Attention-deficit/hyperactivity disorder symptoms and child maltreatment: a population-based study.
J Pediatr
; 153(6): 851-6, 2008 Dec.
Article
em En
| MEDLINE
| ID: mdl-18619612
ABSTRACT
OBJECTIVE:
To examine whether symptoms of attention-deficit/hyperactivity disorder (ADHD) during childhood are associated with child maltreatment. STUDYDESIGN:
The study sample consisted of 14 322 participants in the National Longitudinal Study of Adolescent Health. We used logistic regression and propensity score matching to examine the relationship, adjusting for demographic, socioeconomic, and familial risk factors for child maltreatment.RESULTS:
Inattentive type, by criteria of Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, was significantly associated with the likelihood of supervision neglect (odds ratio [OR] 1.6; 95% confidence interval [CI] 1.2-2.2), physical neglect (OR 2.1; 95% CI 1.4-3.1), physical abuse (OR 1.6; 95% CI 1.1-2.3), and contact sexual abuse (OR 2.6; 95% CI 1.5-4.5). To a lesser extent, hyperactive type was associated with the likelihood of supervision neglect (OR 1.5; 95% CI 1.1-2.0) and physical abuse (OR 1.3; 95% CI 1.0-1.6). The association between hyperactive type and physical neglect or contact sexual abuse was not significant. The results from the propensity score matching were similar.CONCLUSIONS:
Childhood ADHD symptoms were associated with self-reported child maltreatment. Health care providers should be alert to the potential for child maltreatment among children with ADHD symptoms, especially those with inattentive symptoms.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtorno do Deficit de Atenção com Hiperatividade
/
Família
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Maus-Tratos Infantis
/
Vigilância da População
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adolescent
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article