Do attention deficit/hyperactivity disorder and oppositional defiant disorder influence preschool unintentional injury risk?

Arch Psychiatr Nurs. 2008 Oct;22(5):288-96. doi: 10.1016/j.apnu.2007.12.006.

Abstract

Purpose: This study explores the relationship among preschool attention deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), injury-risk-taking behavior, and unintentional injury.

Method: An emergency department (ED) casecontrol study of parent-reported child behavior was conducted.

Findings: Children with ODD and ADHD had significantly more injury-risk-taking behaviors (odds ratio [OR] = 7.68, 95% confidence interval [CI] 2.25-26.25; OR = 4.87, 95% CI 1.17--20.28, respectively), and injured children had a 17-fold increase in high-risk-taking behaviors (OR 17.2, 95% CI 2.14--138.0). No significant association existed between ODD or ADHD and ED-treated unintentional injury.

Implications: Disruptive behavior disorders are not major contributors to ED-treated unintentional injury in preschool children.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents / psychology
  • Accidents / statistics & numerical data*
  • Analysis of Variance
  • Attention Deficit Disorder with Hyperactivity / complications
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / psychology*
  • Attention Deficit and Disruptive Behavior Disorders / complications
  • Attention Deficit and Disruptive Behavior Disorders / epidemiology
  • Attention Deficit and Disruptive Behavior Disorders / psychology*
  • Case-Control Studies
  • Child Behavior* / psychology
  • Child, Preschool
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Hospitals, Pediatric / statistics & numerical data
  • Hospitals, Teaching / statistics & numerical data
  • Hospitals, Urban / statistics & numerical data
  • Humans
  • Logistic Models
  • Male
  • Midwestern United States / epidemiology
  • Risk Factors
  • Risk-Taking*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / etiology