Mental health of the mothers of malnourished children

Detalhes bibliográficos
Autor(a) principal: DeMiranda, Claudio Torres de [UNIFESP]
Data de Publicação: 1996
Outros Autores: Turecki, Gustavo [UNIFESP], Mari, Jair de Jesus [UNIFESP], Andreoli, Sergio Baxter [UNIFESP], Marcolim, Marco Antonio [UNIFESP], Goihman, Samuel [UNIFESP], Puccini, Rosana [UNIFESP], Strom, B. L., Berlin, J. A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1093/ije/25.1.128
http://repositorio.unifesp.br/handle/11600/25556
Resumo: Background. the objective of this study is to measure the association between protein-energy malnutrition (PEM) in children and their mothers' mental health, in a low income area in the city of Embu, São Paulo, Brazil.Methods. A case-control study was performed, Cases were 60 moderately and severely malnourished children (Gomez criteria) selected from two primary health care units. Controls consisted of 45 eutrophic children attending the same units. the main outcome measure was for the mothers to present a mental health score >6 according with the 'Adult Psychiatric Morbidity Questionnaire' (QMPA), a psychiatric screening instrument.Results. of mothers of children with PEM, 63% and 38% of mothers in the control group were QMPA positive: odds ratio (OR) = 2.8 (95% confidence interval [CI] : 1.2-6.9). of PEM children, 27% had low birthweight (LBW = <2500 g) and 6% of the control group had LBW. interactions were found between: mothers' mental health and number of children (with greater than or equal to 4 children: OR = 20.0 [95% CI :2.1-274.2], with less than or equal to 3 children: OR = 1.6 [95% CI :0.6-4.5], as well as mothers' mental health and maternal age (in women >30: OR = 12.5 [95% CI :2.0-93.4], in women less than or equal to 30: OR = 1.5 [95% CI :0.5-4.4].Conclusions. Mothers of children with PEM showed a higher rate of mental disturbances than mothers of eutrophic children. Unlike LBW, maternal age and number of children interact with mothers' mental health, increasing the association. Management of poor mental health may lead to mothers being better caretakers of their children and this may have a positive impact on PEM.
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spelling Mental health of the mothers of malnourished childrencase-controllow birthweightmalnutritionmental healthBackground. the objective of this study is to measure the association between protein-energy malnutrition (PEM) in children and their mothers' mental health, in a low income area in the city of Embu, São Paulo, Brazil.Methods. A case-control study was performed, Cases were 60 moderately and severely malnourished children (Gomez criteria) selected from two primary health care units. Controls consisted of 45 eutrophic children attending the same units. the main outcome measure was for the mothers to present a mental health score >6 according with the 'Adult Psychiatric Morbidity Questionnaire' (QMPA), a psychiatric screening instrument.Results. of mothers of children with PEM, 63% and 38% of mothers in the control group were QMPA positive: odds ratio (OR) = 2.8 (95% confidence interval [CI] : 1.2-6.9). of PEM children, 27% had low birthweight (LBW = <2500 g) and 6% of the control group had LBW. interactions were found between: mothers' mental health and number of children (with greater than or equal to 4 children: OR = 20.0 [95% CI :2.1-274.2], with less than or equal to 3 children: OR = 1.6 [95% CI :0.6-4.5], as well as mothers' mental health and maternal age (in women >30: OR = 12.5 [95% CI :2.0-93.4], in women less than or equal to 30: OR = 1.5 [95% CI :0.5-4.4].Conclusions. Mothers of children with PEM showed a higher rate of mental disturbances than mothers of eutrophic children. Unlike LBW, maternal age and number of children interact with mothers' mental health, increasing the association. Management of poor mental health may lead to mothers being better caretakers of their children and this may have a positive impact on PEM.ESCOLA PAULISTA MED,DEPT PSYCHIAT,São Paulo,BRAZILESCOLA PAULISTA MED,CTR INFORMAT,São Paulo,BRAZILESCOLA PAULISTA MED,DEPT PEDIAT,São Paulo,BRAZILUNIV PENN,SCH MED,CTR CLIN EPIDEMIOL & BIOSTAT,PHILADELPHIA,PA 19104ESCOLA PAULISTA MED,DEPT PSYCHIAT,São Paulo,BRAZILESCOLA PAULISTA MED,CTR INFORMAT,São Paulo,BRAZILESCOLA PAULISTA MED,DEPT PEDIAT,São Paulo,BRAZILWeb of ScienceOxford Univ Press United KingdomUniversidade Federal de São Paulo (UNIFESP)UNIV PENNDeMiranda, Claudio Torres de [UNIFESP]Turecki, Gustavo [UNIFESP]Mari, Jair de Jesus [UNIFESP]Andreoli, Sergio Baxter [UNIFESP]Marcolim, Marco Antonio [UNIFESP]Goihman, Samuel [UNIFESP]Puccini, Rosana [UNIFESP]Strom, B. L.Berlin, J. A.2016-01-24T11:40:29Z2016-01-24T11:40:29Z1996-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion128-133http://dx.doi.org/10.1093/ije/25.1.128International Journal of Epidemiology. Oxford: Oxford Univ Press United Kingdom, v. 25, n. 1, p. 128-133, 1996.10.1093/ije/25.1.1280300-5771http://repositorio.unifesp.br/handle/11600/25556WOS:A1996TY24900016engInternational Journal of Epidemiologyinfo:eu-repo/semantics/openAccesshttp://www.oxfordjournals.org/access_purchase/self-archiving_policyb.htmlreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2016-01-24T09:40:29Zoai:repositorio.unifesp.br/:11600/25556Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652016-01-24T09:40:29Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Mental health of the mothers of malnourished children
title Mental health of the mothers of malnourished children
spellingShingle Mental health of the mothers of malnourished children
DeMiranda, Claudio Torres de [UNIFESP]
case-control
low birthweight
malnutrition
mental health
title_short Mental health of the mothers of malnourished children
title_full Mental health of the mothers of malnourished children
title_fullStr Mental health of the mothers of malnourished children
title_full_unstemmed Mental health of the mothers of malnourished children
title_sort Mental health of the mothers of malnourished children
author DeMiranda, Claudio Torres de [UNIFESP]
author_facet DeMiranda, Claudio Torres de [UNIFESP]
Turecki, Gustavo [UNIFESP]
Mari, Jair de Jesus [UNIFESP]
Andreoli, Sergio Baxter [UNIFESP]
Marcolim, Marco Antonio [UNIFESP]
Goihman, Samuel [UNIFESP]
Puccini, Rosana [UNIFESP]
Strom, B. L.
Berlin, J. A.
author_role author
author2 Turecki, Gustavo [UNIFESP]
Mari, Jair de Jesus [UNIFESP]
Andreoli, Sergio Baxter [UNIFESP]
Marcolim, Marco Antonio [UNIFESP]
Goihman, Samuel [UNIFESP]
Puccini, Rosana [UNIFESP]
Strom, B. L.
Berlin, J. A.
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
UNIV PENN
dc.contributor.author.fl_str_mv DeMiranda, Claudio Torres de [UNIFESP]
Turecki, Gustavo [UNIFESP]
Mari, Jair de Jesus [UNIFESP]
Andreoli, Sergio Baxter [UNIFESP]
Marcolim, Marco Antonio [UNIFESP]
Goihman, Samuel [UNIFESP]
Puccini, Rosana [UNIFESP]
Strom, B. L.
Berlin, J. A.
dc.subject.por.fl_str_mv case-control
low birthweight
malnutrition
mental health
topic case-control
low birthweight
malnutrition
mental health
description Background. the objective of this study is to measure the association between protein-energy malnutrition (PEM) in children and their mothers' mental health, in a low income area in the city of Embu, São Paulo, Brazil.Methods. A case-control study was performed, Cases were 60 moderately and severely malnourished children (Gomez criteria) selected from two primary health care units. Controls consisted of 45 eutrophic children attending the same units. the main outcome measure was for the mothers to present a mental health score >6 according with the 'Adult Psychiatric Morbidity Questionnaire' (QMPA), a psychiatric screening instrument.Results. of mothers of children with PEM, 63% and 38% of mothers in the control group were QMPA positive: odds ratio (OR) = 2.8 (95% confidence interval [CI] : 1.2-6.9). of PEM children, 27% had low birthweight (LBW = <2500 g) and 6% of the control group had LBW. interactions were found between: mothers' mental health and number of children (with greater than or equal to 4 children: OR = 20.0 [95% CI :2.1-274.2], with less than or equal to 3 children: OR = 1.6 [95% CI :0.6-4.5], as well as mothers' mental health and maternal age (in women >30: OR = 12.5 [95% CI :2.0-93.4], in women less than or equal to 30: OR = 1.5 [95% CI :0.5-4.4].Conclusions. Mothers of children with PEM showed a higher rate of mental disturbances than mothers of eutrophic children. Unlike LBW, maternal age and number of children interact with mothers' mental health, increasing the association. Management of poor mental health may lead to mothers being better caretakers of their children and this may have a positive impact on PEM.
publishDate 1996
dc.date.none.fl_str_mv 1996-02-01
2016-01-24T11:40:29Z
2016-01-24T11:40:29Z
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/10.1093/ije/25.1.128
International Journal of Epidemiology. Oxford: Oxford Univ Press United Kingdom, v. 25, n. 1, p. 128-133, 1996.
10.1093/ije/25.1.128
0300-5771
http://repositorio.unifesp.br/handle/11600/25556
WOS:A1996TY24900016
url http://dx.doi.org/10.1093/ije/25.1.128
http://repositorio.unifesp.br/handle/11600/25556
identifier_str_mv International Journal of Epidemiology. Oxford: Oxford Univ Press United Kingdom, v. 25, n. 1, p. 128-133, 1996.
10.1093/ije/25.1.128
0300-5771
WOS:A1996TY24900016
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv International Journal of Epidemiology
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
http://www.oxfordjournals.org/access_purchase/self-archiving_policyb.html
eu_rights_str_mv openAccess
rights_invalid_str_mv http://www.oxfordjournals.org/access_purchase/self-archiving_policyb.html
dc.format.none.fl_str_mv 128-133
dc.publisher.none.fl_str_mv Oxford Univ Press United Kingdom
publisher.none.fl_str_mv Oxford Univ Press United Kingdom
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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