Risk of mild head injury in preschool children: relationship to attention deficit hyperactivity disorder symptoms

Hatice Altun1, İdiris Altun2

  • 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.
Abstract

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