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注意缺陷多动障碍(ADHD)儿童和发育性协调障碍儿童的运动里程碑达成与儿童运动缺陷之间的关系。

The relationship between motor milestone achievement and childhood motor deficits in children with Attention Deficit Hyperactivity Disorder (ADHD) and children with Developmental Coordination Disorder.

机构信息

University of Surrey, Guildford, Surrey, GU2 7XH, UK.

UCL Institute of Education, Bloomsbury, London, WC1H 0AL, UK.

出版信息

Res Dev Disabil. 2021 Jun;113:103920. doi: 10.1016/j.ridd.2021.103920. Epub 2021 Apr 10.

DOI:10.1016/j.ridd.2021.103920
PMID:33845359
Abstract

BACKGROUND

The prevalence of motor impairment is high in ADHD, but we do not know if this stems from infancy.

AIMS

  1. to compare the acquisition of motor milestones across three groups: Typically Developing (TD), Attention Deficit Hyperactivity Disorder (ADHD) and Developmental Coordination Disorder (DCD); 2) to determine the relationship between current motor ability and ADHD characteristics in children with ADHD.

METHODS AND PROCEDURES

The parents of children aged 8-16 years (ADHD, N = 100; DCD, N = 66; TD, N = 40) completed three online questionnaires: Motor milestone questionnaire; Developmental Coordination Disorder Questionnaire (DCDQ'07) (concurrent motor ability); Conners 3 Parent Rating Scale Long Form (ADHD characteristics).

OUTCOME AND RESULTS

When considered as a group, the ADHD group achieved motor milestones within a typical timeframe, despite concurrent motor impairments. Motor ability was not associated with ADHD characteristics. Latent Profile Analysis demonstrated that 56 % of the ADHD group and 48 % of the DCD group shared the same profile of motor milestone achievement, concurrent motor ability and ADHD characteristics.

OUTCOMES AND CONCLUSIONS

Unlike children with DCD, the motor impairment often observed in ADHD is not evident from infancy. It is also not part of the ADHD phenotype. Individual differences analysis demonstrated the broad heterogeneity of the ADHD phenotype.

摘要

背景

ADHD 患者的运动障碍发病率很高,但我们不知道这是否源于婴儿期。

目的

1)比较三组儿童(典型发育组、ADHD 组和发育性协调障碍组)在运动里程碑方面的获得情况;2)确定 ADHD 儿童当前运动能力与 ADHD 特征之间的关系。

方法和程序

年龄在 8-16 岁的儿童(ADHD,N=100;DCD,N=66;TD,N=40)的父母完成了三个在线问卷:运动里程碑问卷;发育性协调障碍问卷(DCDQ'07)(当前运动能力);Conners 3 父母评定量表长表(ADHD 特征)。

结果

当作为一个整体考虑时,ADHD 组在典型的时间范围内达到了运动里程碑,尽管存在当前的运动障碍。运动能力与 ADHD 特征无关。潜在剖面分析表明,56%的 ADHD 组和 48%的 DCD 组具有相同的运动里程碑达成、当前运动能力和 ADHD 特征的模式。

结果和结论

与 DCD 儿童不同,ADHD 中经常观察到的运动障碍并非源于婴儿期。它也不是 ADHD 表型的一部分。个体差异分析表明,ADHD 表型存在广泛的异质性。

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