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发展性协调障碍中的内化症状:日常执行功能的间接影响。

Internalising symptoms in Developmental Coordination Disorder: The indirect effect of everyday executive function.

机构信息

School of Psychology, University of Surrey, Guildford, Surrey, United Kingdom.

School of Psychology, University of Surrey, Guildford, Surrey, United Kingdom.

出版信息

Res Dev Disabil. 2021 Feb;109:103831. doi: 10.1016/j.ridd.2020.103831. Epub 2020 Dec 25.

DOI:10.1016/j.ridd.2020.103831
PMID:33360963
Abstract

BACKGROUND

Individuals with Developmental Coordination Disorder (DCD) report elevated executive function (EF) difficulties and internalising symptoms. Previous research suggests EF is important for wellbeing, yet no research has examined its role in internalising symptoms in DCD.

AIMS

To explore an indirect relationship between DCD and internalising symptoms, through everyday EF difficulties.

METHOD AND PROCEDURES

Thirty-two children with a DCD diagnosis and 51 typically-developing children (ages 8-15) participated. A cross-sectional survey was conducted to collect parent-reported EF and self-reported internalising symptoms.

OUTCOMES AND RESULTS

Internalising symptoms and everyday EF difficulties were significantly higher in the DCD group. A bias-corrected, bootstrapped mediation analysis identified an indirect effect of everyday EF difficulties on the relationship between DCD diagnosis and internalising symptoms.

CONCLUSIONS AND IMPLICATIONS

This supports previous research indicating that individuals with DCD experience greater levels of internalising symptoms and EF difficulties than peers. It is the first to suggest an indirect effect of everyday EF difficulties in the pathway between DCD and internalising symptoms. This highlights hypotheses for future research into the role of EFs in understanding mental health in DCD. It suggests benefits from increased awareness, routine screening, and intervention for mental health and EF in people with poor motor skills.

摘要

背景

患有发育性协调障碍(DCD)的个体报告存在较高的执行功能(EF)困难和内化症状。先前的研究表明 EF 对幸福感很重要,但尚无研究探讨其在 DCD 内化症状中的作用。

目的

通过日常 EF 困难,探究 DCD 与内化症状之间的间接关系。

方法和程序

32 名 DCD 诊断患儿和 51 名典型发育儿童(8-15 岁)参与了研究。采用横断面调查收集了家长报告的 EF 和自我报告的内化症状。

结果和结论

DCD 组的内化症状和日常 EF 困难显著更高。经过偏置校正、自举的中介分析,确定了日常 EF 困难在 DCD 诊断与内化症状之间的关系中的间接效应。

这支持了先前的研究,表明 DCD 个体比同龄人经历更高水平的内化症状和 EF 困难。这是首次表明在 DCD 和内化症状之间的通路中,日常 EF 困难存在间接效应。这突出了未来研究 EF 在理解 DCD 中心理健康作用的假设。它表明,提高对运动技能较差人群心理健康和 EF 的认识、常规筛查和干预具有益处。

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