Perinatal and postnatal risk factors for disruptive mood dysregulation disorder at age 11: 2004 Pelotas Birth Cohort Study

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMUNHOZ, Tiago N.
dc.contributor.authorSANTOS, Ina S.
dc.contributor.authorBARROS, Aluisio J. D.
dc.contributor.authorANSELMI, Luciana
dc.contributor.authorBARROS, Fernando C.
dc.contributor.authorMATIJASEVICH, Alicia
dc.date.accessioned2017-08-17T19:19:52Z
dc.date.available2017-08-17T19:19:52Z
dc.date.issued2017
dc.description.abstractBackground: To date, there have been few studies of DMDD examining the risk factors during gestation and during the first years of life. We assessed the perinatal and postnatal risk factors associated with the occurrence of disruptive mood dysregulation disorder (DMDD) by 11 years of age. Methods: Prospective longitudinal study. Mothers completed a standardized questionnaire shortly after childbirth. We used the Development and Well-Being Assessment, administered to the mothers or legal guardians, to identify DMDD among the 11-year-old subjects. We also employed logistic regression to perform bivariate and multivariate analyses, using a theoretical model of conceptual analysis. Results: We evaluated data related to 3563 subjects at 11 years of age. The prevalence of DMDD was 2.5% (95% C1=2.0-3.0). After adjusting for potential confounders, we found that the early risk factors for the development of DMDD by 11 years of age were maternal mood symptoms during pregnancy, maternal depression during the first years after childbirth, and low maternal level of education. Limitations: We were unable to evaluate the genetic characteristics of the family at the birth of each subject, and there were no data available regarding the prenatal or postnatal mental health of the fathers. Conclusions: The prevalence of DMDD in early adolescence is low and its risk factors are related to potentially modifiable maternal characteristics. Scientific evidence indicates that DMDD is a major predictor of other psychiatric disorders, especially depression and anxiety. Effective prenatal and postnatal mental health care could prevent mental disorders in offspring.
dc.description.indexMEDLINE
dc.identifier.citationJOURNAL OF AFFECTIVE DISORDERS, v.215, p.263-268, 2017
dc.identifier.doi10.1016/j.jad.2017.03.040
dc.identifier.eissn1573-2517
dc.identifier.issn0165-0327
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/21398
dc.language.isoeng
dc.publisherELSEVIER SCIENCE BV
dc.relation.ispartofJournal of Affective Disorders
dc.rightsrestrictedAccess
dc.rights.holderCopyright ELSEVIER SCIENCE BV
dc.subjectAdolescent psychiatry
dc.subjectMood disorders
dc.subjectNeurodevelopmental disorders
dc.subjectMental disorders diagnosed in childhood
dc.subjectEpidemiology
dc.subjectMental disorders
dc.subject.othermental-health
dc.subject.otherpsychiatric-disorders
dc.subject.otherfunctional outcomes
dc.subject.otherdepression scale
dc.subject.otherfollow-up
dc.subject.otherprevalence
dc.subject.otherirritability
dc.subject.othercomorbidity
dc.subject.otherbrazil
dc.subject.otherchild
dc.subject.wosClinical Neurology
dc.subject.wosPsychiatry
dc.titlePerinatal and postnatal risk factors for disruptive mood dysregulation disorder at age 11: 2004 Pelotas Birth Cohort Study
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalMUNHOZ, Tiago N.:Univ Fed Pelotas, Postgrad Program Epidemiol, Pelotas, Brazil; Univ Fed Pelotas, Fac Psychol, Pelotas, Brazil
hcfmusp.author.externalSANTOS, Ina S.:Univ Fed Pelotas, Postgrad Program Epidemiol, Pelotas, Brazil
hcfmusp.author.externalBARROS, Aluisio J. D.:Univ Fed Pelotas, Postgrad Program Epidemiol, Pelotas, Brazil
hcfmusp.author.externalANSELMI, Luciana:Univ Fed Pelotas, Postgrad Program Epidemiol, Pelotas, Brazil
hcfmusp.author.externalBARROS, Fernando C.:Univ Fed Pelotas, Postgrad Program Epidemiol, Pelotas, Brazil; Univ Catolica Pelotas, Hlth & Behav Postgrad Program, Pelotas, RS, Brazil
hcfmusp.citation.scopus27
hcfmusp.contributor.author-fmusphcALICIA MATIJASEVICH MANITTO
hcfmusp.description.beginpage263
hcfmusp.description.endpage268
hcfmusp.description.volume215
hcfmusp.origemWOS
hcfmusp.origem.pubmed28347949
hcfmusp.origem.scopus2-s2.0-85016154654
hcfmusp.origem.wosWOS:000401213300036
hcfmusp.publisher.cityAMSTERDAM
hcfmusp.publisher.countryNETHERLANDS
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Artigos e Materiais de Revistas Científicas - LIM/39