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Quality of life domains affected in children with developmental coordination disorder: a systematic review
J G Zwicker1, S R Harris, A F Klassen
1Faculty of Medicine, Department of Pediatrics, University of British Columbia Faculty of Medicine, Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Insights
Quality of life in children with developmental coordination disorder (DCD) is often overlooked. This review highlights significant impacts on physical, psychological, and social well-being, underscoring the need for further QOL research in DCD.
Area of Science:
- Pediatrics
- Developmental Psychology
- Rehabilitation Medicine
Background:
- Developmental Coordination Disorder (DCD) is primarily recognized as a motor disorder.
- Emerging evidence indicates significant psychological and social challenges associated with DCD in children.
- The comprehensive impact of DCD on children's quality of life (QOL) remains inadequately understood.
Purpose of the Study:
- To systematically review and synthesize existing evidence on the physical, psychological, and social domains of QOL affected in children with DCD.
- To present the current state of knowledge regarding QOL in pediatric populations diagnosed with DCD.
- To identify gaps in research concerning QOL outcomes for children with DCD.
Main Methods:
- A systematic review of articles published up to November 2010 was conducted across seven major academic databases.
- Studies included samples exclusively of individuals with DCD and reported on physical, psychological, or social QOL outcomes.
- Data extraction and quality assessment were performed by two independent reviewers, with DCD diagnosis based on DSM-IV criteria.
Main Results:
- Forty-one articles met the inclusion criteria for the review.
- The majority of studies indicated significantly poorer physical, psychological, and social functioning in children with DCD compared to their peers.
- Despite these findings, only one study explicitly utilized a QOL measure as a primary outcome.
Conclusions:
- Developmental Coordination Disorder (DCD) demonstrably affects multiple QOL domains in children.
- The overall quality of life for children with DCD is not yet fully characterized.
- Future research must prioritize the use of validated QOL measures to accurately assess the impact of DCD on children's lives.
Abstract:
The quality of life (QOL) of children with developmental coordination disorder (DCD) is largely unknown, but evidence suggests that multiple QOL domains are affected by the disorder. While DCD is primarily considered a motor disorder, multiple studies have reported psychological and social concerns in children with this condition. Our primary aim was to present the current state of the evidence regarding the physical, psychological, and social QOL domains that can be affected in children with DCD. Systematic review of articles from seven databases through November 2010 (MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, CDSR, DARE) was conducted. Search terms included developmental coordination disorder, dyspraxia, quality of life, life satisfaction, well-being, activities of daily living, and participation. Two independent reviewers screened titles, abstracts, and full-text articles. Studies meeting the following criteria were selected: (1) sample comprised solely of individuals with coordination difficulties consistent with DCD; (2) outcome measures related to physical, psychological, or socials domains of QOL; and (3) articles published in English. Data were extracted by one author and verified by a second. Outcomes were categorized according to physical, psychological and social domains of QOL and study quality was rated by case definitions of DCD based on diagnostic criteria as per the Diagnostic and Statistical Manual - 4th edition. Forty-one articles were included. Most studies reported significantly poorer results in physical, psychological and social functioning in children with DCD compared with peers. Despite the impact of DCD on multiple domains, only one study used a QOL measure as an outcome. Although DCD impacts several QOL domains, the QOL of children with this disorder remains largely unknown. The next critical step is for clinicians and researchers to use QOL measures to gather information on how DCD may affect the QOL of children with this disorder.
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