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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

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

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Autor(es):
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]
Número total de Autores: 8
Afiliação do(s) autor(es):
[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
Número total de Afiliações: 4
Tipo de documento: Artigo Científico
Fonte: BMC Psychiatry; v. 16, JUN 7 2016.
Citações Web of Science: 2
Resumo

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)

Processo FAPESP: 04/15039-0 - Transtorno do estresse pós-traumático: epidemiologia, fisiopatologia e tratamento
Beneficiário:Jair de Jesus Mari
Modalidade de apoio: Auxílio à Pesquisa - Temático