Accident Proneness in Children and Adolescents Affected by ADHD and the Impact of Medication

被引:31
作者
Lange, Hannah [1 ]
Buse, Judith [2 ]
Bender, Stephan [2 ]
Siegert, Joachim [3 ]
Knopf, Hildtraud [4 ]
Roessner, Veit [2 ]
机构
[1] Univ Dresden, Sch Med, Dept Child & Adolescent Psychiat, Fetscherstr 74, D-01307 Dresden, Germany
[2] Univ Dresden, Sch Med, D-01307 Dresden, Germany
[3] Tech Univ Technol, Dresden, Germany
[4] Robert Koch Inst, Berlin, Germany
关键词
ADHD; adolescents; children; ADHD-associated problems; pharmacotherapy; DEFICIT-HYPERACTIVITY-DISORDER; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DIFFICULTIES-QUESTIONNAIRE SDQ; DRIVING PERFORMANCE; GERMAN HEALTH; YOUNG-ADULTS; INJURY RISK; BEHAVIOR; METHYLPHENIDATE; STRENGTHS;
D O I
10.1177/1087054713518237
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: This study aims to ascertain once and for all whether children and adolescents affected by ADHD show a higher risk for accidents, as well as investigating a possible association between the administration of ADHD-specific medication and the occurrence of accidents. Method: Two exceptionally large sets of data were implemented in this analysis. Participants included children and adolescents representative of the entire German population. Data for Survey 1 was collected through extensive administration of questionnaires. Data for Survey 2 stemmed from the records of a leading German health insurance company. In terms of statistical analysis, chi-square tests as well as logistic regression analyses were applied and odds ratios (ORs) were determined. Results: Innovative results are presented showing a significantly higher likelihood for ADHD-affected youngsters to be involved in accidents compared with their nonaffected counterparts (Survey 1: OR = 1.60; Survey 2: OR = 1.89) but lacking an overall significant influence of medication regarding the occurrence of accidents (Survey 1: OR = 1.28; Survey 2: OR = 0.97). Frequency of accidents could be predicted by ADHD, gender, and age in both samples. Medication intake served as a weak predictor only in Survey 2. Conclusion: It has been determined in two representative and independent German samples that youngsters with ADHD are at a significantly higher risk of being involved in accidents. In the future, this should always be considered when setting up a treatment plan to ensure a safer and healthier coming of age without relying solely on specific effects of medication.
引用
收藏
页码:501 / 509
页数:9
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