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

Author(s)

Paula, Cristiane S. ^{[1, 2]} ; Mari, Jair J. ^[2] ; Santos Bordin, Isabel Altenfelder ^[2] ; Miguel, Euripedes C. ^[3] ; Fortes, Isabela ^{[4, 5]} ; Barroso, Natalia ^[2] ; Rohde, Luis Augusto ^[6] ; Freire Coutinho, Evandro Silva ^[7]

Affiliation

^[1] Univ Prebiteriana Mackenzie, Dev Disorders Program, Rua Consolacao 930, Edificio 28, BR-01302907 Sao Paulo, SP - Brazil

^[2] Fed Univ Sao Paulo UNIFESP, Dept Psychiat, Rua Borges Lagoa 570, 1 Andar, BR-04023061 Sao Paulo, SP - Brazil

^[3] Univ Sao Paulo, Med Sch USP, Dept Psychiat, Rua Dr Ovidio Pires de Campos 785, 1 Andar, BR-05403010 Sao Paulo, SP - Brazil

^[4] Univ Sao Paulo, Natl Inst Dev Psychiat Children & Adolescents, Med Sch USP, Sao Paulo, SP - Brazil

^[5] NIP, Ave Amer 1155, Sala 2010, BR-22631000 Rio De Janeiro - Brazil

^[6] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Dept Psychiat, 4 Andar, Rua Ramiro Barcelos 2350, BR-90035003 Porto Alegre, RS - Brazil

^[7] Fiocruz MS, Dept Epidemiol, Oswaldo Cruz Fdn, Rua Leopoldo Buloes 1480, 8 Andar, BR-21041210 Rio De Janeiro, RJ - Brazil

• Document type: Journal article
• Source: Social Psychiatry and Psychiatric Epidemiology; v. 53, n. 5, p. 477-486, MAY 2018.
• Web of Science Citations: 0

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. (AU)

• FAPESP's process: 08/57896-8 - National Institute for Developmental Psychiatry
• Grantee: Eurípedes Constantino Miguel Filho
• Support Opportunities: Research Projects - Thematic Grants