被忽视的疾病:各临床专业对发育协调障碍的(不)认识

IF 1.5 Q3 EDUCATION, SPECIAL
Emily J. Meachon, Hannah Melching, Georg W. Alpers
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引用次数: 0

摘要

目标发育协调障碍(DCD)是一种常见疾病,主要表现为运动技能方面的困难。最近的研究发现,DCD 症状与身心健康的负面影响之间存在联系。尽管如此,DCD 似乎仍不为人们所熟知,甚至许多临床医生也是如此。迄今为止,这种情况主要在英语地区的特定临床医生群体(如职业治疗师)中有所记录,但尚未在特定临床专业或国家之间进行比较。因此,我们开展了一项跨国研究,以考察主要讲英语和德语的社区中不同专业的临床医生是否充分了解 DCD 与 ADHD 及其他神经发育障碍相比的特征。方法N = 346 名临床医生回答了在线调查中的问题,这些问题涉及他们对神经发育障碍的一般认识及其治疗经验,尤其是对 DCD 和 ADHD 具体特征的认识。此外,我们还要求他们对 DCD 病例进行分类。结果总的来说,58% 的参与者听说过 DCD,但只有 42% 的人治疗过 DCD 患者。参与者对 DCD 和 ADHD 的具体了解较少,且因职业而异,在主要讲德语的社区工作的临床医生对 DCD 和 ADHD 的了解普遍较少。参与者对案例的诊断往往是错误的(35% 回答正确),但仍然提供了正确的治疗建议(61% 回答正确)。在临床培训中,应开展更多有关 DCD 和其他神经发育障碍的培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Overlooked Disorder: (Un)awareness of Developmental Coordination Disorder Across Clinical Professions

Objectives

Developmental Coordination Disorder (DCD) is a common condition with core difficulties in motor skills. Recent research has identified links between DCD symptoms and negative outcomes for mental and physical health. Despite this, DCD appears to still not be well known, even to many clinicians. To date, this has been documented among specific groups of clinicians (e.g., occupational therapists) in primarily English-speaking regions, but has not been compared across specific clinical professions or across countries. Therefore, we conducted a cross-national study to examine if clinicians in primarily English-speaking and German-speaking communities of various professions are sufficiently informed about characteristics of DCD in comparison with ADHD and other neurodevelopmental disorders.

Methods

N = 346 clinicians responded to questions in an online survey about general awareness and their experience in treating neurodevelopmental disorders, especially regarding specific characteristics of DCD and ADHD. Moreover, we asked them to classify a case vignette with DCD.

Results

Overall, 58% of participants had heard of DCD but only 42% had treated individuals with DCD. More specific knowledge about DCD and ADHD was low, varied by profession, and was generally reduced among clinicians working in primarily German-speaking communities. Participants often gave an incorrect diagnosis for the case vignette (35% correct responses) but still offered correct treatment recommendations (61% correct responses).

Conclusions

Awareness of the specific nature of DCD is still lacking for many clinicians. More training about DCD and other neurodevelopmental disorders should be disseminated in clinical training.

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来源期刊
Advances in Neurodevelopmental Disorders
Advances in Neurodevelopmental Disorders Social Sciences-Social Sciences (miscellaneous)
CiteScore
2.10
自引率
0.00%
发文量
72
期刊介绍: Advances in Neurodevelopmental Disorders publishes high-quality research in the broad area of neurodevelopmental disorders across the lifespan. Study participants may include individuals with:Intellectual and developmental disabilitiesGlobal developmental delayCommunication disordersLanguage disordersSpeech sound disordersChildhood-onset fluency disorders (e.g., stuttering)Social (e.g., pragmatic) communication disordersUnspecified communication disordersAutism spectrum disorder (ASD)Attention-deficit/hyperactivity disorder (ADHD), specified and unspecifiedSpecific learning disordersMotor disordersDevelopmental coordination disordersStereotypic movement disorderTic disorders, specified and unspecifiedOther neurodevelopmental disorders, specified and unspecifiedPapers may also include studies of participants with neurodegenerative disorders that lead to a decline in intellectual functioning, including Alzheimer’s disease, amyotrophic lateral sclerosis, Creutzfeldt-Jakob disease, vascular dementia, Lewy body dementia, frontotemporal dementia, corticobasal degeneration, Huntington’s disease, and progressive supranuclear palsy. The journal includes empirical, theoretical and review papers on a large variety of issues, populations, and domains, including but not limited to: diagnosis; incidence and prevalence; and educational, pharmacological, behavioral and cognitive behavioral, mindfulness, and psychosocial interventions across the life span. Animal models of basic research that inform the understanding and treatment of neurodevelopmental disorders are also welcomed. The journal is multidisciplinary and multi-theoretical, and encourages research from multiple specialties in the social sciences using quantitative and mixed-method research methodologies.
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