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

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Autor/Urheber	Fatori Daniel; Bordin Isabel A; Curto Bartira M; de Paula Cristiane S
Institution	BMC
Titel	Influence of psychosocial risk factors on the trajectory of mental health problems from childhood to adolescence: a longitudinal study.
Quelle	In: doi:10.1186/1471-244X-13-31; 1471-244X; BMC Psychiatry, Vol 13, Iss 1, p 31 (2013)(2013) PDF als Volltext kostenfreie Datei
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
DOI	10.1186/1471-244X-13-31
Schlagwörter	Child; Adolescent; Violence; Epidemiology; Psychopathology; Mental health; Developing countries; Psychiatry
Abstract	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.
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