Instruction in developmental psychiatry: preliminary findings at the undergraduate level in Brazil

Moraes, Érika Neves de Souza; Scivoletto, Sandra; Fossaluza, Victor; Vieira, Joaquim Edson; Miguel, Eurí­pedes Constantino; Alvarenga, Pedro Gomes de

doi:10.1590/s1516-44462011000300013

Cited by 1 publication

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“…: feelings of "shame", and need for "secrecy") and a tendency to avoid situations that prompt their obsessive-compulsive thoughts and behaviors [4,47]. Another explanation for this finding could be the shortage of available mental health services in low and middle income countries, like Brazil [48].…”

Section: Discussionmentioning

confidence: 99%

Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children

Alvarenga

Rosario

Cesar

et al. 2015

Eur Child Adolesc Psychiatry

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Pediatric-onset obsessive-compulsive disorder (OCD) is underdiagnosed, and many affected children are untreated. The present study seeks to evaluate the presence and the clinical impact of OCD and obsessive-compulsive symptoms (OCS) in a large sample of school-age children. In Phase I, we performed an initial screening using the Family History Screen (FHS). In Phase II, we identified an "at-risk" sample, as well as a randomly selected group of children. A total of 2,512 children (6-12 years old) were assessed using the FHS, the Development and Well-Being Assessment (DAWBA), the Strengths and Difficulties Questionnaire (SDQ), and the Child Behavior Checklist (CBCL). Data analyses included descriptive and multivariate analytical techniques. 2,512 children (mean age: 8.86 ± 1.84 years; 55.0% male) were categorized into one of the three diagnostic groups: OCD (n = 77), OCS (n = 488), and unaffected controls (n = 1,947). There were no significant socio-demographic differences (age, gender, socioeconomic status) across groups. The OCS group resembled the OCD on overall impairment, including school problems and delinquent behaviors. However, the OCD group did have significantly higher rates of several comorbid psychiatric disorders, including separation anxiety, generalized anxiety, and major depressive disorder, than OCS or unaffected controls. Moreover, the OCD group also scored higher than the SDQ, as well as on each of CBCL items rated by the parent. Our findings suggest that there is a psychopathological continuum between OCS and OCD in school-aged children. The presence of OCS is associated with functional impairment, which needs further investigation in longitudinal studies.

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Section: Discussionmentioning

confidence: 99%

Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children

Alvarenga

Rosario

Cesar

et al. 2015

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

show abstract

Instruction in developmental psychiatry: preliminary findings at the undergraduate level in Brazil

Abstract: Our findings encourage additional educational policies related to developmental psychiatry which may result in direct clinical implications.

Cited by 1 publication

References 12 publications

Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children

Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children

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