores on echoic functioning. The implications of these findings for the study of behavioural phenotypes and for communication intervention are discussed.

Journal of intellectual disability research : JIDR, 2002 · doi:10.1046/j.1365-2788.2002.00355.x