Paediatric trauma patients and attention deficit hyperactivity disorder: correlation and significance

Cem Ertan1, Özlem Özel Özcan, Mustafa Safa Pepele

  • 1Emergency Medicine, Inonu University Faculty of Medicine, Turgut Ozal Medical Center, Emergency Department, Malatya 44280, Turkey. cem.ertan@inonu.edu.tr

Insights

Children with repeated trauma-related emergency department visits show a predisposition to attention deficit hyperactivity disorder (ADHD). Screening for ADHD in the ED may benefit these children.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Emergency Medicine

Background:

  • Trauma is a leading cause of pediatric emergency department (ED) visits.
  • Childhood hyperactivity, inattentiveness, and impulsivity may increase injury risk.

Purpose of the Study:

  • To determine the prevalence of attention deficit hyperactivity disorder (ADHD) in children presenting with trauma.
  • To evaluate the role of ADHD in pediatric trauma cases.

Main Methods:

  • A study group of children aged 3-17 with trauma was compared to a control group.
  • Parents completed the Conners' Parent Rating Scales-Revised questionnaire for ADHD symptoms.
  • Demographic data and trauma information were collected from parents.

Main Results:

  • Children with trauma had significantly higher ADHD symptom subscale scores compared to controls.
  • Falls were the most common trauma mechanism (56.4%).
  • Previous trauma-related ED visits correlated with higher ADHD symptom scores.

Conclusions:

  • Children with recurrent trauma-related ED visits exhibit a predisposition to ADHD.
  • Screening for ADHD in pediatric ED settings may be beneficial for at-risk children.
Abstract

Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Post-traumatic Stress Disorder01:27

Post-traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...