Understanding teachers' perceptions of the motor difficulties of children with developmental coordination disorder (DCD)

Background. Children with developmental coordination disorder (DCD) are often identified by classroom teachers and the identification process relies heavily on teachers' perceptions. The literature would suggest that teachers' perceptions may be influenced by a child's gender, behaviour and the type of motor problem they demonstrate. To date, the influence of these factors on teachers' perceptions of children with DCD has not been empirically tested. Aim. This study investigated whether child gender, behaviour and type of motor problem influenced teachers' ratings of concern and importance of intervening for children with motor difficulties. Sample. One hundred and forty‐seven teachers of children from 6 to 9 years of age participated in this study. Method. Hypothetical case scenarios were developed that experimentally manipulated the factors of child gender (male/female), behaviour (disruptive/non‐disruptive) and type of motor problem (fine motor/gross motor). Teachers were given two case scenarios of the same gender (that varied by behaviour) and rated: (a) their degree of concern about children's motor problems and (b) how important they thought it was for the child to receive intervention for that problem. Results. The effect of child gender on teachers' perceptions depends upon the type of motor problem. While child behaviour had a marginal influence on teachers' perceptions, interestingly, teachers appeared to recognize motor problems only in the absence of disruptive behaviour. The type of motor problem demonstrated also influenced teachers' perceptions. Conclusion. This study provides preliminary insight into factors that influence teachers' perceptions of children with DCD with clear implications for the classroom identification of children with DCD.     

Performance of hearing-impaired students on planning, attention, simultaneous, and successive (PASS) cognitive processing tasks

This study examined the relationships among planning, attention, simultaneous, and successive (PASS) cognitive processing tasks for a sample of hearing-impaired students. There were 96 students (51 girls, 45 boys), aged 8 years to 16 years 11 months (mean AGE = 12.4 years, SD = 2.5 years). Most of the subjects (59%) received instruction through total communication and the remaining 41% students were enrolled in oral educational programs. The sample students attended a public day school (73%) or a state residential school for the deaf (27%). The confirmatory factorial results demonstrate that the PASS model was supported for this hearing-impaired sample as it has been in previous investigations involving normally hearing samples. These results support other exploratory and confirmatory factorial studies that have shown PASS tasks to be consistent with expectations.     

Graphomotor skills in children with developmental coordination disorder (DCD): Handwriting and learning a new letter

The aim of the present study was to analyze handwriting difficulties in children with developmental coordination disorder (DCD) and investigate the hypothesis that a deficit in procedural learning could help to explain them. The experimental set-up was designed to compare the performances of children with DCD with those of a non-DCD group on tasks that rely on motor learning in different ways, namely handwriting and learning a new letter. Ten children with DCD and 10 non-DCD children, aged 8–10 years, were asked to perform handwriting tasks (letter/word/sentence; normal/fast), and a learning task (new letter) on a graphic tablet. The BHK concise assessment scale for children’s handwriting was used to evaluate their handwriting quality. Results showed that both the handwriting and learning tasks differentiated between the groups. Furthermore, when speed or length constraints were added, handwriting was more impaired in children with DCD than in non-DCD children. Greater intra-individual variability was observed in the group of children with DCD, arguing in favor of a deficit in motor pattern stabilization. The results of this study could support both the hypothesis of a deficit in procedural learning and the hypothesis of neuromotor noise in DCD.     

D-N认知评估系统在AD/HD儿童认知评估中的应用

研究采用基于PASS理论建构的D-N认知评估系统(CAS)作为主要评估工具, 以临床推介的18名AD/HD儿童和18名在性别、年龄及智力水平与临床样本相匹配的正常儿童为被试, 对其PASS认知过程特征开展比较研究, 探查临床组儿童潜在的认知过程异常, 研究结果表明:(1)临床AD/HD儿童在CAS总量表分上显著低于正常对照组儿童;(2)临床AD/HD儿童与正常对照组儿童在计划和注意过程分数上存在显著差异, 且临床AD/HD儿童的计划和注意分量表分数可很好地预测其在DSM-IV上的注意涣散评估分数;(3)临床AD/HD组儿童与正常对照组儿童在同时性加工和继时性加工水平上则没有显著差异。     

On the ability of children with developmental coordination disorder (DCD) to inhibit response initiation: the simon effect

The ability of children with developmental coordination disorder (DCD) to inhibit the initiation of an incorrect manual response urge was examined using a typical Simon task. While the size of the Simon effect was the same for both DCD (N = 20) and Control (N = 20) groups of children, showing no difference with respect to the time needed to complete the inhibition an unwanted response, children with DCD produced significantly more errors of the type which reflected a reduced ability to successfully effect the inhibition operation when it was required. This result is consistent with some earlier findings pointing to an inhibitory deficit for children with DCD (Wilson & Maruff, 1999).     

Children with developmental coordination disorder (DCD) can adapt to perceptible and subliminal rhythm changes but are more variable

Children with DCD demonstrate impairments in bimanual finger tapping during self-paced tapping and tapping in synchrony to different frequencies. In this study, we investigated the ability of children with DCD to adapt motorically to perceptible or subliminal changes of the auditory stimuli without a change in frequency, and compared their performance to typically developing controls (TDC). Nineteen children with DCD between ages 6–11 years (mean age ± SD = 114 ± 21 months) and 17 TDC (mean age ± SD = 113 ± 21 months) participated in this study. Auditory perceptual threshold was established. Children initially tapped bimanually to an antiphase beat and then to either a perceptible change in rhythm or to gradual subliminal changes in rhythm. Children with DCD were able to perceive changes in rhythm similar to TDC. They were also able to adapt to both perceptible and subliminal changes in rhythms similar to their age- and gender- matched TDC. However, these children were significantly more variable compared with TDC in all phasing conditions. The results suggest that the performance impairments in bilateral tapping are not a result of poor conscious or sub-conscious perception of the auditory cue. The increased motor variability may be associated with cerebellar dysfunction but further behavioral and neurophysiological studies are needed.     

Children with developmental coordination disorder (DCD) and their ability to disengage ongoing attentional focus: more on inhibitory function

Children with developmental coordination disorder (DCD), along with their Control counterparts, completed two endogenous, spatial precue tasks. When the precue arrow was informative (.80) with respect to target location, the spatial precue effect results demonstrated that children with DCD take significantly longer than Control individuals to volitionally disengage (inhibit) attention from an endogenously cued location (i.e., a disengagement inhibition deficit). When the precue was uninformative (.25), we found, contrary to a common assumption, that the precue arrow automatically moved attention in the direction of the arrow, and, in addition, that DCD children may also be less able to inhibit the precued-induced urge to move attention (i.e., an initiation inhibition deficit). This type of inhibitory difficulty was also indicated for manual response inclinations produced on catch trials. Overall, DCD children appeared to have an elevated difficulty suppressing the initiation of incorrect, stimulus-provoked movement urges, be they manual or attention in nature.     

Sequential validation of cluster analytic subtypes of homeless veterans

To identify subgroups within the homeless population, a number of researchers have employed cluster analytic statistical procedures. Although this is an appropriate application of cluster analysis, many studies have not employed important statistical safeguards against arbitrary results. This study demonstrates a cluster analytic procedure—sequential validation—that enhances the replicability, external validity, and cross-validity of cluster solutions. The procedure is applied to a nationwide sample of 745 homeless veterans. After 12 different clustering procedures were subjected to derivation, replication, external validation, and cross-validation phases, a 4-cluster Ward solution emerged as the most sound. Substantively, the clusters were an alcoholic subtype, a psychiatrically impaired subtype, a best functioning subtype, and a multiproblem subtype. The generalizability of these subgroups to other contexts was assessed by comparing them to subgroups identified in other homelessness research. Suggestions were made for improving the quality of cluster analytic research in community psychology.     

Tactile localization performance in children with developmental coordination disorder (DCD) corresponds to their motor skill and not their cognitive ability

When localizing touches to the hands, typically developing children and adults show a “crossed hands effect” whereby identifying which hand received a tactile stimulus is less accurate when the hands are crossed than uncrossed. This demonstrates the use of an external frame of reference for locating touches to one’s own body. Given that studies indicate that developmental vision plays a role in the emergence of external representations of touch, and reliance on vision for representing the body during action is atypical in developmental coordination disorder (DCD), we investigated external spatial representations of touch in children with DCD using the “crossed hands effect”. Nineteen children with DCD aged 7–11 years completed a tactile localization task in which posture (uncrossed, crossed) and view (hands seen, unseen) were varied systematically. Their performance was compared to that of 35 typically developing controls (19 of a similar age and cognitive ability, and 16 of a younger age but similar fine motor ability). Like controls, the DCD group exhibited a crossed hands effect, whilst their overall tactile localization performance was weaker than their peers of similar age and cognitive ability, but in line with younger controls of similar motor ability. For children with movement difficulties, these findings indicate tactile localization impairments in relation to age expectations, but apparently typical use of an external reference frame for localizing touch.     

PASS理论语境中的认知过程(英文)

计划-注意-同时性加工-继时性加工,这些基本PASS概念的提出,是为了给传统上将智力作为一个笼统构念的做法提供某种替代的选择。在这一新的理论途径中,我将一般能力分解为对主要认知过程的研究,其中每个认知过程均有其行为、认知和神经心理成分,而且重要的是,每个认知过程均有相应的一组评估测量任务。PASS模型,这一理论框架能够充分包容体现于教育和组织行为中的广泛一系列认知功能。     

The effect of a motor skills training program in the improvement of practiced and non-practiced tasks performance in children with developmental coordination disorder (DCD)

The purpose of the present study was to examine the effect of a group-based task oriented skills training program on motor and physical ability for children with DCD. It was also investigated if there was an effect on fine motor and handwriting tasks that were not specifically practiced during the training program. Forty-one children aged 6–10 years took part in this study. Children were assigned to three groups: an experimental training group consisting of 14 children with DCD, a control non-training group consisted of 13 children with DCD and a control non-training group consisting of 14 typically developed children. The measurements included were, the Movement Assessment Battery for Children (MABC), the Modified Agility Test (MAT), the Triple Hop Distance (THD), the 5 Jump-test (5JT) and the Handwriting Performance Test. All measures were administered pre and post an 8-week training program. The results showed that 10 children of the DCD training-group improved their performance in MABC test, attaining a score above the 15th percentile after their participation in the training program. DCD training-group showed a significant improvement on all cluster scores (manual dexterity (t (13) = 5.3, p < .001), ball skills (t (13) = 2.73, p < .05) and balance (t (13) = 5.13, p < .001). Significant performance improvements were also found in MAT, THD, 5JT (t (13) = –4.55; p < .01), handwriting quality (t (12) = –2.73; p < .05) and speed (t (12) = –4.2; p < .01) after the training program. In conclusion, improvement in both practiced and non-practiced skills, in the training program, may reflect improvement in motor skill but also transfer to other skills.     

Role of visual-perceptual skills (non-motor) in children with developmental coordination disorder

The purposes of this study were to examine test-retest reliability of the Test of Visual-Perceptual Skills (Non-Motor)-Revised (TVPS-R), to explore motor-free visual-perceptual skills, and to categorize subtypes thereof in children with developmental coordination disorder (DCD). One hundred and seventy-eight children, aged 9 and 10 years, identified as having DCD with the Movement Assessment Battery for Children (M-ABC), were assessed, along with 200 typically developing children. The results showed good test-retest reliability for the total perceptual quotient scores of the TVPS-R, but not for all subtests. Children with DCD performed significantly poorer compared to typically developing children on the visual-perceptual test, but the deficits were not common to all children with DCD. This study supported the stance that we should consider the heterogeneous characteristics of children with DCD when designing experimental studies or developing educational interventions.     

A dynamic developmental theory of attention-deficit/hyperactivity disorder (ADHD) predominantly hyperactive/impulsive and combined subtypes

Attention-deficit/hyperactivity disorder (ADHD) is currently defined as a cognitive/behavioral developmental disorder where all clinical criteria are behavioral. Inattentiveness, overactivity, and impulsiveness are presently regarded as the main clinical symptoms. The dynamic developmental behavioral theory is based on the hypothesis that altered dopaminergic function plays a pivotal role by failing to modulate nondopaminergic (primarily glutamate and GABA) signal transmission appropriately. A hypofunctioning mesolimbic dopamine branch produces altered reinforcement of behavior and deficient extinction of previously reinforced behavior. This gives rise to delay aversion, development of hyperactivity in novel situations, impulsiveness, deficient sustained attention, increased behavioral variability, and failure to "inhibit" responses ("disinhibition"). A hypofunctioning mesocortical dopamine branch will cause attention response deficiencies (deficient orienting responses, impaired saccadic eye movements, and poorer attention responses toward a target) and poor behavioral planning (poor executive functions). A hypofunctioning nigrostriatal dopamine branch will cause impaired modulation of motor functions and deficient nondeclarative habit learning and memory. These impairments will give rise to apparent developmental delay, clumsiness, neurological "soft signs," and a "failure to inhibit" responses when quick reactions are required. Hypofunctioning dopamine branches represent the main individual predispositions in the present theory. The theory predicts that behavior and symptoms in ADHD result from the interplay between individual predispositions and the surroundings. The exact ADHD symptoms at a particular time in life will vary and be influenced by factors having positive or negative effects on symptom development. Altered or deficient learning and motor functions will produce special needs for optimal parenting and societal styles. Medication will to some degree normalize the underlying dopamine dysfunction and reduce the special needs of these children. The theory describes how individual predispositions interact with these conditions to produce behavioral, emotional, and cognitive effects that can turn into relatively stable behavioral patterns.     

Cognitive Error Questionnaire (CEQ): Psychometric Properties and Factor Structure of the German Translation

A central component of Beck et al.’s (1979) cognitive theory of depression is faulty information processing reflected by so-called cognitive errors. These cognitive errors are the reason why depressed individuals systematically misinterpret the significance of events in a negative way. They are usually assessed with the application of the Cognitive Error Questionnaire (CEQ). This study examines the psychometric properties and factor structure of the German version of the CEQ in a sample of 796 volunteers at a German university. Results confirmed that the German CEQ has satisfactory to very good psychometric properties, like the American original. Confirmatory factor analyses demonstrated that a hierarchical four-factor model with four subscales and 1 s order factor fits the data best. Therefore, besides using the German CEQ in studies with German-speaking samples, the similarities in psychometric properties of the American and German CEQ allow for cross-cultural studies.     

Evaluation of the psychometric properties of the developmental coordination disorder questionnaire for parents (DCD-Q): results from a community based study of school-aged children

In this study, we examine several key psychometric properties (reliability, construct validity, concurrent validity) of the Developmental Coordination Disorder Questionnaire (DCD-Q) using a large, school-based sample of children (n=523) and their parents. Children completed the Children's Self-perceptions of Adequacy in and Predilection toward Physical Activity (CSAPPA) and parents completed the DCD-Q. The internal reliability of the DCD-Q was high for both the full scale and the subscales. Confirmatory factor analysis established that the scale was multifactorial, but the fit of the hypothesized factor structure was poor. Finally, moderate correlations were observed between the CSAPPA and the DCD-Q, with the strongest correlation found between the "perceived adequacy" subscale of the CSAPPA and "control during movement" subscale of the DCD-Q. Implications for screening and further research are discussed in relation to both instruments.     

A Cognitive (Attributions)-Emotion Model of Observer Reactions to Free-Riding Poor Performers

Whereas most free-riding research has focused on limiting free-riding and on understanding free-riding motives, we were concerned with capturing the psychological processes used by observers to interpret the poor performance behavior of a team member. Using a sample of 268 observers of a simulated team interaction, we found that peer reactions to a poor performance could be explained through attribution theory (AT). Poor performers perceived as possessing high general cognitive ability (g) and low conscientiousness traits were more likely to be rated high on free-riding when compared to those perceived as possessing low g/low conscientiousness traits. In addition, AT helped explain observer anger and intent to punish free-riders.

The Hong Kong version of the Oxford Cognitive Screen (HK-OCS): validation study for Cantonese-speaking chronic stroke survivors

This study reports the validation of the Hong Kong version of Oxford Cognitive Screen (HK-OCS). Seventy Cantonese-speaking healthy individuals participated to establish normative data and 46 chronic stroke survivors were assessed using the HK-OCS, Albert’s Test of Visual Neglect, short test of gestural production, and Hong Kong version of the following assessments: Western Aphasia Battery, MMSE, MoCA, Modified Barthel Index, and Lawton Instrumental Activities of Daily Living scale. The validity of the HK-OCS was appraised by the difference between the two participant groups. Neurologically unimpaired individuals performed significantly better than stroke survivors on the HK-OCS. Positive and significant correlations found between cognitive subtests in the HK-OCS and related assessments indicated good concurrent validity. Excellent intra-rater and inter-rater reliabilities, fair test–retest reliability, and acceptable internal consistency suggested that the HK-OCS had good reliability. Specific HK-OCS subtests including semantics, episodic memory, number writing, and orientation were the best predictors of functional outcomes.     

Assessing the effect of a Cognitive Behaviour Therapy (CBT)-based workshop on work-related rumination,fatigue, and sleep

This quasi-experimental longitudinal study assessed the effect of a one-day Cognitive Behaviour Therapy (CBT)-based workshop on work-related rumination, chronic fatigue, and sleep quality. We hypothesized that participants who attended the workshop would report lower levels of affective work-related rumination, chronic fatigue, and improved sleep quality, at follow-up, 6 months after workshop completion. Two hundred and twenty-seven participants took part in the study, with 102 participants attending a one-day workshop delivered in their workplace. Participants completed an online questionnaire at two time-points, with follow-up occurring 6 months after initial survey completion. Results showed that participants who took part in the CBT workshop reported significantly lower levels of affective rumination (p = .03) and chronic fatigue (p = .003), at follow-up in comparison with individuals who did not attend the workshop; however, there were no significant differences between the groups in self-reported sleep quality (p = .06). A combination of more effective recovery both at work and outside of work may explain the reductions in both affective rumination and fatigue over time. This study adds to the recovery from work literature by providing initial support for a one-day CBT-based workshop delivered in the workplace.     

Das-Naglieri认知评估系统（中文版）在学前儿童样本中的结构验证

本研究以246名5-6岁幼儿园儿童（男101名,女145名）为研究对象,考察基于智力PASS理论开发的Das-Naglieri 认知评估系统（5-7岁版）在中国学前儿童中的适用性,对评估系统中的12个任务进行了内在一致性信度评估,以幼儿早期数学能力测试作为参考评估其校标效度,并采用验证性因素分析对评估系统的结构效度进行评估。结果发现,该版本评估系统具有较好的信度和校标效度,并且很好地拟合了PASS模型。