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发展性协调障碍儿童的情绪和行为问题:探讨家长和教师的报告。

Emotional and behavioural problems in children with Developmental Coordination Disorder: Exploring parent and teacher reports.

机构信息

Department of Psychology, Goldsmiths, University of London, United Kingdom; Department of Psychology and Human Development, UCL Institute of Education, United Kingdom.

Department of Psychology and Human Development, UCL Institute of Education, United Kingdom.

出版信息

Res Dev Disabil. 2017 Nov;70:67-74. doi: 10.1016/j.ridd.2017.08.001. Epub 2017 Sep 12.

Abstract

BACKGROUND

Although characterised by motor impairments, children with Developmental Coordination Disorder (DCD) also show high rates of psychopathology (anxiety, depression, low self-esteem). Such findings have led to calls for the screening of mental health problems in this group.

AIMS

To investigate patterns and profiles of emotional and behavioural problems in children with and without DCD, using the Strengths and Difficulties Questionnaire (SDQ).

METHODS AND PROCEDURES

Teachers and parents completed SDQs for 30 children with DCD (7-10 years). Teacher ratings on the SDQ were also obtained from two typically-developing (TD) groups: 35 children matched for chronological age, and 29 younger children (4-7 years) matched by motor ability.

OUTCOMES AND RESULTS

Group and individual analyses compared parent and teacher SDQ scores for children with DCD. Teacher reports showed that children with DCD displayed higher rates of emotional and behavioural problems (overall, and on each subscale of the SDQ) relative to their TD peers. No differences were observed between the two TD groups. Inspection of individual data points highlighted variability in the SDQ scores of the DCD group (across both teacher and parent ratings), with suggestions of elevated hyperactivity but comparably lower levels of conduct problems across this sample. Modest agreement was found between teacher and parent ratings of children with DCD on the SDQ.

CONCLUSIONS AND IMPLICATIONS

There is a need to monitor levels of emotional and behavioural problems in children with DCD, from multiple informants.

摘要

背景

尽管患有发育性协调障碍(DCD)的儿童主要表现为运动障碍,但他们也存在较高的精神病理学(焦虑、抑郁、低自尊)发病率。这些发现促使人们呼吁对该群体的心理健康问题进行筛查。

目的

使用长处和困难问卷(SDQ),调查有无 DCD 的儿童的情绪和行为问题的模式和特征。

方法和程序

教师和家长为 30 名 DCD 儿童(7-10 岁)填写了 SDQ。还从两个典型发育(TD)组中获得了教师对 SDQ 的评分:35 名年龄匹配的儿童和 29 名运动能力匹配的年龄较小的儿童(4-7 岁)。

结果和结论

组间和个体分析比较了 DCD 儿童的家长和教师 SDQ 评分。教师报告显示,与 TD 同龄人相比,DCD 儿童表现出更高的情绪和行为问题(总体上以及 SDQ 的每个子量表上)。在这两个 TD 组之间没有观察到差异。对 DCD 组的 SDQ 得分的个别数据点进行检查,显示出该组的 SDQ 得分存在变异性(包括教师和家长评分),表明多动水平升高,但整个样本的行为问题水平相当低。在 SDQ 上,教师和家长对 DCD 儿童的评分之间存在适度的一致性。

结论和意义

需要从多个信息来源监测 DCD 儿童的情绪和行为问题水平。

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