Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/1516-4446-2016-2124 https://repositorio.unifesp.br/handle/11600/53819 |
Resumo: | Objectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews. Current (last month) and lifetime DSH were estimated, including analysis stratified by age groups. Logistic regressions were performed to investigate the role of the children's clinical diagnoses and maternal psychopathology on DSH prevalence estimates, adjusting for potential confounding factors. Results: The prevalence of current DSH was 0.8% (children 0.6%, adolescents 1%) and lifetime DSH was 1.6% (1.8% and 1.5%, respectively). Current and lifetime DSH were more frequent in children with depression, attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), even in multiple models accounting for demographic variables and co-occurring psychiatric disorders. Maternal anxiety disorder was strongly associated with current and lifetime DSH in offspring |
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Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community studyDeliberate self-harmself-injurious behaviorsuicide attemptcommunity surveyfamily healthpsychopathologyObjectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews. Current (last month) and lifetime DSH were estimated, including analysis stratified by age groups. Logistic regressions were performed to investigate the role of the children's clinical diagnoses and maternal psychopathology on DSH prevalence estimates, adjusting for potential confounding factors. Results: The prevalence of current DSH was 0.8% (children 0.6%, adolescents 1%) and lifetime DSH was 1.6% (1.8% and 1.5%, respectively). Current and lifetime DSH were more frequent in children with depression, attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), even in multiple models accounting for demographic variables and co-occurring psychiatric disorders. Maternal anxiety disorder was strongly associated with current and lifetime DSH in offspringwhereas current DSH, specifically in young children, was associated with maternal mood disorder. Conclusion: Diagnoses of depression, ADHD and ODD were consistently associated with DSH, as was having a mother with anxiety disorder.Univ Fed Rio Grande do Sul, HCPA, Secao Afeto Negat & Proc Sociais, Porto Alegre, RS, BrazilConselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, BrazilUniv Fed Rio Grande do Sul, Dept Psiquiatria, Programa Posgrad Psiquiatria & Ciencias Comportam, Porto Alegre, RS, BrazilUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, BrazilUniv Sao Paulo, Dept & Inst Psiquiatria, Sao Paulo, SP, BrazilUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, BrazilWeb of ScienceInstituto Nacional de Psiquiatria do Desenvolvimento (INPD)Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) [573974/2008-0]Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2008/57896-8]Brazilian government agency: CNPqBrazilian government agency: FAPESPBrazilian government agency: Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)Brazilian government agency: Fundacao de Amparo a Pesquisa do Estado do Rio Grande do Sul (FAPERGS)CNPq/CAPES Masters/PhD scholarshipsCNPq senior research scholarships [302463/2011-9]FAPERGSHospital de Clinicas de Porto Alegre (HCPA)CAPESCAPES/FAPERGS postdoctoral scholarshipCNPq) [573974/2008-0]FAPESP [2008/57896-8]CNPq senior research scholarships [302463/2011-9]Assoc Brasileira Psiquiatria2020-07-02T18:52:00Z2020-07-02T18:52:00Z2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion48-55application/pdfhttp://dx.doi.org/10.1590/1516-4446-2016-2124Revista Brasileira De Psiquiatria. Sao Paulo, v. 40, n. 1, p. 48-55, 2018.10.1590/1516-4446-2016-2124WOS000427922900008.pdf1516-4446https://repositorio.unifesp.br/handle/11600/53819WOS:000427922900008engRevista Brasileira De PsiquiatriaSao Pauloinfo:eu-repo/semantics/openAccessSimioni, Andre R.Pan, Pedro M. [UNIFESP]Gadelha, Ary [UNIFESP]Manfro, Gisele G.Mari, Jair J. [UNIFESP]Miguel, Euripedes C.Rohde, Luis A.Salum, Giovanni A.reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-03T04:54:36Zoai:repositorio.unifesp.br/:11600/53819Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-03T04:54:36Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study |
title |
Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study |
spellingShingle |
Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study Simioni, Andre R. Deliberate self-harm self-injurious behavior suicide attempt community survey family health psychopathology |
title_short |
Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study |
title_full |
Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study |
title_fullStr |
Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study |
title_full_unstemmed |
Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study |
title_sort |
Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study |
author |
Simioni, Andre R. |
author_facet |
Simioni, Andre R. Pan, Pedro M. [UNIFESP] Gadelha, Ary [UNIFESP] Manfro, Gisele G. Mari, Jair J. [UNIFESP] Miguel, Euripedes C. Rohde, Luis A. Salum, Giovanni A. |
author_role |
author |
author2 |
Pan, Pedro M. [UNIFESP] Gadelha, Ary [UNIFESP] Manfro, Gisele G. Mari, Jair J. [UNIFESP] Miguel, Euripedes C. Rohde, Luis A. Salum, Giovanni A. |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Simioni, Andre R. Pan, Pedro M. [UNIFESP] Gadelha, Ary [UNIFESP] Manfro, Gisele G. Mari, Jair J. [UNIFESP] Miguel, Euripedes C. Rohde, Luis A. Salum, Giovanni A. |
dc.subject.por.fl_str_mv |
Deliberate self-harm self-injurious behavior suicide attempt community survey family health psychopathology |
topic |
Deliberate self-harm self-injurious behavior suicide attempt community survey family health psychopathology |
description |
Objectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews. Current (last month) and lifetime DSH were estimated, including analysis stratified by age groups. Logistic regressions were performed to investigate the role of the children's clinical diagnoses and maternal psychopathology on DSH prevalence estimates, adjusting for potential confounding factors. Results: The prevalence of current DSH was 0.8% (children 0.6%, adolescents 1%) and lifetime DSH was 1.6% (1.8% and 1.5%, respectively). Current and lifetime DSH were more frequent in children with depression, attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), even in multiple models accounting for demographic variables and co-occurring psychiatric disorders. Maternal anxiety disorder was strongly associated with current and lifetime DSH in offspring |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018 2020-07-02T18:52:00Z 2020-07-02T18:52:00Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1516-4446-2016-2124 Revista Brasileira De Psiquiatria. Sao Paulo, v. 40, n. 1, p. 48-55, 2018. 10.1590/1516-4446-2016-2124 WOS000427922900008.pdf 1516-4446 https://repositorio.unifesp.br/handle/11600/53819 WOS:000427922900008 |
url |
http://dx.doi.org/10.1590/1516-4446-2016-2124 https://repositorio.unifesp.br/handle/11600/53819 |
identifier_str_mv |
Revista Brasileira De Psiquiatria. Sao Paulo, v. 40, n. 1, p. 48-55, 2018. 10.1590/1516-4446-2016-2124 WOS000427922900008.pdf 1516-4446 WOS:000427922900008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista Brasileira De Psiquiatria |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
48-55 application/pdf |
dc.coverage.none.fl_str_mv |
Sao Paulo |
dc.publisher.none.fl_str_mv |
Assoc Brasileira Psiquiatria |
publisher.none.fl_str_mv |
Assoc Brasileira Psiquiatria |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268429111132160 |