Assessment & Research

Working memory and everyday cognition in adults with Down's syndrome.

Numminen et al. (2001) · Journal of intellectual disability research : JIDR 2001
★ The Verdict

Adults with Down syndrome have a sharp phonological-loop weakness yet handle everyday cognitive tasks as well as other adults with similar non-verbal ability.

✓ Read this if BCBAs writing support plans for adults with Down syndrome in residential or vocational settings.
✗ Skip if Clinicians who work only with young children or clients without ID.

01Research in Context

01

What this study did

Researchers tested working memory in adults with Down syndrome. They compared phonological loop, central executive, and everyday thinking skills to adults with other intellectual disabilities matched on non-verbal ability.

The team used short memory-span tasks and real-life problem-solving tests. All adults lived in the community and could follow simple instructions.

02

What they found

Adults with Down syndrome scored far lower on phonological-loop tasks like repeating lists of numbers or words. Yet they kept pace with their ID peers on central-executive games and everyday tasks such as counting money or reading a bus timetable.

In plain words, the DS group had a specific verbal-memory weak spot, not a global thinking deficit.

03

How this fits with other research

Wimpory et al. (2002) used the same DS adult sample and added reasoning puzzles. They found the same pattern: weak verbal analogy and categorical tasks, but intact non-verbal and transitivity skills. Together the two papers show a steady cognitive profile you can plan lessons around.

Stancliffe et al. (2007) looks like a contradiction: high-school students with mild ID had broad working-memory deficits, not just phonological. The gap closes when you note age and diagnosis. Kids with mixed mild ID may still be developing executive skills, while DS adults have reached a stable plateau.

Staats et al. (2000) came first, splitting working memory into two factors in adults with ID. The current study sharpens that picture: phonological loop is the fragile part in Down syndrome, while the central executive and knowledge base stay in line with overall ability.

04

Why it matters

When you assess an adult with Down syndrome, probe phonological loop with short word or digit spans, but do not assume wider cognitive limits. Use visual cues, signs, or semantic context to bypass the verbal bottleneck. For daily living goals like shopping or job tasks, pitch the complexity to non-verbal mental age, not to chronological age, and you will likely see success.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Swap verbal-only instructions for visual task cards or signed prompts when teaching new job steps.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
30
Population
down syndrome, intellectual disability
Finding
mixed

03Original abstract

A number of previous studies have suggested that young people with Down's syndrome (DS) have a specific deficit of the phonological loop component of the working memory. However, there have also been studies which have proposed a specific deficit of the central executive component of working memory and suggested similarities of working memory functioning with patients with Alzheimer's disease. Fifteen middle-aged people with DS were matched for their individual scores of non-verbal intelligence to 15 individuals with mixed aetiology of intellectual disability. A versatile range of tasks was used in order to evaluate the functioning of working memory components. In addition, several everyday cognition skills were assessed. The subjects with DS performed significantly more poorly in all tasks assessing the phonological loop. Performance in other working memory tasks and compound variables representing different working memory components was equal in the groups. In addition, both groups had equal everyday cognition skills. The functioning of the phonological loop seems to be clearly deficient in people with DS. Interestingly, the deficit does not seem to affect the vocabulary or other everyday cognition skills in individuals with DS. No signs of specific deficit of the central executive component of working memory were found.

Journal of intellectual disability research : JIDR, 2001 · doi:10.1046/j.1365-2788.2001.00298.x