Biopsychosocial factors and participation in adults with developmental coordination disorder: A structural equation modelling analysis.
Shahar Zaguri-Vittenberg, Naomi Weintraub, Miri Tal-Saban
PMID 40079651WHAT IT FOUND
Participation challenges in adults with DCD are not just about motor skills.
Low self-esteem, poor social support, and executive function deficits strongly predict needing more assistance and enjoying activities less. Screen these psychosocial factors to understand why participation fails.
Key findings
01Adults with DCD reported significantly lower executive function, self-esteem, and perceived social support compared to controls, with large effect sizes for motor competence and executive function.
02DCD status directly increased reliance on assistance and decreased performance level, but affected pleasure and global occupational experience only indirectly through self-esteem and social support.
03Executive function was the strongest contributor to performance level, while self-esteem and social support mediated the link between DCD and the need for assistance.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The cross-sectional design prevents establishing causality between biopsychosocial factors and participation. Participants were recruited via convenience sampling from social media, which may limit generalizability to clinical populations. The MABC-2 motor assessment is normed for children up to age 16, requiring cautious interpretation for adults. Self-report measures for executive function and psychiatric history may introduce bias.
The easy way to misread this
Do not assume that improving motor skills alone will resolve participation issues. The study shows that subjective well-being and the need for assistance are strongly mediated by self-esteem, social support, and executive function, which require separate intervention strategies.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →