Evidence map›Paper›PMID 29511791›Full record

ArticleSocial psychiatry and psychiatric epidemiology2018

Early vulnerabilities for psychiatric disorders in elementary schoolchildren from four Brazilian regions.

Cristiane S Paula, Jair J Mari, Isabel Altenfelder Santos Bordin, Euripedes C Miguel, Isabela Fortes, Natalia Barroso, Luis Augusto Rohde, Evandro Silva Freire Coutinho

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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Cristiane S PaulaDevelopment Disorders Program, Mackenzie University, Rua da Consolação 930, Edifício 28, 01302-907, Sao Paulo, SP, Brazil. csilvestrep09@gmail.com.ORCID http://orcid.org/0000-0003-0438-9407
Jair J MariDepartment of Psychiatry, Federal University of Sao Paulo (UNIFESP), Rua Borges Lagoa 570, 1° andar, 04023-061, Sao Paulo, SP, Brazil.
Isabel Altenfelder Santos BordinDepartment of Psychiatry, Federal University of Sao Paulo (UNIFESP), Rua Borges Lagoa 570, 1° andar, 04023-061, Sao Paulo, SP, Brazil.
Euripedes C MiguelDepartment of Psychiatry, University of Sao Paulo, Medical School (USP), Rua Dr. Ovídio Pires de Campos, 785, 1° andar, 05403-010, Sao Paulo, SP, Brazil.
Isabela FortesNational Institute of Developmental Psychiatry for Children and Adolescents, University of Sao Paulo, Medical School (USP), Sao Paulo, SP, Brazil.
Natalia BarrosoDepartment of Psychiatry, Federal University of Sao Paulo (UNIFESP), Rua Borges Lagoa 570, 1° andar, 04023-061, Sao Paulo, SP, Brazil.
Luis Augusto RohdeDepartment of Psychiatry, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, 4° andar, Rua Ramiro Barcelos 2350, 90035-003, Porto Alegre, Brazil.
Evandro Silva Freire CoutinhoDepartment of Epidemiology, Oswaldo Cruz Foundation, Fiocruz, Rua Leopoldo Bulões, 1480/8° andar, 21041-210, Rio de Janeiro, RJ, Brazil.
Universidade Federal de São Paulo · BRUniversidade de São Paulo · BRFundação Oswaldo Cruz · BRUniversidade Federal do Rio Grande do Sul · BRUniversidade Presbiteriana Mackenzie · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 573974/2008Conselho Nacional de Desenvolvimento Científico e Tecnológico CSP & JJM are researchers from the CNPQFundação de Amparo à Pesquisa do Estado de São Paulo 2008/57896-8
6 · The paper itself

Abstract

purposeThe purpose of the study is to identify early vulnerabilities for psychiatric disorders among Brazilian elementary school children, controlling for familial and community adversities.

methodsThis is a cross-sectional study examining the association between child psychiatric disorders and potential early vulnerabilities (disability, low intellectual quotient, and negative dimensions of the temperament trait self-directedness (low resourcefulness, low purposefulness, low enlightened second nature), controlling for the potential confounders: familial and community adversities. SAMPLE: Four probabilistic samples of second-to-sixth grade students from public schools in four towns from different Brazilian regions (N = 1620). The following instruments were applied: the K-SADS-PL (to assess child/adolescent psychiatric disorders); the Ten-Question Screen (to measure child disability); three structured questions used as proxy of self-directedness; and the reduced version of the WISC-III to measure IQ. To evaluate familial/community adversities: Self-Report Questionnaire-SRQ-20 (to assess maternal/primary caretaker anxiety/depression); questions derived from structured questionnaires (to measure child abuse, marital physical violence, neighborhood violence); Brazilian Association of Research Companies questionnaire (to evaluate poverty/socioeconomic status). Trained psychologists interviewed mothers/primary caretakers and evaluated children/adolescents individually.

resultsA final logistic regression model showed that children/adolescents with low resourcefulness, low purposefulness, low enlightened second nature, lower IQ and disability were more likely to present any child psychiatric disorders.

conclusionEarly vulnerabilities such as low IQ, presence of disability, and dimensions of temperament were associated with psychiatric disorders among Brazilian elementary school children, after controlling for familial and ecological confounders. These early vulnerabilities should be considered in mental health prevention/intervention programs in low-middle-income countries like Brazil.

Indexed as

AdolescentAnxietyBrazilChildChild AbuseCross-Sectional StudiesDepressionFemaleHumansLogistic ModelsMaleMental DisordersMothersPovertyPrevalenceResidence CharacteristicsChild psychiatryDeveloping countriesDevelopmental disabilitiesRisk factorsTemperament

Identifiers

PMID29511791
OpenAlexW2789526102

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.