Assessment & Research

Exploring different aspects of emotion understanding in adults with Down Syndrome.

Andrés-Roqueta et al. (2021) · Research in developmental disabilities 2021
★ The Verdict

Adults with Down Syndrome struggle most with the reasoning-heavy parts of emotion understanding, and those gaps mirror their language and memory profile.

✓ Read this if BCBAs working with adults or teens with Down Syndrome in day programs or residential homes.
✗ Skip if Clinicians serving only young kids with ASD or typical development.

01Research in Context

01

What this study did

Andrés-Roqueta et al. (2021) asked adults with Down Syndrome to explain feelings. They used pictures and stories to test five parts of emotion understanding.

The team compared the adults to younger kids who had the same vocabulary level. This let them see if emotion gaps go beyond language limits.

02

What they found

Adults with Down Syndrome scored lower on every emotion task. The biggest gaps were in mental and reflective parts, like guessing why someone feels a hidden emotion.

Error patterns matched their weaker language, reasoning, and working-memory scores. Basic face naming was easier than explaining mixed or hidden feelings.

03

How this fits with other research

Declercq et al. (2022) looked at emotional word knowledge in kids with Down Syndrome. They found no special emotion-word deficit once receptive vocabulary was matched. Clara’s adult data line up: vocabulary still predicts emotion skill, but the adult tasks demand more reasoning.

Symons et al. (2005) showed that receptive vocabulary and short-term memory drive word reading in Down Syndrome. Clara’s team extends this link into the social world: the same memory-language profile now predicts emotion-understanding errors.

Kovačič et al. (2020) studied adults with IDD plus autism and also found low emotional scores. Both papers warn that complex emotion tasks can make adults with developmental disabilities look more impaired than they are on simpler tasks.

04

Why it matters

When you assess emotion skills, start with vocabulary and memory checks. If those are weak, choose tasks that give visual cues and break questions into small steps. Target language and working-memory goals first; emotion understanding will ride that wave. For adults who already read, add short emotion-word drills paired with photos to bridge the gap quickly.

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Add a quick receptive-vocabulary probe before your next social-skills lesson—if scores are low, pre-teach key emotion words with pictures first.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
44
Population
down syndrome
Finding
negative

03Original abstract

BACKGROUND: Adults with Down Syndrome (DS) present difficulties in emotion understanding, although research has mainly focused on emotion recognition (external aspects), and little is known about their performance in other complex components (mental and reflective aspects). AIMS: This study aims to examine different aspects of emotion understanding in adults with DS, including a codification of their error pattern, and also to determine the association with other variables that are commonly impaired in adults with DS. METHODS AND PROCEDURES: Twenty-two adults with DS and twenty-two children with typical development (TD) matched for vocabulary level were assessed with the Test of Emotion Comprehension (TEC), along with other non-verbal reasoning (NVR), structural language and working memory (WM) tasks. OUTCOMES AND RESULTS: Adults with DS showed lower emotion competence than children with TD in different components of the TEC, and also a different pattern of errors was observed. Structural language, NVR and WM predicted distinct emotion understanding skills in different ways. CONCLUSIONS AND IMPLICATIONS: It is important to plan interventions aimed at improving particular aspects of emotion understanding skills for adults with DS, taking into account the different components, the type of error and the different cognitive and linguistic skills involved in each emotion understanding skill.

Research in developmental disabilities, 2021 · doi:10.1016/j.ridd.2021.103962