Department of Occupational Therapy, School of Allied Health, Medical Faculty, Tel Aviv University, Tel Aviv, Israel.
Res Dev Disabil. 2013 Jan;34(1):87-94. doi: 10.1016/j.ridd.2012.07.019. Epub 2012 Aug 30.
Participation is a person's involvement in daily activities in a variety of environments, roles and life situations. Children with Developmental Coordination Disorder (DCD) experience difficulties in gaining academic achievements or in their engagement in activity of daily living. Motor difficulties have a negative effect on the ability to participate, as well as on various affective components. Senses of coherence, effort and hope have not yet been assessed, within the context of participation, in children with DCD. The purpose of the present study is to look into the relations between participation and senses of coherence, effort and hope among children with DCD, in comparison to typically developed children. Fifty subjects aged 5-6 years participated in the study, 25 of whom are children diagnosed with DCD, the other 25 being typical children. The DCD diagnosis was established according to the DSM-IV criteria and the M-ABC test. All children completed the coherence questionnaire for children as well as the children's questionnaire on effort and hope. Parents completed the Children Participation Questionnaire (CPQ), and the Performance Skills Questionnaire (PSQ). Children with DCD had lower performance skills, lower sense of coherence, hope, and effort than their peers. They less enjoy their participation and their parents are less satisfied in comparison to control group. Significant correlations were found between sense of coherence and hope to participation. Process skills were found to be the main predictor for explaining child's participation. While treating children with DCD we have to consider also socio-psychological aspects that may be weakened.
参与是指人们在各种环境、角色和生活情境中参与日常活动。患有发育性协调障碍(DCD)的儿童在获得学业成绩或参与日常生活活动方面存在困难。运动困难会对参与能力以及各种情感因素产生负面影响。在 DCD 儿童中,参与感、努力感和希望感的连贯性尚未在参与的背景下进行评估。本研究的目的是研究 DCD 儿童与典型发育儿童之间参与感与希望感、努力感之间的关系。50 名 5-6 岁的儿童参加了研究,其中 25 名儿童被诊断为 DCD,另外 25 名儿童为典型儿童。DCD 的诊断是根据 DSM-IV 标准和 M-ABC 测试确定的。所有儿童都完成了儿童连贯性问卷以及儿童努力感和希望感问卷。家长填写了儿童参与问卷(CPQ)和表现技能问卷(PSQ)。与同龄人相比,DCD 儿童的运动技能较差,连贯性、希望感和努力感较低。与对照组相比,他们参与活动的乐趣更少,家长的满意度也更低。连贯性和希望感与参与之间存在显著相关性。过程技能是解释儿童参与的主要预测因素。在治疗 DCD 儿童时,我们还必须考虑到可能会减弱的社会心理方面。