Mental health outcomes of developmental coordination disorder in late adolescence.
Mental health outcomes of developmental coordination disorder in late adolescence.
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青春期晚期发展协调障碍的心理健康结果。
DOI：
10.1111/dmcn.13469
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发表时间：
2017-09
影响因子：
3.8
通讯作者：
Emond A
中科院分区：
文献类型：
--
作者：
Harrowell I;Hollén L;Lingam R;Emond A
评估发育协调障碍（DCD）与青春期后期心理健康结果之间的关系。数据分析来自雅芳家长和儿童纵向研究。根据 DSM-IV-TR 标准，中度至重度 DCD 定义为 7 至 8 岁。使用自我报告问卷对 16 至 18 岁儿童的心理健康状况进行评估：优势和困难问卷、短期情绪和感受问卷以及沃里克-爱丁堡心理健康量表。逻辑回归和线性回归评估了 DCD 与心理健康之间的关联，使用多重插补来解释缺失的数据。针对社会经济地位、智商和社交沟通困难进行了调整。患有 DCD 的青少年 (n=168) 比同龄人 (n=3750) 出现心理健康问题的风险更高（优势和困难问卷总分）（比值比 1.78，95% 置信区间 1.12-2.83，根据社会经济地位和智商进行调整）。这在一定程度上是由于不良的社交沟通技巧造成的。患有 DCD 的青春期女性 (n=59) 比男性更容易出现心理健康问题。更好的心理健康与更好的自尊相关（β 0.82，p<0.001）。患有发展性抑郁症的人，尤其是女性，在青春期后期出现心理健康问题的风险增加。旨在提高发展性协调障碍 (DCD) 复原力的干预措施应包括提高社交沟通技巧和自尊。发育协调障碍的心理健康困难持续到青春期后期。患有发育协调障碍的青春期女性出现心理健康问题的风险可能更大。社会沟通困难介导发育协调障碍与心理健康之间的关系。瓦格纳在本期第 891-892 页对这篇文章进行了评论。本文的摘要已被翻译成西班牙语和葡萄牙语。点击摘要中的链接即可查看翻译。
To assess the relationship between developmental coordination disorder (DCD) and mental health outcomes in late adolescence. Data were analyzed from the Avon Longitudinal Study of Parents and Children. Moderate‐to‐severe DCD was defined at 7 to 8 years according to the DSM‐IV‐TR criteria. Mental health was assessed at 16 to 18 years using self‐reported questionnaires: Strengths and Difficulties Questionnaire, Short Moods and Feelings Questionnaire, and the Warwick–Edinburgh Mental Well‐being Scale. Logistic and linear regressions assessed the associations between DCD and mental health, using multiple imputation to account for missing data. Adjustments were made for socio‐economic status, IQ, and social communication difficulties. Adolescents with DCD (n=168) had an increased risk of mental health difficulties (total Strengths and Difficulties Questionnaire score) than their peers (n=3750) (odds ratio 1.78, 95% confidence interval 1.12–2.83, adjusted for socio‐economic status and IQ). This was, in part, mediated through poor social communication skills. Adolescent females with DCD (n=59) were more prone to mental health difficulties than males. Greater mental well‐being was associated with better self‐esteem (β 0.82, p<0.001). Individuals with DCD, particularly females, had increased risk of mental health difficulties in late adolescence. Interventions that aim to promote resilience in DCD should involve improving social communication skills and self‐esteem. Mental health difficulties in developmental coordination disorder persist into late adolescence. Adolescent females with developmental coordination disorder may have greater risk of mental health difficulties. Social communication difficulties mediate the relationship between developmental coordination disorder and mental health. This article is commented on by Wagner on pages 891–892 of this issue. This article's abstract has been translated into Spanish and Portuguese. Follow the links from the abstract to view the translations.
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DOI：
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期刊：
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影响因子：
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