Assessment & Research

Profiles of everyday executive functioning in young children with down syndrome.

Daunhauer et al. (2014) · American journal on intellectual and developmental disabilities 2014
★ The Verdict

Preschoolers with Down syndrome show real-world executive-function gaps that call for early, targeted support.

✓ Read this if BCBAs running early-intervention or preschool classrooms that include children with Down syndrome.
✗ Skip if Clinicians who only serve verbal adults with ASD or typical development.

01Research in Context

01

What this study did

The team asked parents and teachers to fill out the Behavior Rating Inventory of Executive Function.

They compared the preschoolers with Down syndrome to 30 mental-age-matched kids without disabilities.

All children were three to five years old and lived in the same Midwest city.

02

What they found

Parents and teachers both rated the Down syndrome group much lower on working memory and planning.

Parents also saw weaker impulse control, but teachers did not report that difference.

The gap stayed large even when mental age was the same, so the lag is real, not just delayed.

03

How this fits with other research

Meneghetti et al. (2018) later showed the same Down syndrome sample struggles with mental rotation tasks.

Together the papers map a wider cognitive profile: weak working memory, planning, and spatial skills.

Matson et al. (2009) looked at the same age group and found early persistence predicts later school success.

That finding pairs well with ours: boosting executive skills now may protect future motivation and learning.

Davison et al. (1995) tracked adults and saw steeper memory decline in Down syndrome.

Our preschool data hint these problems start early and continue across the lifespan.

04

Why it matters

You now have clear evidence that three- to five-year-olds with Down syndrome need help holding rules in mind and planning next steps.

Add brief working-memory games, visual schedules, and stop-and-think practice to your sessions.

Starting early may slow the downhill slide seen in adult studies and lift the persistence that feeds later academics.

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→ Action — try this Monday

Put a three-step visual schedule on the table and ask the child to point to what comes next before each transition.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
48
Population
down syndrome, neurotypical
Finding
negative
Magnitude
medium

03Original abstract

We investigated executive functioning (EF) in children with Down syndrome (DS; n  =  25) and typically developing (TD) children matched for mental age (MA; n  =  23) using the Behavior Rating Inventory of Executive Function-Preschool. We sought to (1) compare children with DS to a developmentally matched control group, and (2) to characterize the EF profile of children with DS. Across teacher and parent reports, significant deficits in working memory and planning were observed in the DS group. Parents, but not teachers, of children with DS also reported difficulties in inhibitory control relative to the comparison group. Results extend earlier findings regarding EF impairments in children with DS. The complementary role inhibitory control may play in this profile is discussed.

American journal on intellectual and developmental disabilities, 2014 · doi:10.1352/1944-7558-119.4.303