The economic impact of subthreshold and clinical childhood mental disorders

Autor(es):Mostrar menos -

Fatori, Daniel ^[1] ; Salum, Giovanni ^[2] ; Itria, Alexander ^[3] ; Pan, Pedro ^[4] ; Alvarenga, Pedro ^[1] ; Rohde, Luis Augusto ^{[2, 1]} ; Bressan, Rodrigo ^[4] ; Gadelha, Ary ^[4] ; Mari, Jair de Jesus ^[4] ; do Rosario, Maria Conceicao ^[4] ; Manfro, Gisele ^[2] ; Polanczyk, Guilherme ^[1] ; Miguel, Euripedes Constantino ^[1] ; Graeff-Martins, Ana Soledade ^[2]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Dept Psychiat, Sch Med, Sao Paulo - Brazil

^[2] Univ Fed Rio Grande do Sul, Dept Psychiat, Porto Alegre, RS - Brazil

^[3] Univ Fed Goias, Inst Trop Pathol & Publ Hlth, Dept Collect Hlth, Goiania, Go - Brazil

^[4] Univ Fed Sao Paulo, Dept Psychiat, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF MENTAL HEALTH; v. 27, n. 6, p. 588-594, NOV 2 2018.
• Citações Web of Science: 0

Resumo

Background: Mental disorders are common health problems associated with serious impairment and economic impact. Aims: To estimate the costs of clinical and subthreshold mental disorders in a sample of Brazilian children. Method: The High Risk Cohort Study is a community study conducted in two major Brazilian cities. Subjects were 6-14 years old children being registered at school. From an initial pool of 9937 children, two subgroups were further investigated using a random-selection (n = 958) and high-risk group selection procedure (n = 1554), resulting in a sample of 2512 subjects. Mental disorder assessment was made using the Development and Well-Being Assessment. Costs for each child were estimated from the following components: mental health and social services use, school problems and parental loss of productivity. Results: Child subthreshold and clinical mental disorders showed lifetime mean total cost of \$1750.9 and \$3141.2, respectively. National lifetime cost estimate was \$9.9 billion for subthreshold mental disorders and \$11.6 billion for clinical mental disorders (values in US\$ purchasing power parity). Conclusions: This study provides evidence that child mental disorders have a great economic impact on society. There is an urgent need to plan an effective system of care with cost-effective programs of treatment and prevention to reduce economic burden. (AU)

• Processo FAPESP: 08/57896-8 - O Instituto Nacional da Psiquiatria do Desenvolvimento: uma nova abordagem para a psiquiatria tendo como foco as nossas crianças e o seu futuro
• Beneficiário: Eurípedes Constantino Miguel Filho
• Modalidade de apoio: Auxílio à Pesquisa - Temático
• Processo FAPESP: 12/09246-0 - Estudo de custos do transtorno obsessivo-compulsivo e outros transtornos mentais na infância
• Beneficiário: Daniel Graça Fatori de Sá
• Modalidade de apoio: Bolsas no Brasil - Doutorado