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发育协调障碍患者中左利手的患病率高于普通人群。

The Prevalence of Left-Handedness Is Higher Among Individuals With Developmental Coordination Disorder Than in the General Population.

作者信息

Darvik Monica, Lorås Håvard, Pedersen Arve Vorland

机构信息

Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Front Psychol. 2018 Oct 18;9:1948. doi: 10.3389/fpsyg.2018.01948. eCollection 2018.

Abstract

Many medical, psychiatric and neurological conditions have been characterized by a high prevalence of left-handedness or mixed-handedness. Several studies have indicated an elevated frequency of left-handedness in children with Developmental Coordination Disorder (DCD). However, there have been few studies explicitly exploring this relationship. The assumption is that the prevalence of left-handedness in individuals with DCD is higher compared with the prevalence in the general population and resembles the prevalence described in children with other developmental disorders. Computerized searches were conducted in PubMed, PsycInfo and CINAHL databases. Thirty-eight studies were identified and included in the present review, containing handedness distributions across 1071 persons with DCD and 1,045 controls. The distribution of DCD participants across handedness-categories was proved to be significantly different from that of the control group, with 14.7 and 8.1% left-handers, respectively. The prevalence of left-handedness within the DCD-group is lower than that reported for ASD, and larger than in dyslexia. The elevated levels of left-handedness within the different developmental disorders supports the notion of an association between the different diagnoses. However, the present results are not sufficient to conclude anything about a common cause or underlying factor via the male hormone testosterone. The present results could act as a starting point for testing the hypothesis of such a common factor, as one of the requirements is an elevated prevalence of left-handedness, and without such considerable doubt would be cast upon the hypothesis.

摘要

许多医学、精神和神经疾病的特征是左利手或混合利手的高患病率。多项研究表明,发育协调障碍(DCD)儿童中左利手的发生率有所升高。然而,明确探究这种关系的研究很少。假设是,与普通人群相比,DCD患者中左利手的患病率更高,且类似于其他发育障碍儿童中所描述的患病率。在PubMed、PsycInfo和CINAHL数据库中进行了计算机检索。共识别出38项研究并纳入本综述,其中包含1071名DCD患者和1045名对照的利手分布情况。结果证明,DCD参与者在利手类别上的分布与对照组有显著差异,左利手者分别占14.7%和8.1%。DCD组中左利手的患病率低于自闭症谱系障碍(ASD)的报告患病率,但高于阅读障碍的患病率。不同发育障碍中左利手水平的升高支持了不同诊断之间存在关联的观点。然而,目前的结果不足以通过雄性激素睾酮得出关于共同原因或潜在因素的任何结论。目前的结果可以作为检验这种共同因素假设的起点,因为其中一个要求是左利手患病率升高,否则该假设将受到很大质疑。

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