学龄前发育性协调障碍儿童核心症状及其与情绪行为问题的关联

doi:10.11852/zgetbjzz2025-0290

中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (5): 484-488.DOI: 10.11852/zgetbjzz2025-0290

学龄前发育性协调障碍儿童核心症状及其与情绪行为问题的关联

许占斌¹, 秦宏超², 徐小晶¹, 王飞英¹

1.南通大学附属妇幼保健院儿童保健科,江苏南通 226018;
2.如东县妇幼保健计划生育服务中心儿童保健科

收稿日期:2025-03-15 修回日期:2025-04-05 发布日期:2025-04-30 出版日期:2025-05-10
通讯作者: 王飞英,E-mail:946923407@qq.com
作者简介:许占斌(1990—),男,主治医师,硕士学位,主要从事儿童发育行为相关研究。
基金资助:
南通市卫生健康委面上项目(MS2024100;MSZ2023058)

Core symptoms of preschool children with developmental coordination disorders and their association with emotional and behavioral problems

XU Zhanbin¹, QIN Hongchao², XU Xiaojing¹, WANG Feiying¹

1. Department of Child Health Care, Affiliated Maternity and Child Health Care Hospital of Nantong University, Nantong, Jiangsu 226018, China;
2. Department of Child Health Care, Rudong County Maternal and Child Health and Family Planning Service Center

Received:2025-03-15 Revised:2025-04-05 Online:2025-05-10 Published:2025-04-30
Contact: WANG Feiying,E-mail:946923407@qq.com

摘要/Abstract

摘要： 目的了解3~6岁发育性协调障碍(DCD)儿童核心症状,并分析核心症状与其情绪行为问题的关联,为DCD儿童综合干预提供参考依据。方法 2023年10月—2024年12月,纳入南通市妇幼保健院儿童保健科就诊的126名明确诊断为DCD的3~6岁儿童为观察组,纳入同期健康体检的126名健康儿童为对照组,采用儿童成套运动评估工具(MABC-2)、儿童长处与困难问卷(SDQ)评估两组儿童运动协调能力和情绪行为问题,分析DCD儿童核心症状与其情绪行为问题的关系。结果 DCD组儿童MABC-2测试结果手灵巧度、目标抓握、动静态平衡、运动协调能力各维度得分依次为15.83±2.75、10.13±2.11、21.62±3.27、46.92±4.56,均低于对照组儿童各维度得分(25.68±4.24、20.10±3.08、28.37±4.60、74.38±6.72),差异有统计学意义(t=5.813、6.698、4.621、9.463,P<0.01);DCD组儿童SDQ情绪症状、多动注意不能、困难总分异常率分别为15.08%、33.33%、11.90%,高于对照组(6.35%、8.73%、4.76%),差异有统计学意义(χ²=5.019、22.961、4.208,P<0.05)。DCD儿童年龄、手灵巧度、目标抓握、动静态平衡、运动协调能力均与SDQ情绪症状、品行问题、多动注意不能、同伴交往问题得分和困难总分呈负相关(r＝-0.52~-0.10,P<0.05),与亲社会行为呈正相关(r＝0.18~0.33,P<0.05)。多元线性回归分析结果显示DCD儿童动静态平衡、运动协调能力与其情绪行为问题呈负相关(β=-0.47、-0.59,P<0.01)。结论 DCD儿童存在明显的精细动作、大运动和平衡能力缺陷,且情绪和行为问题发生率更高,尤其是多动和注意力问题。DCD儿童核心症状与其情绪行为问题相关,DCD核心症状越严重,其情绪和行为问题越明显,更易导致社会功能受损。建议相关部门和家长给予关注,增加对儿童DCD的了解和早期识别能力,做到早发现、早干预,以促进儿童全面健康成长。

关键词: 发育性协调障碍, 核心症状, 情绪行为问题, 学龄前儿童

Abstract: Objectives To investigate the core symptoms of children aged 3 - 6 years with developmental coordination disorder (DCD), and to analyze their association with emotional and behavioral problems, in order to provide evidence for comprehensive intervention strategies. Methods From October 2023 to December 2024, 126 children aged 3 - 6 years diagnosed with DCD were recruited from the Child Health Department of Nantong Maternal and Child Health Hospital, along with 126 age-matched healthy controls.Motor coordination was assessed using the Movement Assessment Battery for Children-Second Edition (MABC-2), and emotional/behavioral problems were evaluated using the Strengths and Difficulties Questionnaire (SDQ).The relationship between core DCD symptoms and emotional/behavioral outcomes was analyzed. Results The DCD group exhibited significantly lower MABC-2 scores in manual dexterity (15.83±2.75 vs.25.68±4.24), aiming/catching (10.13±2.11 vs.20.10±3.08), static/dynamic balance (21.62±3.27 vs. 28.37±4.60), and total motor coordination (46.92±4.56 vs. 74.38±6.72) compared to controls (t=5.813, 6.698, 4.621, 9.463, P<0.01).Abnormal SDQ rates in the DCD group were higher for emotional symptoms (15.08% vs. 6.35%), hyperactivity/inattention (33.33% vs. 8.73%), and total difficulties (11.90% vs. 4.76%) (χ² =5.019, 22.961, 4.208, P<0.05).Negative correlations were observed between DCD core symptoms (age, manual dexterity, aiming/catching, balance, total motor coordination) and SDQ emotional/behavioral problems (r:-0.52 to -0.10,P<0.05), while positive correlations existed with prosocial behavior (r＝0.18-0.33,P<0.05).Multivariate regression confirmed that static/dynamic balance (β =-0.47) and total motor coordination (β =-0.59) independently predicted reduced emotional/behavioral difficulties (P<0.01). Conclusions DCD children demonstrate significant deficits in fine/gross motor and balance skills, alongside elevated emotional/behavioral problems—particularly hyperactivity/inattention.Core DCD symptoms correlate with worse psychosocial outcomes, suggesting that symptom severity exacerbates functional impairments.Increased awareness, early screening, and targeted interventions are urgently needed to mitigate long-term developmental risks.

Key words: developmental coordination disorder, core symptoms, emotional and behavioral problem, preschool children

中图分类号:

R179

许占斌, 秦宏超, 徐小晶, 王飞英. 学龄前发育性协调障碍儿童核心症状及其与情绪行为问题的关联[J]. 中国儿童保健杂志, 2025, 33(5): 484-488.

XU Zhanbin, QIN Hongchao, XU Xiaojing, WANG Feiying. Core symptoms of preschool children with developmental coordination disorders and their association with emotional and behavioral problems[J]. Chinese Journal of Child Health Care, 2025, 33(5): 484-488.

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学龄前发育性协调障碍儿童核心症状及其与情绪行为问题的关联

Core symptoms of preschool children with developmental coordination disorders and their association with emotional and behavioral problems

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