Journal of Pediatric Psychology, Vol. 27, No. 8, 2002, pp. 727-737
© 2002 Society of Pediatric Psychology
Unintentional Injury in Preschool Boys With and Without Early Onset of Disruptive Behavior
1 University of Alabama at Birmingham, 2 University of Washington School of Medicine, 3 Children's Hospital and Regional Medical Center, Seattle, 4 University of Washington
All correspondence should be sent to David C. Schwebel, Department of Psychology, University of Alabama at Birmingham, 1300 University Blvd., CH 415, Birmingham, Alabama 35294. E-mail: schwebel{at}uab.edu.
Objective: To determine subsequent risk of unintentional injury among preschool boys diagnosed with ODD, boys with comorbid ODD and ADHD, and boys matched demographically to the clinical sample; to test predictive validity of a measure of injury proneness; and to examine factors that might predict injury beyond clinic status.
Methods: Seventy-nine consecutive clinic-referred preschool-age boys and 76 demographically matched boys without disruptive behavior participated in a 2-year prospective longitudinal design. Time 1 assessment included clinical diagnosis, parent-reported injury proneness, attachment, and verbal abilities. Injury history was measured 1 and 2 years later.
Results: Clinic-referred children had more injuries than the comparison group. Children with comorbid ODD and ADHD had approximately the same injury rate as those with ODD but not ADHD. Parent-reported injury proneness was unrelated to subsequent injuries. Neither attachment nor verbal ability predicted injury significantly beyond clinic status.
Conclusions: Children with early disruptive behavior are at increased risk of unintentional injury and therefore should be considered prime candidates for injury prevention campaigns.
Key words: disruptive behavior; ODD; ADHD; injury; safety; children.
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