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Self-inserted foreign body and attention-deficit/hyperactivity disorder: evaluated by the Conners' Parent Rating
Kemal Özcan1, Özlem Özcan, Nuray Bayar Muluk
1Malatya State Hospital, ENT Department, Malatya, Turkey.
Insights
Children with attention-deficit/hyperactivity disorder (ADHD) show a higher likelihood of self-inserted foreign bodies (SIFBs). Increased ADHD symptoms correlate with SIFBs, highlighting the need for close monitoring and intervention in affected children.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Behavioral Pediatrics
Background:
- Self-inserted foreign bodies (SIFBs) are common in children.
- Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder in childhood.
- The relationship between ADHD and SIFBs requires further investigation.
Purpose of the Study:
- To evaluate the association between ADHD and SIFBs in children.
- To utilize the Conners' Parent Rating Scales-Revised (CPRS-R) for assessment.
- To compare ADHD symptom levels in children with and without SIFBs.
Main Methods:
- A case-control study involving 45 children with SIFBs and 37 healthy controls (ages 3-9).
- Parents completed socio-demographic forms and the CPRS-R questionnaire.
- Statistical analysis compared CPRS-R subscale scores between groups.
Main Results:
- Children with SIFBs exhibited significantly higher CPRS-R subscale scores compared to controls.
- Lower school success and prior psychiatric issues were linked to elevated CPRS-R scores.
- Hyperactivity scores were higher in younger children and those not attending school, decreasing with age.
Conclusions:
- Children with ADHD demonstrate a greater propensity for self-injurious behaviors like SIFBs.
- Close parental observation and engagement in developmental activities are recommended.
- Proper child education and vigilant monitoring are crucial for preventing SIFBs.
Objectives:
We aimed to evaluate the relationship between attention-deficit/hyperactivity disorder (ADHD) and self-inserted foreign bodies (SIFBs) in children by the Conners' Parent Rating Scales-Revised (CPRS-R).
Methods:
Forty-five children (31 males and 14 females) with self-inserted foreign body of ear/nose and 37 healthy children (22 males and 15 females) included into the study. They were all between 3 and 9 years old. The parents filled the socio-demographic information form including age, gender, demographic data, previous medical history of the child and features of the family; and completed the Conners' Parent Rating Scales-Revised (CPRS-R) questionnaire.
Results:
In the SIFB group (study), 55.6% of the children were not attending to the school, 31.1% of them were attending to the primary school and 13.3% of them were the pre-school student. These rates were 37.8%, 32.4% and 29.7%, respectively, in the control group. The all CPRS-R subscale values (CG/I, H, ADHD-I, CGI-DI, DSMIV SS-I, DSM-IV SS-HI and DSM-IV SS-T) were significantly higher in the study group than the control group. There was no significant correlation between gender of the children and CPRS-R subscales. Children with lower school success, and having previous psychiatric problems were related to higher CPRS-R values in all subscales. In older children, hyperactivity scores were lower; and in younger children and the children, not going to the school, hyperactivity scores were higher. CPRS-R scores decreased as the child grown.
Conclusion:
It was concluded that children with ADHD were more likely to have conditions that might damage himself/herself such as self-inserted foreign body or trauma than normal children. To avoid this condition, these families should closely observe the child; and the child should be provided to participate in activities such as group games and activities that contribute to the development of the child. Warning the children properly and close follow-up of the young children are required to prevent this unwanted condition.
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