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1、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(developmentaicoordinationdisorder,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2h、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
2、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(x2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2h、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=
3、2.46,P＜0.05)o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】R179B844.1【文献标识码】A【文章编号】1000-9817(2007)06-0587-03FunctionalBehaviorTraitsAmongChildrenwithDevelopmentalCoordinationDisorder/HUAJing,ZHUQing-qing
4、,GUGui-xiong.TheChildren"sHospitalofSoochowUniversity,Suzhou(215003),JiangsuProvince,China【Abstract】ObjectiveToinvestigatethefunctionalbehaviortraitsofthechildrenwithdevelopmentalcoordinationdisorder(DCD)soastoprovideevidencefordiagnosisandintervention.Me
5、thodsForty-oneDCDchildrenfromtwoprimaryschoolswerescreenedwithDSM-IVandDCDQ.Acasecontrolstudyonfunctionalactivityandpsycho-behaviorwasconductedaccordingtotheprincipleof1*1matching.ResultsThequalityofDCDchildrenwerelowerthanthecontrolsiftheyhavingmorethant
6、wointerestedmovementitems,participatingalltheschoolgymnasticcurriculum,spendingmorethantwohoursonoutdooractivity,crawlingbeforeoneyearold,swimmingbeforesixyearsold,writingwithbrushpenbeforesevenyearsold,playingpiano,andpaintingordoodlebeforesixyearsold,wi
7、thstatisticsignificance(x2valueswere56.69,13.46,18.25,49.98,59.89,35.90,16.63and46.99respectively,alltheP<0.01).Analysisofmultipielinearregressionindicatedthatthereweresuch4factorsashavingmorethantwointerestedmovementitems,spendingmorethantwohoursoutdoora
8、ctivitycrawlingbeforeoneyearoldandswimmingbefore6yearsoldinfluencedtheM-ABCdysfunctionscores.Additionally,assessedbytheConnersparentaiRatingScale,theDCDchildren"scoresoftheconduct,psychosomaticanxiousproblemswerelow
