Davidson L L
Department of Pediatrics, Gertrude H. Sergievsky Center, Columbia University, New York City, New York.
J Dev Behav Pediatr. 1987 Dec;8(6):335-40.
Studies investigating the relationship between hyperactivity, antisocial behavior, and injury in children are reviewed. Most of the studies have reported that these behaviors are important risk factors for injury. However, design problems with these studies are noted. Early studies employed inappropriate control groups, or omitted them altogether, whereas more recent studies have used retrospective measures that depend on the recall of mothers and teachers, and which are therefore vulnerable to bias. When, on the other hand, prospective designs were used, a relationship between hyperactivity and injury was not found. In all these recent studies, a relationship between injury and management problem or aggressive behavior was reported. It is concluded that the relationship between hyperactivity and injury is still under question, and that a further prospective study will be required to resolve the issue.
对有关儿童多动症、反社会行为和受伤之间关系的研究进行了综述。大多数研究报告称，这些行为是受伤的重要风险因素。然而，这些研究存在设计问题。早期研究采用了不恰当的对照组，或者完全没有设置对照组，而最近的研究则采用了依赖母亲和教师回忆的回顾性测量方法，因此容易产生偏差。另一方面，当采用前瞻性设计时，并未发现多动症与受伤之间存在关联。在所有这些近期研究中，均报告了受伤与管理问题或攻击性行为之间的关联。结论是，多动症与受伤之间的关系仍存在疑问，需要进一步进行前瞻性研究来解决这一问题。
