Assessment & Research

Anxiety profiles in children with and without developmental coordination disorder.

Pratt et al. (2011) · Research in developmental disabilities 2011
★ The Verdict

Kids with motor coordination disorder often carry heavy anxiety—especially social, panic, and OCD-like worries—so screen while you assess.

✓ Read this if BCBAs and RBTs who evaluate or treat children with motor delays in clinics or schools.
✗ Skip if Practitioners working only with adults or with clients who have no motor concerns.

01Research in Context

01

What this study did

Matson et al. (2011) asked parents to rate anxiety in two groups of kids. One group had developmental coordination disorder. The other group had typical motor skills.

The team used a child anxiety checklist with six sub-scales. They wanted to see which kinds of worry showed up most in kids who struggle with movement.

02

What they found

Parents of kids with DCD reported much higher overall anxiety. The biggest jumps were in social anxiety, panic, and OCD-like thoughts.

Yet scores varied a lot from child to child. Some kids with DCD showed little worry, while others landed in the clinical range.

03

How this fits with other research

Missiuna et al. (2014) extends these results. They added an ADHD group and found the highest anxiety when DCD and ADHD occur together.

Rivilis et al. (2011) looks at the same DCD population but focuses on low fitness instead of worry. Their review reminds us that motor trouble and inactivity travel together, which could feed the social fears L et al. flagged.

Spackman et al. (2025) zooms out. Across autism, ADHD, and OCD they show that anxiety links to compulsions no matter the label. This supports L et al.’s call to watch for OCD-like symptoms in DCD.

04

Why it matters

If you assess a child for coordination problems, add a quick parent anxiety checklist. Target social, panic, and obsessive items. When scores are high, loop in mental-health services early. Simple step, big payoff.

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→ Action — try this Monday

Hand the parent a brief anxiety scale right after the movement assessment and score the social and obsessive items first.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
62
Population
developmental delay, neurotypical
Finding
positive
Magnitude
medium

03Original abstract

Previous work has highlighted that children diagnosed with DCD may be at risk of greater problems related to emotional wellbeing. However, to date much work has relied on population based samples, and anxiety has not been examined within a group of children given a clinical diagnosis of DCD. Additionally, the profile of individual differences has generally not been considered within this group. Therefore, a group of parents (n=27) completed the parent version of the Spence Children's Anxiety Scale (SCAS-P; Spence, 1998) in relation to their children with a diagnosis of DCD. Their responses on this measure were compared to those of parents with typically developing (TD) children (n=35; both groups 6-15 years of age). Children diagnosed with DCD were reported to experience significantly greater levels of anxiety overall, as well as having significantly greater difficulty than the TD group in the domains of panic/agoraphobic anxiety, social phobia, and obsessive compulsive anxiety. In addition, the individual profiles of types of anxiety reportedly experienced varied widely across the DCD group. These findings suggest that anxiety is a major problem for a proportion of children diagnosed with DCD, and raises questions regarding intervention, long term outcomes, and the nature of the disorder itself.

Research in developmental disabilities, 2011 · doi:10.1016/j.ridd.2011.02.006