The role of psychiatric status on pediatric extremity fractures: a prospective analysis
The aim of the study was to investigate the relationship between attention deficit and hyperactivity disorder (ADHD), anxiety, and depression with pediatric extremity fractures.
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).
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).
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.
KeywordsPediatric extremity fractures Attention deficit and hyperactivity disorder Anxiety Depression
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 3.Wilkins KE, Aroojis AJ. Incidence of fractures in children. In: Beaty JH, Kasser JR, editors. Rockwood and Wilkins’ fractures in children. Philadelphia: Lippincott Williams and Wilkins; 2005. p. 3–18.Google Scholar
- 13.Kovacs M. The Children’s Depression Inventory (CDI). Psychopharmocol Bull. 1985;21:995–8.Google Scholar
- 14.Turgay A. Disruptive behavior disorders child and adolescent screening and rating scales for children, adolescents, parents and teachers. West Bloomfield: Integrative Therapy Institute Publication; 1994.Google Scholar
- 15.Ercan ES, Amado S, Somer O, Çıkoğlu S. Dikkat eksikliği hiperaktivite bozukluğu ve yıkıcı davranım bozuklukları için bir test bataryası geliştirme çabası. Çocuk ve Gençlik. Ruh Sağlığı Dergisi. 2001;8(3):132–44.Google Scholar
- 17.Öy B. Çocuklar İçin Depresyon Ölçeği: Geçerlilik ve güvenirlik çalışması. Turk Psikiyatri Derg. 1991;2:132–6.Google Scholar