Mental health screening by self-report questionnaire among community adolescents in Southern Brazil

Feijo, Ricardo Becker; Saueressig, Mauricio Guidi; Salazar, Cristiano Caetano; Chaves, Márcia Lorena Fagundes

doi:10.1016/s1054-139x(96)00085-7

Cited by 30 publications

(26 citation statements)

References 25 publications

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“…The prevalence of positivity (22.19%) in a screening test for psychiatric disorders in our sample did not differ significantly from the prevalence observed in studies with adolescents 17 and elderly subjects 18 . Moreover, we found a strong association between insomnia and positivity in the SRQ.…”

Section: Discussioncontrasting

confidence: 70%

Association between mental health screening by self-report questionnaire and insomnia in medical students

Loayza

Ponte

Carvalho

et al. 2001

Arq. Neuro-Psiquiatr.

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-Epidemiological research points to the high prevalence of psychiatric disorders among insomniacs. We carried out a cross-sectional study with medical students with the aim of evaluating the association between insomnia and suspicion of psychiatric disorder; 302 medical students were included (184 males and 118 females; mean age = 20.47±1.89 years). The main association was tested by logistic regression analysis. The overall prevalence of positivity in a screening test for psychiatric disorder was 22.19%; and of insomnia, 28.15%. Difficulty initiating sleep (OR=3.45), difficulty maintaining sleep (OR=7.61), falling asleep later (OR=1.99) and waking up earlier (OR=1.91) were associated with suspicion of psychiatric disorder. As a group, the variables difficulty initiating sleep, difficulty maintaining sleep, falling asleep after 11 pm, and waking up before 6 am presented an odds ratio of 5.96 for positivity in the screening for psychiatric disorder. Furthermore, difficulty maintaining sleep (OR=2.24) was associated with "being female," and falling asleep later (OR=0.43) was associated with "being male". These results underscore the importance of determining in what cases difficulty sleeping may have severe clinical repercussions or affect performance.KEY WORDS: insomnia, psychiatric disorder, sleep, gender. Associação entre insônia e screening para doença mental pelo SRQ-20 em estudantes de medicinaRESUMO -Estudos epidemiológicos têm mostrado alta prevalência de transtorno psiquiátrico em pessoas com insônia. Realizamos estudo transversal em amostra de estudantes de medicina, com o objetivo de avaliar a associação entre insônia e positividade na triagem para transtorno psiquiátrico; 302 estudantes foram incluídos (184 homens e 118 mulheres; média da idade = 20.47±1,89 anos). A associação foi testada através da análise de regressão logística. A prevalência de teste positivo na triagem para transtorno psiquiátrico foi 22,19%; e de insônia, 28,15%. Dificuldade para iniciar o sono (OR=3,45), dificuldade para manter o sono (OR=7,61), dormir tarde (OR=1,99) e levantar cedo (OR=1,91) foram as variáveis associadas à possibilidade de transtorno psiquiátrico. Quando consideradas em conjunto, as variáveis "dificuldade em iniciar o sono", "dificuldade em manter o sono", "dormir após 23 h" e "acordar antes das 6 h" apresentaram razão de chance de 5,96 para positividade na triagem para transtorno psiquiátrico. Além disso, dificuldade em manter o sono (OR=2,24) foi associada ao sexo feminino; e dormir tarde (OR=0,43), ao sexo masculino. Esses resultados enfatizam a importância de determinar em que caso a dificuldade com o sono pode ter repercussões clínicas severas ou afetar o desempenho.

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Section: Discussioncontrasting

confidence: 70%

Association between mental health screening by self-report questionnaire and insomnia in medical students

Loayza

Ponte

Carvalho

et al. 2001

Arq. Neuro-Psiquiatr.

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“…Other studies carried out in Brazil have reported a lower prevalence of CMD in the following professional categories: teachers in the private school network (18.7%) (Araújo et al, 2003), subway workers (25.8%) (Jardim et al, 1996) and hospital workers (20.9%) (Pitta, 1990), as well as among adolescents (8%) (Feijó et al, 1997). As a risk population for the development of mental disorders (Rosal et al,1997;Dahlin et al, 2005), the values found among Brazilian medical students are extremely variable.…”

Section: Artigo Originalmentioning

confidence: 93%

Common mental disorders among medical students

Almeida

Godinho

Bitencourt

et al. 2007

J. bras. psiquiatr.

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Palavras-chavesTranstornos mentais, estudantes de medicina, saúde mental, aprendizagem. RESUMOObjetivo: Transtornos mentais comuns (TMC) possuem alto impacto nos relacionamentos interpessoais e na qualidade de vida, sendo potenciais substratos para o desenvolvimento de transtornos mais graves. Estudantes de medicina vêm sendo apresentados como população de risco para o desenvolvimento de TMC. O objetivo deste estudo é estimar a freqüência de TMC em acadêmicos de medicina da Universidade Federal da Bahia e identificar fatores relacionados. Métodos: Realizou-se estudo transversal entre uma amostra de estudantes de medicina. A identificação dos TMC foi feita por meio do 20-item Self-Report Questionnaire. Resultados: Foram avaliados 223 estudantes. A prevalência de TMC foi de 29,6%, sendo independentemente associada a alterações do padrão do sono, não possuir transporte próprio, não trabalhar e não realizar exercício físico. Conclusões: Estes dados demonstram uma elevada prevalência de TMC na amostra pesquisada e são importantes para subsidiar ações de prevenção de transtornos mentais entre futuros médicos e reflexões sobre o modelo curricular vigente nas escolas médicas. ABSTRACT Objective: Common mental disorders (CMD) have a high impact on interpersonal relationships and quality of life and are potential underlying causes for the development of more serious disorders. Medical students have been indicated as a risk population for the development of CMD. The aim of this study was to determine the frequency of CMD in undergraduate medical

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“…Major depression was assessed by DSM-IV criteria by a senior child and adolescent psychiatrist and trained interviewers (medical students). General psychiatric symptoms were evaluated using the SRQ-20, with cutoff values of 7 for males and 8 for females to indicate suspicion of mental disorder as an alternative criterion to evaluate whether dysphoria, and not only major depression could possibly affect rating scale scores 19 . Brazilian Association of Market Institutes criteria were used to determine social class 20 .…”

Section: Instrumentsmentioning

confidence: 99%

Escalas psicométricas como instrumentos de rastreamento para depressão em estudantes do ensino médio

Salle¹,

Rocha²,

Rocha³

et al. 2012

Rev. psiquiatr. clín.

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Background: Depression is a major cause of suicide among adolescents. Therefore, it is crucial to find suitable depression screening tools for this population. Objective: To evaluate the use of depression rating scales as screening tools for depression in a sample of Brazilian high school students. Methods: A cross--sectional study. Three scales (BDI, CES-D, and CRS) and a screening test for general psychiatric symptoms (SRQ) were administered to a sample of 503 high school students aged between 15 to 17 years. The results were compared to those obtained with the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Results: The prevalence of major depression using DSM-IV criteria was 10.9%. Adolescents with major depression had significantly higher (p = 0.001) scores in the SRQ and in the three scales analyzed compared to the group without depression. The sensitivity and specificity of BDI, CES-D, and CRS were 0.77 and 0.70, 0.75 and 0.73, and 0.82 and 0.71, respectively, to screen for major depression (ROC curve). The best cutoff values to suggest depression were 9 for BDI, 10 for CSR, and 14 for CES-D. The frequency of depressive symptoms was higher in girls (approximately 2:1). Discussion: The present findings support the use of the BDI, the CES-D and the CRS only for screening or as an additional symptomatic evaluation of depression in high school student. The difference in scale scores between boys and girls warns against the use of the same cutoff values for both sexes.

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Mental health screening by self-report questionnaire among community adolescents in Southern Brazil

Cited by 30 publications

References 25 publications

Association between mental health screening by self-report questionnaire and insomnia in medical students

Association between mental health screening by self-report questionnaire and insomnia in medical students

Common mental disorders among medical students

Escalas psicométricas como instrumentos de rastreamento para depressão em estudantes do ensino médio

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