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

BMC Psychiatry

Research Article

Daniel Fatori¹  Bartira M Curto²  Isabel A Bordin²  Cristiane S de Paula³ 

[1] Institute of Psychiatry, University of Sao Paulo Medical School, Sao Paulo, Brazil;Social Psychiatry Division, Federal University of São Paulo, Sao Paulo, Brazil;Social Psychiatry Division, Federal University of São Paulo, Sao Paulo, Brazil;Developmental Disorder Post Graduation Program, Mackenzie Presbyterian University, Sao Paulo, Brazil;

关键词: Child;    Adolescent;    Violence;    Epidemiology;    Longitudinal studies;    Psychopathology;    Risk factors;    Mental health;    Developing countries;   

DOI  :  10.1186/1471-244X-13-31

 received in 2012-07-11, accepted in 2013-01-11,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundLongitudinal 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.MethodsA 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).ResultsMultivariate analysis identified two risk factors for child/adolescent MHP at T2: aggravation of child/adolescent physical punishment and aggravation of maternal anxiety/depression.ConclusionsThe current study shows the importance of considering child/adolescent physical punishment and maternal anxiety/depression in intervention models and mental health care policies.

【 授权许可】

CC BY   
© Fatori et al.; licensee BioMed Central Ltd. 2013