Abstract
Background: It was previously considered that Down’s Syndrome (DS) and Autism Spectrum Disorder (ASD) could rarely co-occur. However, research indicates variable but high rates of ASD in children with DS. While research supports the concept that individuals with the dual-diagnosis of Down’s Syndrome and Autism Spectrum Disorder (DS-ASD) present with features that are distinct from what one might expect from a child with DS without ASD, and despite evidence of potential emotional and practical implications of having a child with a disability, parents’ experiences of DS-ASD have largely been overlooked. This study sought to explore how parents of children with DS experience and make sense of their child’s additional ASD diagnosis.
Method: Six parents of children with DS-ASD were invited to tell their stories. Transcripts were analysed using a narrative approach, focusing on how participants narrated their stories and made sense of their experiences.
Results: Narrative themes were identified across the transcripts. A tentative model proposed a complex, non-linear process whereby parents reflect on their sense of belonging, understanding of DS-ASD and what it means to them, their identity and parental role.
Conclusions: The findings demonstrate the challenging nature and complexity of what it means to parent a child with DS-ASD and how parents make sense of this. While further research is required to gather a broader range of parental experiences, the findings provide some evidence for support specifically for parents of children with DS-ASD, ideas for which, and how this could facilitate future research opportunities are discussed.