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- Title
The role of psychiatric status on pediatric extremity fractures: a prospective analysis.
- Authors
Duramaz, Altuğ; Yilmaz, Semra; Ziroğlu, Nezih; Bursal Duramaz, Burcu; Bayram, Berhan; Kara, Tayfun
- Abstract
Purpose: The aim of the study was to investigate the relationship between attention deficit and hyperactivity disorder (ADHD), anxiety, and depression with pediatric extremity fractures. Methods: Between November 2014 and November 2016, consecutive 138 patients with pediatric extremity fractures were prospectively investigated in terms of the tendency to anxiety, depression, or ADHD in the study group. Consecutive 168 non-trauma patients who were admitted to general pediatrics outpatient clinic were included the control group. Patients were performed with Turgay DSM-IV-Based Child and Adolescent Behavior Disorders Screening and Rating Scale-Parents Form (T-DSM-IV S), The Screen for Child Anxiety-Related Emotional Disorders (SCARED), and The Children's Depression Inventory (CDI). Results: There were not any significant differences between study and control groups regarding the age, gender distribution, economical level, or previous psychiatric admission rates (p > 0.05). In the study group, the previous ADHD history and previous fracture history were significantly higher than the control group (p < 0.05). In the study group, the severity of depressive signs and anxiety were significantly higher than the control group (p = 0.000 and p = 0.019; respectively). Regarding the previous fracture history, conduct disorder and tendency to depression were significantly higher in the study group (p = 0.001 and p = 0.011; respectively). Conclusions: The signs of ADHD, anxiety, and depression were determined to be higher in children with extremity fractures compared with the non-traumatic population. In patients with especially behavioral problems and depressive signs, directing to the child and adolescent psychiatrists will be protective to prevent re-fractures and high-energy traumas.
- Subjects
ANXIETY diagnosis; DIAGNOSIS of mental depression; MENTAL depression risk factors; INJURIES of the anatomical extremities; RISK factors of attention-deficit hyperactivity disorder; ANXIETY risk factors; BONE fractures -- Psychological aspects; AGE distribution; ATTENTION-deficit hyperactivity disorder; BEHAVIOR disorders in children; OUTPATIENT services in hospitals; LONGITUDINAL method; CLASSIFICATION of mental disorders; PEDIATRICS; PSYCHOLOGICAL tests; RISK assessment; SEX distribution; SOCIOECONOMIC factors; PSYCHIATRIC treatment; SEVERITY of illness index
- Publication
European Journal of Trauma & Emergency Surgery, 2019, Vol 45, Issue 6, p989
- ISSN
1863-9933
- Publication type
Article
- DOI
10.1007/s00068-018-0955-2