Motor Performance in Association with Perceived Loneliness and Social Competence in 11-Year-Old Children Born Very

Minttu Helin1,2, Max Karukivi3,4, Leena Haataja5,6

  • 1Department of Pediatric Neurology, Turku University Hospital, 20521 Turku, Finland.

Insights

Very preterm birth can impact motor skills and social abilities. Children with Developmental Coordination Disorder (DCD) born very preterm reported less loneliness but more social challenges compared to those with Cerebral Palsy (CP).

Area of Science:

  • Developmental Pediatrics
  • Neuroscience
  • Child Psychology

Background:

  • Very preterm birth (VPT) is associated with potential long-term effects on motor performance and social competence.
  • Understanding these outcomes in adulthood is crucial for targeted interventions.
  • Motor impairment following VPT may influence social development trajectories.

Purpose of the Study:

  • To describe perceived loneliness and social competence in children born very preterm.
  • To examine the relationship between motor impairment and these psychosocial outcomes.
  • To differentiate outcomes between specific motor impairments like Cerebral Palsy (CP) and Developmental Coordination Disorder (DCD).

Main Methods:

  • A cohort of 165 children born very preterm (birth weight ≤ 1500 g and/or gestational age < 32 weeks) were assessed at 11 years of age.
  • Motor outcome was evaluated using the Movement Assessment Battery for Children—Second edition (Movement ABC-2).
  • Perceived loneliness and social competence were assessed using validated scales (Peer Network and Dyadic Loneliness scale; Multisource Assessment of Children’s Social Competence Scale).

Main Results:

  • Of the participants, 4% had CP, 11% had DCD, and 85% had typical motor development.
  • No significant correlation was found between Movement ABC-2 scores and perceived loneliness or social competence in children without motor impairment.
  • Children with DCD reported lower perceived loneliness but greater social competence difficulties than children with CP.

Conclusions:

  • Early identification of Developmental Coordination Disorder (DCD) in very preterm children is essential.
  • Interventions and support services are necessary to mitigate social exclusion risks for these children.
  • Addressing motor impairments in very preterm infants can positively impact social development and well-being.

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