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

Influence of psychosocial risk factors on the trajectory of mental health problems from childhood to adolescence: a longitudinal study

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Author(s):
Fatori, Daniel [1] ; Bordin, Isabel A. [2] ; Curto, Bartira M. [2] ; de Paula, Cristiane S. [2, 3]
Total Authors: 4
Affiliation:
[1] Univ Sao Paulo, Sch Med, Inst Psychiat, Sao Paulo - Brazil
[2] Univ Fed Sao Paulo, Social Psychiat Div, Sao Paulo - Brazil
[3] Univ Prebiteriana Mackenzie, Dev Disorder Post Grad Program, Sao Paulo - Brazil
Total Affiliations: 3
Document type: Journal article
Source: BMC Psychiatry; v. 13, JAN 17 2013.
Web of Science Citations: 18
Abstract

Background: Longitudinal epidemiological studies involving child/adolescent mental health problems are scarce in developing countries, particularly in regions characterized by adverse living conditions. We examined the influence of psychosocial factors on the trajectory of child/adolescent mental health problems (CAMHP) over time. Methods: A population-based sample of 6- to 13-year-olds with CAMHP was followed-up from 2002-2003 (Time 1/T1) to 2007-2008 (Time 2/T2), with 86 out of 124 eligible children/adolescents at T1 being reassessed at T2 (sample loss: 30.6%). Outcome: CAMHP at T2 according to the Child Behavior Checklist/CBCL's total problem scale. Psychosocial factors: T1 variables (child/adolescent's age, family socioeconomic status); trajectory of variables from T1 to T2 (child/adolescent exposure to severe physical punishment, mother exposure to severe physical marital violence, maternal anxiety/depression); and T2 variables (maternal education, child/adolescent's social support and pro-social activities). Results: Multivariate analysis identified two risk factors for child/adolescent MHP at T2: aggravation of child/adolescent physical punishment and aggravation of maternal anxiety/depression. Conclusions: The current study shows the importance of considering child/adolescent physical punishment and maternal anxiety/depression in intervention models and mental health care policies. (AU)