Biopsychosocial factors and participation in adults with developmental coordination disorder: A structural equation modelling analysis.

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Developmental Medicine and Child Neurology Pub Date : 2025-03-13 DOI:10.1111/dmcn.16302

Shahar Zaguri-Vittenberg, Naomi Weintraub, Miri Tal-Saban

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引用次数: 0

Abstract

Aim: To examine the effect of developmental coordination disorder (DCD) on biological (executive function deficit) and psychosocial (low self-esteem and social support) challenges, and the possible mediating effect of these biopsychosocial factors on the relationship between DCD and daily participation, including assistance in performance, performance level, pleasure in daily activities, and global occupational experience.

Method: Fifty-five young adults with DCD (28 females; mean age [SD] = 27 years 7 months [3 years 7 months]) and 66 peers without DCD (34 females; mean age [SD] = 27 years 3 months [3 years 8 months]) were included in this structural equation modelling analysis study. Direct and indirect effects were tested using structural equation modelling.

Results: DCD had a significantly negative direct effect on all biopsychosocial factors, the need of assistance in performance, and performance level. Self-esteem and social support mediated the effect of DCD on all participation dimensions, while executive function only mediated the effect on performance level and global occupational experience.

Interpretation: Results suggest that participation adversities are not only the result of the motor deficits of individuals with DCD, but are also affected by their poor self-esteem, social support, and executive function. Hence, tailored interventions for this population, targeting daily participation, should consider the range of biopsychosocial risk factors affecting these individuals.

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来源期刊

Developmental Medicine and Child Neurology 医学-临床神经学

CiteScore

7.80

自引率

13.20%

发文量

338

审稿时长

3-6 weeks

期刊介绍： Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.