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Child's Nervous System

Published in:

01-07-2018 | Original Paper

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

Authors: Hatice Altun, İdiris Altun

Published in: Child's Nervous System | Issue 7/2018

Abstract

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.

Stoddard FJ, Saxe G (2001) Ten-year research review of physical injuries. J Am Acad Child Adolesc Psychiatry 40:1128–1145CrossRefPubMed

Angalakuditi MV, Angalakuditi N (2011) Causes and consequences of injuries in children in Western Australia. Risk Manag Healthcare Policy 4:107CrossRef

Trefan L, Houston R, Pearson G, Edwards R, Hyde P, Maconochie I, Parslow R, Kemp A (2016) Epidemiology of children with head injury: a national overview. Arch Dis Child 101:527–532CrossRefPubMedPubMedCentral

Quayle KS, Holmes JF, Kuppermann N (2014) Epidemiology of blunt head trauma in children in US emergency departments. N Engl J Med 371:1945–1947CrossRefPubMed

Starkey NJ, Jones K, Case R, Theadom A, Barker-Collo S, Feigin V (2018) Post-concussive symptoms after a mild traumatic brain injury during childhood and adolescence. Brain Inj: 1–10

Holm L, David Cassidy J, Carroll L, Borg J (2005) Summary of the WHO collaborating centre for neurotrauma task force on mild traumatic brain injury. J Rehabil Med 37:137–141CrossRefPubMed

Hawley C, Wilson J, Hickson C, Mills S, Ekeocha S, Sakr M (2013) Epidemiology of paediatric minor head injury: comparison of injury characteristics with indices of multiple deprivation. Injury 44:1855–1861CrossRefPubMed

Hawley CA, Ward AB, Magnay AR, Long J (2002) Children’s brain injury: a postal follow-up of 525 children from one health region in the UK. Brain Inj 16:969–985CrossRefPubMed

Hawley CA, Ward AB, Magnay AR, Long J (2003) Parental stress and burden following traumatic brain injury amongst children and adolescents. Brain Inj 17:1–23CrossRefPubMed

10.

Anderson T, Heitger M, Macleod A (2006) Concussion and mild head injury. Pract Neurol 6:342–357CrossRef

11.

Association AP (2013) Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub

12.

Thomas R, Sanders S, Doust J, Beller E, Glasziou P (2015) Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics 135:e994-e1001CrossRef

13.

Wichstrøm L, Berg-Nielsen TS, Angold A, Egger HL, Solheim E, Sveen TH (2012) Prevalence of psychiatric disorders in preschoolers. J Child Psychol Psychiatry 53:695–705CrossRefPubMed

14.

Lavigne JV, LeBailly SA, Hopkins J, Gouze KR, Binns HJ (2009) The prevalence of ADHD, ODD, depression, and anxiety in a community sample of 4-year-olds. J Clin Child Adolesc Psychol 38:315–328CrossRefPubMed

15.

Canals J, Morales-Hidalgo P, Jané MC, Domènech E (2016) ADHD prevalence in Spanish preschoolers: comorbidity, socio-demographic factors, and functional consequences. J Atten Disord:1087054716638511

16.

Brock SE, Jimerson SR, Hansen RL (2009) Identifying, assessing, and treating ADHD at school. Springer

17.

Chou I-C, Lin C-C, Sung F-C, Kao C-H (2014) Attention-deficit hyperactivity disorder increases the risk of deliberate self-poisoning: a population-based cohort. Eur Psychiatry 29:523–527CrossRefPubMed

18.

Uslu M, Uslu R, Eksioglu F, Ozen NE (2007) Children with fractures show higher levels of impulsive-hyperactive behavior. Clin Orthop Relat Res 460:192–195PubMed

19.

Hergüner A, Erdur AE, Başçiftçi FA, Herguner S (2015) Attention-deficit/hyperactivity disorder symptoms in children with traumatic dental injuries. Dent Traumatol 31:140–143CrossRefPubMed

20.

Celenk F, Gokcen C, Celenk N, Baysal E, Durucu C, Kanlikama M (2013) Association between the self-insertion of nasal and aural foreign bodies and attention-deficit/hyperactivity disorder in children. Int J Pediatr Otorhinolaryngol 77:1291–1294CrossRefPubMed

21.

Bayar H, Coskun E, Öner V, Gokcen C, Aksoy U, Okumus S, Erbagci I (2015) Association between penetrating eye injuries and attention deficit hyperactivity disorder in children. British Journal of Ophthalmology: bjophthalmol-2014-306248

22.

Ertan C, Özcan ÖÖ, Pepele MS (2012) Paediatric trauma patients and attention deficit hyperactivity disorder: correlation and significance. Emerg Med J 29:911–914CrossRefPubMed

23.

Badger K, Anderson L, Kagan RJ (2008) Attention deficit-hyperactivity disorder in children with burn injuries. J Burn Care Res 29:724–729CrossRefPubMed

24.

Huang C-C, Wang J-Y, Huang L-T, Yang L-Y, Lo W-C, Chiu W-T (2016) Association of traumatic brain injury in childhood and attention-deficit/hyperactivity disorder: a population-based study. Pediatr Res 80:356CrossRefPubMed

25.

Max JE, Lansing AE, Koele SL, Castillo CS, Bokura H, Schachar R, Collings N, Williams KE (2004) Attention deficit hyperactivity disorder in children and adolescents following traumatic brain injury. Dev Neuropsychol 25:159–177CrossRefPubMed

26.

Schachar R, Levin HS, Max JE, Purvis K, Chen S (2004) Attention deficit hyperactivity disorder symptoms and response inhibition after closed head injury in children: do preinjury behavior and injury severity predict outcome? Dev Neuropsychol 25:179–198CrossRefPubMed

27.

Levin H, Hanten G, Max J, Li X, Swank P, Ewing-Cobbs L, Dennis M, Menefee DS, Schachar R (2007) Symptoms of attention-deficit/hyperactivity disorder following traumatic brain injury in children. J Dev Behav Pediatr 28:108–118CrossRefPubMed

28.

Gerring JP, Brady KD, Chen A, Vasa R, Grados M, Bandeen-Roche KJ, Bryan RN, Denckla MB (1998) Premorbid prevalence of ADHD and development of secondary ADHD after closed head injury. J Am Acad Child Adolesc Psychiatry 37:647–654CrossRefPubMed

29.

Merrill R, Lyon J, Baker R, Gren L (2009) Attention deficit hyperactivity disorder and increased risk of injury. Adv Med Sci 54:20CrossRefPubMed

30.

Ballesteros MF, Schieber R, Gilchrist J, Holmgreen P, Annest JL (2003) Differential ranking of causes of fatal versus non-fatal injuries among US children. Inj Prev 9:173–176CrossRefPubMedPubMedCentral

31.

Kaner S, Büyüköztürk Ş, İşeri E, Ak A, Özaydın L (2011) Conners’ Parent Rating Scale Long Form-Revised: factor structure, reliability and validity studies. Turkish J Child Adolesc Mental Health 18:45–58

32.

Barkley RA, Guevremont DC, Anastopoulos AD, DuPaul GJ, Shelton TL (1993) Driving-related risks and outcomes of attention deficit hyperactivity disorder in adolescents and young adults: a 3-to 5-year follow-up survey. Pediatrics 92:212–218PubMed

33.

Fischer M, Barkley RA, Smallish L, Fletcher K (2007) Hyperactive children as young adults: driving abilities, safe driving behavior, and adverse driving outcomes. Accid Anal Prev 39:94–105CrossRefPubMed

34.

Olazagasti MAR, Klein RG, Mannuzza S, Belsky ER, Hutchison JA, Lashua-Shriftman EC, Castellanos FX (2013) Does childhood attention-deficit/hyperactivity disorder predict risk-taking and medical illnesses in adulthood? J Am Acad Child Adolesc Psychiatry 52: 153–162. e154

35.

Amiri S, Sadeghi-Bazargani H, Nazari S, Ranjbar F, Abdi S (2017) Attention deficit/hyperactivity disorder and risk of injuries: a systematic review and meta-analysis. J Injury Violence Res 9:95

36.

Tai Y-M, Gau SS-F, Gau C-S (2013) Injury-proneness of youth with attention-deficit hyperactivity disorder: a national clinical data analysis in Taiwan. Res Dev Disabil 34:1100–1108CrossRefPubMed

37.

Pastor PN, Reuben CA (2006) Identified attention-deficit/hyperactivity disorder and medically attended, nonfatal injuries: US school-age children, 1997–2002. Ambul Pediatr 6:38–44CrossRefPubMed

38.

Kang JH, Lin HC, Chung SD (2013) Attention-deficit/hyperactivity disorder increased the risk of injury: a population-based follow-up study. Acta Paediatr 102:640–643CrossRefPubMed

39.

Rowe R, Maughan B, Goodman R (2004) Childhood psychiatric disorder and unintentional injury: findings from a national cohort study. J Pediatr Psychol 29:119–130CrossRefPubMed

40.

Byrne JM, Bawden HN, Beattie T, DeWolfe NA (2003) Risk for injury in preschoolers: relationship to attention deficit hyperactivity disorder. Child Neuropsychology 9:142–151CrossRefPubMed

41.

Garzon DL, Huang H, Todd RD (2008) Do attention deficit/hyperactivity disorder and oppositional defiant disorder influence preschool unintentional injury risk? Arch Psychiatr Nurs 22:288–296CrossRefPubMedPubMedCentral

42.

Chasle V, Riffaud L, Longuet R, Martineau-Curt M, Collet Y, Le Fournier L, Pladys P (2016) Mild head injury and attention deficit hyperactivity disorder in children. Childs Nerv Syst 32:2357–2361CrossRefPubMed

43.

Adeyemo BO, Biederman J, Zafonte R, Kagan E, Spencer TJ, Uchida M, Kenworthy T, Spencer AE, Faraone SV (2014) Mild traumatic brain injury and ADHD: a systematic review of the literature and meta-analysis. J Atten Disord 18:576–584CrossRefPubMed

44.

Fann JR, Burington B, Leonetti A, Jaffe K, Katon WJ, Thompson RS (2004) Psychiatric illness following traumatic brain injury in an adult health maintenance organization population. Arch Gen Psychiatry 61:53–61CrossRefPubMed

45.

Fann J, Leonetti A, Jaffe K, Katon W, Cummings P, Thompson R (2002) Psychiatric illness and subsequent traumatic brain injury: a case control study. J Neurol Neurosurg Psychiatry 72:615–620CrossRefPubMedPubMedCentral

46.

Compton B, Klein K, Goldberg D, Zevallos J, Lozano J (2017) Prevalence of traumatic brain injury in children with attention-deficit/hyperactivity disorder: a cross-sectional study. Fla Med Student Res J 2:1

47.

Burrows P, Trefan L, Houston R, Hughes J, Pearson G, Edwards R, Hyde P, Maconochie I, Parslow R, Kemp A (2015) Head injury from falls in children younger than 6 years of age. Archives of disease in childhood: archdischild-2014-307119

48.

Marcus SC, Wan GJ, Zhang HF, Olfson M (2008) Injury among stimulant-treated youth with ADHD. J Atten Disord 12:64–69CrossRefPubMed

49.

Man KK, Chan EW, Coghill D, Douglas I, Ip P, Leung L-P, Tsui MS, Wong WH, Wong IC (2015) Methylphenidate and the risk of trauma. Pediatrics 135:40–48CrossRefPubMed

Title: Risk of mild head injury in preschool children: relationship to attention deficit hyperactivity disorder symptoms
Authors: Hatice Altun
İdiris Altun
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 7/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-3808-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Aim

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Methods

Results

Conclusions

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