Fine motor ability and psychiatric disorders in youth

Fine motor ability and psychiatric disorders in youth

Author Mendes, Lorenna Sena Teixeira Google Scholar
Manfro, Gisele Gus Google Scholar
Gadelha, Ary Autor UNIFESP Google Scholar
Pan, Pedro Mario Autor UNIFESP Google Scholar
Bressan, Rodrigo Affonseca Autor UNIFESP Google Scholar
Rohde, Luis Augusto Google Scholar
Salum, Giovanni Abrahao Google Scholar
Abstract Impaired fine motor ability has been linked to several domains of psychopathology. However, studies validating the specificity of this association among several categorical psychiatric disorders are still needed. The aim of this study was to assess differences in fine motor ability performance among four non-overlapping groups of psychiatric disorders and a group of typical developing comparisons (TDC). Our sample consisted of 2035 subjects aged 6-14-year-old. Diagnoses of psychiatric disorders were performed with the Development and Well-Being Assessment (DAWBA). Five non-overlapping groups without comorbidity were formed: phobic disorders (n = 101), distress disorders (n = 82), attention deficit hyperactivity disorder (ADHD) (n = 133), oppositional defiant disorder/conduct disorder (ODD/CD) (n = 52) and one group of typical developing comparisons (TDC) (n = 1667). Fine motor ability was evaluated by three tasks: sequential finger-thumb opposition, Oseretsky, and pronation/supination tests. Each task was assessed by total time to perform the movement and levels of accuracy, fluency, symmetry, precision, and coordination. We found that, when compared to TDC, the ADHD group performed more poorly in total fine motor ability (mean difference = - 0.28

p = 0.014), time to complete the task (mean difference = 0.36

p < 0.001), accuracy (mean difference = - 0.30

p = 0.005), fluency (mean difference = - 0.26

p = 0.03), symmetry (mean difference - 0.25

p = 0.04), precision (mean difference = - 0.26

p = 0.026), and coordination (mean difference = - 0.25

p = 0.042). The ADHD group also took more time to complete the task than the ODD/CD group (mean difference = 0.45

p = 0.037). No other significant between-group differences were found. Additional analyses showed those differences were statistically significant for all ADHD dimensions. Our results suggest that children with ADHD present impairments in all aspects of fine motor abilities compared to TDC, a difference not found in other psychiatric disorders.
Keywords Motor ability
CFA
ADHD
Psychiatric disorders
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Sponsor National Institute of Developmental Psychiatry for Children and Adolescent (INPD)
Foundation for Research Support of the State of Rio Grande do Sul (FAPERGS)
Grant number CNPq: 465550/2014-2
FAPESP: 2014/50917-0
Date 2018
Published in European Child & Adolescent Psychiatry. New York, v. 27, n. 5, p. 605-613, 2018.
ISSN 1018-8827 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 605-613
Origin http://dx.doi.org/10.1007/s00787-017-1091-y
Access rights Closed access
Type Article
Web of Science ID WOS:000431881400006
URI https://repositorio.unifesp.br/handle/11600/55559

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