Evidence map›Paper›PMID 38243805›Full record

ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2024

Attention-deficit/hyperactivity disorder in Mozambique: an epidemiological investigation in a primary school sample.

Helena Mutede Cutótua Daniel, Igor Duarte, Arthur Caye, Antonio Suleman, Wilza Fumo, Luis Augusto Rohde

Open access · diamondAbstract read
In one paragraph

Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Prevalence of attention-deficit hyperactivity disorder (ADHD): systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Pooled it
  2. Article
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

6 authors at 3 institutions in 3 countries.

Helena Mutede Cutótua DanielDepartamento de Psiquiatria e Saúde Mental, Hospital Psiquiátrico de Nampula, Nampula, Moçambique. Programa de Pós-Graduação em Psiquiatria, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Igor DuartePrograma de Pós-Graduação em Psiquiatria, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. Instituto Nacional de Psiquiatria do Desenvolvimento & Centro Nacional de Pesquisa e Inovação em Saúde Mental, São Paulo, SP, Brazil.
Arthur CayePrograma de Pós-Graduação em Psiquiatria, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. Instituto Nacional de Psiquiatria do Desenvolvimento & Centro Nacional de Pesquisa e Inovação em Saúde Mental, São Paulo, SP, Brazil. Programa de Déficit de Ateção e Hiperatividade, Hospital de Clínicas de Porto Alegre, UFRGS, Porto Alegre, RS, Brazil.
Antonio SulemanDepartamento de Psiquiatria e Saúde Mental, Hospital Psiquiátrico de Nampula, Nampula, Moçambique.
Wilza FumoDepartamento de Saúde Mental, Ministério da Saúde, Maputo, Moçambique.
Luis Augusto RohdeInstituto Nacional de Psiquiatria do Desenvolvimento & Centro Nacional de Pesquisa e Inovação em Saúde Mental, São Paulo, SP, Brazil. Programa de Déficit de Ateção e Hiperatividade, Hospital de Clínicas de Porto Alegre, UFRGS, Porto Alegre, RS, Brazil. Conselho Médico, Grupo UniEduK, São Paulo, SP, Brazil.
Universidade Federal do Rio Grande do Sul · BRInstituto Nacional de Saúde · MZLúrio University · MZ

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001Programa de déficit de atenção e hiperatividade do Hospital de Clínicas de Porto Alegre
6 · The paper itself

Abstract

objectiveTo evaluate the prevalence of attention-deficit/hyperactivity disorder (ADHD), comorbidity rates with disruptive behavior disorders and main negative outcomes in primary school students in Nampula, Mozambique.

methodsWe selected a random sample of 748 students for ADHD screening from a population of around 43,000 primary school students. The Swanson, Nolan, and Pelham Rating Scale version IV was applied to both parents and teachers. All students who screened positive (n=76) and a propensity score-matched random subset of students who screened negative (n=76) were assessed by a child psychiatrist.

resultsThe prevalence of ADHD was estimated at 13.4% (95%CI 11.5-19.2), and 30.6% of those with ADHD presented comorbid disruptive behavior disorders. Students with ADHD (n=36) had significantly higher rates of both substance use (alcohol, marijuana) (p < 0.001), and school failures than controls (n=96; p < 0.001). Comorbidity between ADHD and disruptive behavior disorders increased the chance of substance use (p < 0.001). Secondary analyses with more restrictive ADHD diagnostic criteria revealed a lower prevalence rate (6.7%; 95%CI 5.2-12.9) with similar patterns of associated factors and negative outcomes.

conclusionOur findings demonstrated that ADHD is a prevalent mental disorder in Mozambique, and it is associated with similar comorbid profiles, predisposing factors, and negative outcomes, as in other cultures.

Indexed as

Attention Deficit Disorder with HyperactivityComorbidityStudentsAttention Deficit and Disruptive Behavior DisordersChildCross-Sectional StudiesFemaleHumansMaleMozambiquePrevalencePsychiatric Status Rating ScalesSchoolsSubstance-Related DisordersAfricaattention-deficit/hyperactivity disorderhyperactivityinattentionprevalence

Identifiers

PMID38243805
PMCPMC11189130
OpenAlexW4391022816

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.