¿Cómo es la salud mental de los hijos de madres deprimidas consultantes a servicios de atención primaria? / Psychopathology and social functioning among offspring of depressed women
Rev. méd. Chile
;
135(5): 602-612, mayo 2007. tab
Article
in Spanish
| LILACS
| ID: lil-456677
ABSTRACT
Background:
Offspring of depressive parents have two times more risk of developing a depression, other psychiatric diseases or a poor social functioning.Aim:
To assess psychopathology and social functioning among offspring of currently depressed mothers. Material andmethods:
We enrolled 290 depressed mother-child pairs in five primary-care clinics in Santiago. A two-stage screening process to identify female primary-care patients with current major depressive illness with children aged 6-16 years, was used. AH eligible and consenting patients were asked to complete the general health questionnaire (GHQ-12). Those scoring 5 or more were invited to participate in a baseline assessment. The final sample consisted of 290 mother-child pairs. Patients with a current DSM-IV diagnosis of major depression were eligible unless they had current psychotic symptoms, imminent suicide risk, history of mania, or current alcohol abuse. Child psychopathology was assessed with the Child Behavior Checklist (CBCL), a highly reliable and widely used parent-rated checklist to assess competencies and behavioural and emotional problems in children 4 to 18 years of age.Results:
Fifty percent (95 percent confidence interval (CI) 43.9-55.7) of children had overall CBCL psychopathology scores in clinical range. Internalizing symptoms were more prevalent than externalizing symptoms (62.2 percent [9596CI 56.3-67.8] and 35.7 percent [9596CI 30.2-41.5].Conclusions:
A large proportion of children of depressed poor mothers attending primary care clinics in Chile, had psychopathological symptom scores in the clinical range, with a predominance of internalizing symptoms. These results are similar to those previously reported in the United States of America.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Social Behavior
/
Child Behavior Disorders
/
Child of Impaired Parents
/
Depression
/
Mothers
Type of study:
Diagnostic study
/
Prognostic study
/
Qualitative research
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2007
Type:
Article
/
Project document
Affiliation country:
Chile
/
United States
Institution/Affiliation country:
Columbia University/US
/
Universidad de Chile/CL
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