Accident patterns in trauma surgery patients with and without self-reported ADHD

被引:0
|
作者
Sarah Wolff
Kristin Queiser
Leonie Wessendorf
Anna Maria Meier
Moritz Verdenhalven
Oliver Grimm
Christoph Reimertz
Christoph Nau
Michelle Klos
Andreas Reif
Sarah Kittel-Schneider
机构
[1] University Hospital Frankfurt,Department of Psychiatry, Psychosomatic Medicine and Psychotherapy
[2] Goethe University,Department of Trauma, Hand and Reconstructive Surgery
[3] Occupational Accident Clinic Frankfurt (Berufsgenossenschaftliche Unfallklinik,Department of Oral, Maxillofacial and Plastic Facial Surgery
[4] BGU),undefined
[5] University Hospital Frankfurt,undefined
[6] Goethe University,undefined
[7] University Hospital Frankfurt,undefined
[8] Goethe University,undefined
来源
Journal of Neural Transmission | 2019年 / 126卷
关键词
Adult attention deficit/hyperactivity disorder (aADHD); Accidents; Psychosocial stress; Cross-sectional study;
D O I
暂无
中图分类号
学科分类号
摘要
Attention deficit/hyperactivity disorder (ADHD) has been associated with a higher risk for accidents and injuries, leading to increased mortality. The objective of this study was to identify the types and mechanisms of accidents in a group of adult trauma victims with self-reported ADHD compared to a control group, based on Adult ADHD Self-Report Scale Version 1.1 (ASRSv1.1). A semi-open/qualitative accident questionnaire was conducted with 116 recruited patients from three trauma surgery units. The adult ADHD (aADHD) group differed significantly from the control group in self-reported psychiatric co-morbidities (p = 0.012), regular psychotropic medication use (p = 0.005), other accidents in the past year (p = 0.002), substance use before the accident (p = 0.007), and overconfidence in relation to the accident (p = 0.033). Most interestingly, we found significantly greater subjective ratings for stress (p = 0.002) and stressful/pressurising events before the accident (p = 0.026) in the adult ADHD group, as well as for self-reported stress at the time when conducting the interview (p = 0.016). The data demonstrate that special attention should be paid to interventions in stress reduction and sufficient treatment of ADHD in terms of preventing accidents and injuries in aADHD. Therefore, we suggest, in addition to pharmaceutical therapy, the integration of stress-management and coping strategies into aADHD management.
引用
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页码:1163 / 1173
页数:10
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