Socialization of Children with Down Syndrome: Developmental, Familial, and Educational Influences – A Narrative Review

Authors

  • Bryan V Catama School of Teacher Education and Liberal Arts, Saint Louis University, Baguio City 2600, Philippines

DOI:

https://doi.org/10.48165/ijrse.2023.4.2.4

Keywords:

Down Syndrome, Socialization, Cognitive Development, Language Development, Behavioral Challenges, Family Dynamics, Educational Environment, Social Barriers

Abstract

Socialization plays a vital role in the development of children. It encompasses the process of acquiring social norms, behaviors, and necessary skills to build relationships and establish one's identity. Children with Down syndrome (DS) face unique socialization challenges due to cognitive, communicative, and behavioral impairments. This narrative review examines the interplay of developmental, familial, and educational factors influencing the socialization of children with DS. Cognitive and language delays, emotional and behavioral difficulties, and motor skill deficits are analyzed for their impact on social interactions. Familial support, particularly parental attitudes and sibling dynamics, is also considered. The review assesses the impact of educational environments on peer interactions and social competence, highlighting the benefits of inclusive settings and specialized support. Finally, the review identifies intervention strategies that can enhance social engagement and suggests areas for future research to improve the quality of life for children with DS.

References

Alesi, M., Giustino, V., Gentile, A., Gómez-López, M., & Battaglia, G. (2022). Motor coordination and global devel opment in subjects with Down syndrome: The influence of physical activity. Journal of Clinical Medicine, 11(17), 5031. https://doi.org/10.3390/jcm11175031

Alrayes, N., Issa, N. M., Alghubayshi, O. Y., Al‐Amaa, J. Y., Alsabban, A. H., Al Shaer, D. S., Alyoubi, R. A., Nasser, K. K., & Alkhiary, Y. M. (2023). Quality of life in children with Down syndrome and its association with parent and child demographic characteristics: Parent‐

reported measures. Molecular Genetics & Genomic Medicine, 12(1). https://doi.org/10.1002/mgg3.2337 Amorim, B. Y., & Shimizu, H. E. (2022). Stigma, caregivers and the child with Down syndrome: A bioethical analysis. Revista Bioética, 30(1), 72-81. https://doi.org/10.1590/1983- 80422022301508en

Barnoy, S., Biton, A., & Itzhaki, M. (2017). Social inclusion of children with Down syndrome: Jewish and Muslim moth ers’ knowledge, attitudes, beliefs, and behavioral inten tions. Journal of Pediatric Nursing, 35, 50-56. https://doi. org/10.1016/j.pedn.2017.02.035

Batanero, J. M., Jaén, A. M., Rueda, M., & Martínez, I. (2019). Do regular schools in Spain respond to the educational needs of students with Down syndrome? Journal of Child and Family Studies, 29(9), 2355-2363. https://doi.org/10.1007/

s10826-019-01587-2

Bermudez, B. E., De Oliveira, C. M., De Lima Cat, M. N., Magdalena, N. I., & Celli, A. (2019). Gastrointestinal dis orders in Down syndrome. American Journal of Medical Genetics Part A, 179(8), 1426-1431. https://doi.org/10.1002/ ajmg.a.61258

Beshay, M., Abdel Ghaffar, H., & El-Awady, H. (2019). Neurodevelopmental outcome in children with Down syndrome. Fayoum University Medical Journal, 2(1), 79-88. https://doi.org/10.21608/fumj.2019.60244

Cantwell, J., Muldoon, O., & Gallagher, S. (2015). The influ ence of self‐esteem and social support on the relationship between stigma and depressive symptomology in parents caring for children with intellectual disabilities. Journal of Intellectual Disability Research, 59(10), 948-957. https://doi. org/10.1111/jir.12205

Carbone, A., Castaldi, M., & Szpunar, G. (2023). The relation ship between teachers and pupils with Down syndrome:

A qualitative study in primary schools. Behavioral Sciences, 13(3), 274. https://doi.org/10.3390/bs13030274 Clark, L., Canary, H. E., McDougle, K., Perkins, R., Tadesse, R., & Holton, A. E. (2020). Family sense-making after a Down syndrome diagnosis. Qualitative Health Research, 30(12), 1783-1797. https://doi.org/10.1177/1049732320935836 Cuskelly, M. (2020). Siblings’ influence on the development of individuals with Down syndrome. The Oxford Handbook of Down Syndrome and Development. https://doi.org/10.1093/ oxfordhb/9780190645441.013.7

Cuskelly, M., Gilmore, L., Glenn, S., & Jobling, A. (2016). Delay of gratification: A comparison study of children with Down syndrome, moderate intellectual disability and typical devel opment. Journal of Intellectual Disability Research, 60(9), 865-873. https://doi.org/10.1111/jir.12262

Daunhauer, L. A., Fidler, D. J., & Will, E. (2014). School func tion in students with Down syndrome. The American Journal of Occupational Therapy, 68(2), 167-176. https:// doi.org/10.5014/ajot.2014.009274

De Alencar, G. P., Campos, E., Pinto, V. P., Gonçalves, J. L., Ovando, R. G., Da Silva, J. G., & Almeida Carvalho Pinto, A. M. (2019). Inclusion of students with Down syndrome in Brazilian schools. International Journal for Innovation Education and Research, 7(11), 1290-

1300. https://doi.org/10.31686/ijier.vol7.iss11.1918 Deakin, K., & Jahoda, A. (2020). A supporting role: Mothers’ perceptions of their child’s developing awareness of Down syndrome. Journal of Applied Research in Intellectual Disabilities, 33(6), 1380-1389. https://doi.org/10.1111/ jar.12765

Delgado, N., Ariño, E., Betancor, V., & Rodríguez-Pérez, A. (2018). Intergroup trust and anxiety: The two sides of stigma towards people with Down syndrome. Anales de Psicología, 34(1), 117-122. https://doi.org/10.6018/ana

lesps.34.1.267311

Dieleman, L. M., De Pauw, S. S., Soenens, B., Van Hove, G., & Prinzie, P. (2018). Behavioral problems and psychosocial strengths: Unique factors contributing to the behavioral profile of youth with Down syndrome. American Journal on Intellectual and Developmental Disabilities, 123(3), 212-

227. https://doi.org/10.1352/1944-7558-123.3.212 Dolva, A., Kollstad, M., & Kleiven, J. (2019). Friendships and pat terns of social leisure participation among Norwegian ado lescents with Down syndrome. Journal of Applied Research in Intellectual Disabilities, 32(5), 1184-1193. https://doi. org/10.1111/jar.12609

Engevik, L., Næss, K., & Berntsen, L. (2016). Quality of inclu sion and related predictors: Teachers’ reports of edu cational provisions offered to students with Down

syndrome. Scandinavian Journal of Educational Research, 62(1), 34-51. https://doi.org/10.1080/00313831.2 016.1212252

Ferreira-Vasques, A. T., & Lamônica, D. A. (2015). Motor, lin guistic, personal and social aspects of children with Down syndrome. Journal of Applied Oral Science, 23(4), 424- 430. https://doi.org/10.1590/1678-775720150102

Fidler, D. J., Schworer, E., Will, E. A., Patel, L., & Daunhauer, L. A. (2018). Correlates of early cognition in infants with Down syndrome. Journal of Intellectual Disability Research, 63(3), 205-214. https://doi.org/10.1111/jir.12566

Filipe, M. G., Cruz, S., Veloso, A. S., & Frota, S. (2022). Early predictors of language outcomes in Down syndrome: A mini-review. Frontiers in Psychology, 13. https://doi. org/10.3389/fpsyg.2022.934490

Ghezzo, A., Salvioli, S., Solimando, M. C., Palmieri, A., Chiostergi, C., Scurti, M., Lomartire, L., Bedetti, F., Cocchi, G., Follo, D., Pipitone, E., Rovatti, P., Zamberletti, J., Gomiero, T., Castellani, G., & Franceschi, C. (2014). Age

related changes of adaptive and Neuropsychological fea tures in persons with Down syndrome. PLoS ONE, 9(11), e113111. https://doi.org/10.1371/journal.pone.0113111

Gladh, M., Siljehag, E., Westling Allodi, M., & Odom, S. L. (2022). Supporting children’s social play with peer-based intervention and instruction in four inclusive Swedish pre schools. Frontiers in Education, 7. https://doi.org/10.3389/ feduc.2022.943601

Grieco, J., Pulsifer, M., Seligsohn, K., Skotko, B., & Schwartz, A. (2015). Down syndrome: Cognitive and behavioral func tioning across the lifespan. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 169(2), 135- 149. https://doi.org/10.1002/ajmg.c.31439

Gómez, M. C., Martín-Sevillano, R., Martín-Cilleros, M. V., Marcos, J. J., & García-Peñalvo, F. J. (2021). Nurturing grandchildren with Down syndrome: A qualitative study on grandparents’ needs using digital Tools†. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.661205

Hibaoui, Y., & Feki, A. (2015). Concise review: Methods and cell types used to generate Down syndrome induced Pluripotent stem cells. Journal of Clinical Medicine, 4(4), 696-714. https://doi.org/10.3390/jcm4040696

Huiracocha, L., Almeida, C., Huiracocha, K., Arteaga, J., Arteaga, A., & Blume, S. (2017). Parenting children with Down syndrome: Societal influences. Journal of Child Health Care, 21(4), 488-497. https://doi.

org/10.1177/1367493517727131

Idris, M., Saini, F., Pape, S. E., Baksh, R. A., Cahart, M., & Strydom, A. (2023). Common mental health disorders and cognitive decline in a longitudinal Down syndrome

cohort. BJPsych Open, 9(6). https://doi.org/10.1192/ bjo.2023.590

Jacola, L. M., Hickey, F., Howe, S. R., Esbensen, A., & Shear, P. K. (2014). Behavior and adaptive functioning in adoles cents with Down syndrome: Specifying targets for inter vention. Journal of Mental Health Research in Intellectual Disabilities, 7(4), 287-305. https://doi.org/10.1080/193158 64.2014.920941

Jiang, X., Liu, C., Yu, T., Zhang, L., Meng, K., Xing, Z., Belichenko, P. V., Kleschevnikov, A. M., Pao, A., Peresie, J., Wie, S., Mobley, W. C., & Yu, Y. E. (2015). Genetic dissection of the Down syndrome critical region. Human Molecular Genetics, 24(22), 6540-6551. https://doi.org/10.1093/hmg/

ddv364

Kabashi, L., & Kaczmarek, L. (2019). Educating a child with Down syndrome in an inclusive kindergarten classroom. Journal of Childhood & Developmental Disorders, 05(02). https:// doi.org/10.36648/2472-1786.5.2.81

Kendall, L. (2017). Supporting children with Down syndrome within mainstream education settings: Parental reflec tions. Education 3-13, 47(2), 135-147. https://doi.org/10.10 80/03004279.2017.1412488

Khanlou, N., Haque, N., Mustafa, N., Vazquez, L. M., Mantini, A., & Weiss, J. (2017). Access barriers to services by immigrant mothers of children with autism in Canada. International Journal of Mental Health and Addiction, 15(2), 239-

259. https://doi.org/10.1007/s11469-017-9732-4

Kim, H. I., Kim, S. W., Kim, J., Jeon, H. R., & Jung, D. W. (2017). Motor and cognitive developmental profiles in children with Down syndrome. Annals of Rehabilitation Medicine, 41(1), 97-103. https://doi.org/10.5535/arm.2017.41.1.97

Kim, S., & Kang, V. Y. (2020). The effect of enhanced milieu teaching on vocabulary acquisition for Korean American children with Down syndrome. The Journal of Special Education, 55(2), 113-126. https://doi.

org/10.1177/0022466920973452

Lee, A., Knafl, G., Knafl, K., & Van Riper, M. (2020). Parent reported contribution of family variables to the quality of life in children with Down syndrome: Report from an international study. Journal of Pediatric Nursing, 55, 192- 200. https://doi.org/10.1016/j.pedn.2020.07.009

Lee, C. E., Burke, M. M., Arnold, C. K., & Owen, A. (2018). Comparing differences in support needs as perceived by parents of adult offspring with Down syndrome, autism spectrum disorder and cerebral palsy. Journal of Applied Research in Intellectual Disabilities, 32(1), 194-205. https://

doi.org/10.1111/jar.12521

LeJeune, L. M., Lemons, C. J., Hokstad, S., Aldama, R., & Næss, K. B. (2021). Parent-implemented oral vocabulary

intervention for children with Down syndrome. Topics in Early Childhood Special Education, 42(2), 175-188. https:// doi.org/10.1177/02711214211005846

Lemoine, L., & Schneider, B. (2021). Growing up with a brother or sister with Down syndrome: Adult siblings’ perceptions of their childhood relationships. Journal of Intellectual & Developmental Disability, 47(1), 39-52. https://doi.org/10.3

109/13668250.2020.1855632

Lukowski, A. F., Milojevich, H. M., & Eales, L. (2019). Cognitive functioning in children with Down syndrome: Current knowledge and future directions. Advances in Child Development and Behavior, 257-289. https://doi.

org/10.1016/bs.acdb.2019.01.002

MacLennan, S. (2019). Down’s syndrome. InnovAiT: Education and inspiration for general practice, 13(1), 47-52. https://doi. org/10.1177/1755738019886612

Mahmood, A., & Gul, A. (2023). Parental stress, familial burden and quality of life in parents of children with Down syn drome. Journal of Professional & Applied Psychology, 4(1), 61-70. https://doi.org/10.52053/jpap.v4i1.151

Marchal, J. P., Maurice-Stam, H., Van Trotsenburg, A. P., & Grootenhuis, M. A. (2016). Mothers and fathers of young Dutch adolescents with Down syndrome: Health related quality of life and family functioning. Research in Developmental Disabilities, 59, 359-369. https://doi.

org/10.1016/j.ridd.2016.09.014

Mason-Apps, E., Stojanovik, V., Houston-Price, C., & Buckley, S. (2018). Longitudinal predictors of early language in infants with Down syndrome: A preliminary study. Research in Developmental Disabilities, 81, 37-51. https://doi.

org/10.1016/j.ridd.2017.12.021

McFadden, A., Tangen, D., Spooner-Lane, R., & Mergler, A. (2017). Teaching children with Down syndrome in the early years of school. Australasian Journal of Special Education, 41(2), 89-100. https://doi.org/10.1017/jse.2017.4

McFadden, A., Tangen, D., Spooner-Lane, R., & Mergler, A. (2017). Teaching children with Down syndrome in the early years of school. Australasian Journal of Special Education, 41(2), 89-100. https://doi.org/10.1017/jse.2017.4

Melnyk, I., & Kost, S. (2021). Adaptation of a child with Down syndrome into inclusive groups of preschool educational institutions. Visnyk of Lviv University. Series Pedagogics, (35), 148-155. https://doi.org/10.30970/vpe.2021.35.11316

Milojevich, H. M., Slonecker, E. M., & Lukowski, A. F. (2019). Participation in social skills therapy is associated with enhanced recall memory by children with Down syndrome: An exploratory study. Behavior Modification, 44(4), 580-

599. https://doi.org/10.1177/0145445519841051

Mitchell, D. B., Hauser‐Cram, P., & Crossman, M. K. (2014). Relationship dimensions of the ‘Down syndrome advan tage’. Journal of Intellectual Disability Research, 59(6), 506- 518. https://doi.org/10.1111/jir.12153

Murphy, N., Epstein, A., Leonard, H., Davis, E., Reddihough, D., Whitehouse, A., Jacoby, P., Bourke, J., Williams, K., & Downs, J. (2017). Qualitative analysis of parental obser vations on quality of life in Australian children with Down syndrome. Journal of Developmental & Behavioral Pediatrics, 38(2), 161-168. https://doi.org/10.1097/ dbp.0000000000000385

Novak, I., & Honan, I. (2019). Effectiveness of paediatric occu pational therapy for children with disabilities: A systematic review. Australian Occupational Therapy Journal, 66(3), 258-273. https://doi.org/10.1111/1440-1630.12573

Onyedibe, M. C., Ugwu, L. I., Mefoh, P. C., & Onuiri, C. (2018). Parents of children with Down syndrome: Do resilience and social support matter to their experience of carer stress? Journal of Psychology in Africa, 28(2), 94-99. https://

doi.org/10.1080/14330237.2018.1455308

Os, D. T., Volman, C., Jongmans, M., & Lauteslager, P. (2016). Expressive vocabulary development in children with Down syndrome: A longitudinal study. Journal of Policy and Practice in Intellectual Disabilities, 14(4), 311-318. https://

doi.org/10.1111/jppi.12212

Oxelgren, U., Westerlund, J., Myrelid, Å., Annerén, G., Johansson, L., Åberg, M., Gustafsson, J., & Fernell, E. (2019). An intervention targeting social, communication and daily activity skills in children and adolescents with Down syn

drome and autism: A pilot study. Neuropsychiatric Disease and Treatment, 15, 2049-2056. https://doi.org/10.2147/ndt. s205721

Petry, K. (2018). The relationship between class attitudes towards peers with a disability and peer acceptance, friendships and peer interactions of students with a disability in reg ular secondary schools. European Journal of Special Needs Education, 33(2), 254-268. https://doi.org/10.1080/0885625 7.2018.1424782

Proskurniak, O. (2020). Psychosocial development of a child during sibling interactions. Psychological journal, 6(2), 143- 152. https://doi.org/10.31108/1.2020.6.2.13

Romagnoli, G., Leone, A., Romagnoli, G., Sansoni, J., Tofani, M., De Santis, R., Valente, D., & Galeoto, G. (2019). Occupational therapy’s efficacy in children with Asperger’s syndrome: A systematic review of randomized controlled trials. La Clinica Terapeutica, 170(5), e382-e387. https://

pubmed.ncbi.nlm.nih.gov/31612197/

Sangalli, A. L., Lascioli, A., & Lascioli, A. (2019). Development and conservation of basic educational skills in

individuals with Down syndrome: A longitudinal research study. International Journal of Technology and Inclusive Education, 8(1), 1379-1384. https://doi.org/10.20533/ ijtie.2047.0533.2019.0168

Sanner, C. M., Benjamin, L. R., Eskander, C., McGregor, H. A., Preston, A. E., McIntyre, L. L., & Neece, C. L. (2023). Sibling support and perceived daily hassles in Latino and Non-Latino families of children with DD. The Family Journal, 31(2), 330-340. https://doi.org/10.1177/10664807221151174

Sasikala, G., & Swarnakumari, P. (2020). The impact of inclu sive education on children with mild intellectual Disabiliy in promoting social skills and peer positive attitudes in Trichy district. Indian Journal of Public Health Research & Development, 11(7), 132-136. https://doi.org/10.37506/ ijphrd.v11i7.10068

Schott, N., & Holfelder, B. (2015). Relationship between motor skill competency and executive function in children with Down’s syndrome. Journal of Intellectual Disability Research, 59(9), 860-872. https://doi.org/10.1111/jir.12189

Schwab, S., Huber, C., & Gebhardt, M. (2015). Social acceptance of students with Down syndrome and students without dis ability. Educational Psychology, 36(8), 1501-1515. https:// doi.org/10.1080/01443410.2015.1059924

Schwab, S., Lehofer, M., & Tanzer, N. (2021). The impact of social behavior and peers’ attitudes toward students with special educational needs on self-reported peer interac tions. Frontiers in Education, 6. https://doi.org/10.3389/ feduc.2021.561662

Schworer, E., Fidler, D. J., Lunkenheimer, E., & Daunhauer, L. A. (2018). Parenting behaviour and executive function in chil dren with Down syndrome. Journal of Intellectual Disability Research, 63(4), 298-312. https://doi.org/10.1111/jir.12575

Seager, E., Sampson, S., Sin, J., Pagnamenta, E., & Stojanovik, V. (2022). A systematic review of speech, language and com munication interventions for children with Down syn drome from 0 to 6 years. International Journal of Language & Communication Disorders, 57(2), 441-463. https://doi. org/10.1111/1460-6984.12699

Shevchenko, J. (2022). Development of social competences of children with Down syndrome and hearing impair ments. Visnyk of the Lviv University. Series Pedagogics, (37), 215-221. https://doi.org/10.30970/vpe.2022.37.11660

Skotko, B. G., Levine, S. P., Macklin, E. A., & Goldstein, R. D. (2015). Family perspectives about Down syn drome. American Journal of Medical Genetics Part A, 170(4), 930-941. https://doi.org/10.1002/ajmg.a.37520

Smith, A. L., Romski, M., Sevcik, R. A., Adamson, L. B., & Barker, R. M. (2014). Parent stress and perceptions of language development: Comparing Down syndrome and

other developmental disabilities. Family Relations, 63(1), 71-84. https://doi.org/10.1111/fare.12048

Startin, C. M., Hamburg, S., Hithersay, R., Davies, A., Rodger, E., Aggarwal, N., Al-Janabi, T., & Strydom, A. (2016). The LonDownS adult cognitive assessment to study cognitive abilities and decline in Down syndrome. Wellcome Open Research, 1, 11. https://doi.org/10.12688/wellcomeopen

res.9961.1

Suhonos, O. (2021). Parent-child relations in families that bring up Down syndrome children. Journal of Education, Health and Sport, 11(11), 91-99. https://doi.org/10.12775/ jehs.2021.11.11.008

Sunko, E., & Kaselj, I. T. (2020). Attitudes of early childhood and preschool education students and teachers towards inclusion of children with Down syndrome. International Journal of Education and Practice, 8(3), 485-497. https://doi.

org/10.18488/journal.61.2020.83.485.497

Tiberio, K. E. (2021). A case study approach : Exploring socially inclusive programming for toddlers with Down syndrome through a relationship lens. https://doi.org/10.32920/ryer son.14656089.v1

Turda, S. (2023). The impact of parental stress among the quality of life of mothers of children with autism spectrum disor der and Down syndrome. International Journal of Special Education (IJSE), 38(3), 95-106. https://doi.org/10.52291/ ijse.2023.38.42

Vacca, R. A., Bawari, S., Valenti, D., Tewari, D., Nabavi, S. F., Shirooie, S., Sah, A. N., Volpicella, M., Braidy, N., & Nabavi, S. M. (2019). Down syndrome: Neurobiological alterations and therapeutic targets. Neuroscience & Biobehavioral Reviews, 98, 234-255. https://doi.org/10.1016/j.neu

biorev.2019.01.001

Van Bysterveldt, A., Westerveld, M., & Garvis, S. (2018). Parents’ and teacher aides’ perceptions and expecta tions of the language and communication abilities of children with Down syndrome. Speech, Language and Hearing, 22(3), 160-171. https://doi.org/10.1080/20505 71x.2018.1515288

Van Riper, M. L., Knafl, G., & Knafl, K. (2019). Family man agement of Down syndrome: Cross-cultural perspec tives. Nursing Outlook, 67(1), 116. https://doi.org/10.1016/j. outlook.2018.12.028

Warner, G., Howlin, P., Salomone, E., Moss, J., & Charman, T. (2016). Profiles of children with Down syndrome who meet screening criteria for autism spectrum disorder (ASD): A comparison with children diagnosed with ASD attend

ing specialist schools. Journal of Intellectual Disability Research, 61(1), 75-82. https://doi.org/10.1111/jir.12344 Warren, S. F., Bredin-Oja, S. L., Hahn, L. J., & Brady, N. (2020). Communication and language interventions for children with Down syndrome. The Oxford Handbook of Down Syndrome and Development. https://doi.org/10.1093/ oxfordhb/9780190645441.013.26

Wiseman, F. K., Al-Janabi, T., Hardy, J., Karmiloff-Smith, A., Nizetic, D., Tybulewicz, V. L., Fisher, E. M., & Strydom, A. (2015). A genetic cause of Alzheimer disease: Mechanistic insights from Down syndrome. Nature Reviews Neuroscience, 16(9), 564-574. https://doi.org/10.1038/nrn3983

Wolstencroft, J., Kerry, E., Denyer, H., Watkins, A., Mandy, W., & Skuse, D. (2021). New approaches to social skills train ing: Blended group interventions for girls with social communication difficulties. Autism Research, 14(5), 1061- 1072. https://doi.org/10.1002/aur.2495

Yamauchi, Y., Aoki, S., Koike, J., Hanzawa, N., & Hashimoto, K. (2019). Motor and cognitive development of children with Down syndrome: The effect of acquisition of walking skills on their cognitive and language abilities. Brain and Development, 41(4), 320-326. https://doi.org/10.1016/j.

braindev.2018.11.008

Young, A., Healy, S., Silliman-French, L., & Brian, A. (2021). A pilot study of a parent-mediated, web-based motor skill intervention for children with Down syndrome: Project SKIP. Adapted Physical Activity Quarterly, 38(3), 452-

473. https://doi.org/10.1123/apaq.2020-0171

Zampini, L., Fasolo, M., Spinelli, M., Zanchi, P., Suttora, C., & Salerni, N. (2015). Prosodic skills in children with Down syn drome and in typically developing children. International Journal of Language & Communication Disorders, 51(1), 74-83. https://doi.org/10.1111/1460-6984.12186

Zhang, T., Kong, L., Sun, G., & Kong, X. (2020). Progress of research on induced pluripotent stem cell models for Down syndrome. Chinese Journal of Medical Genetics, 37(10), 1183-1185. https://doi.org/10.3760/

cma.j.cn511374-20191025-00543

Published

2024-09-13

How to Cite

Catama, .B.V. (2024). Socialization of Children with Down Syndrome: Developmental, Familial, and Educational Influences – A Narrative Review. International Journal of Rehabilitation and Special Education (IJRSE) , 4(2), 28–36. https://doi.org/10.48165/ijrse.2023.4.2.4