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Attention deficit disorder with developmental coordination disorders

M Landgren1, B Kjellman, C Gillberg

  • 1Department of Child and Adolescent Psychiatry, Göteborg University, Annedals Clinics, Sweden.

Archives of Disease in Childhood
|January 6, 1999
PubMed
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Prenatal and familial factors, including maternal smoking, significantly contribute to deficits in attention, motor control, and perception (DAMP) in children. Early detection and treatment of language problems are crucial for prevention.

Area of Science:

  • Neurodevelopmental disorders
  • Pediatric neurology
  • Developmental psychology

Background:

  • Deficits in Attention, Motor Control, and Perception (DAMP) are complex neurodevelopmental conditions.
  • Understanding the multifactorial etiology of DAMP is crucial for effective intervention.
  • Previous research has explored various risk factors, but a comprehensive analysis is needed.

Purpose of the Study:

  • To investigate the contribution of social, familial, prenatal, perinatal, and developmental factors to the pathogenesis of DAMP.
  • To identify specific risk factors associated with DAMP in a population-based cohort.
  • To inform primary prevention strategies for DAMP.

Main Methods:

  • A population-based case-control study involving 113 children aged 6 years (62 with DAMP, 51 controls).

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  • Utilized standardized interviews with mothers and reviewed health/medical records.
  • Employed the reduced optimality method to score familial, prenatal, developmental, and psychosocial factors.

    • Main Results:

    • Children with DAMP had higher rates of low socioeconomic class, familial language disorder, and familial motor clumsiness.
    • Neuropathogenic risk factors in utero and maternal smoking during pregnancy were significantly more common in the DAMP group.
    • Language problems (two-thirds of DAMP cases), sleep problems, and gastrointestinal disorders were prevalent.

    Conclusions:

    • Prenatal, familial, and neuropathogenic factors are significant contributors to DAMP development.
    • Primary prevention strategies, including enhanced maternal healthcare and early language problem management, are essential.
    • Addressing associated language difficulties is a key component of DAMP intervention.