Cited by 120Injury Epidemiology and PreventionChild and Adolescent Psychosocial and Emotional DevelopmentAttention Deficit Hyperactivity Disorder

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Unintentional Injury in Preschool Boys With and Without Early Onset of Disruptive Behavior

Schwebel, D. C.·2002·Journal of Pediatric Psychology

DOI 10.1093/jpepsy/27.8.727

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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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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
DOI: 10.1093/jpepsy/27.8.727
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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Unintentional Injury in Preschool Boys With and Without Early Onset of Disruptive Behavior

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