Attention deficit hyperactivity disorder and other disruptive behavior disorders are risk factors for recurrent
Erdoğan Özgür1, Hatice Aksu2, Börte Gürbüz-Özgür2
1Department of Otorhinolaryngology, Nazilli State Hospital, Aydın, Turkey.
Insights
Children with recurrent epistaxis (nosebleeds) show higher rates of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). Early screening for these behavioral conditions is recommended for children experiencing frequent nosebleeds.
Area of Science:
- Pediatric Medicine
- Child Psychiatry
- Behavioral Science
Background:
- Recurrent epistaxis (RE) is common in children.
- The association between RE and disruptive behavior disorders is not well-established.
- Understanding potential comorbidities is crucial for comprehensive pediatric care.
Purpose of the Study:
- To investigate the frequency of attention deficit hyperactivity disorder (ADHD) and disruptive behavior disorders in children with recurrent epistaxis (RE).
- To compare the prevalence of these disorders between children with and without RE.
- To identify potential links between RE and behavioral conditions.
Main Methods:
- A cross-sectional study involving children aged 6-11 years.
- Participants were divided into groups based on the presence (n=34) or absence (n=103) of RE.
- Standardized diagnostic tools, including the Turgay DSM-IV-Based Child and Adolescent Disruptive Behavior Disorders Screening and Rating Scale and the Schedule for Affective Disorders and Schizophrenia for School-Age Children, were utilized.
Main Results:
- Attention deficit hyperactivity disorder (ADHD) was diagnosed in 32.4% of children with RE.
- Oppositional defiant disorder (ODD) was diagnosed in 17.6% of children with RE.
- Statistically significant higher frequencies of ADHD (p=0.028) and ODD (p=0.003) were observed in children with RE compared to those without.
Conclusions:
- Children experiencing recurrent epistaxis exhibit a higher prevalence of ADHD and ODD.
- These findings suggest a potential comorbidity between RE and behavioral disorders.
- Referral to child psychiatry is advised for children with RE presenting with symptoms of hyperactivity, inattention, or self-injurious behaviors.
Abstract:
The aim of this study was to investigate the frequency of attention deficit hyperactivity disorder (ADHD) and other disruptive behavior disorders in children with recurrent epistaxis (RE). Children aged between 6-11 years were enrolled according to presence (n=34) and absence (n=103) of RE. Turgay DSM-IV-Based Child and Adolescent Disruptive Behavior Disorders Screening and Rating Scale was applied to parents. Moreover, Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime Version was performed. Oppositional defiant disorder (ODD) and ADHD were determined in 17.6% and 32.4% of patients, respectively. When psychiatric diagnoses between both groups were compared, statistically significant differences were found in terms of ADHD and ODD (p=0.028 and p=0.003). In children with RE, the frequency of ADHD and ODD are higher than children without RE. A referral to a child psychiatrist should be considered, if a child with RE also has symptoms of increased activity, inattention and/or body-injurious behaviors.
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