Green D, Baird G, Sugden D
Newcomen Centre, Guy's Hospital, London, UK.
Child Care Health Dev. 2006 Nov;32(6):741-50. doi: 10.1111/j.1365-2214.2006.00684.x.
This paper explores the prevalence of emotional and behavioural disorders in children referred to a Community Paediatric Occupational Therapy service for assessment and treatment of problems with development of motor skills.
Parents of 47 children from a clinical sample of children who had been identified with Developmental Coordination Disorder (DCD) returned the Strengths and Difficulties Questionnaire (SDQ)--a brief measure of the pro-social behaviour and psychopathology that can be completed by parents, teachers or youths.
Significant emotional and behavioural problems were reported by 29 parents (62%) with a further six (13%) reporting problems in the borderline range. Seven children (15%) were without significant problems in one or more area although only four of these (9%) were outside the borderline range for all of the sub-domains of the SDQ.
A significant proportion of children with DCD were reported by their parents to be at risk of psychopathology. Further research is needed to understand the relationship between motor difficulties and emotional and behavioural symptoms; however, it is recommended that interventions for children with DCD should support mental health and behavioural problems as well as motor development.
本文探讨了转介至社区儿科职业治疗服务机构以评估和治疗运动技能发育问题的儿童中,情绪和行为障碍的患病率。
从已确诊为发育性协调障碍(DCD)的儿童临床样本中选取47名儿童的家长,让他们填写优势与困难问卷(SDQ)——这是一种可由家长、教师或青少年完成的关于亲社会行为和精神病理学的简短测评工具。
29位家长(62%)报告孩子存在显著的情绪和行为问题,另有6位家长(13%)报告孩子存在临界范围内的问题。7名儿童(15%)在一个或多个领域没有显著问题,不过其中只有4名儿童(9%)在SDQ所有子领域的临界范围之外。
家长报告称,很大一部分患有DCD的儿童存在精神病理学风险。需要进一步研究以了解运动困难与情绪和行为症状之间的关系;然而,建议对患有DCD的儿童进行干预时,应同时关注心理健康和行为问题以及运动发育。