title: Communication and self-esteem in adults with Down syndrome.
abstract: BACKGROUND
  It is estimated that around 50-90% of people with learning disabilities experience difficulties in communicating. Previous research has linked communication difficulties and self-esteem in other populations, yet this relationship has not previously been investigated for people with Down syndrome.
  
  
  OBJECTIVE
  To explore the relationship between communication and self-esteem in adults with Down syndrome. This research also aimed to offer an empowering and inclusive opportunity for adults with learning disabilities to be involved in research.
  
  
  METHODS
  Recruitment took place via a charity established for people with Down syndrome. Twelve adults with Down syndrome and an adult they nominated were approached. A qualitative methodology was selected to explore communication and self-esteem. A thematic analysis focused on the qualitative data collected via semi-structured interviews.
  
  
  RESULTS
  Major themes within the data revealed that a relationship between communication and self-esteem may exist for adults with Down syndrome.
  
  
  CONCLUSIONS
  This study demonstrated that people with Down syndrome may experience low self-esteem that may be linked to communication. The clinical implications of this are considered and areas for future research are identified.
authors.affiliation: Michael Rutter Centre, Maudsley Hospital, London, UK.
authors.forename: Claire
authors.initials: C
authors.lastname: Jackson
authors.forename: Penny
authors.initials: P
authors.lastname: Cavenagh
authors.forename: John
authors.initials: J
authors.lastname: Clibbens
mesh_terms: D000293:Adolescent; D000328:Adult; D003142:Communication; D004185:Disability Evaluation; D004314:Down Syndrome / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D018579:Patient Selection; D011209:Power, Psychological; D012649:Self Concept; D012917:Social Adjustment; D013223:Statistics as Topic; D055815:Young Adult
keywords: Down syndrome; adults; communication; self-esteem