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성인 주의력결핍 과잉행동장애 및 수면장애가 경도의 손상 위험에 미치는 영향: 전향적 관찰 연구

Influence of Adult Attention-Deficit/Hyperactivity Disorder and Insomnia on Risk of Minor Injury: Prospective Observation Study

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주제분류정신과학

초록

Objectives This study examined the influence of adult attention-deficit/hyperactivity disorder (ADHD) and insomnia on the risk of unintentional minor musculoskeletal injuries (UMMI). Methods A prospective observational study was carried out in a single unit of the army in South Korea. One hundred and seventy-seven subjects participated in the study. The Adult ADHD Self- Report Scale (ASRS-v1.1) and Insomnia Severity Index (ISI) was used to screen. The risk of UMMI during one-week winter ranger training was investigated. Results All subjects were male and aged 21.75 (standard deviation 1.5). Approximately 9.6% of subjects had clinically relevant adult ADHD symptoms. Subjects with ADHD had a higher stress index and higher rates of insomnia than those without symptoms. After adjusting for age, rank, service months, obesity, history of UMMI, sleep time, and risk of the task, the ADHD group was 4.90 times more likely to have UMMI than the control group. Insomnia increased the risk of UMMI 8.14 fold. Conclusion These results suggest that an evaluation and intervention for adult ADHD and insomnia should be made in people engaged in other tasks that may result in UMMI.

Abstract

Objectives This study examined the influence of adult attention-deficit/hyperactivity disorder (ADHD) and insomnia on the risk of unintentional minor musculoskeletal injuries (UMMI). Methods A prospective observational study was carried out in a single unit of the army in South Korea. One hundred and seventy-seven subjects participated in the study. The Adult ADHD Self- Report Scale (ASRS-v1.1) and Insomnia Severity Index (ISI) was used to screen. The risk of UMMI during one-week winter ranger training was investigated. Results All subjects were male and aged 21.75 (standard deviation 1.5). Approximately 9.6% of subjects had clinically relevant adult ADHD symptoms. Subjects with ADHD had a higher stress index and higher rates of insomnia than those without symptoms. After adjusting for age, rank, service months, obesity, history of UMMI, sleep time, and risk of the task, the ADHD group was 4.90 times more likely to have UMMI than the control group. Insomnia increased the risk of UMMI 8.14 fold. Conclusion These results suggest that an evaluation and intervention for adult ADHD and insomnia should be made in people engaged in other tasks that may result in UMMI.

참고문헌 (29)

  1. Polanczyk GV, "ADHD prevalence estimates across three decades : an updated systematic review and meta-regression analysis", Int J Epidemiol, 43, pp.434~442 (2014)
  2. Ghirardi L, "Attention-deficit", hyperactivity disorder medication and unintentional injuries in children and adolescents, 2020, pp.59, 944~951
  3. Merrill RM, "Risk of injury according to attention deficit hyperactivity disorder, comorbid mental illness, and medication therapy", Pharmacopsychiatry, 49, pp.45~50 (2016)
  4. Maxson RT, "Screening for attention-deficit", hyperactivity disorder in a select sample of injured and uninjured pediatric patients, 2009, pp.44, 743~748
  5. İz M, "Prevalence of attention deficit hyperactivity disorder symptoms in children who were treated at emergency service due to unintentional injury", Emerg Med Int, 2018, pp.7814910~ (2018)
  6. Kooij JJS, "Updated European Consensus Statement on diagnosis and treatment of adult ADHD", Eur Psychiatry, 56, pp.14~34 (2019)
  7. Moffitt TE, "Is adult ADHD a childhood-onset neurodevelopmental disorder? Evidence from a four-decade longitudinal cohort study", Am J Psychiatry, 172, pp.967~977 (2015)
  8. Chien WC, "The risk of injury in adults with attention-deficit hyperactivity disorder: a nationwide, matched-cohort, population-based study in Taiwan", Res Dev Disabil, 65, pp.57~73 (2017)
  9. Sadeghi-Bazargani H, "Evaluating the relationship between adult attention-deficit", hyperactivity disorder and riding behavior of motorcyclists, 2019, pp.11, 45~52
  10. Sadeghi-Bazargani H, "Adult attention-deficit hyperactivity disorder, risky behaviors, and motorcycle injuries: a case-control study", Neuropsychiatr Dis Treat, 11, pp.2049~2054 (2015)
  11. Lin CL, "Association between sleep disorders and injury : a nationwide population-based retrospective cohort study", Inj Prev, 22, pp.342~346 (2016)
  12. Raikes AC, "Insomnia and daytime sleepiness : risk factors for sports-related concussion", Sleep Med, 58, pp.66~74 (2019)
  13. Uehli K, "Sleep problems and work injury types : a study of 180patients in a Swiss emergency department", Swiss Med Wkly, 143, pp.w13902~ (2013)
  14. Uehli K, "Sleep quality and the risk of work injury : a Swiss case-control study", J Sleep Res, 23, pp.545~553 (2014)
  15. Reimer B, "Task-induced fatigue and collisions in adult drivers with attention deficit hyperactivity disorder", Traffic Inj Prev, 8, pp.290~299 (2007)
  16. Wynchank D, "Adult attention-deficit", hyperactivity disorder(ADHD)and insomnia : an update of the literature, 2017, pp.19, 98~
  17. Kessler RC, "The World Health Organization Adult ADHD Self-Report Scale(ASRS) : a short screening scale for use in the general population", Psychol Med, 35, pp.245~256 (2005)
  18. Bastien CH, "Validation of the insomnia severity index as an outcome measure for insomnia research", Sleep Med, 2, pp.297~307 (2001)
  19. 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
  20. Cohen S, "Stress, social support, and the buffering hypothesis", Psychol Bull, 98, pp.310~357 (1985)
  21. Park SY, "Psychometric properties of a Korean version of the Perceived Stress Scale(PSS)in a military sample", BMC Psychol, 7, pp.58~ (2019)
  22. Merrill RM, "Attention deficit hyperactivity disorder and increased risk of injury", Adv Med Sci, 54, pp.20~26 (2009)
  23. Raman SR, "Stimulant treatment and injury among children with attention deficit hyperactivity disorder : an application of the self-controlled case series study design", Inj Prev, 19, pp.164~170 (2013)
  24. Wundersitz L, "Driver distraction and inattention in fatal and injury crashes : findings from in-depth road crash data", Traffic Inj Prev, 20, pp.696~701 (2019)
  25. Snitselaar MA, "Sleep and circadian rhythmicity in adult ADHD and the effect of stimulants", J Atten Disord, 21, pp.14~26 (2017)
  26. Lee SH, "Association between sleep duration and attention-deficit hyperactivity disorder : a systematic review and metaanalysis of observational studies☆", J Affect Disord, 256, pp.62~69 (2019)
  27. Wynchank D, "The association between insomnia and sleep duration in adults with attention-deficit hyperactivity disorder : results from a general population study", J Clin Sleep Med, 14, pp.349~357 (2018)
  28. Bijlenga D, "The role of the circadian system in the etiology and pathophysiology of ADHD : time to redefine ADHD", Atten Defic Hyperact Disord, 11, pp.5~19 (2019)
  29. Laugsand LE, "Insomnia symptoms and risk for unintentional fatal injuries--the HUNT Study", Sleep, 37, pp.1777~1786 (2014)

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