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

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.

[1]  O. Grimm,et al.  Accident patterns in trauma surgery patients with and without self-reported ADHD , 2019, Journal of Neural Transmission.

[2]  S. Dalsgaard,et al.  Common psychiatric and metabolic comorbidity of adult attention-deficit/hyperactivity disorder: A population-based cross-sectional study , 2018, PloS one.

[3]  Cheng-Ta Li,et al.  Risk of Traumatic Brain Injury Among Children, Adolescents, and Young Adults With Attention-Deficit Hyperactivity Disorder in Taiwan. , 2018, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[4]  A. Beekman,et al.  Risk factors for adverse driving outcomes in Dutch adults with ADHD and controls. , 2018, Accident; analysis and prevention.

[5]  K. Fowler,et al.  Prevalence and Correlates of Self-Reported ADD/ADHD in a Large National Sample of Canadian Adults , 2018, Journal of attention disorders.

[6]  Kenneth K C Man,et al.  Effectiveness of Pharmacological Treatment for Attention-Deficit/Hyperactivity Disorder on Physical Injuries: A Systematic Review and Meta-Analysis of Observational Studies , 2017, CNS Drugs.

[7]  E. Luis,et al.  Risk of unintentional injuries in children and adolescents with ADHD and the impact of ADHD medications: A systematic review and meta-analysis , 2017, Neuroscience & Biobehavioral Reviews.

[8]  Chi-Hsiang Chung,et al.  The risk of injury in adults with attention-deficit hyperactivity disorder: A nationwide, matched-cohort, population-based study in Taiwan. , 2017, Research in developmental disabilities.

[9]  K. Klungsøyr,et al.  Adult ADHD and Comorbid Somatic Disease: A Systematic Literature Review , 2016, Journal of attention disorders.

[10]  J. Swanson,et al.  Attention-Deficit/Hyperactivity Disorder Trajectories From Childhood to Young Adulthood: Evidence From a Birth Cohort Supporting a Late-Onset Syndrome. , 2016, JAMA psychiatry.

[11]  S. Kittel-Schneider,et al.  Cytogenetic Effects of Chronic Methylphenidate Treatment and Chronic Social Stress in Adults with Attention-Deficit/Hyperactivity Disorder , 2016, Pharmacopsychiatry.

[12]  D. de Waard,et al.  Driving and attention deficit hyperactivity disorder , 2015, Journal of Neural Transmission.

[13]  P. Philip,et al.  Attention Deficit Hyperactivity Disorder Symptoms, Sleepiness and Accidental Risk in 36140 Regularly Registered Highway Drivers , 2015, PloS one.

[14]  S. Dalsgaard,et al.  Effect of drugs on the risk of injuries in children with attention deficit hyperactivity disorder: a prospective cohort study. , 2015, The lancet. Psychiatry.

[15]  S. Dalsgaard,et al.  Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: a nationwide cohort study , 2015, The Lancet.

[16]  K. Michelsson,et al.  Traffic and Criminal Behavior of Adults with Attention Deficit–Hyperactivity with a Prospective Follow-Up from Birth to the Age of 40 Years , 2015, Traffic injury prevention.

[17]  M. Bouvard,et al.  The Increased Risk of Road Crashes in Attention Deficit Hyperactivity Disorder (ADHD) Adult Drivers: Driven by Distraction? Results from a Responsibility Case-Control Study , 2014, PloS one.

[18]  S. Faraone,et al.  Mild Traumatic Brain Injury and ADHD , 2014, Journal of attention disorders.

[19]  H. Caci,et al.  Prevalence and Correlates of Attention Deficit Hyperactivity Disorder in Adults From a French Community Sample , 2014, The Journal of nervous and mental disease.

[20]  A. Sjölander,et al.  Serious transport accidents in adults with attention-deficit/hyperactivity disorder and the effect of medication: a population-based study. , 2014, JAMA psychiatry.

[21]  Annie A. Garner,et al.  Impact of distraction on the driving performance of adolescents with and without attention-deficit/hyperactivity disorder. , 2013, JAMA pediatrics.

[22]  S. Faraone,et al.  P.7.e.001 Adult outcome of attention deficit hyperactivity disorder: a controlled 16-year follow-up study , 2012, European Neuropsychopharmacology.

[23]  S. Faraone,et al.  Adult outcome of attention-deficit/hyperactivity disorder: a controlled 16-year follow-up study. , 2012, The Journal of clinical psychiatry.

[24]  Kathryn M. Godfrey,et al.  The effects of lisdexamfetamine dimesylate on the driving performance of young adults with ADHD: a randomized, double-blind, placebo-controlled study using a validated driving simulator paradigm. , 2012, Journal of psychiatric research.

[25]  Alexandra Philipsen,et al.  The estimated prevalence and correlates of adult ADHD in a German community sample , 2012, European Archives of Psychiatry and Clinical Neuroscience.

[26]  C. Blanco,et al.  The lifetime impact of attention deficit hyperactivity disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) , 2011, Psychological Medicine.

[27]  D. Cox,et al.  Self-reported incidences of moving vehicle collisions and citations among drivers with ADHD: a cross-sectional survey across the lifespan. , 2011, The American journal of psychiatry.

[28]  Michael Fitzgerald,et al.  European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD , 2010, BMC psychiatry.

[29]  R. Oades,et al.  Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)? , 2010, Behavioral and Brain Functions.

[30]  M. Schlander,et al.  [The health economics of attention deficit hyperactivity disorder in Germany. Part 1: Health care utilization and cost of illness]. , 2010, Der Nervenarzt.

[31]  T. Hirvikoski,et al.  High self-perceived stress and many stressors, but normal diurnal cortisol rhythm, in adults with ADHD (attention-deficit/hyperactivity disorder) , 2009, Hormones and Behavior.

[32]  R. Kessler,et al.  Psychometric properties of the Chinese version of the adult ADHD Self‐report Scale , 2008, International journal of methods in psychiatric research.

[33]  S. Perren,et al.  Hypothalamic-pituitary-adrenocortical (HPA) activity in kindergarten children: importance of gender and associations with behavioral/emotional difficulties. , 2007, Journal of psychiatric research.

[34]  R. Kessler,et al.  Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. , 2007, The British journal of psychiatry : the journal of mental science.

[35]  M. Schlander,et al.  Who cares for patients with attention-deficit/hyperactivity disorder (ADHD)? , 2007, European Child & Adolescent Psychiatry.

[36]  K. Lesch,et al.  Co-morbidity of adult attention-deficit/hyperactivity disorder with focus on personality traits and related disorders in a tertiary referral center , 2007, European Archives of Psychiatry and Clinical Neuroscience.

[37]  L. Jerome,et al.  Attention-deficit/hyperactivity disorder (ADHD) and driving risk: A review of the literature and a methodological critique , 2006, Current psychiatry reports.

[38]  L. Jerome,et al.  What we know about ADHD and driving risk: a literature review, meta-analysis and critique. , 2006, Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent.

[39]  R. Kessler,et al.  Validity of pilot Adult ADHD Self- Report Scale (ASRS) to Rate Adult ADHD symptoms. , 2006, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[40]  Joseph Biederman,et al.  Attention-Deficit/Hyperactivity Disorder: A Selective Overview , 2005, Biological Psychiatry.

[41]  Olga V. Demler,et al.  The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population , 2005, Psychological Medicine.

[42]  H. Birnbaum,et al.  Incidence and costs of accidents among attention-deficit/hyperactivity disorder patients. , 2004, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[43]  T. Vaa.  ADHD and relative risk of accidents in road traffic: a meta-analysis. , 2014, Accident; analysis and prevention.

[44]  R. Stieglitz,et al.  Screening der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) im Erwachsenenalter : Validierung der deutschen Version der ASRS-v1.1 , 2011 .

[45]  M. Schlander,et al.  Gesundheits?konomie der Aufmerksamkeitsdefizit-/ Hyperaktivit?tsst?rung in Deutschland Teil 1: Versorgungsepidemiologie und Krankheitskosten , 2010 .