Childhood psychiatric disorder and unintentional injury: Findings from a national cohort study
Childhood psychiatric disorder and unintentional injury: Findings from a national cohort study
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DOI：
10.1093/jpepsy/jsh015
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发表时间：
2004-03-01
影响因子：
3.6
通讯作者：
Goodman, R
中科院分区：
文献类型：
--
作者：
Rowe, R;Maughan, B;Goodman, R
目的探讨意外伤害与常见儿童精神疾病的关系，包括内在诊断和外在诊断。方法1999年英国儿童和青少年心理健康调查提供了一个全国代表性的样本，超过10,000名5-15岁的儿童。措施包括评估精神疾病的诊断和统计手册的精神疾病，第四版，意外伤害，以及一系列潜在的相关心理社会因素。结果精神障碍儿童意外伤害发生率较高。在考虑了心理社会危险因素和共病精神病理学后，对立违抗性障碍（ODD）与烧伤和中毒独立相关。注意力缺陷多动障碍（ADHD）与骨折有关，抑郁和焦虑也与某些损伤类型有独立的联系。结论ODD和ADHD是与意外伤害相关的外化障碍，而不是品行障碍。我们讨论了内化障碍和意外伤害之间的关系可能的模型。
Objective We set out to examine the relationship between unintentional injury and common child psychiatric disorders, including both internalizing and externalizing diagnoses. Methods The 1999 British Child and Adolescent Mental Health Survey provided a nationally representative sample of over 10,000 children aged 5-15 years. Measures included assessment of diagnoses of psychiatric disorder from the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, unintentional injury, and a range of potentially related psychosocial factors. Results Children with psychiatric disorders had higher rates of unintentional injury. After accounting for psychosocial risk factors and comorbid psychopathology, oppositional defiant disorder (ODD) was independently associated with burns and poisoning. Attention deficit hyperactivity disorder (ADHD) was related to fractures, and depression and anxiety also showed independent links to some injury types. Conclusions ODD and ADHD, rather than conduct disorder, appear to be the externalizing disorders associated with unintentional injury. We discuss possible models of the relationships between internalizing disorders and unintentional injury.