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Risk of mild head injury in preschool children: relationship to attention deficit hyperactivity disorder symptoms
1Department of Child and Adolescent Psychiatry, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaraş, Turkey. drhaticealtun@gmail.com.
Insights
Preschool children with mild head injury (MHI) show more attention deficit hyperactivity disorder (ADHD) symptoms and behavioral issues than healthy peers. Early screening and intervention for MHI in children are recommended.
Area of Science:
- Pediatric neurology
- Child psychology
- Developmental disorders
Background:
- Mild head injury (MHI) can impact cognitive and behavioral development in children.
- Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder affecting children's behavior and attention.
- Understanding the potential link between MHI and ADHD symptoms in preschoolers is crucial for early intervention.
Purpose of the Study:
- To investigate the association between mild head injury (MHI) and attention deficit hyperactivity disorder (ADHD) symptoms in preschool-aged children.
- To compare ADHD symptom prevalence in children with and without a history of MHI.
- To identify specific behavioral and emotional symptoms associated with MHI in young children.
Main Methods:
- A case-control study involving 30 preschool children (3-6 years) with MHI and 30 age- and sex-matched healthy controls.
- Evaluation of ADHD symptoms using the Conners' Parent Rating Scale-Revised Long (CPRS-RL).
- Statistical analysis to compare symptom scores between the MHI and control groups.
Main Results:
- Children with MHI exhibited significantly higher scores on oppositional behavior, inattention, hyperactivity, social problems, and overall ADHD index compared to controls.
- Significant differences were observed in Conners' Global Index (CGI) subscales, including irritability, impulsivity, emotional lability, and total score.
- A history of previous trauma requiring emergency services was noted in 26.7% of the MHI patient group.
Conclusions:
- Preschool children with MHI demonstrate a higher prevalence of pre-existing ADHD symptoms, oppositional behavior, and emotional-behavioral difficulties.
- Clinical screening for ADHD symptoms in children with MHI is warranted to facilitate timely referral and treatment.
- Prompt evaluation by a child psychiatrist for children with MHI may aid in preventing recurrent injuries.
Aim:
To investigate whether there is an association between mild head injury (MHI) and attention deficit hyperactivity disorder (ADHD) symptoms in preschool children.
Methods:
The study included a patient group of 30 children aged 3-6 years with mild head trauma and a control group of 30 healthy and age- and sex-matched children. The symptoms of ADHD were evaluated using the Conners' Parent Rating Scale-Revised Long (CPRS-RL) form.
Results:
The mean age was 4.73 ± 1.13 years in the patient group and 4.65 ± 0.99 years in the control group. No significant differences were determined between the groups in terms of age, gender, parents' age and education (p > 0.05). The total subscale points as reported by the parents of the children with MHI were significantly higher than those for the control group in terms of the following subscales: oppositional, cognitive problems/inattention, hyperactivity, social problems, ADHD index, Conners' Global Index (CGI)-Irritability-Impulsiveness, CGI-Emotional Lability, CGI-Total and DSM-IV ADHD symptoms (p < 0.05). A history of previous trauma treated in emergency services was determined in eight of the 30 patients (26.7%).
Conclusions:
The findings of this study suggest that preschool children with MHI have more pre-injury ADHD symptoms and oppositional and emotional-behavioural symptoms than healthy children without trauma. Clinicians should screen children with MHI for ADHD symptoms and refer them for treatment when necessary. Evaluation of children presenting with MHI by a child psychiatrist may prevent repetition of injuries.
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