A comprehensive baseline of emotional functioning was established for
adults with Down syndrome. Five emotional factors were studied using g
roups of (a) adults with Down syndrome (n = 30), (b) clinical control
subjects with dementia of the Alzheimer type (n = 18), and (c) elderly
control subjects without mental retardation (n = 25). Results of plan
ned statistical comparisons showed indifference, pragnosia, and inappr
opriateness as primary emotional factors separating Down syndrome and
Alzheimer disease groups from elderly control subjects without mental
retardation. Indifference was also shown to covary with cognitive ment
al state, whereby increased levels of indifference were associated wit
h decreased levels of cognitive functioning. The possibility of noncog
nitive variables signalling dementia of the Alzheimer type in individu
als with Down syndrome was discussed.