The relationship between manual coordination and mental health.
The relationship between manual coordination and mental health.
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DOI：
10.1007/s00787-015-0732-2
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发表时间：
2016-03
影响因子：
6.4
通讯作者：
Mon-Williams M
中科院分区：
文献类型：
--
作者：
Hill LJ;Mushtaq F;O'Neill L;Flatters I;Williams JH;Mon-Williams M
在临床转诊人群中，运动协调障碍常常与其他发育障碍和心理健康问题同时出现。但这是否反映了普通人群中更广泛的维度关系呢？对这种关系更清晰的理解可能会为心理健康服务的提供带来改进。然而，确定和转诊偏差意味着对临床转诊样本进行进一步研究的价值有限。因此，我们进行了一项基于人群的横断面研究，使用一种客观的计算机化测试来调查儿童的手部协调能力。这些测量结果与教师在一份行为筛查问卷[优势与困难问卷（SDQ）]上完成的回答相关。我们从普通人群中抽取了298名儿童（4 - 11岁；136名男性）作为样本。分层（逻辑回归和线性回归）模型表明，手部协调能力与SDQ总分（一种精神病理学的维度测量）之间存在显著的分类和连续关系。即使在控制了性别和年龄之后，手部协调能力仍能解释SDQ总分15%的方差。在排除SDQ回答显示可能存在心理健康问题的参与者后，这一比例降至9%。这些结果：（1）表明在基于社区的样本中，儿童的运动和心理健康发展之间存在明确的关系；（2）证明了这种关系的维度性质；（3）对服务提供具有启示意义。
Motor coordination impairments frequently co-occur with other developmental disorders and mental health problems in clinically referred populations. But does this reflect a broader dimensional relationship within the general population? A clearer understanding of this relationship might inform improvements in mental health service provision. However, ascertainment and referral bias means that there is limited value in conducting further research with clinically referred samples. We, therefore, conducted a cross-sectional population-based study investigating children’s manual coordination using an objective computerised test. These measures were related to teacher-completed responses on a behavioural screening questionnaire [the Strength and Difficulties Questionnaire (SDQ)]. We sampled 298 children (4–11 years old; 136 males) recruited from the general population. Hierarchical (logistic and linear) regression modelling indicated significant categorical and continuous relationships between manual coordination and overall SDQ score (a dimensional measure of psychopathology). Even after controlling for gender and age, manual coordination explained 15 % of the variance in total SDQ score. This dropped to 9 % after exclusion of participants whose SDQ responses indicated potential mental health problems. These results: (1) indicate that there is a clear relationship between children’s motor and mental health development in community-based samples; (2) demonstrate the relationship’s dimensional nature; and (3) have implications for service provision.