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

BMC Psychiatry

Research Article

Sérgio Baxter Andreoli¹  Maria Ines Quintana¹  Marcelo Feijó de Mello¹  Rodrigo Affonseca Bressan¹  Denisse Jaen-Varas¹  Jair de Jesus Mari²  Wagner Silva Ribeiro³  Evandro da Silva Coutinho⁴ 

[1] Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, 04038-000, São Paulo, SP, Brazil;Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, 04038-000, São Paulo, SP, Brazil;Health Service and Population Research Department, King’s College London, Institute of Psychiatry, London, United Kingdom;Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, 04038-000, São Paulo, SP, Brazil;London School of Economics and Political Science, Personal Social Services Research Unit, London, United Kingdom;Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Rio de Janeiro, Brazil;

关键词: Young People;    Mental Disorder;    Traumatic Event;    Major Depressive Disorder;    Psychiatric Morbidity;   

DOI  :  10.1186/s12888-016-0847-0

 received in 2015-05-09, accepted in 2016-05-04,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundTeenagers 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.MethodsCross-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 São Paulo, Brazil.ResultsTwo 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).ConclusionExposure 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.

【 授权许可】

CC BY   
© Jaen-Varas et al. 2016