Article

AIMS: To provide data on parent-reported features of developmental coordination
disorder (DCD) and describe neurobehavioural comorbidity in children with
epilepsy and DCD. METHOD: Eighty-five (74% of those eligible) children (44 males,
41 females; age range 5-15y) with active childhood epilepsy (an epileptic seizure
in the last year and/or currently taking antiepileptic drugs) in a
population-based cohort underwent comprehensive multidisciplinary assessment.
The DCD Questionnaire (DCD-Q) was completed by parents (n=69) of children with an
IQ>34, of whom 56 did not have cerebral palsy (CP), and were considered for a
diagnosis of DCD. RESULTS: Of those considered for a DCD diagnosis, 16 (29%) met
DSM-IV-TR criteria whereas 34 (61%) scored in the at-risk range on the DCD-Q. The
sensitivity of the DCD-Q was 100% (95% CI 76-100) and specificity was 55% (95% CI
39-70). Significant predictors of higher scores on the DCD-Q included the
presence of autism spectrum disorder, CP, and early seizure onset. Increasing age
and IQ were independently associated with higher DCD-Q scores. Intellectual
disability, attention-deficit-hyperactivity disorder, academic underachievement,
and specific memory problems were the most common neurobehavioural difficulties
in those with both DCD and epilepsy. INTERPRETATION: Parent-reported symptoms of
DCD are very common in childhood epilepsy. The DCD-Q has good sensitivity but
lower specificity in this population.
CI - (c) 2015 Mac Keith Press.

Langue : ANGLAIS