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三分之一的儿童在国际领养6个月后出现发育性协调障碍的临床症状。

One-third of children had clinical signs of developmental coordination disorder 6 months after their international adoption.

作者信息

Heikkilä Anna-Riitta, Elovainio Marko, Raaska Hanna, Lapinleimu Helena

机构信息

Department of Pediatrics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Finnish Institute for Health and Welfare, Helsinki, Finland.

出版信息

Acta Paediatr. 2025 Feb;114(2):310-318. doi: 10.1111/apa.17428. Epub 2024 Sep 18.

Abstract

AIM

Our aim was to fill a gap in the research about the prevalence of developmental coordination disorder (DCD) among internationally adopted children. We explored the prevalence of signs of DCD and the associations between those and behavioural problems six and 18 months after adoption.

METHODS

The data came from the ongoing Finnish Adoption Study 2 and this research focused on the international adoptions of children under 7 years of age between 2012 and 2016. Their motor development was tested with the Movement Assessment Battery for Children, Second Edition to identify DCD symptoms. Behavioural symptoms were measured using the Child Behavior Checklist (CBCL). Only children aged 3 years plus were tested.

RESULTS

The 95 children (70% boys) arrived in Finland at a mean age of 3.3 years. Six months later, 35% of the 49 children who were tested had clinical DCD symptoms and this has fallen to 13% of 67 at 18 months. Symptoms at 6 months were associated with higher internalising CBCL scores at 18 months.

CONCLUSION

DCD symptoms in internationally adopted children were double the rate in the general child population 18 months after adoption. Early motor problems 6 months after adoption were associated with later behavioural symptoms.

摘要

目的

我们的目的是填补关于国际收养儿童中发育协调障碍(DCD)患病率研究的空白。我们探讨了收养后6个月和18个月时DCD体征的患病率以及这些体征与行为问题之间的关联。

方法

数据来自正在进行的芬兰收养研究2,本研究聚焦于2012年至2016年期间7岁以下儿童的国际收养情况。使用儿童运动评估量表第二版对他们的运动发育进行测试,以识别DCD症状。使用儿童行为清单(CBCL)测量行为症状。仅对3岁及以上儿童进行测试。

结果

95名儿童(70%为男孩)抵达芬兰时的平均年龄为3.3岁。6个月后,接受测试的49名儿童中有35%有临床DCD症状,到18个月时,这一比例降至67名儿童中的13%。6个月时的症状与18个月时较高的内化CBCL得分相关。

结论

国际收养儿童中的DCD症状在收养后18个月时是普通儿童群体的两倍。收养后6个月出现的早期运动问题与后期行为症状相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3707/11706754/93a12e131b03/APA-114-310-g001.jpg

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