The Association Between Hyperkinesis and Breakdown of
Parenting in Clinic Populations
D M Foreman, D Foreman, E B Minty
Arch Dis Child 2005;90:245-248. doi: 10.1136/adc.2003.039826
D M Foreman, Child and Adolescent Mental Health Service, Skimped Hill Health Centre, Bracknell, UK - D Foreman, Department of Psychology, University of Southampton, UK - E B Minty, Department of Psychiatric Social Work, School of Psychiatry
and Behavioural Sciences, University of Manchester, UK.
Background: There is increasing recognition that child based, as well as parent based factors may be
associated with children being excluded from their families. Despite the distress routinely observed among
the parents of hyperactive children, there is little research on this in clinic populations.
Aims: To examine removals from home in a typical secondary care population, where hyperkinesis was
accurately diagnosed.
Methods: A total of 201 cases were coded using mulitaxial ICD-10 criteria and Jarman indices derived
from census data.
Results: Hyperkinetic children were more than three times more likely to have suffered removal from home
than children with other psychiatric diagnoses, independent of any psychosocial measure.
Conclusion: Hyperkinesis is a specific risk factor for removal from home, which can operate in the absence
of other psychosocial stressors. Screening children for hyperactivity is now simple, and the routine
paediatric examination for children accommodated by the local authority gives an opportunity for early
detection and treatment of hyperactivity in children at risk of family breakdown.
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