| Purpose: Attention defcit hyperactivity disorder (ADHD) in adults is one of the psychological problems that can increase the risk of accidents and trauma, especially head trauma.
Recent studies have reported the frequency of adult attention defcit hyperactivity disorder
(ADHD) among trauma patients. Adult AD0HD has been reported in trauma patients. In the
present study, we hypothesized that adult ADHD was more common among head trauma
patients following an accident compared to a group without trauma.
Materials and Methods: In this case-control study, 230 patients with head injuries and 460
non-trauma patients were selected. The adult Connors self-report screening scale (CAARSSV) was used to screen for ADHD. Three subscales as subscale A (attention defcit index),
subscale B (hyperactivity index) and subscale D (ADHD index) were evaluated between the
two groups. Using linear multiple regression analysis, the effect of group, age, gender, and
socioeconomic variables on ADHD scores was evaluated.
Results: The total frequency of adult ADHD was 9.5%, which was equal to 1.6% in the
trauma group and 9.5% in the non-trauma group. The experimental group had more drivers
as the job (11.7% vs 3.7%, P<0.001) compared to the control group. Of the Connors
subscales, only the D subscale was signifcantly lower in the case group than in the control
group (6.35 6 5.11 vs 51.72 4 72.4, P=0.003). The prevalence of ADHD in patients with head
trauma and non-trauma head injury was 6.1% and 5.9%, respectively, which did not show
a statistically signifcant difference (P=0.9). Linear regression analysis showed that the
subscale D only had a signifcant relationship with group and age. However, by entering
variables in logistic regression analysis, it was observed that only the age variable was
signifcant in the presence of other variables.
Conclusion: According to the results of the present study, the frequency of adult ADHD in
trauma patients, as a screening diagnosis, was not found to be higher than non-traumatic patients. |