Department of Orthopaedcis and Traumatology, Konya City Hospital, Konya-Türkiye.
Department of Child and Adolescent Psychiatry, Konya Necmettin Erbakan University, Meram Medical Faculty, Konya-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2024 May;30(5):343-352. doi: 10.14744/tjtes.2024.23522.
In school-age children, upper extremity fractures are associated with both parental and child-related factors and represent a multifactorial entity. This study aims to explore the psychological risk factors associated with upper extremity fractures in preschool children.
This single-center, hospital-based, age-matched case-control study involved 55 cases of upper extremity fractures and 55 controls experiencing growing pains. Parents of the children participated in face-to-face interviews. We examined the potential as-sociations between scores on the Mother-to-Infant Bonding Scale (MIBS), Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ASRS), Autism-Spectrum Quotient (AQ), State-Trait Anxiety Inventory (STAI), and Strengths and Difficulties Questionnaire (SDQ), and the risk of upper extremity fractures.
Advanced parental age and lower household income emerged as risk factors for upper extremity fractures, while longer maternal educational attainment was identified as a protective factor. In the univariate analyses, elevated scores on the Autism-Spec-trum Quotient Communication subscale (AQ-C), overall AQ score, Strengths and Difficulties Questionnaire Hyperactivity subscale (SDQ-H), and Strengths and Difficulties Questionnaire Emotional and Peer Problems subscale (SDQ-Int) were associated with an increased fracture risk (Odds Ratio [OR] (95% Confidence Interval [CI]): 1.15 (1.05-1.27), OR: 1.05 (1.01-1.09), OR: 1.25 (1.01-1.54), and OR: 1.19 (1.04-1.37), respectively). The AQ-C and SDQ-Int scales remained statistically significant as risk factors for upper ex-tremity fractures (OR: 1.15 (1.02-1.28) and OR: 1.21 (1.02-1.43), respectively) in the multivariate regression analyses.
Our findings suggest that psychological factors affecting both parents and children could potentially increase the risk of upper extremity fractures in preschool children.
在上肢骨折的学龄儿童中，存在与父母和儿童相关的因素，代表了一种多因素实体。本研究旨在探讨与学龄前儿童上肢骨折相关的心理危险因素。
这是一项单中心、基于医院的病例对照研究，纳入了 55 例上肢骨折病例和 55 例生长痛对照病例。儿童的父母参与了面对面访谈。我们研究了母亲-婴儿纽带量表（MIBS）评分、成人注意缺陷多动障碍自报告量表（ASRS）评分、自闭症谱系商数（AQ）评分、状态-特质焦虑量表（STAI）评分和长处和困难问卷（SDQ）评分与上肢骨折风险之间的潜在关联。
父母年龄较大和家庭收入较低是上肢骨折的危险因素，而母亲受教育程度较高则是保护因素。在单变量分析中，自闭症谱系商数沟通分量表（AQ-C）、整体 AQ 评分、长处和困难问卷多动分量表（SDQ-H）和长处和困难问卷情绪和同伴问题分量表（SDQ-Int）评分升高与骨折风险增加相关（优势比[OR]（95%置信区间[CI]）：1.15（1.05-1.27）、OR：1.05（1.01-1.09）、OR：1.25（1.01-1.54）和 OR：1.19（1.04-1.37））。在多变量回归分析中，AQ-C 和 SDQ-Int 量表仍然是上肢骨折的危险因素（OR：1.15（1.02-1.28）和 OR：1.21（1.02-1.43））。
我们的研究结果表明，影响父母和儿童的心理因素可能会增加学龄前儿童上肢骨折的风险。
