Engel-Yeger Batya
Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Aba Hushi, 199, Mount Carmel, Haifa, 3498838, Israel.
Res Dev Disabil. 2020 Aug;103:103686. doi: 10.1016/j.ridd.2020.103686. Epub 2020 May 14.
Developmental coordination disorder (DCD) and its functional restrictions may persist into adulthood. Nevertheless, the knowledge about DCD in adulthood and its association with health related quality of life (HRQOL) is limited.
To explore how individuals with suspected DCD experience DCD impacts as children and as adults and how these experiences predict their HRQOL.
Participants were 200 healthy individuals aged 20-64 (mean 32.66 ± 11.51): 18 with suspected DCD and 182 with normal motor performance (according to the Adult Developmental Coordination Disorder/Dyspraxia, ADC, Checklist cut-off score). Participants completed a sociodemographic/health questionnaire, the ADC and the WHOQOL-BREF which measures physical, psychological, social and environmental HRQOL.
The group with suspected DCD had significantly lower HRQOL (except for the physical domain). In the general sample, current feelings about the individual's performance predicted all HRQOL domains. Among the study group, HRQOL was predicted by current perception of performance and difficulties experienced as a child.
The negative effects of DCD during childhood and adulthood may reduce adults' HRQOL, mainly in the psycho-social and environmental domains. The detailed profile provided by the ADC with its functional context may assist in evaluating DCD in adults and in tailoring intervention for improving HRQOL.
发育性协调障碍（DCD）及其功能限制可能会持续到成年期。然而，关于成年期DCD及其与健康相关生活质量（HRQOL）的关联的知识有限。
探讨疑似患有DCD的个体在儿童期和成年期如何体验DCD的影响，以及这些经历如何预测他们的HRQOL。
参与者为200名年龄在20 - 64岁（平均32.66 ± 11.51）的健康个体：18名疑似患有DCD，182名运动表现正常（根据成人发育性协调障碍/运用障碍，ADC，检查表临界分数）。参与者完成了一份社会人口统计学/健康问卷、ADC以及测量身体、心理、社会和环境HRQOL的世界卫生组织生活质量简表（WHOQOL - BREF）。
疑似患有DCD的组的HRQOL显著较低（身体领域除外）。在总体样本中，个体对自身表现的当前感受可预测所有HRQOL领域。在研究组中，HRQOL由当前对表现的认知以及儿童时期经历的困难所预测。
DCD在儿童期和成年期的负面影响可能会降低成年人的HRQOL，主要是在心理社会和环境领域。ADC提供的详细概况及其功能背景可能有助于评估成年人的DCD，并为改善HRQOL量身定制干预措施。
