The role of psychiatric status on pediatric extremity fractures: a prospective analysis

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...

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Veröffentlicht in:European journal of trauma and emergency surgery (Munich : 2007) 2019-12, Vol.45 (6), p.989-994
Hauptverfasser: Duramaz, Altuğ, Yilmaz, Semra, Ziroğlu, Nezih, Bursal Duramaz, Burcu, Bayram, Berhan, Kara, Tayfun
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container_issue 6
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container_title European journal of trauma and emergency surgery (Munich : 2007)
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creator Duramaz, Altuğ
Yilmaz, Semra
Ziroğlu, Nezih
Bursal Duramaz, Burcu
Bayram, Berhan
Kara, Tayfun
description 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  
doi_str_mv 10.1007/s00068-018-0955-2
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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  &gt; 0.05). In the study group, the previous ADHD history and previous fracture history were significantly higher than the control group ( p  &lt; 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.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-018-0955-2</identifier><identifier>PMID: 29651505</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Anxiety ; Anxiety - complications ; Arm Injuries - etiology ; Arm Injuries - psychology ; Attention Deficit Disorder with Hyperactivity - complications ; Attention deficit hyperactivity disorder ; Case-Control Studies ; Child ; Child &amp; adolescent psychiatry ; Critical Care Medicine ; Depression - complications ; Emergency Medicine ; Female ; Fractures ; Fractures, Bone - etiology ; Fractures, Bone - psychology ; Humans ; Injuries ; Intensive ; Leg Injuries - etiology ; Leg Injuries - psychology ; Male ; Medicine ; Medicine &amp; Public Health ; Mental depression ; Original Article ; Pediatrics ; Prospective Studies ; Psychiatric Status Rating Scales ; Risk Factors ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Teenagers ; Traumatic Surgery</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2019-12, Vol.45 (6), p.989-994</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>European Journal of Trauma and Emergency Surgery is a copyright of Springer, (2018). 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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  &gt; 0.05). In the study group, the previous ADHD history and previous fracture history were significantly higher than the control group ( p  &lt; 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. 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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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29651505</pmid><doi>10.1007/s00068-018-0955-2</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Anxiety
Anxiety - complications
Arm Injuries - etiology
Arm Injuries - psychology
Attention Deficit Disorder with Hyperactivity - complications
Attention deficit hyperactivity disorder
Case-Control Studies
Child
Child & adolescent psychiatry
Critical Care Medicine
Depression - complications
Emergency Medicine
Female
Fractures
Fractures, Bone - etiology
Fractures, Bone - psychology
Humans
Injuries
Intensive
Leg Injuries - etiology
Leg Injuries - psychology
Male
Medicine
Medicine & Public Health
Mental depression
Original Article
Pediatrics
Prospective Studies
Psychiatric Status Rating Scales
Risk Factors
Sports Medicine
Surgery
Surgical Orthopedics
Teenagers
Traumatic Surgery
title The role of psychiatric status on pediatric extremity fractures: a prospective analysis
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