Association between mental health problems of stunted children and common mental disorders of their mothers in Brazil: A case control study

2016 ◽  
Vol 33 (S1) ◽  
pp. S176-S176
Author(s):  
C. Miranda ◽  
L. Santos ◽  
C.S. Paula ◽  
W. Ribeiro ◽  
T. Florencio
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Conduct Problems ◽  
Maternal Education ◽  
Case Control Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Case Control ◽  
Self Report ◽  
Control Study

IntroductionIn deprived environments, mental health problems for both the mother and her stunted child may be related.ObjectiveTo verify possible association between a child's nutritional and mental health status with common maternal mental disorders (and associated impairment).AimsTo contribute to management of malnutrition and mental health in low-income populations.MethodsCase-control study in which 48 malnourished children (aged 48 to 72 months) were compared with 50 eutrophic children. The child's nutritional status, the children's mental health, the maternal mental health, and the associated disability were evaluated by using the WHO criteria, the “Strengths and Difficulties Questionnaire” (SDQ), the “Self-Report Questionnaire”-20 (SRQ-20), and the “Sheehan Disability Scale” (SDS), respectively. In addition, selected socio-economic aspects were considered.ResultsVariables with significant odds ratio (OR) in the univariate analysis were: maternal education (OR: 2.96, 95% CI: 1.30–6.75), number of residents in the household (OR: 0.32, 95% CI: 0.14–0.74), number of children in the household (OR: 0.25, 95% CI: 0.10–0.61), and social class (OR: 2.30, 95% CI: 1.02–5.18). The only SDQ dimension that tended to be associated with malnutrition was conduct problems (P = 0.08). The disability associated with probable common maternal mental disorders (CMD) also showed statistically significant association (P = 0.02). In the logistic regression, child malnutrition remained associated with child conduct problems and disability associated with probable CMD.ConclusionsConduct problems in stunted children are positively associated with CMD and related disability. Longitudinal studies are necessary to confirm these hypotheses.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Emergency Department Presentations and Youth Suicide: A Case-Control Study

2018 ◽  
Vol 64 (2) ◽  
pp. 88-97 ◽  
Author(s):  
Anne E. Rhodes ◽  
Mark Sinyor ◽  
Michael H. Boyle ◽  
Jeffrey A. Bridge ◽  
Laurence Y. Katz ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Health Problem ◽  
Health Problem ◽  
Psychotic Disorders ◽  
Case Control Study ◽  
Mental Health Problems ◽  
Time Frame ◽  
Case Control ◽  
Control Study

Objective: We estimate associations between emergency department (ED) diagnoses and suicide among youth to guide ED care. Method: This ED-based case-control study used data from the Office of the Chief Coroner and all EDs in Ontario, Canada. Cases ( n = 697 males and n = 327 females) were aged 10 to 25 years who died by suicide in Ontario between April 2003 and March 2014, with an ED contact in the year before their death. Same-aged ED-based controls were selected during this time frame. Crude and adjusted odds ratios (aORs) and 95% confidence intervals were calculated. Results: Among youth diagnosed with a mental health problem at their most recent ED contact (41.9% cases, 5% controls), suicide was elevated among nonfatal self-inflicted: ‘other’ injuries, including hanging, strangulation, and suffocation in both sexes (aORs > 14); cut/pierce injuries in males (aOR > 5); poisonings in both sexes (aORs > 2.2); and mood and psychotic disorders in males (aORs > 1.7). Among those remaining, ‘undetermined’ injuries and poisonings in both sexes (aORs > 5), ‘unintentional’ poisonings in males (aOR = 2.1), and assault in both sexes (aORs > 1.8) were significant. At least half of cases had ED contact within 106 days. Conclusions: The results highlight the need for timely identification and treatment of mental health problems. Among those with an identified mental health problem, important targets for suicide prevention efforts are youth with self-harm and males with mood and psychotic disorders. Among others, youth with unintentional poisonings, undetermined events, and assaults should raise concern.

scholarly journals Mental Health Conditions in Lesbian, Gay, Bisexual, Transgender, Queer and Asexual Youth in Brazil: a call for action

2021 ◽  
Author(s):  
Tauana Terra ◽  
Julia L. Schafer ◽  
Pedro M. Pan ◽  
Angelo Brandelli Costa ◽  
Arthur Caye ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Orientation ◽  
Mental Disorders ◽  
Gender Identity ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Policy Formulation ◽  
Self Report ◽  
Sampling Weights

Lesbian, Gay, Bisexual, Transgender, Queer and Asexual (LGBTQA+) youth have a greater odds of experiencing stressful life events like discrimination and violence when compared to their cisgender heterosexual peers, which can lead to mental health problems. We aimed to estimate the prevalence of mental disorders among LGBTQA+ youths from the 3rd wave of the Brazilian High-Risk Cohort for Psychiatric Disorders (n= 1,475). Mental disorders were assessed using the Brazilian version of the Development and Well-Being Behavior Assessment. Sexual orientation, gender identity and biological sex were assessed using specific questions of a self-report confidential questionnaire. Data were analyzed using sampling weights to account for attrition and our oversampling design. The mean age was 18.14 years (SD=2.00) and 15.18% of the sample described themselves as LGBTQA+ (n=221). The LGBTQA+ group presented higher rates of anxiety disorders (30.14% vs. 13.37%; OR= 3.66; 95%CI: 2.82 - 4.75; p<0.001), depressive disorders (27.75% vs. 15.34%; OR= 2.51; 95%CI: 1.92 - 3.27, p<0.001) and post-traumatic stress disorder (4.98% vs. 2.25%, OR= 4.21, 95%CI: 2.54 - 6.96, p<0.001), if compared with the cisgender heterosexual group. No difference was found for conduct disorders (2.97% vs. 5.21% OR= 0.81; 95%CI: 0.39 - 1.69; p=0.577) or attention deficit hyperactivity disorder (5.92% vs. 3.28%, OR= 1.29; 95%CI: 0.74 - 2.25; p=0.361). Our results elucidate the mental health disparities between LGBTQA+ people and cisgender heterosexuals in Brazil. It highlights the need to promote the inclusion of this population in policy formulation and to support actions to mitigate and prevent the suffering and mental health problems related to sexual orientation and gender identity.

scholarly journals A Comparative Case Control Study between Innovations Team Malta and Innovations Project UK Working with Hard to Reach Young People with Complex Mental Disorders

2020 ◽  
Author(s):  
Andrea Saliba ◽  
Nigel Camilleri
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Disorders ◽  
Case Control Study ◽  
Matched Control ◽  
Case Control ◽  
Global Assessment Scale ◽  
Mental Health Team ◽  
The Mean ◽  
Control Study

Abstract BackgroundHard-to-reach young people (HTRYP) can be defined as YP at risk, disadvantaged, marginalised, who slip through the healthcare system and are unwilling to engage with services. MethodThis case control study compared the outcomes from two HTRYP services, Innovations Team Malta (IT Malta) and Innovations Project UK (IP UK) and a matched control from a UK based Community Mental Health Team (CMHT) over a 12 month period. IT Malta included HTRYP 13-25 years and IP UK 15-25 years. An in-depth MDT assessment was carried out together with the Health of the Nation Outcome Scales for Child and Adolescent Mental Health (HoNOSCA) and Children’s Global Assessment Scale (CGAS) at assessment and discharge. HTRYP meeting criteria were offered intensive individual tailored therapy. Results38 YP were referred to IT Malta, 34 (89.5%) assessed and 22 (57.9%) treated in 2018. 40 referrals to IP UK, 36 (90%) assessed, 31 (86%) met criteria and 15(48%) were treated. The HoNOSCA for IT Malta and IP UK were similar, at baseline (20.65, 19.32) and discharge (16.65, 16.53) respectively, but higher when compared to CMHT (11.19, 8.03) (p <0.001). The mean baseline CGAS for IT Malta (46.0) elucidates more impairment compared to IP UK (51.1) and CMHT (58.9). The total mean contact time (hours) per YP were; IT Malta (24.5), IP UK (18.2) and CMHT (8.6). ConclusionIT Malta and IP UK identified, engaged and treated YP with multiple complex mental disorders whose needs were not being met by other mental health services. HTRYP may benefit from a flexible YP oriented service, including outreach capability and a focus on engagement. Despite improvement, HTRYP’s mental and social functioning remained clinically worse than CMHT.

Effect of female genital mutilation on mental health: a case–control study

2020 ◽  
Vol 25 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Bakhtiar Piroozi ◽  
Cyrus Alinia ◽  
Hossein Safari ◽  
Ali Kazemi-Karyani ◽  
Ghobad Moradi ◽  
...  
Keyword(s):  
Mental Health ◽  
Female Genital Mutilation ◽  
Case Control Study ◽  
Case Control ◽  
Genital Mutilation ◽  
Control Study ◽  
Female Genital

Tobacco smoking and mental disorders in Australian adolescents

2021 ◽  
pp. 000486742110096
Author(s):  
David Lawrence ◽  
Sarah E Johnson ◽  
Francis Mitrou ◽  
Sharon Lawn ◽  
Michael Sawyer
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Tobacco Smoking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Major Depressive ◽  
Current Smoking ◽  
Self Harm ◽  
Current Tobacco

Objectives: This study aimed to (1) examine the strength of the association between mental disorders/mental health problems, risk behaviours and tobacco smoking among Australian adolescents, (2) compare rates of tobacco smoking among Australian adolescents with major depressive disorder, attention-deficit/hyperactivity disorder and/or conduct disorder in 2013/14 vs 1998, and (3) identify the extent to which an association between tobacco smoking and mental health problems among adolescents can be attributed to non-mental health risk factors. Methods: The study utilised data from the first (1998) and second (2013/14) child and adolescent components of the National Surveys of Mental Health and Wellbeing. Both surveys identified nationally representative samples of Australian young people aged 4–17 years, living in private dwellings. Information was collected from parents and 13- to 17-year-olds about mental disorders, mental health problems, risk behaviours and tobacco smoking. Results: In the 2013/14 survey, the rate of current tobacco smoking among those with a mental disorder was 20% compared to 5% in those without a mental disorder. Rates were highest for young people with conduct disorder (50%), major depressive disorder (24%) and anxiety disorders (19%). In 2013/14, 38% of current tobacco smokers had a mental disorder and 32% reported self-harm and/or suicidal ideation vs 10% and 5%, respectively, among adolescents who had never smoked. Females with mental disorders or reporting self-harm or suicidal ideation had higher rates of current smoking than males. Other significant factors associated with current smoking included school-related problems, binge eating and having had more than one sexual partner. Conclusion: While smoking rates in 13- to 17-year-olds with mental disorders had declined since 1998, the strength of the association between mental disorders and smoking had increased, especially among females. Our findings highlight the need to address the tobacco smoking among adolescents with mental disorders, particularly females.

Sign in / Sign up

Export Citation Format

Share Document