Impact of developmental coordination disorder in childhood on educational outcomes in adulthood among neonatal intensive care recipients: a register-based longitudinal cohort study

Author:

Persson Isak,Sampaio FilipaORCID,Samkharadze Tengiz,Ssegonja RichardORCID,Johansen KineORCID

Abstract

ObjectivesDevelopmental coordination disorder (DCD) is related to poorer educational outcomes among children and adolescents. Evidence on this association into adulthood is lacking. Therefore, we aimed to investigate whether probable DCD (pDCD) in childhood affected educational outcomes among adults, and whether this was affected by sex or a co-occurring attention deficit in childhood.DesignRegister-based longitudinal cohort study.SettingNeonatal intensive care (NIC) recipients born at Uppsala University Children’s Hospital, Uppsala, Sweden, from 1986 to 1989 until they reached the age of 28.Participants185 NIC recipients.Primary and secondary outcome measuresAt the age of 6.5, 46 (24.6%) of the NIC recipients were diagnosed with pDCD. Using register-based longitudinal data, we compared participants with and without pDCD in terms of: (1) age at Upper Secondary School (USS) graduation, and (2) highest level of education achieved by age 28.ResultsThe median age at USS graduation was 19 years, with similar graduation ages and ranges between those with or without pDCD. However, a higher proportion of participants without pDCD had graduated from USS at ages 19 and 24. By age 29, most participants had completed USS. At age 28, 33% of participants had attained a bachelor’s or master’s degree. Although there was no significant difference between the groups, the proportion that had attained a degree was higher among those without pDCD and women without pDCD had achieved the highest level of education. Educational outcomes remained similar for those with pDCD, regardless of childhood attention deficit.ConclusionspDCD during childhood may have a lasting impact on educational outcomes, particularly among women. Raising awareness of DCD among parents, health and educational professionals is vital for early identification and the provision of appropriate support and interventions in schools, mitigating the potential negative consequences associated with DCD and promoting positive educational outcomes.

Funder

Uppsala Universitet

Gillbergska stiftelsen

Akademiska Sjukhuset

Publisher

BMJ

Subject

General Medicine

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