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A cross-sectional study to compare levels of psychiatric morbidity between young people and adults exposed to violence in a large urban center.
Jaen-Varas, Denisse; Mari, Jair de Jesus; Coutinho, Evandro da Silva; Andreoli, Sérgio Baxter; Quintana, Maria Ines; de Mello, Marcelo Feijó; Bressan, Rodrigo Affonseca; Ribeiro, Wagner Silva.
Afiliação
  • Jaen-Varas D; Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, São Paulo, SP, 04038-000, Brazil. deni_clau@hotmail.com.
  • Mari Jde J; Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, São Paulo, SP, 04038-000, Brazil.
  • Coutinho Eda S; Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, United Kingdom.
  • Andreoli SB; Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Rio de Janeiro, Brazil.
  • Quintana MI; Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, São Paulo, SP, 04038-000, Brazil.
  • de Mello MF; Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, São Paulo, SP, 04038-000, Brazil.
  • Bressan RA; Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, São Paulo, SP, 04038-000, Brazil.
  • Ribeiro WS; Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570, São Paulo, SP, 04038-000, Brazil.
BMC Psychiatry ; 16: 134, 2016 06 07.
Article em En | MEDLINE | ID: mdl-27267456
BACKGROUND: Teenagers and young adults are more exposed to violence and traumatic events than adults, and these factors can be associated with mental disorders. This paper aims at investigating whether young people are more exposed to violence and traumatic events and to compare pattern of mental disorders with adults. METHODS: Cross-sectional study using the Composite International Diagnostic Interview, conducted between 2007 and 2008 with a randomly selected sample of 15 to 75 year-old residents of São Paulo, Brazil. RESULTS: Two thousand five hundred thirty-six participants were divided into two groups: 1096 (43.2 %) young people (15 to 24 years), and 1440 (56.8 %) adults (25 to 75 years). 12-month exposure to traumatic events was higher among young people (32.1 % vs. 20.6 %; p < 0.001). Assaultive violence was reported by 13.4 % of young people and 8.6 % of adults (p = 0.012); 20.1 % of young people and 13 % of adults reported suffering other injury or shocking events (p < 0.001); sudden death/life threatening illness of a close person was declared by 6.1 % of young people and 3.2 % of adults (p = 0.017). Prevalence of alcohol related disorders was higher among young people (5.4 % vs. 2.5 %; P = 0.032); depressive disorders were more prevalent among adults (9.0 % vs. 4.7 %; P = 0.004). Alcohol related disorders were associated to assaultive violence among young people (OR = 3.4; 95 % CI = 1.36 to 8.52; p = 0.004) and adults (OR = 2.38; 95 % CI = 1.23 to 4.61; p = 0.002). Phobic/anxiety disorders were associated to other injury or shocking events among young people (OR = 1.28; 95 % CI = 0.67 to 2.44; p = 0.025). Major depressive disorder was associated to assaultive violence among young people (OR = 2.27; 95 % CI = 1.09 to 4.74; p = 0.004) and adults (OR = 1.28; 95 % CI = 0.85 to 1.93; p = 0.009). CONCLUSION: Exposure to violence and traumatic events was higher among young people. Alcohol related disorders, depression and phobic/anxiety disorders were significantly higher among young people exposed to traumatic events. Despite the study design, high exposure to violence and traumatic events in this age group can be considered important factors in triggering mental disorders in this vulnerable age period.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: População Urbana / Violência / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: BMC Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: População Urbana / Violência / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: BMC Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido