小儿四肢骨折与注意缺陷多动障碍的关系

IF 0.5 4区医学 Q4 PSYCHIATRY

Annales medico-psychologiques Pub Date : 2025-03-01 DOI:10.1016/j.amp.2024.09.005

Merve Yazıcı , Rıfat Şahin , Mehmet Sabri Balık , Ahmet Tunahan Yılmaz

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引用次数: 0

摘要

注意缺陷多动障碍是儿童最常见的精神障碍之一，以注意力不集中、多动和冲动行为为特征。骨折是住院治疗的常见原因，尤其是儿童。认识骨折危险因素有助于预防损伤，并为确定适当的干预措施提供信息。目的探讨骨折的诊断是否与注意缺陷多动障碍的诊断和症状，以及对立违抗障碍、品行障碍和认知节奏迟缓的症状相关。材料与方法研究对象为在骨科与创伤科门诊就诊的有四肢骨折和无四肢骨折患儿。由儿童精神病学家进行半结构化访谈，并应用量表。将所得结果与对照组进行比较分析。此外，在患者组中，详细分析骨折相关特征，并探讨其与注意缺陷多动障碍的关系。结果共纳入骨折患儿200例，其中男65例，女35例；对照组男56例，女46例。骨折患者和对照组的平均年龄分别为11.74±3.40岁和11.46±3.66岁。结果表明，注意力不集中和多动的症状与骨折的风险有关。然而，其他疾病的症状与骨折之间没有关系。结论本研究对揭示注意缺陷多动障碍与骨折之间的可能关系具有重要意义。外科医生对注意缺陷多动障碍的症状提出质疑，并识别有风险的儿童，将有助于注意缺陷多动障碍的早期诊断和治疗。

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Relationship between pediatric extremity fractures and attention deficit hyperactivity disorder

Context

Attention deficit hyperactivity disorder is one of the most common mental disorders of childhood, characterized by inattention, hyperactivity, and impulsive behaviors. Fractures are a common cause of hospitalization, especially in children. Recognizing fracture risk factors can aid in injury prevention and provide information for determining the appropriate interventions.

Objectives

This study examined whether a diagnosis of fracture is associated with the diagnosis and symptoms of attention deficit hyperactivity disorder, as well as with symptoms of oppositional defiant disorder, conduct disorder and sluggish cognitive tempo.

Materials and methods

The study groups consisted of children with and without extremity fractures who applied to the orthopedics and traumatology outpatient clinic. A semi-structured interview was conducted by a child psychiatrist and the scales were applied. The results obtained were compared and analyzed between patient and control groups. In addition, in patient group, fracture-related characteristics were detailed and their relationship with attention deficit hyperactivity disorder was invastigated.

Results

A total of 200 children and adolescents, 65 males and 35 females diagnosed with fractures, and 56 males and 46 females in the control group, were included. The mean ages of the patient with fractures and control groups were 11.74 ± 3.40 and 11.46 ± 3.66, respectively. Results showed that the symptoms of inattention and hyperactivity were associated with the risk of fracture. However, there was no relationship between with symptoms of other diseases and fracture.

Conclusions

This study is important in terms of revealing the possible relationship between attention deficit hyperactivity disorder and fracture. Questioning the symptoms of attention deficit hyperactivity disorder by surgeons and identifying children at-risk will contribute to the early diagnosis and treatment of attention deficit hyperactivity disorder.

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来源期刊

Annales medico-psychologiques 医学-精神病学

CiteScore

1.30

自引率

33.30%

发文量

196

审稿时长

4-8 weeks

期刊介绍： The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.