Quality of life in children with developmental coordination disorder (DCD): A systematic review and meta-analysis

IF 2.9 2区医学 Q1 EDUCATION, SPECIAL

Research in Developmental Disabilities Pub Date : 2025-03-23 DOI:10.1016/j.ridd.2025.104981

Gayatri Kumar , Pamela Barhoun , Ian Fuelscher , Jill G. Zwicker , Kaila Bianco , Mervyn Singh , Mugdha Mukherjee , Jacqueline Williams , Christian Hyde

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引用次数: 0

Abstract

Background

Children with developmental coordination disorder (DCD) often report reduced quality of life (QoL). However, substantial variability in findings across studies hinders insight into the profile of QoL in DCD. To address this, we investigated QoL in children with DCD using a meta-analytic approach, examining overall QoL, and QoL across its separate domains - physical, emotional, social, and school.

Methods

Participants included 831 children with DCD (M_age = 10.10 years) and 10,283 neurotypical children (M_age = 10.04 years), i.e., controls. Separate meta-analyses were conducted for parent (N = 8) and child (N = 7) report data to compare overall QoL between those with and without DCD. Subgroup analyses compared QoL between groups across QoL domains. Concordance between parent and child-report was explored.

Results

Children with DCD reported significantly lower overall QoL relative to controls (SMD_child = -0.38, p_child <.001). This effect was consistent across domains, regardless of report-type. Parents reported significantly worse overall QoL for children with DCD than children themselves (95 % CI_parent [-1.59, -0.95], 95 % CI_child [-0.52, -0.24]) driven by the social (95 % CI_parent [-1.89, -0.52], 95 % CI_child [-0.36, -0.03]) and school domains (95 % CI_parent [-2.52, -0.65], 95 % CI_child [-0.53, -0.15]).

Conclusions

Our results demonstrate the widespread impact of DCD on well-being, supporting recent arguments that DCD is more than just a disorder of movement. Discordance between parent and child perceptions highlight the importance of using both report-types when examining QoL in DCD. Our work highlights the need for more research directly comparing the profile of QoL observed in those with DCD to those with neurodevelopmental conditions (either in isolation of, or co-occurrence with, DCD).

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背景患有发育协调障碍（DCD）的儿童经常报告生活质量（QoL）下降。然而，不同研究结果之间的巨大差异阻碍了对 DCD 儿童 QoL 特征的深入了解。为了解决这个问题，我们采用荟萃分析方法调查了 DCD 儿童的 QoL，研究了总体 QoL 以及不同领域（身体、情感、社交和学校）的 QoL。分别对家长（N = 8）和儿童（N = 7）的报告数据进行了荟萃分析，以比较患有和未患有 DCD 儿童的总体 QoL。分组分析比较了各组之间不同 QoL 领域的 QoL。结果与对照组相比，患有 DCD 的儿童报告的总体 QoL 明显较低（SMDchild = -0.38，pchild <.001）。无论报告类型如何，这种影响在各个领域都是一致的。家长报告的 DCD 儿童总体生活质量明显低于儿童自己（95 % CIparent [-1.59, -0.95]，95 % CIchild [-0.52, -0.24]），这主要受社交（95 % CIparent [-1.89, -0.52]，95 % CIchild [-0.36, -0.03]）和学校（95 % CIparent [-1.89, -0.52]，95 % CIchild [-0.36, -0.03]）领域的影响。结论我们的研究结果表明了 DCD 对幸福感的广泛影响，支持了最近关于 DCD 不仅仅是一种运动障碍的观点。父母和儿童认知之间的不一致突出了在研究 DCD 的 QoL 时使用两种报告类型的重要性。我们的工作突出表明，有必要开展更多研究，直接比较在 DCD 患者和神经发育疾病患者（单独或同时患有 DCD）身上观察到的 QoL 特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Developmental Disabilities Multiple-

CiteScore

5.50

自引率

6.50%

发文量

178

期刊介绍： Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.