Attention deficit/hyperactivity disorder and risk of injuries: a systematic review and meta-analysis

Amiri, Shahrokh; Sadeghi‐Bazargani, Homayoun; Nazari, Soulmaz; Ranjbar, Fatemeh; Abdi, Salman

doi:10.5249/jivr.v9i2.858

Cited by 26 publications

(14 citation statements)

References 44 publications

(18 reference statements)

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“…A recent epidemiological study confirmed higher mortality rates among ADHD patients, not only because of suicide but also due to other unnatural causes, especially accidents (Dalsgaard, Østergaard, Leckman, Mortensen, & Pedersen, 2015). Other authors detected a higher prevalence of injuries (Amiri, Sadeghi-Bazargani, Nazari, Ranjbar, & Abdi, 2017), vehicle crashes (Vaa, 2014) and bone fractures (Chou, Lin, Sung, & Kao, 2014) among ADHD patients, which seemed to be reverted by pharmacological treatment (Surman, Fried, Rhodewalt, & Boland, 2017).…”

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confidence: 92%

Diagnostic delay in ADHD: Duration of untreated illness and its socio‐demographic and clinical predictors in a sample of adult outpatients

Oliva

Malandrone

Mirabella

et al. 2020

Early Intervention Psych

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Aim: To investigate the Duration of Untreated Illness (DUI) and its sociodemographic and clinical predictors in a sample of adult ADHD outpatients. Methods:The DUI of 150 adult outpatients with a confirmed diagnosis of DSM-IV ADHD was calculated. Non-parametric tests were used to evaluate differences in DUI among subgroups and to build a correlation matrix. Subsequently, a multiple linear regression model was performed.Results: The median DUI was 17 years (interquartile range [IQR] = 14). DUI was longer in employed patients, those with a family history of ADHD, those with a history of major depressive disorder and those who had predominantly inattentive ADHD in childhood. The current age, age at administration of the first proper treatment and education level were correlated with DUI. Current age (63.3% of total variance), family history of ADHD and the presence of a predominantly inattentive type in childhood (together, 2.6% of total variance) were all predictors of DUI.Conclusions: Information programmes for caregivers and training for health care professionals should be promoted to foster the early recognition of covert inattentive symptoms and shorten DUI.

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confidence: 92%

Diagnostic delay in ADHD: Duration of untreated illness and its socio‐demographic and clinical predictors in a sample of adult outpatients

Oliva

Malandrone

Mirabella

et al. 2020

Early Intervention Psych

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“…In a birth cohort study with 6,111 children and adolescents, children at eight years of age presenting hyperactivity symptoms were 1.7 times more likely to have already required hospitalization between the ages of zero to seven [4]. The results of systematic reviews show that children with ADHD are have a significant higher risk of accidents [20, 21]. And also this risk is even higher when only poisonings and intoxications are evaluated [22].…”

Section: Introductionmentioning

confidence: 99%

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

İz

Çeri

2018

Emergency Medicine International

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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. MethodThis 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. ResultsThe 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. ConclusionOur 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.

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“…Among the youngest children (1-7 years old) the prevalence is even higher (20.1%) (2). The impact of common mental disorders among children such as ADHD as to major costs for both the individual and the society are wellknown, negatively affecting sick leave, increased mental and physical morbidity, alcohol and substance abuse, crime, relational problems, injuries, and suicide (3)(4)(5)(6)(7)(8)(9). Likewise, for children with anxiety disorders the impact is detrimental as well, with frequent experience of social, peer, and school related problems (10,11).…”

Section: Introductionmentioning

confidence: 99%

Dialogue Based Early Detection—Development of a Novel Approach for Detection of Mental Health Problems Among Children in Daycare Centers

2022

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BackgroundAmong 1–7 years old children the worldwide prevalence of mental disorders is ~20%. Without treatment, the prognosis of such disorders in children is poor. Early intervention is estimated to result in a positive return. However, traditional screening to detect children at need is particularly challenging due to the concerns by false positives. The aim of the current study was to develop a more acceptable though effective method using the existing annual evaluation meetings between parents and teachers in a more systematic and goal directed way. The method should build on the teacher's and parents' complementary knowledge and perception of the child, and fit into the everyday routines in daycare centers.MethodDuring a period of 6 years, a developmental process aiming for a novel screening method was carried out in cooperation with eight Norwegian daycare centers. After conception of the idea, the framework of the Dialogue Based Early Detection including the first version of the Early Worry Questionnaire (EWQ) was constructed. An iterative process involving parents and teachers completing workshops and subsequent testing facilitated a re-modeling of the method.ResultsIn the resulting Dialogue Based Early Detection a 36-item version of EWQ was completed by both parents and teachers ahead of the annual parent-teacher meeting. During that meeting the participants should try to reach a consensus whether there was a concern, some uncertainty, or no worry for the child, and which appropriate actions should be taken for a possible follow up. Both parents and teachers reported that the EWQ supported them in verbalizing already existing worries for the child. Teachers reported that parents were better prepared and participated more actively in the evaluation meetings. However, some parents complained that there was too much focus on possible worries. During the testing, challenges of language development, conduct, emotional reactions, toileting, attention, and eating were detected among the children.ConclusionThe Dialogue Based Early Detection method was endorsed by both teachers and parents and holds promise as a tool for improving early awareness and identification of developmental and mental health problems of preschool children in daycare centers.

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Attention deficit/hyperactivity disorder and risk of injuries: a systematic review and meta-analysis

Cited by 26 publications

References 44 publications

Diagnostic delay in ADHD: Duration of untreated illness and its socio‐demographic and clinical predictors in a sample of adult outpatients

Diagnostic delay in ADHD: Duration of untreated illness and its socio‐demographic and clinical predictors in a sample of adult outpatients

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

Dialogue Based Early Detection—Development of a Novel Approach for Detection of Mental Health Problems Among Children in Daycare Centers

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