Unintentional Injury in Preschool Boys With and Without Early Onset of Disruptive Behavior
Abstract
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.
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ODD predicted the greatest level of risk taking, as children with ODD and ADHD+ODD pumped more than ADHD-only and control groups.
“ODD predicted the greatest level of risk taking (Schwebel et al. 2002), as children with ODD and ADHD+ODD pumped more than the ADHD-only and control groups.”
From Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls (2011) · cites this paper as Schwebel et al. 2002
ODD predicts risk taking in children.
“Our findings support previous research that ODD predicts risk taking (Garzon et al. 2008; Schwebel et al. 2002)”
From Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls (2011) · cites this paper as Schwebel et al. 2002
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- Authors
- Schwebel, D. C.
- Affiliations
- University of Alabama at Birmingham (US)
- Corresponding author
- Schwebel, D. C.
- ORCID
- Schwebel, D. C.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-12-01
- Volume
- 27
- Issue
- 8
- Pages
- 727-737
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2103197603
- Cited by
- 120
- References
- 57
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 9 · 2013: 6 · 2012: 6
- FWCI
- 4.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01-MH4537)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- unintentional injuries, preschool boys, oppositional defiant disorder, ADHD comorbidity, disruptive behavior, injury risk, attachment, verbal ability, injury prevention, clinic-referred children
- MeSH terms
- Age Factors, Child, Preschool, Follow-Up Studies, Humans, Male, Prospective Studies, Surveys and Questionnaires, Wounds and Injuries, Attention Deficit and Disruptive Behavior Disorders, Intention
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