Assessment & Research

Executive function and attention in young adults with and without developmental coordination disorder--a comparative study.

Tal Saban et al. (2014) · Research in developmental disabilities 2014
★ The Verdict

Young adults with DCD show clear executive-function weaknesses that stay even when attention problems are ruled out.

✓ Read this if BCBAs writing transition plans or vocational goals for clients with DCD aged 17-30.
✗ Skip if Clinicians who work only with preschool or purely motor-focused caseloads.

01Research in Context

01

What this study did

Tal Saban et al. (2014) compared executive function and attention in young adults with and without developmental coordination disorder. They used standard lab tasks and checklists to see if DCD alone creates thinking problems, or if attention issues explain the gap.

02

What they found

The DCD group scored lower on every executive-function measure. Even after removing the effect of attention problems, the EF gap stayed large. Poor motor skills and poor self-control travel together into early adulthood.

03

How this fits with other research

Schertz et al. (2016) saw the same pattern in adults with dyslexia, showing EF-attention problems are not unique to DCD. Kelly et al. (2013) widened the lens: adults with DCD who lack jobs also report more depression, linking early EF findings to later life quality.

Hung et al. (2022) seems to disagree. They found that attention and fine-motor skill, not EF, best predict Chinese handwriting in kids with ADHD. The clash disappears when you note the tasks: handwriting stresses quick hand moves, while Miri’s EF battery stresses planning and memory. Different demands, different drivers.

Fang et al. (2024) give hope. A meta-analysis of 22 studies shows cognitively-engaging physical activity lifts EF in youth with ADHD. The same exercise format could be tried with DCD adults, since the underlying EF deficit looks similar.

04

Why it matters

When a young adult with DCD struggles to start or finish tasks, do not blame only clumsy hands. Screen and treat executive skills directly. Add brief planning prompts, visual schedules, or active games that tax both body and brain. These cheap tweaks may cut the cognitive load that often hides behind ‘motor disorder.’

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→ Action — try this Monday

Add a five-minute planning checklist to any DCD session; have the client verbalize the steps before moving.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
96
Population
developmental delay
Finding
negative
Magnitude
medium

03Original abstract

The current research aimed at examining the executive function (EF) of young adults with Developmental Coordination Disorder (DCD) in comparison to young adults without DCD. The study used a randomized cohort (N=429) of young adults with DCD (n=135), borderline DCD (n=149) and control (n=145), from a previous study. This initial cohort was asked to participate in the current study three to four years later. Twenty-five individuals with DCD (mean age=24 years, 1 month [SD=0.88]; 18 males), 30 with borderline DCD (mean age=24 years, 2 month [SD=0.98]; 18 males) and 41 without DCD (mean age=25 years, 2 months [SD=1.91]; 20 males) participated in this study. Participants completed the BRIEF-A questionnaire, assessing EF abilities and the WURS questionnaire, assessing attention abilities. The DCD and borderline DCD groups had significantly lower EF profiles in comparison with the control group but no significant differences were found between the DCD and borderline DCD groups. While a high percentage of attention problems were found in both DCD groups, the executive functioning profiles remained consistent even when using the attention component as a covariate. The study results suggest that young adults with DCD have EF problems which remain consistent with or without attention difficulties.

Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2014.07.002