ABSTRACT
Here we evaluate the cross-sectional and longitudinal associations between temperament and mental disorders in adolescents. Temperament was assessed in a cohort of 1540 youths by the revised self-report Early Adolescence Temperament Questionnaire (EATQ-R) at baseline and confirmatory factor analyses were used to test the best empirical model. Mental disorders were assessed by parental interview using the Development and Well-Being Behavior Assessment at baseline and at 3-year follow-up. Participants were grouped into Typically Developing Comparisons, Phobias, Distress, Attention-Deficit/Hyperactivity Disorder (ADHD) and Disruptive Behavior Disorders (DBD). Logistic regression models tested the effects of temperament on incidence and remission of mental disorders. The bifactor model of EATQ-R presented the best fit. Distress, ADHD and DBD have lower levels of effortful control in baseline. Adjusted longitudinal analysis showed that effortful control predicted lower incidence of Phobias (OR 0.74; p = 0.018), distress (OR 0.74; p = 0.014) and DBD (OR 0.68; p = 0.037). Temperament factors did not predicted remission rates.
Subject(s)
Adolescent Behavior/psychology , Neurodevelopmental Disorders , Personality Assessment , Temperament , Adolescent , Cross-Sectional Studies , Female , Humans , Longitudinal Studies , Male , Neurodevelopmental Disorders/diagnosis , Neurodevelopmental Disorders/prevention & control , Neurodevelopmental Disorders/psychology , PsychopathologyABSTRACT
Queixa escolar é um dos principais motivos de encaminhamento de crianças à rede pública de saúde e clínicas-escola de psicologia. Estudos sugerem que no segmento de crianças encaminhadas com queixa escolar, a prevalência de problemas de saúde mental é maior que na população geral. Este trabalho teve como objetivo identificar transtornos psiquiátricos associados à queixa escolar segundo categorias do DSM-IV-TRTM, além da descrição da clientela. Participaram 103 crianças com queixa escolar, de seis a doze anos, inscritas em uma clínica-escola de psicologia. Foram feitas consultas aos prontuários e aplicação junto ao responsável da versão brasileira do Developmentand Well-Being Assesment (DAWBA), entrevista de diagnóstico psiquiátrico na infância compatível com o DSM-IV-TRTM. Foi encontrada alta prevalência de crianças com problemas de saúde mental, história prévia na área de saúde e uso de medicação psicotrópica. O trabalho oferece subsídios para a defesa de políticas públicas na área de saúde mental infantil...
Low performance at school is one of the main reasons for referral of children to public health services and clinical school of psychology. Studies suggest that the prevalence of mental health problems is higher among children with underachievement than in general population. This study aimed to identify psychiatric disorders associated with underachievement according to the categories of DSM-IV-TRTM and describe the clientele. One hundred and three children participated, aged 6 to 12 years, referred to a university clinic of psychology, with complaints of underachievement. The records were consulted and the adapted Brazilian parent-version of the Development and Well-Being Assessment (DAWBA), interview for the diagnosis of mental disorders in childhood and adolescence according to DSM-IV-TRTM, was applied. A high prevalence of mental health problems, previous health treatments, and use of psychotropic medication was found. The work offers clues to the need of public policies in the area of child mental health...
Bajo rendimiento escolar es una de las razones principales de encaminamiento de niños a servicios de psicología y de salud pública. Estudios sugieren que la prevalencia de problemas de salud mental es mayor entre niños con bajo rendimiento que en la población. Este estudio tuvo como objetivo identificar los trastornos psiquiátricos asociados al bajo rendimiento escolar según las categorías del DSM-IV-TRTM y describir la clientela. Ciento tres niños participaron, de seis a doce años, atendidos en una clínica universitaria de psicología, debido al bajo rendimiento. Los registros fueron consultados y fue aplicada la versión brasileña de Development and Well-Being Assesment (DAWBA), entrevista de diagnóstico psiquiátrico en la infancia compatible con el DSM-IV-TRTM. Una alta prevalencia de problemas de salud mental, de tratamientos previos y de uso de psicotrópicos han sido encontrados. El trabajo ofrece pistas sobre la necesidad de políticas públicas en el ámbito de la salud mental de niños...