PEDIATRICS Vol. 90 No. 5 November 1992, pp. 697-702
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Hyperactivity in School-Age Boys and Subsequent Risk of Injury

Leslie L. Davidson MD, MSc1, Eric A. Taylor 2, Seija T. Sandberg 3, and Geoffrey Thorley PhD4

1 From the College of Physicians and Surgeons, Columbia University, New York, NY and Institute of Psychiatry, University of London, England
2 From the Institute of Psychiatry, University of London, England
3 From the Institute of Psychiatry, University of London, England and University of Glasgow, Scotland
4 From the Institute of Psychiatry, University of London, England and University of Glasgow, Scotland and Leicestershire Health Authority, United Kingdom

Hyperactive boys between 6 and 8 years of age, identified through systematic population-based screening of a community in London, were compared prospectively with a nonhyperactive control group to determine whether they were at greater risk of sustaining injuries. The study sample was drawn from 1296 completed parent and teacher questionnaires. Hyperactive groups were designated in three ways (parental report, teacher report, and combined parent and teacher report). Injuries were assessed by reviewing the medical records of the five emergency departments serving the community. Although boys with conduct problems did sustain more injuries than control subjects, no relationship between hyperactivity and injury was found. Similarly, when milder injuries were excluded from the analysis, the association remained negative. The absence of an association could not be accounted for by differential parental protectiveness of boys designated hyperactive. This study, which has a power of .80 to determine an increase in the relative risk of injury of 1.5, found no effect for hyperactive behavior in boys. Hyperactive behavior is probably not a risk factor for injury; if it is, it exerts a modest effect, less than 1.5, therefore accounting for less than 4% of injuries to school-aged boys.

Key Words: accidents • injury • hyperactivity • aggression • conduct problems • boys

Submitted on July 8, 1991
Accepted on March 30, 1992




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HYPERACTIVITY DOES NOT INCREASE INJURY RISK
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