Gillberg Christopher, Kadesjö Björn
Götebörg University, Department of Child and Adolescent Psychiatry, Göteborg, Sweden.
Neural Plast. 2003;10(1-2):59-68. doi: 10.1155/NP.2003.59.
Developmental coordination disorder (DCD) is a common motor problem affecting--even in rather severe form--several percent of school age children. In the past, DCD has usually been called 'clumsy child syndrome' or 'non-cerebral-palsy motor-perception dysfunction'. This disorder is more common in boys than in girls and is very often associated with psychopathology, particularly with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorders/ autistic-type problems. Conversely, children with ADHD and autism spectrum problems, particularly those given a diagnosis of Asperger syndrome, have a very high rate of comorbid DCD. Psychiatrists appear to be unaware of this type of comorbidity in their young patients. Neurologists, on the other hand, usually pay little attention to the striking behavioral and emotional problems shown by so many of their 'clumsy' patients. A need exists for a much clearer focus on DCD-in child psychiatry and in child neurology-both in research and in clinical practice.
发育性协调障碍（DCD）是一种常见的运动问题，即使是较为严重的形式，也会影响百分之几的学龄儿童。过去，DCD通常被称为“笨拙儿童综合征”或“非脑瘫性运动感知功能障碍”。这种障碍在男孩中比在女孩中更常见，并且常常与精神病理学相关，特别是与注意力缺陷/多动障碍（ADHD）和自闭症谱系障碍/自闭症类型问题相关。相反，患有ADHD和自闭症谱系问题的儿童，尤其是那些被诊断为阿斯伯格综合征的儿童，共患DCD的比例非常高。精神科医生似乎没有意识到他们年轻患者中的这种共病类型。另一方面，神经科医生通常很少关注他们众多“笨拙”患者所表现出的明显行为和情绪问题。无论是在研究还是临床实践中，儿童精神病学和儿童神经学都需要更加明确地关注DCD。
