Çocuk Sağlığı ve Hastalıkları Dergisi
2011 , Vol 54 , Num 3
*A. Şebnem Soysal1, Birgül U. Bayoğlu2, Kıvılcım Gücüyener3
Gazi Üniversitesi Tıp Fakültesi 1Psikoloji Doktoru, 3Pediatri Profesörü, Hacettepe Üniversitesi İhsan Doğramacı Çocuk
Hastanesi 2Aile Sağlığı Uzmanı
Attention-Deficit Hyperactivity Disorder (ADHD) is a neurobehavioral
developmental disorder. It is the most commonly studied and diagnosed
psychiatric disorder in children, affecting about 3-5% of children globally,
with symptoms starting before seven years of age. It is a health condition
involving biologically active substances in the brain. ADHD may affect certain
areas of the brain that allow problem solving, planning ahead, understanding
others’ actions, and impulse control. A specific cause of ADHD is not yet
known. There are, however, a number of factors that may contribute to
ADHD, including genetics, diet and social and physical environments. In our
study, the injury rates of 116 children with ADHD and of 84 school-aged
children composing the control group and their relationship with physical
abuse/neglect were examined. While 25% of the children with ADHD diagnosis
were exposed to accidents and injuries, this rate was 3.6% among children
in the control group. Fifty percent of the children with ADHD diagnosis had
an accident and injury history that included road traffic accidents or falling
off a bike, while 52% had a history of injuries that suggested neglect and
physical abuse, such as a broken arm or burn. The history of recurrent injury
in children with ADHD, particularly among boys, leads to suspicion of neglect.
In conclusion, ADHD is a diagnosis that increases the rate of accident and
injury in childhood. An elaborative investigation of children with ADHD
with an injury history, in terms of physical abuse and neglect, may prevent
more serious injuries in the future. In addition, it can accelerate activation
of family support mechanisms.
Anahtar Kelimeler :
dikkat eksikliği hiperaktivite bozukluğu, ihmal, fiziksel istismar, çocuk.
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