注意缺陷/多动障碍和对立违抗性障碍会影响学龄前儿童的意外伤害风险吗？
Do attention deficit/hyperactivity disorder and oppositional defiant disorder influence preschool unintentional injury risk?
作者信息
Garzon Dawn Lee, Huang Hongyan, Todd Richard D
机构信息
Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
出版信息
Arch Psychiatr Nurs. 2008 Oct;22(5):288-96. doi: 10.1016/j.apnu.2007.12.006.
Abstract
PURPOSE
This study explores the relationship among preschool attention deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), injury-risk-taking behavior, and unintentional injury.
METHOD
An emergency department (ED) casecontrol study of parent-reported child behavior was conducted.
FINDINGS
Children with ODD and ADHD had significantly more injury-risk-taking behaviors (odds ratio [OR] = 7.68, 95% confidence interval [CI] 2.25-26.25; OR = 4.87, 95% CI 1.17--20.28, respectively), and injured children had a 17-fold increase in high-risk-taking behaviors (OR 17.2, 95% CI 2.14--138.0). No significant association existed between ODD or ADHD and ED-treated unintentional injury.
IMPLICATIONS
Disruptive behavior disorders are not major contributors to ED-treated unintentional injury in preschool children.
摘要
目的
本研究探讨学龄前儿童注意力缺陷/多动障碍（ADHD）、对立违抗性障碍（ODD）、伤害冒险行为和意外伤害之间的关系。
方法
进行了一项急诊科（ED）病例对照研究，研究对象为家长报告的儿童行为。
结果
患有ODD和ADHD的儿童有更多的伤害冒险行为（优势比[OR]=7.68，95%置信区间[CI]2.25 - 26.25；OR = 4.87，95%CI 1.17 - 20.28），受伤儿童的高风险行为增加了17倍（OR 17.2，95%CI 2.14 - 138.0）。ODD或ADHD与急诊科治疗的意外伤害之间不存在显著关联。
启示
破坏性行为障碍不是学龄前儿童急诊科治疗的意外伤害的主要原因。
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