Disability due to maternal common mental disorders (CMDs) as a risk factor for chronic childhood malnutrition: cross-sectional study

ABSTRACT: CONTEXT AND OBJECTIVE: The disability associated with maternal common mental disorders (CMDs) is among the possible explanations for the association between chronic childhood malnutrition and CMDs. CMDs may impair the mother's ability to perform her role, particularly in deprived environments. The present study aimed to evaluate whether disability relating to CMDs could be part of the pathway of the association between childhood malnutrition and maternal CMDs. DESIGN AND SETTING: Cross-sectional study conducted in two institutions: one for malnourished children and another for eutrophic children living in a low-income community in the state of Alagoas, Brazil. METHOD: The cases consisted of 55 malnourished children aged from 12 to 60 months who were attending a nutritional rehabilitation center, with height-for-age z-scores < 2. The controls were 70 eutrophic children of the same age who were attending a day care center in the same area as the cases. The Self-Report Questionnaire made it possible to identify likely cases of maternal CMD. The Sheehan Disability Scale enabled evaluation of the associated disability. RESULTS: Chronic childhood malnutrition was significantly associated with maternal disability relating to CMDs (OR = 2.28; 95% CI: 1.02-5.1). The best logistic regression model using chronic childhood malnutrition as the dependent variable included the following independent variables: higher number of people living in the household; absence of the biological father from the household; and maternal disability relating to CMDs. CONCLUSIONS: If confirmed, the association between chronic childhood malnutrition and maternal disability relating to CMDs may be useful in helping to identify the causal chain between childhood malnutrition and maternal CMDs and to indicate environmental risk factors associated with chronic childhood malnutrition.

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Screening for Common Mental Disorders Using the SRQ-20 in Medical Students from Porto Velho-RO, Brazil

Journal of Advances in Medical and Pharmaceutical Sciences ◽

10.9734/jamps/2021/v23i130215 ◽

2021 ◽

pp. 33-45

Author(s):

Rosely Valéria Rodrigues ◽

Antônio Carlos Oliveira ◽

Christopher Harrison Salomão Andrade ◽

Israel Carlos Cavalcanti De Lima ◽

Vitor Marcelo Frez Marques ◽

...

Keyword(s):

Medical Students ◽

Mental Disorders ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Self Report ◽

Sectional Study ◽

Cross Sectional ◽

Prevalence Ratios ◽

Positive Results ◽

Porto Velho

Aims: To investigate the prevalence of common mental disorders among medical students at the Federal University of Rondônia Foundation. Study design: Cross-sectional study. Place and Duration of Study: Department of Medicine, Federal University of Rondônia Foundation (UNIR), in October 2019. Methodology: Cross-sectional study was conducted in October 2019, using a questionnaire adapted with the Self-Report Questionnaire 20 (SRQ-20). Sample: 116 students, 56 females and 60 males, from different periods completed the questionnaire. The prevalence of positive results in the SRQ-20 and the variance of positive responses were verified. Results: The prevalence of positive results for the SRQ-20 was estimated at 69.8% (95% CI 61.0-78.6; 81 cases). No difference was found in the proportions of positive results for the variables analyzed (p >.05). There was no significant association between the calculated prevalence ratios and the factors analyzed (p >.05). The symptoms related to the reduction in vital energy showed the highest average amount of positive responses (76 [± 10.4]; p <.01). Conclusion: The prevalence of positive results for the SRQ-20 observed in our study was much higher than the average reported for Brazilian medical students. The number of students who said they thought about suicide was also high. We understand that these findings reinforce the need for the development and implementation of medical students' mental health care programs to identify, monitor, and, if possible, adequately treat these cases.

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Symptoms of common mental disorders and adherence to antiretroviral therapy among adults living with HIV in rural Zimbabwe: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2021-049824 ◽

2021 ◽

Vol 11 (7) ◽

pp. e049824

Author(s):

Andreas D Haas ◽

Cordelia Kunzekwenyika ◽

Stefanie Hossmann ◽

Josphat Manzero ◽

Janneke van Dijk ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Suicidal Ideation ◽

Mental Disorders ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

People Living With Hiv ◽

Art Adherence ◽

Sectional Study ◽

Cross Sectional ◽

Living With Hiv

ObjectivesTo examine the proportion of people living with HIV who screen positive for common mental disorders (CMD) and the associations between CMD and self-reported adherence to antiretroviral therapy (ART).SettingSixteen government-funded health facilities in the rural Bikita district of Zimbabwe.DesignCross-sectional study.ParticipantsHIV-positive non-pregnant adults, aged 18 years or older, who lived in Bikita district and had received ART for at least 6 months.Outcome measuresThe primary outcome was the proportion of participants screening positive for CMD defined as a Shona Symptoms Questionnaire score of 9 or greater. Secondary outcomes were the proportion of participants reporting suicidal ideation, perceptual symptoms and suboptimal ART adherence and adjusted prevalence ratios (aPR) for factors associated with CMD, suicidal ideation, perceptual symptoms and suboptimal ART adherence.ResultsOut of 3480 adults, 18.8% (95% CI 14.8% to 23.7%) screened positive for CMD, 2.7% (95% CI 1.5% to 4.7%) reported suicidal ideations, and 1.5% (95% CI 0.9% to 2.6%) reported perceptual symptoms. Positive CMD screens were more common in women (aPR 1.67, 95% CI 1.19 to 2.35) than in men and were more common in adults aged 40–49 years (aPR 1.47, 95% CI 1.16 to 1.85) or aged 50–59 years (aPR 1.51, 95% CI 1.05 to 2.17) than in those 60 years or older. Positive CMD screen was associated with suboptimal adherence (aPR 1.53; 95% CI 1.37 to 1.70).ConclusionsA substantial proportion of people living with HIV in rural Zimbabwe are affected by CMD. There is a need to integrate mental health services and HIV programmes in rural Zimbabwe.Trial registration numberNCT03704805.

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Tobacco and alcohol use, sexual behavior and common mental disorders among military students at the Police Academy, São Paulo, Brazil. A cross-sectional study

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2014.9102711 ◽

2015 ◽

Vol 133 (3) ◽

pp. 235-244

Author(s):

Arlene de Maria Perez ◽

Isabela Martins Benseñor

Keyword(s):

Sexual Behavior ◽

Alcohol Consumption ◽

Alcohol Use ◽

Mental Disorders ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Police Academy ◽

First Year ◽

Sectional Study ◽

Cross Sectional

CONTEXT AND OBJECTIVE: The lifestyle of military personnel has been little studied in Brazil. This study evaluated the frequencies of tobacco and alcohol use, sexual behavior and mental health among military students.DESIGN AND SETTING: Cross-sectional study at the Police Academy, in São Paulo.METHODS: Students answered a questionnaire about tobacco use, alcohol consumption, sexual behavior and common mental disorders (CMDs). To analyze associations among the frequencies of smoking and alcohol use, sexually transmitted diseases (STDs) and CMDs during the undergraduate years, we built a multinomial logistic regression model adjusted for age and sex.RESULTS: All 473 students were invited to participate and 430 (90.9%) agreed (10.5% were women). Most were white (76.6%), aged < 30 years, from the upper middle class (78.1%). The frequency of smoking was 6.5%, alcohol consumption 69.3%, STDs 14% and CMDs 15.6%. The use of condoms was low. Fourth-year students presented a lower odds ratio (OR) for STDs than the first-year students: 0.44 (95% confidence interval: 0.22-0.90). Third-year students presented a lower OR for CMDs than the first-year students.CONCLUSION: The frequencies of smoking and CMDs were low, while the frequency of alcohol consumption was similar to that of the Brazilian population. The use of condoms was low, in comparison with previous studies with similar samples. The results suggest that there was a certain degree of protection against CMDs and STDs during the undergraduate years.

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Food Consumption Patterns, Breakfast, Meals with Family and Associations with Common Mental Disorders in Adolescents: A School-Based Cross-Sectional Study

10.21203/rs.3.rs-1108492/v1 ◽

2021 ◽

Author(s):

Lucia Helena Almeida Gratão ◽

Milene Cristine Pessoa ◽

Thales Philipe Rodrigues da Silva ◽

Luana Lara Rocha ◽

Monique Louise Cassimiro Inácio ◽

...

Keyword(s):

Mental Disorders ◽

Food Consumption ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Consumption Patterns ◽

Consumption Pattern ◽

Sectional Study ◽

Cross Sectional ◽

Eating Practices ◽

Food Consumption Pattern

Abstract BackgroundAdolescence is a period of transition and vulnerabilities, in which mental illnesses can develop more easily. The objective of this work is to verify the association between food consumption patterns and the presence of Common Mental Disorders in Brazilian adolescents. MethodsThis is a cross-sectional study which analyzed data from 71,553 Brazilian adolescents aged 12-17 years, from the ERICA Study. Principal Component Analysis was performed to identify Food Consumption Patterns, and Logistic Regression Models were performed to identify the associations between Common Mental Disorders, Food Consumption Patterns, and eating practices that are breakfast consumption and practice of having meals accompanied by family. ResultsTwo patterns were found, a Healthy Food Consumption Pattern and a Unhealthy Food Consumption Pattern. Adolescents classified in the second (OR: 0.77; 95% CI 0.68 - 0.88) or third (OR: 0.87; 95% CI 0.74 - 0.95) tercile of the Healthy Food Consumption Pattern had a lower chance of having Common Mental Disorders, while those who belonged to the third tercile of the Unhealthy Food Consumption Pattern (OR: 1.22; 95% CI 1.02 - 1.42), had an increased chance of having Common Mental Disorders. Eating breakfast sometimes (OR: 0.69; 95% CI 0.59 - 0.80) or almost every day/every day (OR: 0.52; 95% CI 0.46 - 0.59), and the practice of having the main meals with the family sometimes (OR: 0.64; 95% CI 0.54 - 0.75) or almost every day/every day (OR: 0.48; 95% CI 0.40-0.55), decreased the chance for Common Mental Disorders.ConclusionStrategies to promote the mental health of adolescents as the adoption of healthy eating practices must be strengthened and promoted.

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