Assessment & Research

Differentiating Aging Among Adults With Down Syndrome and Comorbid Dementia or Psychopathology.

Esbensen et al. (2016) · American journal on intellectual and developmental disabilities 2016
★ The Verdict

Adults with Down syndrome show clear, different red flags for dementia versus other mental-health issues—watch daily skills, health, and behavior.

✓ Read this if BCBAs serving adults with Down syndrome in residential or day programs.
✗ Skip if Clinicians who work only with young children or typically developing adults.

01Research in Context

01

What this study did

The team looked at three groups of adults with Down syndrome. One group had dementia. One group had other mental-health diagnoses. One group had neither.

They compared daily-living skills, health, and behavior problems. No treatment was given. The goal was to spot clear signs that tell the conditions apart.

02

What they found

Adults with Down syndrome plus dementia showed weaker daily skills and worse health. Adults with Down syndrome plus other mental-health labels showed more behavior outbursts.

These patterns give clinicians quick red flags for telling the two groups apart.

03

How this fits with other research

Mansell et al. (2002) already showed memory drops on the Selective Reminding Test come before full dementia. The new paper widens the lens to daily skills and health, giving you more signs to watch.

Lundqvist (2013) found Down syndrome alone usually means fewer behavior problems. The new data flip that picture when dementia is added, showing behavior spikes are a dementia clue, not just Down syndrome.

Handen (2020) sums up the field: almost every adult with Down syndrome will face Alzheimer-level dementia. The 2016 behavioral flags fit right into that roadmap for early spotting.

04

Why it matters

You now have a short checklist: slipping self-care, new health issues, or sudden behavior jumps. If you see two or three together, talk to the doctor about a dementia work-up. Early clarity helps the whole team plan better support and keeps families prepared.

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Add a 30-second scan of dressing, eating, and behavior logs—note any new slips or spikes and flag for nurse review.

02At a glance

Intervention
not applicable
Design
other
Population
down syndrome, dementia, mixed clinical
Finding
not reported

03Original abstract

Differences were examined between three groups of adults with Down syndrome in their behavioral presentation, social life/activities, health, and support needs. We compared those with comorbid dementia, with comorbid psychopathology, and with no comorbid conditions. Adults with comorbid dementia were more likely to be older, have lower functional abilities, have worse health and more health conditions, and need more support in self-care. Adults with comorbid psychopathology were more likely to exhibit more behavior problems and to be living at home with their families. Adults with no comorbidities were most likely to be involved in community employment. Differences in behavioral presentation can help facilitate clinical diagnoses in aging in Down syndrome, and implications for differential diagnosis and service supports are discussed.

American journal on intellectual and developmental disabilities, 2016 · doi:10.1352/1944-7558-121.1.13