{"id":57100,"date":"2019-09-19T15:13:01","date_gmt":"2019-09-19T21:13:01","guid":{"rendered":"https:\/\/www.globaldownsyndrome.org\/?p=57100"},"modified":"2025-08-21T12:56:39","modified_gmt":"2025-08-21T18:56:39","slug":"%e4%ba%86%e8%a7%a3%e8%a1%8c%e4%b8%ba%e6%8c%91%e6%88%98","status":"publish","type":"post","link":"https:\/\/www.globaldownsyndrome.org\/zh\/understanding-behavioral-challenges\/","title":{"rendered":"\u4e86\u89e3\u884c\u4e3a\u6311\u6218"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/www.globaldownsyndrome.org\/wp-content\/uploads\/2019\/09\/DSW_BehaviorArticleBanner.png\" alt=\"\" width=\"700\"><\/p>\n<div style=\"font-family: trebuchet ms;\">\n<em style=\"color: #000; padding: 0px 35px;\">From <a href=\"https:\/\/downsyndromeworld.org\/\">Down Syndrome World<sup style=\"font-size: 8px;\">TM<\/sup><\/a> 2019 Issue 2 of 4<\/em><\/p>\n<p style=\"color: #000; padding: 0px 35px;\"><strong><br \/>\nAn important study in the journal of mental health research in intellectual disabilities shows that children with Down syndrome demonstrate increased behavioral issues compared with their typical peers. Early intervention and a development strategy can help.<br \/>\n<\/strong><\/p>\n<div class=\"magcov\" style=\"padding: 0px 0px 30px 0px;\"><a href=\"http:\/\/downsyndromeworld.org\/\"><br \/>\n<img decoding=\"async\" src=\"https:\/\/www.globaldownsyndrome.org\/wp-content\/uploads\/2019\/09\/DSW_Vonn-MillerCover.jpg\"><\/a><span style=\"color: #000;\">This article was published in the award-winning&nbsp;<a href=\"http:\/\/downsyndromeworld.org\/\">Down Syndrome World\u2122<\/a> magazine. <a href=\"http:\/\/downsyndromeworld.org\/membership\">Become a member<\/a> to read all the articles and get future issues delivered to your door! <\/span><\/div>\n<p style=\"color: #000; padding: 0px 35px;\"><strong>A STUDY CONDUCTED<\/strong> by doctors at the Anna and John J. Sie Center for Down Syndrome at Children\u2019s Hospital Colorado, an affiliate of the Global Down S yndrome Foundation, found that 94% of children with Down syndrome experienced one or more behavioral challenges on a w eekly or even daily basis. These behaviors include wandering off, refusal to follow instructions, aggression, impulsivity, and difficulty transitioning from activity to activity. Behavioral challenges can not only impact a child\u2019 s quality of life but also cause major str esses for parents, teachers, and other caregivers.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">In the study, Lina Patel, Psy.D., and her three co-authors, Kristine Wolter-Warmerdam, Noel Leifer, and Francis Hickey, M.D., analyzed current tools for measuring behavior in children with Down syndrome to determine which methods were effective and which could be improved upon. They also surveyed parents to learn about which behaviors were the most common and if any challenges shared a common denominator. The doctors published their results in late 2018.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">\nChildren with Down syndrome have many positive behavioral traits, and typical children certainly have negative behavioral issues. However, because of lack of research, behavior issues in children with Down syndrome are less understood. Behavioral challenges can hamper a child\u2019s ability to function independently, perform well in school or other social settings, and even handle everyday tasks, such as bathing and dressing, at home. By understanding what can trigger certain behavioral issues, parents and teachers can better develop strategies to intervene before issues progress.<\/p>\n<p><span style=\"color: #000080; padding: 0px 35px;\"><strong>COMMUNICATION TOOLS: A COMMON DENOMINATOR<\/strong><\/span><\/p>\n<p style=\"color: #000; padding: 0px 35px;\">A variety of factors may fuel undesirable behaviors, according to Dr. Patel, lead author and D irector of Psychology at the Sie Center.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">\u201cI feel like motivation is a key factor,\u201d Dr. Patel says. \u201cIt doesn\u2019t mean that children with Down syndrome are unmotivated. It might just mean they are motivated by their own interests versus the task at hand, which then may result in behavioral challenges.\u201d<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">Dr. Patel and her co-authors wanted to know which behaviors parents of children with Down syndrome found most concerning. They asked parents of 274 children seen at the Sie Center from 2010 to 2015 to fill out a specially designed questionnaire. On the questionnaire, parents were asked to state the frequency with which 16 behavior challenges occurred and their level of concern about each. Parents could also name additional behavioral challenges not listed on the form. The study is one of the largest of its kind and the results were not completely anticipated.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">Noncompliance, wandering, sitting down and refusing to move, and aggression were the most common difficult behaviors parents reported. The amount and frequency of challenging behaviors was much higher than previously reported in scientific literature, with nearly 100% of parents noting the existence of challenging behaviors at least weekly.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">\u201cThe most striking result we found was the frequency of behavioral challenges,\u201d Dr. Patel says. \u201cI think we did capture a wider array of behaviors, resulting in a higher percentage of children experiencing those behaviors. The good news is that many of the behavioral challenges that we assessed can be addressed using behavioral strategies that are informed by neurodevelopment.\u201d<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">Neurodevelopment is the brain\u2019s development of neurological pathways that influence areas including memory, intellectual functioning, attention, and focus.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">The researchers also wanted to determine if any of these behavioral challenges shared a common denominator. They found that the inability of a child to effectively communicate his or her wants and needs was associated with many behavioral challenges.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">\u201cBehavior is a form of communication people use when they do not have access to other methods of communication, like verbal communication,\u201d Dr. Patel explains. \u201cTherefore, it\u2019s not surprising that individuals with Down syndrome would have more behavioral challenges if they do not have more functional communication strategies.\u201d<\/p>\n<p><span style=\"color: #000080; padding: 0px 35px;\"><strong>TAKE ACTION EARLY<\/strong><\/span><\/p>\n<p style=\"color: #000; padding: 0px 35px;\">The longer parents allow unwanted behaviors to persist, the more ingrained these behaviors may become.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">\u201cBehavioral interventions can make a difference and really change behavior,\u201d says Elise Sannar, M.D., Assistant Professor of Child and Adolescent Psychiatry at Children\u2019s Hospital Colorado. \u201cIf [parents] just live with [a behavior], it\u2019s definitely not going to get better. If kids with Down syndrome learn that if they have a tantrum or refuse to move, they\u2019ll get what they want, that will be reinforced, and they\u2019ll continue to engage in that behavior.\u201d<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">When concerning behaviors arise, parents should notify their child\u2019s pediatrician or primary care physician as soon as possible so medical causes can be ruled out. Many behavior issues can be triggered by medical ailments to which children with Down syndrome are more predisposed. One such medical ailment is obstructive sleep apnea, which is found in up to 70% of children with Down syndrome.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">In addition, parents should pay attention to the context of behavioral challenges \u2014 when, where, and with whom they occur, and what happens before and after them, says Anna Esbensen, Ph.D., Associate Professor, Research Director at the Jane and Richard Thomas Center for Down Syndrome in the Division of Developmental and Behavioral Pediatrics at Cincinnati Children\u2019s Hospital Medical Center.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">These clues can provide important information about why behaviors occur. Parents who are concerned about a behavior that happened when they weren\u2019t around can ask their child\u2019s friends, teacher, or employer for information about what took place.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">\u201cTeaching the child a replacement behavior or a different way of achieving or communicating their needs are helpful ways of teaching an adaptive \u2026 method of achieving their desired function,\u201d Dr. Esbensen explains.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">She continues, \u201cOnce we understand the function of the child\u2019s behaviors, there are evidence-based strategies that can be used to modify that behavioral challenge.\u201d<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">According to Dr. Sannar, one such strategy is applied behavior analysis (ABA), which uses a variety of techniques, such as positive reinforcement, to increase helpful behaviors and decrease damaging ones. ABA can be effective in children with Down syndrome, autism, and other conditions associated with behavioral challenges.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">For example, Dr. Patel says, ABA can be used to stop a child with Down syndrome from running or wandering away from caregivers, also called elopement. A behavioral analyst can collect data to better understand why the child is eloping \u2014 is he or she bored, trying to avoid a difficult task that is hard, or eager for attention? Once the analyst has an answer, he or she can create a plan to address it. For example, if the child is avoiding work that feels too hard, the analyst can slowly increase a task\u2019s difficulty or teach the child to ask for a break.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">Helping people with Down syndrome manage behaviors is important, not only for their success in school and social situations but also as they enter adulthood, says Dr. Patel.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">\u201cMany individuals with Down syndrome who have the skill to seek employment may not be able to if they have behaviors that interfere with their job,\u201d she advises. \u201cIt may be more difficult to gain independence with things like staying home alone or even living with others if these behaviors are not addressed.\u201d<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">While it is more difficult to change longingrained behaviors, therapies and strategies exist that help adults, and studies are starting to address this older population.<\/p>\n<p style=\"color: #000; padding: 0px 35px;\">The researchers plan to develop a more comprehensive tool to capture the full range of behavioral health challenges that children<br \/>\nwith Down syndrome experience. They hope such a tool would help pediatricians and other community providers determine when to refer children to a behavioral health specialist. Most importantly, by understanding and analyzing. these behaviors, they hope to empower both individuals with Down syndrome and their parents to take necessary actions to improve and maintain appropriate behaviors.<\/p>\n<hr>\n<p style=\"color: #000; padding: 0px 35px;\"><strong><em>Like this article?<\/em><\/strong> Join Global Down Syndrome Foundation\u2019s Membership program today to receive 4 issues of the quarterly award-winning publication, plus access to 4 seasonal educational Webinar Series, and eligibility to apply for Global\u2019s Employment and Educational Grants.<br \/>\nRegister today at <a href=\"http:\/\/downsyndromeworld.org\/membership\" target=\"_blank\" rel=\"noopener noreferrer\">downsyndromeworld.org<\/a>!<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>From Down Syndrome WorldTM 2019 Issue 2 of 4 An important study in the journal of mental health research in intellectual disabilities shows that children with Down syndrome demonstrate increased behavioral issues compared with their typical peers. Early intervention and a development strategy can help. This article was published in the award-winning&nbsp;Down Syndrome World\u2122 magazine. [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":57101,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[62,643],"tags":[],"class_list":["post-57100","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-dsw-magazine"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Understanding Behavioral Challenges | Global Down Syndrome Foundation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.globaldownsyndrome.org\/zh\/\u4e86\u89e3\u884c\u4e3a\u6311\u6218\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Understanding Behavioral Challenges | Global Down Syndrome Foundation\" \/>\n<meta property=\"og:description\" content=\"From Down Syndrome WorldTM 2019 Issue 2 of 4 An important study in the journal of mental health research in intellectual disabilities shows that children with Down syndrome demonstrate increased behavioral issues compared with their typical peers. 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