Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFMT |
Texto Completo: | http://ri.ufmt.br/handle/1/2400 |
Resumo: | The epidemiology of mental disorders of childhood and adolescence is of great value in understanding the origins and course of psychiatric disorders and contributing to the design of preventive and therapeutic interventions. Objective: To analize the mental disorders diagnosed in children and adolescents attended at psychosocial care services in Cuiabá, MT, 2015. Method: This is a cross-sectional study based on secondary data obtained from the medical records of the population served in 2015 at the Child and Adolescent Psychosocial Care Center (CAPSi) and the Medical Specialties Center (CEM) outpatient clinic. The dependent variables were age group (children and adolescents) and severity of the diagnosis (moderate/severe and mild). To verify associations with the independent variables, chi-square or Fisher's exact tests were performed with p<0.05. To verify the association of the variables in children in relation to the adolescent, prevalence ratios (PR) with a 95% confidence interval (95%CI) were performed. PR moderate/severe in relation to mild with 95% CI were also performed. Variables with p<0.20 and "missing">30% entered the final Poisson regression model. Results: The majority were adolescents (56.6%), male (70.8%), similar race/color distribution (54.5% black). The main diagnoses were: neurodevelopmental disorders (54.7%), depressive disorders (16.1%) and schizophrenia spectrum (9.1%). The types of neurodevelopmental disorders that showed association in children in relation to adolescents were: autism spectrum disorders (PR=1.44, 95%CI=1.18-1.76) and intellectual disability (PR=0.66, 95%CI=0.50-0.87). After multivariate analysis, remained associated with the children in relation to adolescents: neurodevelopmental disorders (RP=1.78, 95%CI=1.18- 2.70); severity of symptoms moderate/severe (PR=1.27, 95%CI=1.03-1.55); spectrum of schizophrenia (PR=0.20, 95%CI=0.05-0.89); other disorders (PR=0.30, 95%CI=0.09-0.99) and drug treatment (PR=0.77, 95%CI=0.54-0.83). After multivariate analysis, remained associated with severity of symptoms moderate/severe: place of attendance CAPSi (PR=4.91, 95%CI=2.09-11.60); (PR=1.73, 95%CI=1.22-2.45), risk of serious harm to self (PR=1.93, 95%CI=1.42-2.63); drug treatment (PR=2.23, 95%CI=1.58-3.14); mental disorder of the father (PR=0.60, 95%CI=0.41-0.87). Conclusion: These findings suggest the need for health care professionals´ training in early diagnosis, treatment and rehabilitation of these pathologies to increase the mental health problem solving capacity of the primary care team. Regarding severity, the CAPSi significantly responded to a higher proportion of moderate/severe cases, just as the CEM predominantly attended milder cases, taking into account the population for which they were intended. |
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Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015Saúde mentalCriançasAdolescentesPrevalênciaCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVAMental healthChildAdolescentPrevalenceThe epidemiology of mental disorders of childhood and adolescence is of great value in understanding the origins and course of psychiatric disorders and contributing to the design of preventive and therapeutic interventions. Objective: To analize the mental disorders diagnosed in children and adolescents attended at psychosocial care services in Cuiabá, MT, 2015. Method: This is a cross-sectional study based on secondary data obtained from the medical records of the population served in 2015 at the Child and Adolescent Psychosocial Care Center (CAPSi) and the Medical Specialties Center (CEM) outpatient clinic. The dependent variables were age group (children and adolescents) and severity of the diagnosis (moderate/severe and mild). To verify associations with the independent variables, chi-square or Fisher's exact tests were performed with p<0.05. To verify the association of the variables in children in relation to the adolescent, prevalence ratios (PR) with a 95% confidence interval (95%CI) were performed. PR moderate/severe in relation to mild with 95% CI were also performed. Variables with p<0.20 and "missing">30% entered the final Poisson regression model. Results: The majority were adolescents (56.6%), male (70.8%), similar race/color distribution (54.5% black). The main diagnoses were: neurodevelopmental disorders (54.7%), depressive disorders (16.1%) and schizophrenia spectrum (9.1%). The types of neurodevelopmental disorders that showed association in children in relation to adolescents were: autism spectrum disorders (PR=1.44, 95%CI=1.18-1.76) and intellectual disability (PR=0.66, 95%CI=0.50-0.87). After multivariate analysis, remained associated with the children in relation to adolescents: neurodevelopmental disorders (RP=1.78, 95%CI=1.18- 2.70); severity of symptoms moderate/severe (PR=1.27, 95%CI=1.03-1.55); spectrum of schizophrenia (PR=0.20, 95%CI=0.05-0.89); other disorders (PR=0.30, 95%CI=0.09-0.99) and drug treatment (PR=0.77, 95%CI=0.54-0.83). After multivariate analysis, remained associated with severity of symptoms moderate/severe: place of attendance CAPSi (PR=4.91, 95%CI=2.09-11.60); (PR=1.73, 95%CI=1.22-2.45), risk of serious harm to self (PR=1.93, 95%CI=1.42-2.63); drug treatment (PR=2.23, 95%CI=1.58-3.14); mental disorder of the father (PR=0.60, 95%CI=0.41-0.87). Conclusion: These findings suggest the need for health care professionals´ training in early diagnosis, treatment and rehabilitation of these pathologies to increase the mental health problem solving capacity of the primary care team. Regarding severity, the CAPSi significantly responded to a higher proportion of moderate/severe cases, just as the CEM predominantly attended milder cases, taking into account the population for which they were intended.A epidemiologia dos transtornos mentais da infância e da adolescência é de grande valia para entender as origens e o curso dos transtornos psiquiátricos e contribuir para o desenho de intervenções preventivas e terapêuticas. Objetivo: Analisar os transtornos mentais diagnosticados na população infanto-juvenil atendida nos serviços de atenção psicossocial em Cuiabá, MT, 2015. Método: Trata-se de um estudo de corte transversal a partir de dados secundários obtidos dos prontuários da população atendida em 2015 no Centro de Atenção Psicossocial infanto-juvenil (CAPSi) e do ambulatório do Centro de Especialidades Médicas (CEM). As variáveis dependentes foram faixa etária (crianças e adolescentes) e gravidade do diagnóstico (moderada/grave e leve). Para verificar associações com as variáveis independentes, foram realizados testes de qui-quadrado ou exato de Fisher com p<0,05. Para verificar associação das variáveis em crianças em relação ao adolescente foram realizadas razões de prevalência (RP) com intervalo de confiança de 95% (IC95%). Também foram realizadas RP de gravidade moderada/grave em relação ao leve com IC95%. As variáveis com p<0,20 e “missing” >30% entraram no modelo final de regressão de Poisson. Resultados: A maioria era de adolescentes (56,6%), sexo masculino (70,8%), com predomínio da raça/cor negra (54,5%). Os principais diagnósticos foram: transtornos do neurodesenvolvimento (54,7%), transtornos depressivos (16,1%) e espectro da esquizofrenia (9,1%). As análises de RP das crianças em relação aos adolescentes mostraram associação com: transtornos do neurodesenvolvimento (RP=2,70; IC95%=2,00-3,65); espectro da esquizofrenia (0,12; IC95%=0,03-0,48). Os tipos de transtornos do neurodesenvolvimento que mostraram associação em crianças em relação aos adolescentes foram: transtornos do espectro autista (RP=1,44; IC95%=1,18-1,76) e deficiência intelectual (RP=0,66; IC95%=0,50-0,87). Após análise multivariada, permaneceram associadas às crianças em relação aos adolescentes: transtornos do neurodesenvolvimento (RP=1,78; IC95%=1,18-2,70); tipo de gravidade moderada/grave (RP=1,27; IC95%=1,03-1,55); espectro da esquizofrenia (RP=0,20; IC95%=0,05-0,89); outros transtornos (RP=0,30; IC95%=0,09-0,99) e uso de medicação (RP=0,77; IC95%=0,54-0,83). Após análise multivariada, permaneceram associados ao tipo de gravidade moderada/grave: local de atendimento no CAPSi (RP=4,91; IC95%=2,09-11,60); receber benefício de prestação continuada (RP=1,73; IC95%=1,22-2,45), risco a si (RP=1,93; IC95%=1,42-2,63); uso de medicação (RP=2,23; IC95%=1,58-3,14); transtorno mental do pai (RP=0,60; IC95%=0,41-0,87). Conclusão: Esses achados sugerem a necessidade de capacitação das equipes de saúde para o tratamento e reabilitação dos principais diagnósticos, a fim de aumentar a capacidade resolutiva de problemas de saúde mental pela equipe da atenção básica. Em relação à gravidade, o CAPSi atendeu significativamente uma proporção maior de casos moderado/graves, assim como o CEM atendeu predominantemente casos mais leves, atendendo a população-alvo para a qual foram destinados.Universidade Federal de Mato GrossoBrasilInstituto de Saúde Coletiva (ISC)UFMT CUC - CuiabáPrograma de Pós-Graduação em Saúde ColetivaTakano, Olga Akikohttp://lattes.cnpq.br/4628248112938356Takano, Olga Akiko786.241.938-34http://lattes.cnpq.br/4628248112938356Souza, Delma Perpétua Oliveira de345.960.111-68http://lattes.cnpq.br/4736536154718608786.241.938-34Waldman, Eliseu Alves555.797.448-20http://lattes.cnpq.br/8924923035849703Terzian, Angela Cristina Cesar459.564.131-15http://lattes.cnpq.br/9852098616388108Quintal, Aline Pifano Neto2021-04-09T13:29:41Z2019-01-302021-04-09T13:29:41Z2018-03-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisQUINTAL, Aline Pifano Neto. Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015. 2018. 102 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Cuiabá, 2018.http://ri.ufmt.br/handle/1/2400porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMTinstname:Universidade Federal de Mato Grosso (UFMT)instacron:UFMT2021-04-11T07:08:19Zoai:localhost:1/2400Repositório InstitucionalPUBhttp://ri.ufmt.br/oai/requestjordanbiblio@gmail.comopendoar:2021-04-11T07:08:19Repositório Institucional da UFMT - Universidade Federal de Mato Grosso (UFMT)false |
dc.title.none.fl_str_mv |
Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015 |
title |
Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015 |
spellingShingle |
Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015 Quintal, Aline Pifano Neto Saúde mental Crianças Adolescentes Prevalência CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA Mental health Child Adolescent Prevalence |
title_short |
Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015 |
title_full |
Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015 |
title_fullStr |
Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015 |
title_full_unstemmed |
Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015 |
title_sort |
Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015 |
author |
Quintal, Aline Pifano Neto |
author_facet |
Quintal, Aline Pifano Neto |
author_role |
author |
dc.contributor.none.fl_str_mv |
Takano, Olga Akiko http://lattes.cnpq.br/4628248112938356 Takano, Olga Akiko 786.241.938-34 http://lattes.cnpq.br/4628248112938356 Souza, Delma Perpétua Oliveira de 345.960.111-68 http://lattes.cnpq.br/4736536154718608 786.241.938-34 Waldman, Eliseu Alves 555.797.448-20 http://lattes.cnpq.br/8924923035849703 Terzian, Angela Cristina Cesar 459.564.131-15 http://lattes.cnpq.br/9852098616388108 |
dc.contributor.author.fl_str_mv |
Quintal, Aline Pifano Neto |
dc.subject.por.fl_str_mv |
Saúde mental Crianças Adolescentes Prevalência CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA Mental health Child Adolescent Prevalence |
topic |
Saúde mental Crianças Adolescentes Prevalência CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA Mental health Child Adolescent Prevalence |
description |
The epidemiology of mental disorders of childhood and adolescence is of great value in understanding the origins and course of psychiatric disorders and contributing to the design of preventive and therapeutic interventions. Objective: To analize the mental disorders diagnosed in children and adolescents attended at psychosocial care services in Cuiabá, MT, 2015. Method: This is a cross-sectional study based on secondary data obtained from the medical records of the population served in 2015 at the Child and Adolescent Psychosocial Care Center (CAPSi) and the Medical Specialties Center (CEM) outpatient clinic. The dependent variables were age group (children and adolescents) and severity of the diagnosis (moderate/severe and mild). To verify associations with the independent variables, chi-square or Fisher's exact tests were performed with p<0.05. To verify the association of the variables in children in relation to the adolescent, prevalence ratios (PR) with a 95% confidence interval (95%CI) were performed. PR moderate/severe in relation to mild with 95% CI were also performed. Variables with p<0.20 and "missing">30% entered the final Poisson regression model. Results: The majority were adolescents (56.6%), male (70.8%), similar race/color distribution (54.5% black). The main diagnoses were: neurodevelopmental disorders (54.7%), depressive disorders (16.1%) and schizophrenia spectrum (9.1%). The types of neurodevelopmental disorders that showed association in children in relation to adolescents were: autism spectrum disorders (PR=1.44, 95%CI=1.18-1.76) and intellectual disability (PR=0.66, 95%CI=0.50-0.87). After multivariate analysis, remained associated with the children in relation to adolescents: neurodevelopmental disorders (RP=1.78, 95%CI=1.18- 2.70); severity of symptoms moderate/severe (PR=1.27, 95%CI=1.03-1.55); spectrum of schizophrenia (PR=0.20, 95%CI=0.05-0.89); other disorders (PR=0.30, 95%CI=0.09-0.99) and drug treatment (PR=0.77, 95%CI=0.54-0.83). After multivariate analysis, remained associated with severity of symptoms moderate/severe: place of attendance CAPSi (PR=4.91, 95%CI=2.09-11.60); (PR=1.73, 95%CI=1.22-2.45), risk of serious harm to self (PR=1.93, 95%CI=1.42-2.63); drug treatment (PR=2.23, 95%CI=1.58-3.14); mental disorder of the father (PR=0.60, 95%CI=0.41-0.87). Conclusion: These findings suggest the need for health care professionals´ training in early diagnosis, treatment and rehabilitation of these pathologies to increase the mental health problem solving capacity of the primary care team. Regarding severity, the CAPSi significantly responded to a higher proportion of moderate/severe cases, just as the CEM predominantly attended milder cases, taking into account the population for which they were intended. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-03-14 2019-01-30 2021-04-09T13:29:41Z 2021-04-09T13:29:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
QUINTAL, Aline Pifano Neto. Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015. 2018. 102 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Cuiabá, 2018. http://ri.ufmt.br/handle/1/2400 |
identifier_str_mv |
QUINTAL, Aline Pifano Neto. Análise dos transtornos mentais na população infanto-juvenil atendida nos serviços de atenção psicossocial de Cuiabá, 2015. 2018. 102 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Cuiabá, 2018. |
url |
http://ri.ufmt.br/handle/1/2400 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Mato Grosso Brasil Instituto de Saúde Coletiva (ISC) UFMT CUC - Cuiabá Programa de Pós-Graduação em Saúde Coletiva |
publisher.none.fl_str_mv |
Universidade Federal de Mato Grosso Brasil Instituto de Saúde Coletiva (ISC) UFMT CUC - Cuiabá Programa de Pós-Graduação em Saúde Coletiva |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMT instname:Universidade Federal de Mato Grosso (UFMT) instacron:UFMT |
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Universidade Federal de Mato Grosso (UFMT) |
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UFMT |
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UFMT |
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Repositório Institucional da UFMT |
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Repositório Institucional da UFMT |
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Repositório Institucional da UFMT - Universidade Federal de Mato Grosso (UFMT) |
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jordanbiblio@gmail.com |
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1804648505326698496 |