title: Attention deficit hyperactivity disorder and other disruptive behavior disorders are risk factors for recurrent epistaxis in children: A prospective case-controlled study.
abstract: The aim of this study was to investigate the frequency of attention deficit hyperactivity disorder (ADHD) and other disruptive behavior disorders in children with recurrent epistaxis (RE). Children aged between 6-11 years were enrolled according to presence (n=34) and absence (n=103) of RE. Turgay DSM-IV-Based Child and Adolescent Disruptive Behavior Disorders Screening and Rating Scale was applied to parents. Moreover, Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime Version was performed. Oppositional defiant disorder (ODD) and ADHD were determined in 17.6% and 32.4% of patients, respectively. When psychiatric diagnoses between both groups were compared, statistically significant differences were found in terms of ADHD and ODD (p=0.028 and p=0.003). In children with RE, the frequency of ADHD and ODD are higher than children without RE. A referral to a child psychiatrist should be considered, if a child with RE also has symptoms of increased activity, inattention and/or body-injurious behaviors.
authors.affiliation: Department of Otorhinolaryngology, Nazilli State Hospital, Aydın, Turkey.
authors.forename: Erdoğan
authors.initials: E
authors.lastname: Özgür
authors.affiliation: Department of Child and Adolescent Psychiatry, Adnan Menderes University, Aydın, Turkey.
authors.forename: Hatice
authors.initials: H
authors.lastname: Aksu
authors.affiliation: Department of Child and Adolescent Psychiatry, Adnan Menderes University, Aydın, Turkey.
authors.forename: Börte
authors.initials: B
authors.lastname: Gürbüz-Özgür
authors.affiliation: Department of Otorhinolaryngology, Adnan Menderes University, Aydın, Turkey.
authors.forename: Hatice Sema
authors.initials: HS
authors.lastname: Başak
authors.affiliation: Department of Otorhinolaryngology, Celal Bayar University, Manisa, Turkey.
authors.forename: Görkem
authors.initials: G
authors.lastname: Eskiizmir
mesh_terms: D019958:Attention Deficit and Disruptive Behavior Disorders / Q000150:complications* / Q000453:epidemiology; D016022:Case-Control Studies; D002648:Child; D015897:Comorbidity; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004844:Epistaxis / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors
keywords: attention deficit hyperactivity disorder; childhood; conduct disorder; disruptive behavior disorder; epistaxis; oppositional defiant disorder