Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil

Detalhes bibliográficos
Autor(a) principal: Jesem Douglas Yamall Orellana
Data de Publicação: 2020
Outros Autores: Marizélia Rodrigues Costa Ribeiro, Marco Antonio Barbieri, Maria da Conceição Saraiva, Viviane Cunha Cardoso, Heloísa Bettiol, Antonio Augusto Moura da Silva, Fernando C. Barros, Helen Gonçalves, Fernando C. Wehrmeister, Ana Maria Baptista Menezes, Cristina Marta Del-Ben, Bernardo Lessa Horta
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246
Resumo: Although depression and anxiety are known to result in disabilities and workplace and health system losses, population-based studies on this problem are rare in Brazil. The current study assessed the prevalence of mental disorders in adolescents, youth, and adults and the relationship to sociodemographic characteristics in five birth cohorts (RPS) in Ribeirão Preto (São Paulo State), Pelotas (Rio Grande do Sul State), and São Luís (Maranhão State), Brazil. Major depressive episode, suicide risk, social phobia, and generalized anxiety disorder were assessed with the Mini International Neuropsychiatric Interview. Bootstrap confidence intervals were estimated and prevalence rates were stratified by sex and socioeconomic status in the R program. The study included 12,350 participants from the cohorts. Current major depressive episode was more prevalent in adolescents in São Luís (15.8%; 95%CI: 14.8-16.8) and adults in Ribeirão Preto (12.9%; 95%CI: 12.0-13.9). The highest prevalence rates for suicide risk were in adults in Ribeirão Preto (13.7%; 95%CI: 12.7-14.7), and the highest rates for social phobia and generalized anxiety were in youth in Pelotas, with 7% (95%CI: 6.3-7.7) and 16.5% (95%CI: 15.4-17.5), respectively. The lowest prevalence rates of suicide risk were in youth in Pelotas (8.8%; 95%CI: 8.0-9.6), social phobia in youth in Ribeirão Preto (1.8%; 95%CI: 1.5-2.2), and generalized anxiety in adolescents in São Luís (3.5%; 95%CI: 3.0-4.0). Mental disorders in general were more prevalent in women and in individuals with lower socioeconomic status, independently of the city and age, emphasizing the need for more investment in mental health in Brazil, including gender and socioeconomic determinants.
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spelling Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), BrazilTranstornos mentais em adolescentes, jovens e adultos do Consórcio de Coortes de Nascimento brasileiras RPS (Ribeirão Preto, Pelotas e São Luís)Mental DisordersCohort StudiesSocioeconomic FactorsGender and HealthLife Cycle StagesTranstornos MentaisEstudos de CoortesFatores SocioeconômicosGênero e SaúdeEstágios do Ciclo de VidaAlthough depression and anxiety are known to result in disabilities and workplace and health system losses, population-based studies on this problem are rare in Brazil. The current study assessed the prevalence of mental disorders in adolescents, youth, and adults and the relationship to sociodemographic characteristics in five birth cohorts (RPS) in Ribeirão Preto (São Paulo State), Pelotas (Rio Grande do Sul State), and São Luís (Maranhão State), Brazil. Major depressive episode, suicide risk, social phobia, and generalized anxiety disorder were assessed with the Mini International Neuropsychiatric Interview. Bootstrap confidence intervals were estimated and prevalence rates were stratified by sex and socioeconomic status in the R program. The study included 12,350 participants from the cohorts. Current major depressive episode was more prevalent in adolescents in São Luís (15.8%; 95%CI: 14.8-16.8) and adults in Ribeirão Preto (12.9%; 95%CI: 12.0-13.9). The highest prevalence rates for suicide risk were in adults in Ribeirão Preto (13.7%; 95%CI: 12.7-14.7), and the highest rates for social phobia and generalized anxiety were in youth in Pelotas, with 7% (95%CI: 6.3-7.7) and 16.5% (95%CI: 15.4-17.5), respectively. The lowest prevalence rates of suicide risk were in youth in Pelotas (8.8%; 95%CI: 8.0-9.6), social phobia in youth in Ribeirão Preto (1.8%; 95%CI: 1.5-2.2), and generalized anxiety in adolescents in São Luís (3.5%; 95%CI: 3.0-4.0). Mental disorders in general were more prevalent in women and in individuals with lower socioeconomic status, independently of the city and age, emphasizing the need for more investment in mental health in Brazil, including gender and socioeconomic determinants.A pesar de que se reconozca que la depresión y ansiedad provoquen incapacidades, así como perjuicios laborales y problemas para los sistemas de salud, las investigaciones de base poblacional son escasas en Brasil. Este estudio evaluó la prevalencia de trastornos mentales en adolescentes, jóvenes y adultos, y su relación con características sociodemográficas en cinco cohortes de nacimiento (RPS), en Ribeirão Preto (São Paulo), Pelotas (Rio Grande do Sul) y São Luís (Maranhão), Brasil. Episodio depresivo, riesgo de suicidio, fobia social y trastorno de ansiedad generalizada se evaluaron usando el Mini International Neuropsychiatric Interview. Se estimaron los intervalos de confianza bootstrap y las prevalencias fueron estratificadas por sexo y nivel socioeconómico en el programa R. Se incluyeron a 12.350 participantes de las cohortes. Un episodio actual depresivo mayor fue más prevalente en adolescentes de São Luís (15,8%; IC95%: 14,8-16,8) y en adultos de Ribeirão Preto (12,9%; IC95%: 12,0-13,9). Las mayores prevalencias para el riesgo de suicidio se produjeron en los adultos de Ribeirão Preto (13,7%; IC95%:12,7-14,7), fobia social y ansiedad generalizada en los jóvenes de Pelotas con 7% (IC95%: 6,3-7,7) y 16,5% (IC95%: 15,4-17,5), respectivamente. Las menores prevalencias de riesgo de suicidio se produjeron en los jóvenes de Pelotas (8,8%; IC95%: 8,0-9,6), fobia social en los jóvenes de Ribeirão Preto (1,8%; IC95%: 1,5-2,2) y ansiedad generalizada en los adolescentes de São Luís (3,5%; IC95%: 3,0-4,0). En general, los trastornos mentales fueron más prevalentes en las mujeres y en aquellos con menor nivel socioeconómico, independientemente del centro y edad, reforzando la necesidad de una mayor inversión en salud mental en Brasil, sin desconsiderar determinantes de género y socioeconómicos.Embora se reconheça que depressão e ansiedade resultem em incapacidades, bem como em prejuízos laborais e para os sistemas de saúde, pesquisas de base populacional são escassas no Brasil. Este estudo avaliou a prevalência de transtornos mentais em adolescentes, jovens e adultos e sua relação com características sociodemográficas em cinco coortes de nascimento (RPS): Ribeirão Preto (São Paulo), Pelotas (Rio Grande do Sul) e São Luís (Maranhão), Brasil. Episódio depressivo, risco de suicídio, fobia social e transtorno de ansiedade generalizada foram avaliados usando-se o Mini International Neuropsychiatric Interview. Intervalos de confiança bootstrap foram estimados e prevalências estratificadas por sexo e nível socioeconômico no programa R. Foram incluídos 12.350 participantes das coortes. Episódio depressivo maior atual foi mais prevalente em adolescentes de São Luís (15,8%; IC95%: 14,8-16,8) e nos adultos de Ribeirão Preto (12,9%; IC95%: 12,0-13,9). As maiores prevalências para risco de suicídio ocorreram nos adultos de Ribeirão Preto (13,7%; IC95%:12,7-14,7), fobia social e ansiedade generalizada nos jovens de Pelotas com 7% (IC95%: 6,3-7,7) e 16,5% (IC95%: 15,4-17,5), respectivamente. As menores prevalências de risco de suicídio ocorreram nos jovens de Pelotas (8,8%; IC95%: 8,0-9,6), fobia social nos jovens de Ribeirão Preto (1,8%; IC95%: 1,5-2,2) e ansiedade generalizada nos adolescentes de São Luís (3,5%; IC95%: 3,0-4,0). Em geral, os transtornos mentais foram mais prevalentes nas mulheres e naqueles com menor nível socioeconômico, independentemente do centro e idade, reforçando a necessidade de maior investimento em saúde mental no Brasil, sem desconsiderar determinantes de gênero e socioeconômicos.Reports in Public HealthCadernos de Saúde Pública2020-01-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246Reports in Public Health; Vol. 36 No. 2 (2020): FebruaryCadernos de Saúde Pública; v. 36 n. 2 (2020): Fevereiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246/15896https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246/15897https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246/15898https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246/15899Jesem Douglas Yamall OrellanaMarizélia Rodrigues Costa RibeiroMarco Antonio BarbieriMaria da Conceição SaraivaViviane Cunha CardosoHeloísa BettiolAntonio Augusto Moura da SilvaFernando C. BarrosHelen GonçalvesFernando C. WehrmeisterAna Maria Baptista MenezesCristina Marta Del-BenBernardo Lessa Hortainfo:eu-repo/semantics/openAccess2024-03-06T15:29:50Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7246Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:20.782827Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil
Transtornos mentais em adolescentes, jovens e adultos do Consórcio de Coortes de Nascimento brasileiras RPS (Ribeirão Preto, Pelotas e São Luís)
title Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil
spellingShingle Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil
Jesem Douglas Yamall Orellana
Mental Disorders
Cohort Studies
Socioeconomic Factors
Gender and Health
Life Cycle Stages
Transtornos Mentais
Estudos de Coortes
Fatores Socioeconômicos
Gênero e Saúde
Estágios do Ciclo de Vida
title_short Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil
title_full Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil
title_fullStr Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil
title_full_unstemmed Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil
title_sort Mental disorders in adolescents, youth, and adults in the RPS Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís), Brazil
author Jesem Douglas Yamall Orellana
author_facet Jesem Douglas Yamall Orellana
Marizélia Rodrigues Costa Ribeiro
Marco Antonio Barbieri
Maria da Conceição Saraiva
Viviane Cunha Cardoso
Heloísa Bettiol
Antonio Augusto Moura da Silva
Fernando C. Barros
Helen Gonçalves
Fernando C. Wehrmeister
Ana Maria Baptista Menezes
Cristina Marta Del-Ben
Bernardo Lessa Horta
author_role author
author2 Marizélia Rodrigues Costa Ribeiro
Marco Antonio Barbieri
Maria da Conceição Saraiva
Viviane Cunha Cardoso
Heloísa Bettiol
Antonio Augusto Moura da Silva
Fernando C. Barros
Helen Gonçalves
Fernando C. Wehrmeister
Ana Maria Baptista Menezes
Cristina Marta Del-Ben
Bernardo Lessa Horta
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Jesem Douglas Yamall Orellana
Marizélia Rodrigues Costa Ribeiro
Marco Antonio Barbieri
Maria da Conceição Saraiva
Viviane Cunha Cardoso
Heloísa Bettiol
Antonio Augusto Moura da Silva
Fernando C. Barros
Helen Gonçalves
Fernando C. Wehrmeister
Ana Maria Baptista Menezes
Cristina Marta Del-Ben
Bernardo Lessa Horta
dc.subject.por.fl_str_mv Mental Disorders
Cohort Studies
Socioeconomic Factors
Gender and Health
Life Cycle Stages
Transtornos Mentais
Estudos de Coortes
Fatores Socioeconômicos
Gênero e Saúde
Estágios do Ciclo de Vida
topic Mental Disorders
Cohort Studies
Socioeconomic Factors
Gender and Health
Life Cycle Stages
Transtornos Mentais
Estudos de Coortes
Fatores Socioeconômicos
Gênero e Saúde
Estágios do Ciclo de Vida
description Although depression and anxiety are known to result in disabilities and workplace and health system losses, population-based studies on this problem are rare in Brazil. The current study assessed the prevalence of mental disorders in adolescents, youth, and adults and the relationship to sociodemographic characteristics in five birth cohorts (RPS) in Ribeirão Preto (São Paulo State), Pelotas (Rio Grande do Sul State), and São Luís (Maranhão State), Brazil. Major depressive episode, suicide risk, social phobia, and generalized anxiety disorder were assessed with the Mini International Neuropsychiatric Interview. Bootstrap confidence intervals were estimated and prevalence rates were stratified by sex and socioeconomic status in the R program. The study included 12,350 participants from the cohorts. Current major depressive episode was more prevalent in adolescents in São Luís (15.8%; 95%CI: 14.8-16.8) and adults in Ribeirão Preto (12.9%; 95%CI: 12.0-13.9). The highest prevalence rates for suicide risk were in adults in Ribeirão Preto (13.7%; 95%CI: 12.7-14.7), and the highest rates for social phobia and generalized anxiety were in youth in Pelotas, with 7% (95%CI: 6.3-7.7) and 16.5% (95%CI: 15.4-17.5), respectively. The lowest prevalence rates of suicide risk were in youth in Pelotas (8.8%; 95%CI: 8.0-9.6), social phobia in youth in Ribeirão Preto (1.8%; 95%CI: 1.5-2.2), and generalized anxiety in adolescents in São Luís (3.5%; 95%CI: 3.0-4.0). Mental disorders in general were more prevalent in women and in individuals with lower socioeconomic status, independently of the city and age, emphasizing the need for more investment in mental health in Brazil, including gender and socioeconomic determinants.
publishDate 2020
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246/15897
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246/15898
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7246/15899
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 36 No. 2 (2020): February
Cadernos de Saúde Pública; v. 36 n. 2 (2020): Fevereiro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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