Prevalence of ADHD in Accident Victims: Results of the PRADA Study.

Autor: Kittel-Schneider S; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. kittel_s@ukw.de.; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Würzburg, Julius-Maximilians-University Würzburg, D-97080 Würzburg, Germany. kittel_s@ukw.de., Wolff S; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. srhwolff@yahoo.de., Queiser K; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. mail.to.kristin@gmx.de., Wessendorf L; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. leonie-wessendorf@t-online.de., Meier AM; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. annamariameier92@icloud.com., Verdenhalven M; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. moritz.verdenhalven@kgu.de., Brunkhorst-Kanaan N; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. nathalie.brunkhorst-kanaan@kgu.de., Grimm O; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. oliver.grimm@kgu.de., McNeill R; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Würzburg, Julius-Maximilians-University Würzburg, D-97080 Würzburg, Germany. McNeill_R@ukw.de., Grabow S; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. sascha.grabow@kgu.de., Reimertz C; Berufsgenossenschaftliche Unfallklinik, D-60389 Frankfurt/Main, Germany. Christoph.Reimertz@BGU-Frankfurt.de., Nau C; Department Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Goethe-University, D-60596 Frankfurt/Main, Germany. Christoph.nau@kgu.de., Klos M; Department of Oral and Maxillofacial Surgery, University Hospital Frankfurt, Goethe-University, D-60596 Frankfurt/Main, Germany. michelle.klos@kgu.de., Reif A; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, D-60528 Frankfurt/Main, Germany. andreas.reif@kgu.de.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2019 Oct 08; Vol. 8 (10). Date of Electronic Publication: 2019 Oct 08.
DOI: 10.3390/jcm8101643
Abstrakt: Background: Recent research has shown an increased risk of accidents and injuries in ADHD patients, which could potentially be reduced by stimulant treatment. Therefore, the first aim of our study was to evaluate the prevalence of adult ADHD in a trauma surgery population. The second aim was to investigate accident mechanisms and circumstances which could be specific to ADHD patients, in comparison to the general population.
Methods: We screened 905 accident victims for ADHD using the ASRS 18-item self-report questionnaire. The basic demographic data and circumstances of the accidents were also assessed.
Results: Prevalence of adult ADHD was found to be 6.18% in our trauma surgery patient sample. ADHD accident victims reported significantly higher rates of distraction, stress and overconfidence in comparison to non-ADHD accident victims. Overconfidence and being in thoughts as causal mechanisms for the accidents remained significantly higher in ADHD patients after correction for multiple comparison. ADHD patients additionally reported a history of multiple accidents.
Conclusion: The majority of ADHD patients in our sample had not previously been diagnosed and were therefore not receiving treatment. The results subsequently suggest that general ADHD screening in trauma surgery patients may be useful in preventing further accidents in ADHD patients. Furthermore, psychoeducation regarding specific causal accident mechanisms could be implemented in ADHD therapy to decrease accident incidence rate.
Competing Interests: A.R. has received speaker’s honoraria from Medice, Takeda, Servier, Janssen and Neuraxpharm as well as grant support from Medice. S.K.-S. has received author’s and speaker’s honoraria as well as travel costs from Medice Arzneimittel and travel costs from Takeda. All other co-authors have no conflict of interest to declare.
Databáze: MEDLINE
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