The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal: Ribeiro, Wagner Silva [UNIFESP]
Data de Publicação: 2013
Outros Autores: Mari, Jair de Jesus [UNIFESP], Quintana, Maria Ines [UNIFESP], Dewey, Michael E., Evans-Lacko, Sara, Pereira Vilete, Liliane Maria, Figueira, Ivan, Bressan, Rodrigo Affonseca [UNIFESP], Mello, Marcelo Feijo de [UNIFESP], Prince, Martin, Ferri, Cleusa P., Freire Coutinho, Evandro Silva, Andreoli, Sergio Baxter [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1371/journal.pone.0063545
http://repositorio.unifesp.br/handle/11600/36337
Resumo: Background: Violence and other traumatic events, as well as psychiatric disorders are frequent in developing countries, but there are few population studies to show the actual impact of traumatic events in the psychiatric morbidity in low and middle-income countries (LMIC).Aims: To study the relationship between traumatic events and prevalence of mental disorders in São Paulo and Rio de Janeiro, Brazil.Methods: Cross-sectional survey carried out in 2007-2008 with a probabilistic representative sample of 15- to 75-year-old residents in São Paulo and Rio de Janeiro, Brazil, using the Composite International Diagnostic Interview.Results: the sample comprised 3744 interviews. Nearly 90% of participants faced lifetime traumatic events. Lifetime prevalence of any disorders was 44% in São Paulo and 42.1% in Rio de Janeiro. One-year estimates were 32.5% and 31.2%. One-year prevalence of traumatic events was higher in Rio de Janeiro than São Paulo (35.1 vs. 21.7; p<0.001). Participants from Rio de Janeiro were less likely to have alcohol dependence (OR = 0.55; p = 0.027), depression (OR = 0.6; p = 0.006) generalized anxiety (OR = 0.59; p = 0.021) and post-traumatic stress disorder (OR = 0.62; p = 0.027). Traumatic events correlated with all diagnoses -e.g. assaultive violence with alcohol dependence (OR = 5.7; p<0.001) and with depression (OR = 1.7; p = 0.001).Conclusion: Our findings show that psychiatric disorders and traumatic events, especially violence, are extremely common in São Paulo and Rio de Janeiro, supporting the idea that neuropsychiatric disorders and external causes have become a major public health priority, as they are amongst the leading causes of burden of disease in low and middle-income countries. the comparison between the two cities regarding patterns of violence and psychiatric morbidity suggests that environmental factors may buffer the negative impacts of traumatic events. Identifying such factors might guide the implementation of interventions to improve mental health and quality of life in LMIC urban centers.
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spelling The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, BrazilBackground: Violence and other traumatic events, as well as psychiatric disorders are frequent in developing countries, but there are few population studies to show the actual impact of traumatic events in the psychiatric morbidity in low and middle-income countries (LMIC).Aims: To study the relationship between traumatic events and prevalence of mental disorders in São Paulo and Rio de Janeiro, Brazil.Methods: Cross-sectional survey carried out in 2007-2008 with a probabilistic representative sample of 15- to 75-year-old residents in São Paulo and Rio de Janeiro, Brazil, using the Composite International Diagnostic Interview.Results: the sample comprised 3744 interviews. Nearly 90% of participants faced lifetime traumatic events. Lifetime prevalence of any disorders was 44% in São Paulo and 42.1% in Rio de Janeiro. One-year estimates were 32.5% and 31.2%. One-year prevalence of traumatic events was higher in Rio de Janeiro than São Paulo (35.1 vs. 21.7; p<0.001). Participants from Rio de Janeiro were less likely to have alcohol dependence (OR = 0.55; p = 0.027), depression (OR = 0.6; p = 0.006) generalized anxiety (OR = 0.59; p = 0.021) and post-traumatic stress disorder (OR = 0.62; p = 0.027). Traumatic events correlated with all diagnoses -e.g. assaultive violence with alcohol dependence (OR = 5.7; p<0.001) and with depression (OR = 1.7; p = 0.001).Conclusion: Our findings show that psychiatric disorders and traumatic events, especially violence, are extremely common in São Paulo and Rio de Janeiro, supporting the idea that neuropsychiatric disorders and external causes have become a major public health priority, as they are amongst the leading causes of burden of disease in low and middle-income countries. the comparison between the two cities regarding patterns of violence and psychiatric morbidity suggests that environmental factors may buffer the negative impacts of traumatic events. Identifying such factors might guide the implementation of interventions to improve mental health and quality of life in LMIC urban centers.Universidade Federal de São Paulo, Dept Psiquiatria, São Paulo, BrazilKings Coll London, Hlth Serv & Populat Res Dept, Inst Psychiat, London WC2R 2LS, EnglandFundacao Oswaldo Cruz, Escola Nacl Saude Publ, Rio de Janeiro, BrazilUniv Fed Rio de Janeiro, Inst Psiquiatria, Rio de Janeiro, BrazilUniversidade Federal de São Paulo, Dept Psiquiatria, São Paulo, BrazilWeb of ScienceFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)FAPESP: 2004/15039-0CNPq: 420122/2005-2CNPq: 141467/2007-0CAPES: Proc.4516/07-9Public Library ScienceUniversidade Federal de São Paulo (UNIFESP)Kings Coll LondonFundacao Oswaldo CruzUniversidade Federal do Rio de Janeiro (UFRJ)Ribeiro, Wagner Silva [UNIFESP]Mari, Jair de Jesus [UNIFESP]Quintana, Maria Ines [UNIFESP]Dewey, Michael E.Evans-Lacko, SaraPereira Vilete, Liliane MariaFigueira, IvanBressan, Rodrigo Affonseca [UNIFESP]Mello, Marcelo Feijo de [UNIFESP]Prince, MartinFerri, Cleusa P.Freire Coutinho, Evandro SilvaAndreoli, Sergio Baxter [UNIFESP]2016-01-24T14:31:46Z2016-01-24T14:31:46Z2013-05-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion13application/pdfhttp://dx.doi.org/10.1371/journal.pone.0063545Plos One. San Francisco: Public Library Science, v. 8, n. 5, 13 p., 2013.10.1371/journal.pone.0063545WOS000319055600063.pdf1932-6203http://repositorio.unifesp.br/handle/11600/36337WOS:000319055600063engPlos Oneinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-31T07:56:44Zoai:repositorio.unifesp.br/:11600/36337Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-31T07:56:44Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
title The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
spellingShingle The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
Ribeiro, Wagner Silva [UNIFESP]
title_short The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
title_full The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
title_fullStr The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
title_full_unstemmed The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
title_sort The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
author Ribeiro, Wagner Silva [UNIFESP]
author_facet Ribeiro, Wagner Silva [UNIFESP]
Mari, Jair de Jesus [UNIFESP]
Quintana, Maria Ines [UNIFESP]
Dewey, Michael E.
Evans-Lacko, Sara
Pereira Vilete, Liliane Maria
Figueira, Ivan
Bressan, Rodrigo Affonseca [UNIFESP]
Mello, Marcelo Feijo de [UNIFESP]
Prince, Martin
Ferri, Cleusa P.
Freire Coutinho, Evandro Silva
Andreoli, Sergio Baxter [UNIFESP]
author_role author
author2 Mari, Jair de Jesus [UNIFESP]
Quintana, Maria Ines [UNIFESP]
Dewey, Michael E.
Evans-Lacko, Sara
Pereira Vilete, Liliane Maria
Figueira, Ivan
Bressan, Rodrigo Affonseca [UNIFESP]
Mello, Marcelo Feijo de [UNIFESP]
Prince, Martin
Ferri, Cleusa P.
Freire Coutinho, Evandro Silva
Andreoli, Sergio Baxter [UNIFESP]
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Kings Coll London
Fundacao Oswaldo Cruz
Universidade Federal do Rio de Janeiro (UFRJ)
dc.contributor.author.fl_str_mv Ribeiro, Wagner Silva [UNIFESP]
Mari, Jair de Jesus [UNIFESP]
Quintana, Maria Ines [UNIFESP]
Dewey, Michael E.
Evans-Lacko, Sara
Pereira Vilete, Liliane Maria
Figueira, Ivan
Bressan, Rodrigo Affonseca [UNIFESP]
Mello, Marcelo Feijo de [UNIFESP]
Prince, Martin
Ferri, Cleusa P.
Freire Coutinho, Evandro Silva
Andreoli, Sergio Baxter [UNIFESP]
description Background: Violence and other traumatic events, as well as psychiatric disorders are frequent in developing countries, but there are few population studies to show the actual impact of traumatic events in the psychiatric morbidity in low and middle-income countries (LMIC).Aims: To study the relationship between traumatic events and prevalence of mental disorders in São Paulo and Rio de Janeiro, Brazil.Methods: Cross-sectional survey carried out in 2007-2008 with a probabilistic representative sample of 15- to 75-year-old residents in São Paulo and Rio de Janeiro, Brazil, using the Composite International Diagnostic Interview.Results: the sample comprised 3744 interviews. Nearly 90% of participants faced lifetime traumatic events. Lifetime prevalence of any disorders was 44% in São Paulo and 42.1% in Rio de Janeiro. One-year estimates were 32.5% and 31.2%. One-year prevalence of traumatic events was higher in Rio de Janeiro than São Paulo (35.1 vs. 21.7; p<0.001). Participants from Rio de Janeiro were less likely to have alcohol dependence (OR = 0.55; p = 0.027), depression (OR = 0.6; p = 0.006) generalized anxiety (OR = 0.59; p = 0.021) and post-traumatic stress disorder (OR = 0.62; p = 0.027). Traumatic events correlated with all diagnoses -e.g. assaultive violence with alcohol dependence (OR = 5.7; p<0.001) and with depression (OR = 1.7; p = 0.001).Conclusion: Our findings show that psychiatric disorders and traumatic events, especially violence, are extremely common in São Paulo and Rio de Janeiro, supporting the idea that neuropsychiatric disorders and external causes have become a major public health priority, as they are amongst the leading causes of burden of disease in low and middle-income countries. the comparison between the two cities regarding patterns of violence and psychiatric morbidity suggests that environmental factors may buffer the negative impacts of traumatic events. Identifying such factors might guide the implementation of interventions to improve mental health and quality of life in LMIC urban centers.
publishDate 2013
dc.date.none.fl_str_mv 2013-05-08
2016-01-24T14:31:46Z
2016-01-24T14:31:46Z
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/10.1371/journal.pone.0063545
Plos One. San Francisco: Public Library Science, v. 8, n. 5, 13 p., 2013.
10.1371/journal.pone.0063545
WOS000319055600063.pdf
1932-6203
http://repositorio.unifesp.br/handle/11600/36337
WOS:000319055600063
url http://dx.doi.org/10.1371/journal.pone.0063545
http://repositorio.unifesp.br/handle/11600/36337
identifier_str_mv Plos One. San Francisco: Public Library Science, v. 8, n. 5, 13 p., 2013.
10.1371/journal.pone.0063545
WOS000319055600063.pdf
1932-6203
WOS:000319055600063
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Plos One
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 13
application/pdf
dc.publisher.none.fl_str_mv Public Library Science
publisher.none.fl_str_mv Public Library Science
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)
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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)
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