Autism & Developmental

Impact of maladaptive behavior on school function in Down syndrome.

Will et al. (2016) · Research in developmental disabilities 2016
★ The Verdict

Aggression and attention problems in students with Down syndrome predict poorer compliance and task completion at school.

✓ Read this if BCBAs writing IEP goals for kids with Down syndrome in special-ed classrooms.
✗ Skip if Clinicians who only serve verbal adults with ASD.

01Research in Context

01

What this study did

Teachers rated 24 students with Down syndrome on aggression and attention problems.

The same teachers scored how well each child followed directions and finished class work.

All kids were in special-education classrooms, .

02

What they found

More aggression and attention trouble meant lower compliance and less work done.

The link stayed strong even after IQ was taken into account.

03

How this fits with other research

McCarron et al. (2002) watched the same group grow up. They saw outward anger drop but quiet withdrawal rise in teens. van Timmeren et al. (2016) now show that the leftover aggression still hurts school work.

Micai et al. (2021) pooled 43 studies and found a small self-control gap in Down syndrome. The teacher ratings line up: poor inhibition shows up as unfinished tasks.

Andrews et al. (2024) gave parents five short RUBI lessons and cut disruptive acts at home. Their trial proves the behaviours A et al. flagged can be changed, not just measured.

04

Why it matters

You now have two clear levers: cut aggression and boost attention. Start by breaking long tasks into two-minute chunks and give visuals for each step. Track compliance for one week; if it stays low, add a brief parent-training module like the RUBI package. Early action keeps small problems from snowballing into school failure.

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→ Action — try this Monday

Split the morning worksheet into three mini tasks, show a picture of each, and praise after every finished part.

02At a glance

Intervention
not applicable
Design
other
Sample size
24
Population
down syndrome
Finding
negative

03Original abstract

BACKGROUND/AIMS: Individuals with Down syndrome (DS) are at an increased risk for certain maladaptive behaviors. This study characterized maladaptive behavior in school-aged children with DS and examined the extent to which maladaptive behaviors are associated with school function. METHODS AND PROCEDURES: Participants were 24 students with DS [mean nonverbal mental age (NVMA)=43.83months; mean chronological age (CA)=77.58months] who completed the Leiter Scales of Performance- Revised (Leiter-R; Roid & Miller, 1997). Their teachers completed the Behavior Assessment Scales for Children Version 2 (Reynolds & Kamphaus, 2004), and the School Function Assessment (Coster et al., 1998), measures of maladaptive and adaptive behavior as observed in the school setting. RESULTS: Findings reveal a maladaptive behavior profile of elevated areas including Aggression, Attention Problems, and Somatization. When examining the association between maladaptive behavior and school function, multivariate regression results indicated a significant association between Aggression and Compliance, and Attention Problems and Task Completion. CONCLUSIONS AND IMPLICATIONS: Results underscore the importance of developing training for educators regarding the potential impact of maladaptive behavior on school function for students with Down syndrome.

Research in developmental disabilities, 2016 · doi:10.1016/j.ridd.2016.08.018