发育性协调障碍儿童功能性行为特征探究.docVIP

发育性协调障碍儿童功能性行为特征探究【摘要】 目的 探讨发育性协调障碍（developmen tal coordination disorder，DCD）儿童的功能性行为特征，为DCD的诊断和干预提供依据 。方法 以DSM-IV为诊断标准，结合DCDQ问卷在苏州市区2所小学进行筛 查，筛 选出41名DCD儿童，按1∶1设立对照组，进行功能性行为活动和心理-行为研究。结 果 DCD儿童体育爱好项目数大于2项、全部参加学校设置的体育课程、每天户外 活动时间大于2 h、1岁前能熟练爬行、6岁前参加游戏和7岁会用毛笔写字、参加弹琴和 6岁前参加画画或涂鸦兴趣班的比例明显低于对照组，差异均有统计学意义(χ2值分 别为56.69，13.46，18.25，49.98，59.89，35.90，16.63，46.99，P值均＜0.01)。 多元线性回归分析中，体育爱好项目数大于2项、每天户外活动时间大于2 h、1岁前熟练爬 行和6岁前参加游泳对M-ABC的总障碍分产生影响。此外，Conners父母评价量表DCD组儿童品 行问题、心身障碍、焦虑因子得分均显著高于对照组(t值分别为2.92，2.71，3.68， P值均＜0.01)，学习问题因子得分也高于对照组(t=2.46，P＜0.05)。结 论 DCD儿童存在功能性活动缺陷和心理-行为问题，DCD的干预模式应采取结合日 常性活动训练和心理-行为问题治疗的综合性模式。 【关键词】 发育障碍；行为；因素分析，统计学；对比研究；儿童 【中图分类号】 R 179 B 844.1 【文献标识码】 A 【文章编号】 1000-98 17(2007)06-0587-03 Functional Behavior Traits Among Children with Developmental Coordination Diso rder/HUA Jing, ZHU Qing-qing, GU Gui-xiong. The Children’s Hospital of Soochow University, Suzhou(215003), Jiangsu Province，China 【Abstract】 Objective To investigate the functional behavior traits of the children with developmental coordination disorder(DCD) so as to pr ovide evidence for diagnosis and intervention. Methods Forty-one DCD children f rom two primary schools were screened with DSM-IV and DCDQ. A case control stud y on functional activity and psycho-behavior was conducted according to the pri nciple of 1∶1 matching. Results The quality of DCD children were lower than the controls if they having more than two interested movement i tems, participating all the school gymnastic curriculum, spending more th an two hours on outdoor activity, crawling before one year old, swimming before six years old, writing with brush pen before seven years old, playing piano, and pa inting or doodle before six years old, with statistic significance(χ2 va lues were 56.69, 13.46, 18.25，49.98, 59.89, 35.90, 16.63 and 46. 99 respectively, all theP＜0.01).Analysis of multiple linear regression ind icated that there were such 4 factors as having more than two interested movement items, spending mor