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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Mediating factors associated with pedestrian injury in children with attention-deficit/hyperactivity disorder.
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Mediating factors associated with pedestrian injury in children with attention-deficit/hyperactivity disorder.

机译：注意缺陷/多动症患儿与行人受伤有关的中介因素。

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摘要

OBJECTIVE: Unintentional injury is the leading cause of pediatric mortality. One leading cause of unintentional injury is pedestrian injury. Children with developmental disabilities, particularly those with attention-deficit/hyperactivity disorder-combined type (ADHD-C) seem to have increased pedestrian injury risk. This study examined (1) the differences in pedestrian behavior between children with ADHD-C and normally developing comparison children and (2) the mediating factors that might link ADHD-C with pedestrian injury risk. PATIENTS AND METHODS: A total of 78 children aged 7 to 10 years (39 children with ADHD-C diagnoses and 39 age- and gender-matched typically developing children) participated. The main outcome measure was pedestrian behavior, as measured in a semi-immersive, interactive, virtual pedestrian environment. Key pedestrian variables related to different aspects of the crossing process were identified: (1) before the cross (ie, evaluating aspects of the crossing environment); (2) making the cross (ie, deciding to cross and initiating movement); and (3) safety of the cross (ie, safety within the pedestrian environment after the decision to cross was made). RESULTS: Children with ADHD-C chose riskier pedestrian environments to cross within (F(1,72) = 4.83; P < .05). No significant differences emerged in other aspects of the crossing process. Executive function played a mediating role in the relationship between ADHD-C and the safety of the cross. CONCLUSIONS: Children with ADHD-C seem to display appropriate curbside pedestrian behavior but fail to process perceived information adequately to permit crossing safely.
机译：目的：意外伤害是小儿死亡的主要原因。意外伤害的一个主要原因是行人受伤。发育障碍的儿童，特别是注意力缺陷/多动症合并型（ADHD-C）的儿童，行人受伤的风险似乎增加了。这项研究检查（1）ADHD-C儿童与正常发育的比较儿童之间在行人行为上的差异，以及（2）可能将ADHD-C与行人受伤风险联系起来的中介因素。患者与方法：共有78名7至10岁的儿童（39名患有ADHD-C诊断的儿童和39名年龄和性别相匹配的典型发育中的儿童）参加了研究。主要结果指标是在半沉浸式，交互式，虚拟行人环境中测得的行人行为。确定了与穿越过程不同方面相关的关键行人变量：（1）在穿越之前（即评估穿越环境的方面）; （2）进行穿越（即决定穿越并发起移动）; （3）十字路口的安全性（即决定十字路口后在行人环境中的安全性）。结果：患有ADHD-C的儿童选择了危险的行人环境来穿越（F（1,72）= 4.83; P <.05）。穿越过程的其他方面没有出现显着差异。执行功能在ADHD-C和十字架的安全性之间起着中介作用。结论：ADHD-C患儿似乎表现出适当的路边行人行为，但未能充分处理感知到的信息以允许安全通过。

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