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

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dc.contributor.authorPaula C.S.
dc.contributor.authorMari J.J.
dc.contributor.authorBordin I.A.S.
dc.contributor.authorMiguel E.C.
dc.contributor.authorFortes I.
dc.contributor.authorBarroso N.
dc.contributor.authorRohde L.A.
dc.contributor.authorCoutinho E.S.F.
dc.date.accessioned2024-03-12T23:57:58Z
dc.date.available2024-03-12T23:57:58Z
dc.date.issued2018
dc.description.abstract© 2018, Springer-Verlag GmbH Germany, part of Springer Nature.Purpose: The purpose of the study is to identify early vulnerabilities for psychiatric disorders among Brazilian elementary school children, controlling for familial and community adversities. Methods: 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. Results: 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. Conclusion: 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.
dc.description.firstpage477
dc.description.issuenumber5
dc.description.lastpage486
dc.description.volume53
dc.identifier.doi10.1007/s00127-018-1503-4
dc.identifier.issn0933-7954
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/35535
dc.relation.ispartofSocial Psychiatry and Psychiatric Epidemiology
dc.rightsAcesso Restrito
dc.subject.otherlanguageChild psychiatry
dc.subject.otherlanguageDeveloping countries
dc.subject.otherlanguageDevelopmental disabilities
dc.subject.otherlanguageRisk factors
dc.subject.otherlanguageTemperament
dc.titleEarly vulnerabilities for psychiatric disorders in elementary schoolchildren from four Brazilian regions
dc.typeArtigo
local.scopus.citations4
local.scopus.eid2-s2.0-85045977983
local.scopus.subjectAdolescent
local.scopus.subjectAnxiety
local.scopus.subjectBrazil
local.scopus.subjectChild
local.scopus.subjectChild Abuse
local.scopus.subjectCross-Sectional Studies
local.scopus.subjectDepression
local.scopus.subjectFemale
local.scopus.subjectHumans
local.scopus.subjectLogistic Models
local.scopus.subjectMale
local.scopus.subjectMental Disorders
local.scopus.subjectMothers
local.scopus.subjectPoverty
local.scopus.subjectPrevalence
local.scopus.subjectResidence Characteristics
local.scopus.subjectSchools
local.scopus.subjectSocial Class
local.scopus.subjectStudents
local.scopus.subjectSurveys and Questionnaires
local.scopus.updated2024-05-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85045977983&origin=inward
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