Early vulnerabilities for psychiatric disorders in elementary schoolchildren from four Brazilian regions

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art_PAULA_Early_vulnerabilities_for_psychiatric_disorders_in_elementary_schoolchildren_2018.PDF (787.09 KB)
Citações na Scopus
4
Tipo de produção
article
Data de publicação
2018
Editora
SPRINGER HEIDELBERG
DOI
Indexadores
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
PAULA, Cristiane S.
MARI, Jair J.
BORDIN, Isabel Altenfelder Santos
BARROSO, Natalia
ROHDE, Luis Augusto
COUTINHO, Evandro Silva Freire
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, v.53, n.5, p.477-486, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The purpose of the study is to identify early vulnerabilities for psychiatric disorders among Brazilian elementary school children, controlling for familial and community adversities. This is a cross-sectional study examining the association between child psychiatric disorders and potential early vulnerabilities (disability, low intellectual quotient, and negative dimensions of the temperament trait self-directedness (low resourcefulness, low purposefulness, low enlightened second nature), controlling for the potential confounders: familial and community adversities. Sample: Four probabilistic samples of second-to-sixth grade students from public schools in four towns from different Brazilian regions (N = 1620). The following instruments were applied: the K-SADS-PL (to assess child/adolescent psychiatric disorders); the Ten-Question Screen (to measure child disability); three structured questions used as proxy of self-directedness; and the reduced version of the WISC-III to measure IQ. To evaluate familial/community adversities: Self-Report Questionnaire-SRQ-20 (to assess maternal/primary caretaker anxiety/depression); questions derived from structured questionnaires (to measure child abuse, marital physical violence, neighborhood violence); Brazilian Association of Research Companies questionnaire (to evaluate poverty/socioeconomic status). Trained psychologists interviewed mothers/primary caretakers and evaluated children/adolescents individually. A final logistic regression model showed that children/adolescents with low resourcefulness, low purposefulness, low enlightened second nature, lower IQ and disability were more likely to present any child psychiatric disorders. Early vulnerabilities such as low IQ, presence of disability, and dimensions of temperament were associated with psychiatric disorders among Brazilian elementary school children, after controlling for familial and ecological confounders. These early vulnerabilities should be considered in mental health prevention/intervention programs in low-middle-income countries like Brazil.
Palavras-chave
Child psychiatry, Temperament, Developmental disabilities, Risk factors, Developing countries
URI
https://observatorio.fm.usp.br/handle/OPI/27046
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - LIM/21
Artigos e Materiais de Revistas Científicas - ODS/16