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psychoneuro 2006; 32(7/08): 386-391
DOI: 10.1055/s-2006-951445
ADHS

© Georg Thieme Verlag Stuttgart · New York

Unfallgefährdung bei Kindern und Jugendlichen mit Aufmerksamkeitsdefizit/ Hyperaktivitätsstörung

Accident-proneness of children and adolescents with attention deficit hyperactivity disorder (ADHD)Martin Klein
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Publication History

Publication Date:
28 August 2006 (online)

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Bis vor kurzer Zeit war die Frage, ob ADHS-betroffene Kinder und Jugendliche im Vergleich zu Nichtbetroffenen in höherem Maße unfallgefährdet sind, umstritten. Frühe Studien legten dies nahe, aber Davidson 1987 und Wazana 1997 kritisierten, dass diese häufig Daten nur retrospektiv erfassten, die wiederum nur auf Berichte von Eltern statt offiziellen Krankenhausdaten basierten und sozioökonomische sowie Umgebungsfaktoren nicht ausreichend berücksichtigten. Seit 1997 gibt es aber neue Untersuchungen mit z.T. großen Fallzahlen, die eindeutige Hinweise erbringen, dass Kinder und Jugendliche mit ADHS nicht nur in deutlich höherem Maße unfallgefährdet sind, sondern auch schwerere Unfälle erleiden. Da in den meisten Studien der Anteil ADHS-betroffener Kinder sehr gering ist, scheint die wahre Anzahl der Unfälle, die im Zusammenhang mit ADHS stehen, sogar noch deutlich unterschätzt zu werden.

Until recently it has been controversial whether children and adolescents with ADHD are more accident-prone compared to their peers and to what extent. Early studies seem to suggest this perception, but Davidson (1987) and Wazana (1997) criticised most of them for being retrospective, relying on parental report instead of hospital charts, while disregarding socio-economic and environmental factors. Since 1997, however, new studies of a greater number of cases have provided results heavily supporting the conviction that children and adolescents (and probably adults) with ADHD face higher risks of being injured in accidents than their peers. Since in most of these studies the number of ADHD-affected children is rather low, the true injury rate in children and adolescents with ADHD might still be severely underestimated.

Key Words

hyperactivity - attention deficit hyperactivity disorder - injuries - accidents

Literatur

  • 1 Barkley RA, Murphy KR, Dupaul J, Bush T. Driving in young adults with attention deficit hyperactivity disorder: Knowledge, performance, adverse outcomes, and the role of executive functioning.  J Int Neuropsych Soc. 2002;  8 655-672
    PubMedGoogle Scholar
  • 2 Beck N, Krüger P, Barglik W, Warnke A. Erhöhtes Unfallrisiko hyperkinetischer Kinder im Erwachsenenalter.  Münch Med Wschr. 1997;  24 376-378
    PubMedGoogle Scholar
  • 3 Bijur PE, Stewart-Brown S, Butler N. Child behavior and accidental injury in 11966 preschool children.  Am J Dis Child. 1986;  140 487-492
    PubMedGoogle Scholar
  • 4 Braden K, Swanson S, Di Scala C. Injuries to Children Who Had Preinjury Cognitive Impairment. A 10-Year Retrospective Review.  Arch Pediatr Adolesc Med. 2003;  157 336-340
    CrossrefPubMedGoogle Scholar
  • 5 Brehaut J, Miller MA, Raina P, McGrail KM. Childhood Behavior Disorders and Injuries Among Children and Youth: A Population-Based Study.  Pediatrics. 2003;  111 262-269
    CrossrefPubMedGoogle Scholar
  • 6 Cox DJ, Humphrey JW, Merkel L, Penberthy JK, Kovatchev B. Controlled-release Methylphenidate Improves Attention During On-Road Driving by Adolescents with Attention-Deficit/Hyperactivity Disorder.  J Am Board Fam Pract. 2004;  17 235-239
    PubMedGoogle Scholar
  • 7 Davidson LL. Hyperactivity, antisocial behaviour and childhood injury: a critical review.  J Dev Behav Pediatr. 1987;  8 335-40
    PubMedGoogle Scholar
  • 8 Davidson LL, Taylor EA, Sanberg ST, Thorley G. Hyperactivity in school-age boys and subsequent risk of injury.  Pediatrics. 1992;  90 697-702
    PubMedGoogle Scholar
  • 9 Di Scala C, Lescohier I, Barthel M, Li G. Injuries to children with attention deficit hyperactivity disorder.  Pediatrics. 1998;  102 1415-1421
    CrossrefPubMedGoogle Scholar
  • 10 Farmer J, Peterson L. Injury Risk Factors in Children With Attention Deficit Hyperactivity Disorder.  Health Psychol. 1995;  14 325-332
    CrossrefPubMedGoogle Scholar
  • 11 Grützmacher H. Unfallgefährdung bei Aufmerksamkeits- und Hyperaktivitätsstörung Deutsch Ärztebl.  2001;  98 2195-2197
    PubMedGoogle Scholar
  • 12 Hack S, Chow B. Pediatric Psychotropic Medication Compliance: A Literature Review and Research-Based Suggestions for Improving Tratment Compliance.  J Child Adolesc Psychopharm. 2001;  11 59-67
    PubMedGoogle Scholar
  • 13 Hartsough CS, Lambert NM. Medical factors in hyperactive and normal children: Prenatal, developmental, and health history findings.  Am J Orthopsych. 1985;  55 190-210
    PubMedGoogle Scholar
  • 14 Jensen PS, Shervette RE, Xenakis SN, Bain MW. Psychosocial and medical histories of stimulant treated children.  J Am Acad Child Adolesc Psych. 1988;  27 798-801
    PubMedGoogle Scholar
  • 15 Lage M, Hwang P. Effect of methylphenidate formulation for attention deficit hyperactivity disorder on patterns and outcomes of treatment.  J Child Adolesc Psychopharmacol. 2004;  14 575-81
    CrossrefPubMedGoogle Scholar
  • 16 Lam LT. Attention Deficit Disorder and hospitalization due to injury among older adolescents in New South Wales, Australia.  J Atten Dis. 2002;  6 77-82
    PubMedGoogle Scholar
  • 17 Langley JD, Silva PA, Williams SM. A study of the relationship between 90 background behavioural and medical factors to childhood accidents.  Aust Paediatr J. 1980;  16 244-247
    PubMedGoogle Scholar
  • 18 Mangus RS, Bergman D, Zieger M, Coleman JJ. Burn injuries in children with attention-deficit/hyperactivity disorder.  Burns. 2004;  30 148-50
    CrossrefPubMedGoogle Scholar
  • 19 Mitchell EA, Aman MG, Turbott SH, Manku M. Clinical characteristics and serum essential fatty acid levels in hyperactive children.  Clin Ped. 1987;  26 406-411
    PubMedGoogle Scholar
  • 20 Mori L, Peterson L. Knowledge of safety of high and low active-impulsive boys: Implications for child injury prevention. J Clin Child Psychol.  1995;  24 370-376
    PubMedGoogle Scholar
  • 21 Morrongiello BA, Ondejko L, Littlejohn A. Understanding Toddlers' In-Home Injuries: I.  Context, Correlates, and Determinants J Pediat Psychol. 2004;  29 415-431
    PubMedGoogle Scholar
  • 22 Newcorn JH, Matier K, Bedi G, Hall S, Sharma V. Impulsivity and the initiation of fights in children with disruptive behavior disorders.  J Child Psychol Psych. 1995;  36 1199-211
    PubMedGoogle Scholar
  • 23 Pastor PN, Reuben CA. Identified Attention-Deficit/Hyperactivity Disorder and medically attended, nonfatal injuries: US school-age children, 1997-2002.  Ambul Pediat. 2006;  6 38-44
    PubMedGoogle Scholar
  • 24 Rowe R, Maughan B, Goodman R. Childhood Psychiatric Disorder and Unintentional Injury: Findings from a National Cohort Study.  J. Pediat Psychol. 2004;  29 119-130
    PubMedGoogle Scholar
  • 25 Scholer SJ, Mitchel EF, Ray WA. Predictors of Injury Mortality in Early Childhood.  Pediatrics. 1997;  100 342-347
    CrossrefPubMedGoogle Scholar
  • 26 Schwebel DC, Speltz ML, Jones K, Bardina P. Unintentional injury in preschool boys with and without early onset disruptive behavior.  J Pediat Psychol. 2002;  27 727-737
    PubMedGoogle Scholar
  • 27 Sherrard J, Tonge BJ, Ozanne-Smith J. Injury in young people with intellectual disability: descriptive epidemiology.  Inj Prev. 2001;  7 56-61
    CrossrefPubMedGoogle Scholar
  • 28 Statistisches Bundesamt. Statistisches Jahrbuch 2005 für die Bundesrepublik Deutschland, Wiesbaden. 2005: 242-243
    Google Scholar
  • 29 Stevenson MR, Rimajova M, Edgecombe D, Vickery K. Childhood Drowning: Barriers Surrounding Private Swimming Pools.  Pediatrics. 2003;  111 e115-e119
    CrossrefPubMedGoogle Scholar
  • 30 Stewart MA, Pitts FN, Craig AG, Dieruf W. The hyperactive child syndrome.  Am J Orthopsych. 1966;  36 861-867
    PubMedGoogle Scholar
  • 31 Stewart MA, Thach BT, Friedin MR. Accidental poisoning and the hyperactive child syndrome.  Dis Nerv System. 1970;  31 403-407
    PubMedGoogle Scholar
  • 32 Swensen A, Birnbaum HG, Ben R Hamadi, Greenberg P, Cremieux PY, Secnik K. Incidence and costs of accidents among attention-deficit/hyperactivity disorder patients.  J Adolesc Health. 2004;  35 346.e1-9
    PubMedGoogle Scholar
  • 33 Szatmari P, Offord DR, Boyle MH. Correlates, associated impairments, and patterns of service utilization of children with attention deficit disorders: Findings from the Ontario Child Health Study.  J Child Psychol Psychiat. 1989;  30 205-217
    PubMedGoogle Scholar
  • 34 Trott GE. Aufmerksamkeitsdefizit-/Aktivitätsstörung bei Erwachsenen.  Psycho. 2000;  26 177
    PubMedGoogle Scholar
  • 35 Wazana A. Are there injury-prone children? A critical review of the literature.  Can J Psych. 1997;  42 602-610
    PubMedGoogle Scholar
  • 36 Weiss G, Hechtman L, Perlman T, Hopkins J, Wener A. Hyperactives as young adults: a controlled prospective ten-year follow-up of 75 children.  Arch Gen Psych. 1979;  36 675-81
    PubMedGoogle Scholar
  • 37 Woodward LJ, Fergusson DM, Horwood LJ. Driving outcomes of young people with attentional difficulties in adolescence.  J Am Acad Child Adolesc Psych. 2000;  39 627-634
    CrossrefPubMedGoogle Scholar
  • 38 Xiang H, Stallones L, Chen G, Hostetler SG, Kelleher K. Nonfatal Injuries Among US Children With Disabling Conditions.  Am J Publ Health. 2005;  95 1970-1975
    PubMedGoogle Scholar

Korrespondenzadresse:

Dr. med. Martin Klein

Arzt für Neurologie

Gemeinschaftspraxis für Neurologie/Psychiatrie/Kinder-Jugend-Psychiatrie

Wirsbergstraße 10

97070 Würzburg

Email: dr.martinklein@t-online.de

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