Association of child maltreatment and psychiatric diagnosis in Brazilian children and adolescents

Abstract

OBJECTIVES:The objective of this study was to evaluate the association between different types of child maltreatment and the presence of psychiatric disorders in highly vulnerable children and adolescents served by a multidisciplinary program.METHODS:In total, 351 patients with a mean age of 12.47, of whom 68.7% were male and 82.1% lived in shelters, underwent psychiatric evaluations based on the Kiddie-Sads-Present and Lifetime Version. Two different methods were used to evaluate maltreatment: medical records were reviewed to identify previous diagnoses related to socioeconomic and psychosocial circumstances, and the Childhood Trauma Questionnaire was used to obtain a structured history of trauma. Bivariate associations were evaluated between psychiatric disorders and evidence of each type and the frequency of abuse.RESULTS:The most frequent psychiatric diagnoses were substance use disorders, affective disorders and specific disorders of early childhood, whereas 13.67% of the sample had no psychiatric diagnosis. All patients suffered neglect, and 58.4% experienced physical or sexual abuse. The presence of a history of multiple traumas was only associated with a diagnosis of substance use disorder. Mental retardation showed a strong positive association with reported physical abuse and emotional neglect. However, a negative correlation was found when we analyzed the presence of a history of multiple traumas and mental retardation.CONCLUSION:All children living in adverse conditions deserve careful assistance, but we found that physical abuse and emotional neglect were most strongly associated with mental retardation and multiple traumas with substance abuse.

Measuring child maltreatment using multi-informant survey data: a higher-order confirmatory factor analysis

“…36 Since there is a lack of standardized Brazilian statistics on the prevalence of CM in community-based samples it is hard to compare this finding to national data. 37 Our results provide initial evidence of the validity of this brief measure for assessment of child maltreatment.…”

The Economic Burden of Child Maltreatment in High Income Countries

“…7,8 Unfortunately, in many economically developed areas around the world, including the countries of Brazil, Russia, India, and China, 9 statistics on the prevalence of maltreatment in children and adolescents have not been standardized, making reliable cross-national and cross-continental comparisons difficult. 10 …”

O estresse precoce como um dos determinantes do uso abusivo de substâncias psicoativas: revisão integrativa

“…Os 08 estudos selecionados foram publicados no idioma Inglês, 07 estudos foram publicados em revistas estadunidenses e um estudo publicado em uma revista brasileira (SCOMPARINI et al, 2013). Os Estudos de Tucci; Kerr-Corrêa; Souza-Formigoni (2010) e Scomparini et al, (2013) foram conduzidos no Brasil, Vogel et al, (2011) na Suíça e o restante nos EUA (EAMES et al, 2014;GARCIA;SINHA, 2006;SHIN;HONG;HAZEN, 2010;PELTAN;CELLUCCI, 2011;MIN et al, 2007).…”

“…Garcia; Sinha (2006), Scomparini et al, (2013), e Vogel et al, (2011) Quanto a raça/etnia da composição das amostras, de acordo com a terminologia adotada por cada estudo: Eames et al, (2014) teve como "branca" a raça predominante. Garcia;Sinha (2006) etnia "Americana" predominante.…”

“…Min et al, (2007) predominantemente "africano americano. Em Scomparini et al, (2013) e Vogel et al, De acordo com o referido na descrição dos estudos, quanto ao emprego/ocupação da amostra, de acordo com Eames et al, (2014), 42,3%…”