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发育性协调障碍亚型在行为和情绪问题模式上也存在差异。

Developmental coordination disorder subtypes also vary in the pattern of behavioral and emotional problems.

作者信息

Schoemaker M M, Lust J M, Steenbergen B, Houwen S, Diepstraten J E M, Wilson P H, Poelma M

机构信息

Department of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.

Behavioural Science Institute, Faculty of Social Sciences, Radboud University, Nijmegen, Netherlands.

出版信息

Front Psychol. 2024 Nov 28;15:1418295. doi: 10.3389/fpsyg.2024.1418295. eCollection 2024.

Abstract

BACKGROUND

Behavioral and emotional problems in children with Developmental Coordination Disorder (DCD) are well documented. However, the heterogeneity of this group has been largely overlooked. Addressing this gap is important to develop individually-tailored interventions.

AIMS

Our three aims were to assess: (i) behavioral and emotional problems in children with DCD; (ii) behavioral and emotional problems in subtypes of DCD, and (iii) the context-specificity of these problems (home/school).

METHODS AND PROCEDURE

Data were extracted from the medical records of a large sample of 93 children with DCD (79 boys, mean age 8.3) referred to a rehabilitation center. Behavioral and emotional problems were assessed with the Child Behavior Checklist (CBCL) and the Teacher Report Form (TRF).

OUTCOMES AND RESULTS

Two-third of the children presented with behavioral and emotional problems according to both parents and teachers. The subtypes with generalized motor problems were most affected, while the subtype with gross-motor problems was least affected. Children presented with more problems at home than at school.

CONCLUSION AND IMPLICATIONS

Given the frequent occurrence of behavioral and emotional problems, clinicians should tailor their interventions to these problems in DCD. Knowledge of subtypes can inform these decisions.

摘要

背景

发育性协调障碍(DCD)儿童的行为和情绪问题已有充分记录。然而,该群体的异质性在很大程度上被忽视了。弥补这一差距对于制定个性化干预措施很重要。

目的

我们的三个目的是评估:(i)DCD儿童的行为和情绪问题;(ii)DCD亚型中的行为和情绪问题,以及(iii)这些问题在特定情境下(家庭/学校)的情况。

方法和程序

从转至一家康复中心的93名DCD儿童(79名男孩,平均年龄8.3岁)的大样本病历中提取数据。使用儿童行为量表(CBCL)和教师报告表(TRF)评估行为和情绪问题。

结果

根据家长和教师的评估,三分之二的儿童存在行为和情绪问题。全身性运动问题亚型受影响最大,而粗大运动问题亚型受影响最小。儿童在家中出现的问题比在学校更多。

结论和启示

鉴于行为和情绪问题频繁出现,临床医生应针对DCD中的这些问题调整干预措施。对亚型的了解可为这些决策提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa2/11638586/c3b9f29ced39/fpsyg-15-1418295-g001.jpg

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