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Cognitive and behavioral characteristics of children with caustic ingestion

Murat Çakmak1, Gülnur Göllü1, Özlem Boybeyi2

  • 1Department of Pediatric Surgery, Ankara University School of Medicine, Ankara, Turkey.

Journal of Pediatric Surgery
|April 4, 2015
PubMed

Insights

Children with caustic ingestion exhibit impulsivity and hyperactivity, particularly those under five. This study confirms a link between attention-deficit/hyperactivity disorder behaviors and the risk of accidental caustic ingestion injuries in children.

Area of Science:

  • Pediatric Surgery
  • Child Psychology
  • Behavioral Science

Background:

  • Children with attention-deficit/hyperactivity disorder (AD/HD) display increased risk-taking behaviors and are more susceptible to injuries.
  • Caustic ingestion is a significant cause of injury in children, necessitating an understanding of contributing factors.

Purpose of the Study:

  • To evaluate the cognitive and behavioral characteristics of children who have ingested caustic substances.
  • To compare these characteristics with those of healthy children to identify potential risk factors.

Main Methods:

  • A case-control study involving 92 children: 46 with a history of non-suicidal caustic ingestion (CI) and 46 healthy subjects (HS).
  • Cognitive and behavioral traits were assessed using the Conners Parents Rating Scale-revised long form (CPRS-R:L) for Turkish children.
  • Demographic data and specific AD/HD symptom subscales were analyzed and compared between the CI and HS groups.

Main Results:

  • Children with caustic ingestion (CI) showed higher scores in Conners' Global Index-Discomfort-Impulsivity (CGI-DI) compared to healthy subjects (HS).
  • Preschoolers (under 5 years) in the CI group exhibited higher scores for hyperactivity (H), emotional instability, and cognitive problems/inattention (CG/I) than their HS counterparts.
  • Parents of healthy children had higher educational status than parents of children with caustic ingestion.

Conclusions:

  • Children with caustic ingestion demonstrate more impulsive behavior than healthy children.
  • Hyperactivity, in addition to impulsivity, is identified as a potential risk factor for caustic ingestion in young children (under 5 years).
  • The findings support the association between AD/HD-related behaviors and the increased risk of sustaining injuries from caustic ingestion in children.
Abstract

Keywords:
attention-deficit/hyperactivity disordercaustic ingestionchildren

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