Prevalence of Attention Deficit Hyperactivity Disorder Symptoms in Children Who Were Treated at Emergency Service due to Unintentional Injury

Prevalence of Attention Deficit Hyperactivity Disorder Symptoms in Children Who Were Treated at Emergency Service due to Unintentional Injury
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DOI:
10.1155/2018/7814910
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发表时间:
2018-01-01
影响因子:
1.2
通讯作者:
Ceri, Veysi
Ceri, Veysi
中科院分区:
医学4区
文献类型:
--
作者:
Iz, Mehmet;Ceri, Veysi

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瞄准注意力缺陷多动障碍(ADHD)是一种发育障碍,其特征是严重的注意力不集中、多动和冲动。本研究旨在确定由于意外伤害而在急诊儿科服务中接受治疗的儿童的ADHD症状的频率。法这项研究是在急诊科因意外伤害而接受治疗的儿童中进行的。ADHD症状使用基于DSM-IV的儿童和青少年行为障碍筛查和评估量表进行评估。结果研究样本包括89名女孩(40.1%)和133名男孩(59.9%),共222名儿童。参与者的年龄从5岁到18岁不等,平均年龄为11.5 +/- 3岁。根据医学评估,意外伤害最常见的诊断是软组织损伤(41.9%)。我们研究样本的平均ADHD和ODD(对立违抗性障碍)评分分别为19.9 +/- 12和7.7 +/- 5.7。根据截止值,可能患有ADHD的儿童的患病率高达81.6%(179),而ODD的患病率为62.6%(139)。结论我们的研究结果指出,在因意外伤害而接受紧急服务的儿童中,ADHD和ODD症状的水平非常高。对意外伤害儿童进行适当的ADHD筛查,并将他们转诊到儿童精神科,可以预防以后的事故和伤害。
Aim. Attention Deficit Hyperactivity Disorder (ADHD) is a developmental disorder characterized by severe inattention, hyperactivity, and impulsivity. This research aims to determine the frequency of ADHD symptoms in children who were treated in emergency paediatric services due to unintentional injuries. Method. This study was carried out with children who were treated due to unintentional injuries in an Emergency Department. ADHD symptoms were evaluated using the DSM-IV-based Screening and Assessment Scale for Behavioural Disorders in Children and Adolescents. Results. The study sample consisted of 89 girls (40.1%) and 133 boys (59.9%)a total of 222 children. The participants ranged from 5 to 18 years of age, and the mean age was found to be 11.5 +/- 3 years. According to medical evaluations, the most common diagnosis for the unintentional injuries was soft tissue trauma (41.9%). The mean ADHD and ODD (Oppositional Defiant Disorder) scores of our study sample were, respectively, 19.9 +/- 12 and 7.7 +/- 5.7. The prevalence of children with possible ADHD was as high as 81.6% (179) and, for ODD, was 62.6% (139), according to cut-off values. Conclusion. Our results pointed out very high levels of ADHD and ODD symptoms among children who were treated at emergency services for accidental injuries. Appropriately screening for ADHD in children with accidental injuries and referring them to child psychiatry units may prevent later accidents and injuries.