Advanced search
Start date
Betweenand
(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

A cross-sectional study to compare levels of psychiatric morbidity between young people and adults exposed to violence in a large urban center

Full text
Author(s):
Jaen-Varas, Denisse [1] ; Mari, Jair de Jesus [1, 2] ; Coutinho, Evandro da Silva [3] ; Andreoli, Sergio Baxter [1] ; Quintana, Maria Ines [1] ; de Mello, Marcelo Feijo [1] ; Bressan, Rodrigo Affonseca [1] ; Ribeiro, Wagner Silva [4, 1]
Total Authors: 8
Affiliation:
[1] Univ Fed Sao Paulo, Dept Psiquiatria, Rua Borges Lagoa 570, BR-04038000 Sao Paulo, SP - Brazil
[2] Kings Coll London, Inst Psychiat, Hlth Serv & Populat Res Dept, London - England
[3] Fundacao Oswaldo Cruz, Escola Nacl Saude Publ, Rio De Janeiro - Brazil
[4] London Sch Econ & Polit Sci, Personal Social Serv Res Unit, London - England
Total Affiliations: 4
Document type: Journal article
Source: BMC Psychiatry; v. 16, JUN 7 2016.
Web of Science Citations: 2
Abstract

Background: Teenagers and young adults are more exposed to violence and traumatic events than adults, and these factors can be associated with mental disorders. This paper aims at investigating whether young people are more exposed to violence and traumatic events and to compare pattern of mental disorders with adults. Methods: Cross-sectional study using the Composite International Diagnostic Interview, conducted between 2007 and 2008 with a randomly selected sample of 15 to 75 year-old residents of Sao Paulo, Brazil. Results: Two thousand five hundred thirty-six participants were divided into two groups: 1096 (43.2 %) young people (15 to 24 years), and 1440 (56.8 %) adults (25 to 75 years). 12-month exposure to traumatic events was higher among young people (32.1 % vs. 20.6 %; p < 0.001). Assaultive violence was reported by 13.4 % of young people and 8.6 % of adults (p = 0.012); 20.1 % of young people and 13 % of adults reported suffering other injury or shocking events (p < 0.001); sudden death/life threatening illness of a close person was declared by 6.1 % of young people and 3.2 % of adults (p = 0.017). Prevalence of alcohol related disorders was higher among young people (5.4 % vs. 2.5 %; P = 0.032); depressive disorders were more prevalent among adults (9.0 % vs. 4.7 %; P = 0.004). Alcohol related disorders were associated to assaultive violence among young people (OR = 3.4; 95 % CI = 1.36 to 8.52; p = 0.004) and adults (OR = 2.38; 95 % CI = 1.23 to 4.61; p = 0.002). Phobic/anxiety disorders were associated to other injury or shocking events among young people (OR = 1.28; 95 % CI = 0.67 to 2.44; p = 0.025). Major depressive disorder was associated to assaultive violence among young people (OR = 2.27; 95 % CI = 1.09 to 4.74; p = 0.004) and adults (OR = 1.28; 95 % CI = 0.85 to 1.93; p = 0.009). Conclusion: Exposure to violence and traumatic events was higher among young people. Alcohol related disorders, depression and phobic/anxiety disorders were significantly higher among young people exposed to traumatic events. Despite the study design, high exposure to violence and traumatic events in this age group can be considered important factors in triggering mental disorders in this vulnerable age period. (AU)

FAPESP's process: 04/15039-0 - Post-traumatic stress disorder: epidemiology, physiopathology and treatment
Grantee:Jair de Jesus Mari
Support Opportunities: Research Projects - Thematic Grants