Association of child maltreatment and psychiatric diagnosis in Brazilian children and adolescents

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Citações na Scopus
8
Tipo de produção
article
Data de publicação
2013
Título da Revista
ISSN da Revista
Título do Volume
Editora
HOSPITAL CLINICAS, UNIV SAO PAULO
Autores
SANTOS, Bernardo dos
ROSENHECK, Robert Alan
Citação
CLINICS, v.68, n.8, p.1096-1102, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
OBJECTIVES: The objective of this study was to evaluate the association between different types of child maltreatment and the presence of psychiatric disorders in highly vulnerable children and adolescents served by a multidisciplinary program. METHODS: In total, 351 patients with a mean age of 12.47, of whom 68.7% were male and 82.1% lived in shelters, underwent psychiatric evaluations based on the Kiddie-Sads-Present and Lifetime Version. Two different methods were used to evaluate maltreatment: medical records were reviewed to identify previous diagnoses related to socioeconomic and psychosocial circumstances, and the Childhood Trauma Questionnaire was used to obtain a structured history of trauma. Bivariate associations were evaluated between psychiatric disorders and evidence of each type and the frequency of abuse. RESULTS: The most frequent psychiatric diagnoses were substance use disorders, affective disorders and specific disorders of early childhood, whereas 13.67% of the sample had no psychiatric diagnosis. All patients suffered neglect, and 58.4% experienced physical or sexual abuse. The presence of a history of multiple traumas was only associated with a diagnosis of substance use disorder. Mental retardation showed a strong positive association with reported physical abuse and emotional neglect. However, a negative correlation was found when we analyzed the presence of a history of multiple traumas and mental retardation. CONCLUSION: All children living in adverse conditions deserve careful assistance, but we found that physical abuse and emotional neglect were most strongly associated with mental retardation and multiple traumas with substance abuse.
Palavras-chave
Child Abuse, Psychiatric Disorders, Shelter, Community Programs, Follow-up Studies
Referências
  1. American Psychiatric Association, 2000, DIAGN STAT MAN MENT
  2. Arseneault L, 2011, AM J PSYCHIAT, V168, P65, DOI 10.1176/appi.ajp.2010.10040567
  3. BENEDICT MI, 1990, CHILD ABUSE NEGLECT, V14, P207, DOI 10.1016/0145-2134(90)90031-N
  4. Bernstein DP, 2003, CHILD ABUSE NEGLECT, V27, P169, DOI 10.1016/S0145-2134(02)00541-0
  5. Bolger KE, 2001, DEV PSYCHOPATHOL, V13, P913
  6. Chorpita BF, 1998, PSYCHOL BULL, V124, P3, DOI 10.1037//0033-2909.124.1.3
  7. Cohen JK, 2007, CHILD ADOL PSYCH CL, V16, P271
  8. Cordovil Catarina, 2011, Acta Med Port, V24 Suppl 2, P413
  9. Evans SE, 2008, AGGRESS VIOLENT BEH, V13, P131, DOI 10.1016/j.avb.2008.02.005
  10. Famularo R, 1996, CHILD ABUSE NEGLECT, V20, P953, DOI 10.1016/0145-2134(96)00084-1
  11. Flaherty EG, 2009, ACAD PEDIATR, V9, P150, DOI 10.1016/j.acap.2008.11.003
  12. Grassi-Oliveira R, 2006, REV SAUDE PUBL, V40, P249, DOI 10.1590/S0034-89102006000200010
  13. Herrenkohl TI, 2008, TRAUMA VIOLENCE ABUS, V9, P84, DOI 10.1177/1524838008314797
  14. JAUDES PK, 1985, CHILD ABUSE NEGLECT, V9, P341, DOI 10.1016/0145-2134(85)90030-4
  15. Johnson JG, 1999, ARCH GEN PSYCHIAT, V56, P600, DOI 10.1001/archpsyc.56.7.600
  16. Kaufman J, 1997, J AM ACAD CHILD PSY, V36, P980, DOI 10.1097/00004583-199707000-00021
  17. Koller SH, 2007, CHILD ADOL PSYCH CL, V16, P341, DOI 10.1016/j.chc.2006.12.002
  18. Lamont A, 2010, EFFECTS CHILD ABUSE, P1
  19. McLaughlin KA, 2010, PSYCHOL MED, V40, P847, DOI 10.1017/S0033291709991115
  20. Mercadante MT, 1995, K SADS ENTREVISTA SE
  21. Moylan CA, 2010, J FAM VIOLENCE, V25, P53, DOI 10.1007/s10896-009-9269-9
  22. Neigh GN, 2009, TRAUMA VIOLENCE ABUS, V10, P389, DOI 10.1177/1524838009339758
  23. Ogata K, 2011, PSYCHOLOGY, V2, P169
  24. Phillips NK, 2005, J ABNORM CHILD PSYCH, V33, P13, DOI 10.1007/s10802-005-0930-3
  25. Scivoletto S, 2011, CHILD ABUSE NEGLECT, V35, P89, DOI 10.1016/j.chiabu.2010.11.003
  26. Silva Thiago Fernando da, 2010, Rev Bras Psiquiatr, V32, P195, DOI 10.1590/S1516-44462010000200018
  27. STERNBERG KJ, 1993, DEV PSYCHOL, V29, P44, DOI 10.1037//0012-1649.29.1.44
  28. Sternberg LJ, 2006, CHILD ABUSE NEGL, V30, P283
  29. Sullivan PM, 2000, CHILD ABUSE NEGLECT, V24, P1257, DOI 10.1016/S0145-2134(00)00190-3
  30. Sullivan PM, 1998, CHILD ABUSE NEGLECT, V22, P271, DOI 10.1016/S0145-2134(97)00175-0
  31. Svevo-Cianci KA, 2010, CHILD ABUSE NEGLECT, V34, P45, DOI 10.1016/j.chiabu.2009.09.010
  32. The United Nations Children's Fund (UNICEF), 2009, PROGR CHILDR REP CAR
  33. The United Nations Children's Fund (UNICEF), 2004, STAT WORLDS CHILDR 2
  34. Warfield ME, 1999, J DEV BEHAV PEDIATR, V20, P9, DOI 10.1097/00004703-199902000-00002
  35. WHO, 2004, INT STAT CLASS DIS H
  36. Widom CS, 2006, PSYCHOL ADDICT BEHAV, V20, P394, DOI 10.1037/0893-164X.20.4.394
  37. Widom CS, 2007, ARCH GEN PSYCHIAT, V64, P49
  38. Wolfe DA, 2003, CLIN CHILD FAM PSYCH, V6, P171, DOI 10.1023/A:1024910416164
  39. Zavaschi Maria Lucrecia Scherer, 2002, Revista Brasileira de Psiquiatria, V24, P189, DOI 10.1590/S1516-44462002000400009
  40. Ziegler MF, 2005, PEDIATRICS, V115, P1261, DOI 10.1542/peds.2004-1217