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

Childs Nerv Syst. 2018 Apr 25. doi: 10.1007/s00381-018-3808-8. [Epub ahead of print]

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

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.

KEYWORDS:

Attention deficit hyperactivity disorder; Emotional and behavioural symptoms; Mild head injury; Preschool children

PMID:

 

29696355

 

DOI:

 

10.1007/s00381-018-3808-8


Categories: Brain Trauma and NeuroCritical Care

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