Influence of psychosocial risk factors on the trajectory of mental health problems from childhood to adolescence: a longitudinal study

Longitudinal epidemiological studies involving child/adolescent mental health problems are scarce in developing countries, particularly in regions characterized by adverse living conditions. We examined the influence of psychosocial factors on the trajectory of child/adolescent mental health problem...

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Bibliographic Details
Published in:BMC psychiatry 2013-01, Vol.13 (1), p.31-31, Article 31
Main Authors: Fatori, Daniel, Bordin, Isabel A, Curto, Bartira M, de Paula, Cristiane S
Format: Article
Language:English
Subjects:
Adolescent
Behavior
Brazil
Checklist
Child
Child Behavior - psychology
Children & youth
Developing countries
Epidemiology
Families & family life
Female
Gender
Humans
Industrialized nations
LDCs
Longitudinal Studies
Low income groups
Male
Mental disorders
Mental Disorders - etiology
Mental health
Psychiatry
Psychology
Psychopathology
Punishment - psychology
Questionnaires
Risk Factors
Social Support
Socioeconomic Factors
Teenagers
Violence
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Summary:Longitudinal epidemiological studies involving child/adolescent mental health problems are scarce in developing countries, particularly in regions characterized by adverse living conditions. We examined the influence of psychosocial factors on the trajectory of child/adolescent mental health problems (CAMHP) over time. A population-based sample of 6- to 13-year-olds with CAMHP was followed-up from 2002-2003 (Time 1/T1) to 2007-2008 (Time 2/T2), with 86 out of 124 eligible children/adolescents at T1 being reassessed at T2 (sample loss: 30.6%). CAMHP at T2 according to the Child Behavior Checklist/CBCL's total problem scale. Psychosocial factors: T1 variables (child/adolescent's age, family socioeconomic status); trajectory of variables from T1 to T2 (child/adolescent exposure to severe physical punishment, mother exposure to severe physical marital violence, maternal anxiety/depression); and T2 variables (maternal education, child/adolescent's social support and pro-social activities). Multivariate analysis identified two risk factors for child/adolescent MHP at T2: aggravation of child/adolescent physical punishment and aggravation of maternal anxiety/depression. The current study shows the importance of considering child/adolescent physical punishment and maternal anxiety/depression in intervention models and mental health care policies.
ISSN:1471-244X
1471-244X
DOI:10.1186/1471-244X-13-31