TY - JOUR
T1 - Objective and subjective participation mediate the relationship between developmental coordination disorder (DCD) and well-being aspects
AU - Zaguri-Vittenberg, Shahar
AU - Weintraub, Naomi
AU - Tal-Saban, Miri
N1 - Publisher Copyright:
© 2024 Elsevier Ltd
PY - 2025/2/1
Y1 - 2025/2/1
N2 - Purpose: Developmental coordination disorder (DCD) is associated with poor well-being and objective participation (i.e., frequency of engagement in activities, performance level) and decreased subjective participation (i.e., pleasure in activities, occupational experience). However, the effect of participation on individuals with DCDs well-being remains unknown. This study examined the mediating effect of participation on the relationship between DCD and two well-being aspects - health related quality of life (HRQoL) and satisfaction with life (SWL). Methods: Fifty-five adults with DCD and their 61 non-DCD peers underwent a test-battery to determine fulfillment of DSM-5's DCD criteria and completed participation and well-being questionnaires. Results: Compared to their non-DCD peers, adults with DCD had significantly (p < 0.01) poorer HRQoL, SWL and participation, manifested by an elevated need for help in performing activities, poor performance, and reduced pleasure and global occupational experience. Path analysis showed that performance mediated the link between DCD and HRQoL, while pleasure mediated the link between DCD and SWL. Global occupational experience mediated the link between DCD and both well-being aspects. Conclusions: Both objective and subjective participation are possible underling factors of poor well-being in DCD. Health-care professionals are encouraged to address both performance and subjective participation experiences to support the well-being of individuals with DCD.
AB - Purpose: Developmental coordination disorder (DCD) is associated with poor well-being and objective participation (i.e., frequency of engagement in activities, performance level) and decreased subjective participation (i.e., pleasure in activities, occupational experience). However, the effect of participation on individuals with DCDs well-being remains unknown. This study examined the mediating effect of participation on the relationship between DCD and two well-being aspects - health related quality of life (HRQoL) and satisfaction with life (SWL). Methods: Fifty-five adults with DCD and their 61 non-DCD peers underwent a test-battery to determine fulfillment of DSM-5's DCD criteria and completed participation and well-being questionnaires. Results: Compared to their non-DCD peers, adults with DCD had significantly (p < 0.01) poorer HRQoL, SWL and participation, manifested by an elevated need for help in performing activities, poor performance, and reduced pleasure and global occupational experience. Path analysis showed that performance mediated the link between DCD and HRQoL, while pleasure mediated the link between DCD and SWL. Global occupational experience mediated the link between DCD and both well-being aspects. Conclusions: Both objective and subjective participation are possible underling factors of poor well-being in DCD. Health-care professionals are encouraged to address both performance and subjective participation experiences to support the well-being of individuals with DCD.
KW - Daily participation
KW - DCD
KW - Dyspraxia
KW - Well-being
KW - Young adulthood
UR - http://www.scopus.com/inward/record.url?scp=85213048547&partnerID=8YFLogxK
U2 - 10.1016/j.ridd.2024.104901
DO - 10.1016/j.ridd.2024.104901
M3 - Article
C2 - 39731991
AN - SCOPUS:85213048547
SN - 0891-4222
VL - 157
JO - Research in Developmental Disabilities
JF - Research in Developmental Disabilities
M1 - 104901
ER -