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

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

Author Paula, Cristiane Silvestre de Autor UNIFESP Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
Bordin, Isabel Altenfelder Santos Autor UNIFESP Google Scholar
Miguel, Euripedes Constantino Autor UNIFESP Google Scholar
Fortes, Isabela Google Scholar
Barroso, Natalia Autor UNIFESP Google Scholar
Rohde, Luis Augusto Google Scholar
Coutinho, Evandro da Silva Freire Google Scholar
Abstract 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.
Keywords Child psychiatry
Temperament
Developmental disabilities
Risk factors
Developing countries
xmlui.dri2xhtml.METS-1.0.item-coverage Heidelberg
Language English
Sponsor State of Sao Paulo Funding Agency-FAPESP "INPD-Psiquiatria do Desenvolvimento para Infancia e Adolescencia" Instituto Nacional de Ciencia e Tecnologia (INCT)
National Research Council-CNPQ,-"Instituto Nacional de Ciencia e Tecnologia de Psiquiatria do Desenvolvimento para Infancia e Adolescencia" Sigla: INPD
Grant number INCT: 2008/57896-8
INPD: 15/2008
INPD: 573974/2008
Date 2018
Published in Social Psychiatry And Psychiatric Epidemiology. Heidelberg, v. 53, n. 5, p. 477-486, 2018.
ISSN 0933-7954 (Sherpa/Romeo, impact factor)
Publisher Springer Heidelberg
Extent 477-486
Origin http://dx.doi.org/10.1007/s00127-018-1503-4
Access rights Closed access
Type Article
Web of Science ID WOS:000430472600003
URI https://repositorio.unifesp.br/handle/11600/55599

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