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

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

Author Fatori, Daniel Google Scholar
Bordin, Isabel Altenfelder Santos Autor UNIFESP Google Scholar
Curto, Bartira Marques Autor UNIFESP Google Scholar
Paula, Cristiane Silvestre de Autor UNIFESP Google Scholar
Institution Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Univ Prebiteriana Mackenzie
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.
Keywords Child
Adolescent
Violence
Epidemiology
Longitudinal studies
Psychopathology
Risk factors
Mental health
Developing countries
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Mackpesquisa of the Mackenzie Presbyterian University
Grant number FAPESP: 00/14555-4
Date 2013-01-17
Published in Bmc Psychiatry. London: Biomed Central Ltd, v. 13, 6 p., 2013.
ISSN 1471-244X (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 6
Origin http://dx.doi.org/10.1186/1471-244X-13-31
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000315213700001
URI http://repositorio.unifesp.br/handle/11600/35884

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