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Adolescents with attention deficit and hyperactivity disorder/learning disability and their proneness to accidents

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Abstract

Objective: The aim of the study was to determine if attention deficit and hyperactivity disorder (ADHD)/learning disability (LD) adolescents are more prone to accidents and to investigate the parental mode of coping with that risk.Methods: One hundred and eight high school pupils diagnosed with ADHD/LD and studying in an institute of “special education” were examined and interviewed on the subject of accidents. Eighty-seven pupils, studying in a nearby academic high school, served as a control group.Results: The results showed that pupils in the study group had been involved in 0.57±1.6 accidents (until the present study) in comparison to 0.23±0.4 accidents in the control group (p=0.001). The accidents in the ADHD/LD study group had occurred at the mean age of 11.1±3.4 yr. Eight decimal three percent of these pupils had been involved in recurrent accidents. Circumstances and locations where the accidents occurred were: falls while running or participating in sports activities (38.5%), home environment (23%), school environment (19.2%) and road accidents (11.5%).Conclusion: The study shows that there is a real risk for ADHD/LD adolescents to be involved in all kinds of accidents. Parents should be counting on the help of professional advisors to decrease that risk. Physicians should caution these adolescents and their parents about that risk and advise them on ways and means of accident prevention.

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References

  1. Discala C, Lescohier I, Barthel M, Li G. Injuries to children with ADHD.Ped 1998; 102: 1415–1421.

    Article  CAS  Google Scholar 

  2. Beck N, Warnke A, Kruger HP, Barglik W. Hyperkinetic syndrome and behavioral disorders in street traffic accidents: a case controlled pilot study.Z Kinder Psychiatry Psychother 1996; 24: 82–91.

    CAS  Google Scholar 

  3. Gerring JP, Brady KD, Chen A, Vasa R, Grados Met al. Premorbid prevalence of ADHD and development of secondary ADHD after closed head injury.J Am Acad Child Adoles Psychiatry 1998; 37: 647–654.

    CAS  Google Scholar 

  4. Sherrard J, Tong BJ, Ozanne-Smith J. Injury risk in young people with intellectual disability.J Intellect Disabil Res 2000; 46: 6–16.

    Article  Google Scholar 

  5. Barkley RA. Major life activity and health outcomes associated with ADHD.J Clin Psychiatry 2002; 63 (Suppl 12): 10–15.

    PubMed  Google Scholar 

  6. Woodward LJ, Fergusson DM, Horwood LJ. Driving outcomes of young people with attentional difficulties in adolescence.J Am Acad Child Adoles Psychiatry 2000; 39: 627–634.

    Article  CAS  Google Scholar 

  7. Gayton WF, Bailey C, Wagner A, Herdesty VA. Relationship between childhood hyperactivity and accident proneness.Percept Mot Skills 1986; 63: 801–802.

    PubMed  CAS  Google Scholar 

  8. Nada-Raja S, Langley JD, McGee R, Williams SM, Begg DJ, Reeder AI. Inattentive and hyperactive behaviors and driving offenses in adolescence.J Am Acad Child Adoles Psychiatry 1997; 36: 515–522.

    CAS  Google Scholar 

  9. Lam LT. ADD and hospitalization due to injury among older adolescents in New South Wales, Australia.J Attent Disord 2002; 6: 77–82.

    Article  CAS  Google Scholar 

  10. Brehaut JC, Miller A, Raina P, McGrail KM. Childhood behavior disorders and injuries among children and youth: a population-based study.Pediatrics 2003; 111: 262–269.

    Article  PubMed  Google Scholar 

  11. Wozniak J, Harding-Crawford M, Biederman J, Faraone SV, Spencer TJet al. Antecedents and complications of trauma in boys with ADHD: finding from a longitudinal study.J Am Acad Child Adoles Psychiatry 1999; 38: 48–55.

    Article  CAS  Google Scholar 

  12. Davidson LL, Taylort EA, Sandberg ST, Thorley G. Hyperactivity in school-age boys and subsequent risk of injury.Pediatrics 1992; 90: 697–702.

    PubMed  CAS  Google Scholar 

  13. Ford JD, Racusin R, Daviss WB, Ellis CG, Thomas Jet al. Trauma exposure among children with oppositional defiant disorder and ADHD.J Consult Clin Psychol 1999; 67: 786–789.

    Article  PubMed  CAS  Google Scholar 

  14. Farmer JE, Peterson L. Injury risk factors in children with ADHD.Health Psychol 1995; 14: 325–332.

    Article  PubMed  CAS  Google Scholar 

  15. Barkley RA, Murphy KR, Dupanl GI, Bush T. Driving in young adults with ADHD: knowledge, performance, adverse outcomes and the role of executive functioning.J In'l Neuropsychol 2002; 8: 655–672.

    Google Scholar 

  16. Irwin CE, Cataldo MF, Matheny AP, Peterson L. Health consequences of behaviors: injury as a model.Pediatrics 1992; 90: 798–807.

    PubMed  Google Scholar 

  17. Bijur P, Golding J, Haslum M, Kurzon M. Behavioral predictors of injury in school-age children.Am J Dis Child 1988; 142: 1307–1312.

    PubMed  CAS  Google Scholar 

  18. Hoare P, Beattie T. Children with ADHD and atendance at hospital.Eur J Emerg Med 2003; 10: 98–100.

    Article  PubMed  Google Scholar 

  19. Brook U, Heim M. Accidents among high school pupils in Israel: a recurrent disease?Pat Educ Couns 1996; 31: 237–242.

    Article  Google Scholar 

  20. Barkley RA, Murphy KR, Kwasnik D. Motor vehicle driving competencies and risk in teens and young adults with ADHD.Pediatrics 1996; 86: 1089–1095.

    Google Scholar 

  21. Pless IB, Taylor HG, Arsenault L. The relationship between vigilance deficits and traffic injuries involving children.Pediatrics 1995; 95: 219–224.

    PubMed  CAS  Google Scholar 

  22. Schwebel DC, Speltz ML, Jones K, Bardina P. Unintentional injury in preschool boys with and without early onset of disruptive behavior.J Pediatr Psychol 2002; 27: 727–737.

    Article  PubMed  Google Scholar 

  23. Richards T, Deffenbacher J, Rosen L. Driving anger and other driving-related behaviors in high and low ADHD symptom college students.J Attent Disord 2002; 6: 25–38.

    Article  Google Scholar 

  24. Wazana A. Are there injury-prone children? A critical review of the literature.Can J Psychiatry 1997; 42: 602–610.

    PubMed  CAS  Google Scholar 

  25. Cox DJ, Merkel RL, Koratchev B, Seward A. Effect of stimulant medication on driving performance of young adults with ADHD: a preliminary double-blind placebo controlled trial.J New Ment Dis 2000; 188: 230–234.

    Article  CAS  Google Scholar 

  26. Shalev R, Gross-Tsur V. Methylphenidate (Ritalin) in the treatment of ADD. (Hebrew).Harefuah 1997; 132: 672–675.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Epidemiology Unit, Edith Wolfson Medical Center, Holon

    Mona Boaz

  2. Sackler Faculty of Medicine, Tel Aviv University, Israel

    Uzi Brook & Mona Boaz

  3. Department of Pediatrics, Edith Wolfson Medical Center, 58100, Holon, Israel

    Uzi Brook

Authors
  1. Uzi Brook
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  2. Mona Boaz
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Correspondence to Uzi Brook.

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Brook, U., Boaz, M. Adolescents with attention deficit and hyperactivity disorder/learning disability and their proneness to accidents. Indian J Pediatr 73, 299–303 (2006). https://doi.org/10.1007/BF02825823

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