Surveys empirical literature pertaining to phobias of blood, injury, or illness (BII); defines BII phobia as selectively associated with vasovagal fainting response upon exposure to phobic stimuli. Presents clinical, demographic, and etiological information from 15 BII phobics and suggests that BII phobia warrants diagnostic category separate from…

The feeding skills of 73 adults with severe developmental disabilities who aspirated were examined. Mobility, level of mental retardation, or feeding skill did not discriminate those who aspirated. Mealtime respiratory distress (65%) or chronic lung disease (55%), however, were significantly associated with aspiration. (Author/DB)

Comparison of adaptive skills of 2,144 adult individuals with Down's syndrome with other developmentally disabled persons found age-related deficits only in persons with Down's syndrome over 50 years of age. Findings supported an increased risk for Alzheimer's disease in persons with Down's syndrome, but with signs appearing later than previously…

ApoE gene polymorphism was examined in 100 adults with Down syndrome with and without dementia (Alzheimer's disease) and 346 control subjects. Additionally, a meta analysis of studies (total N=480 subjects) was performed. Results indicated a similar incidence of the gene across groups but subjects with the allele tended to an earlier onset of…

Comparison of cognitive processes in 23 individuals with Down's syndrome (DS) and 23 individuals of comparable mental handicap without Down's syndrome found that older (above 40 years) DS subjects had significantly poorer outcomes. The areas of speech rate, number finding, and expressive attention appeared to show the earliest signs of dementia of…

Osteoporosis screening of 107 adults, ages 40 to 60, with mental retardation who attended community-based training centers found 21 percent had osteoporosis and 34 percent had osteopenia. The most significant predictor of lower bone mineral densities were Down syndrome, mobility status, and race. (Contains references.) (Author/DB)

Traditionally, coping and adaptation have been considered synonymous in individual's responses to illness and other stressful situations. The Illness Adaptation Scale (IAS) is a 12-item instrument which was designed to assess adaptational outcomes in illness situations as well as four coping modes (instrumental-self oriented, instrumental-other…

Institutionalized patients with Down syndrome (N=307) were monitored for 5 to 10 years to determine prevalence of Alzheimer-type dementia. Prevalence increased from 11% between ages 40 and 49 to 77% between 60 and 69. All patients 70 and over had dementia. Mean age of onset of dementia was 56 years. Neuropathological findings were consistent with…

This paper reports on a 15-year follow-up of the linguistic and cognitive profile of a woman with standard trisomy 21 (Down syndrome). The follow-up found recent rapid deterioration in receptive and productive language skills. However, basic phonological and morphosyntactic skills are preserved. Her changing profile mirrors that found in aging…

Fifty-eight people (ages 2 to 66) receiving residential or other services for idiopathic mental retardation were evaluated for evidence of metabolic disease. Five (8%) demonstrated symptoms pointing to specific genetic metabolic defects, suggesting the need for evaluation of other similar populations with idiopathic mental retardation. (Author/DB)

This study, with 10 adult patients with cystic fibrosis, found that the improvement in lung function and ergometry parameters obtained by a short in-patient training program could be maintained on an out-patient basis through a voluntary self-treatment program. (DB)

Comparison of adults with mental retardation either with or without Down syndrome and under or over 50 years of age found a significantly higher rate of dementia only in Down syndrome subjects over 50. However, the observed incidence based on functional findings was substantially below the presumed 100% prevalence of neuropathological markers of…

A nationwide survey of 604 families living with multiple sclerosis found average duration of the disease was 10 years; family income was above the national median; in 28 percent of the families, health insurance was inadequate to cover illness costs; and, overall, factors other than income and amount of health insurance determined the economic…

Cross-sectional and longitudinal analyses compared age-related changes in adaptive functioning in institutionalized adults with and without Down's syndrome. Cross-sectional analysis showed significant differences related to level of functioning but not to age or etiology. Longitudinal analysis showed a decline in self-help and communication skills…