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Pesquisa : M01.106 [Categoria DeCS]
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[PMID]:27778640
[Au] Autor:Legro RS; Kunselman AR; Stetter CM; Gnatuk CL; Estes SJ; Brindle E; Vesper HW; Botelho JC; Lee PA; Dodson WC
[Ad] Endereço:Departments of Obstetrics and Gynecology.
[Ti] Título:Normal Pubertal Development in Daughters of Women With PCOS: A Controlled Study.
[So] Source:J Clin Endocrinol Metab;102(1):122-131, 2017 Jan 01.
[Is] ISSN:1945-7197
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Context: Daughters of women with polycystic ovary syndrome (PCOS) are thought to be at increased risk for developing stigmata of the syndrome, but the ontogeny during puberty is uncertain. Objective: We phenotyped daughters (n = 76) of mothers with PCOS and daughters (n = 80) from control mothers for reproductive and metabolic parameters characteristic of PCOS. Design, Setting, and Participants: We performed a matched case/control study at Penn State Hershey Medical Center that included non-Hispanic, white girls 4 to 17 years old. Intervention: We obtained birth history, biometric, ovarian ultrasounds, whole-body dual-energy X-ray absorptiometry scan for body composition, 2-hour glucose challenged salivary insulin levels, and two timed urinary collections (12 hours overnight and 3 hours in the morning) for gonadotropins and sex steroids. Main Outcome Measures: We measured integrated urinary levels of adrenal (dehydroepiandrosterone sulfate) and ovarian [testosterone (TT)] steroids. Other endpoints included integrated salivary insulin levels and urinary luteinizing hormone levels. Results: There were no differences in detection rates or mean levels for gonadotropins and sex steroids in timed urinary collections between PCOS daughters and control daughters, nor were there differences in integrated salivary insulin levels. Results showed that 69% of Tanner 4/5 PCOS daughters vs 31% of control daughters had hirsutism defined as a Ferriman-Gallwey score >8 (P = 0.04). There were no differences in body composition as determined by dual-energy X-ray absorptiometry between groups in the three major body contents (i.e., bone, lean body mass, and fat) or in ovarian volume between groups. Conclusions: Matched for pubertal stage, PCOS daughters have similar levels of urinary androgens and gonadotropins as well as glucose-challenged salivary insulin levels.
[Mh] Termos MeSH primário: Filho de Pais Incapacitados/estatística & dados numéricos
Insulina/metabolismo
Síndrome do Ovário Policístico/fisiopatologia
Puberdade/metabolismo
Maturidade Sexual/fisiologia
[Mh] Termos MeSH secundário: Biomarcadores/análise
Composição Corporal
Estudos de Casos e Controles
Criança
Feminino
Seguimentos
Teste de Tolerância a Glucose
Seres Humanos
Masculino
Núcleo Familiar
Prognóstico
Testosterona/sangue
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Insulin); 3XMK78S47O (Testosterone)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1210/jc.2016-2707


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[PMID]:27776680
[Au] Autor:Hall MT; Wilfong J; Huebner RA; Posze L; Willauer T
[Ad] Endereço:Kent School of Social Work, University of Louisville, Louisville, KY. Electronic address: martin.hall@louisville.edu.
[Ti] Título:Medication-Assisted Treatment Improves Child Permanency Outcomes for Opioid-Using Families in the Child Welfare System.
[So] Source:J Subst Abuse Treat;71:63-67, 2016 12.
[Is] ISSN:1873-6483
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Parents who use opioids and are involved in the child welfare system are less likely to retain custody of their children than parents who use other drugs. No previous studies have described medication-assisted treatment (MAT) utilization and child permanency outcomes for this population. The Sobriety Treatment and Recovery Team (START) model is a child welfare-based intervention focused on families with co-occurring substance use and child abuse / neglect issues. This study examined the prevalence and correlates of MAT utilization among parents in the START program with a history of opioid use, and compared child outcomes for families who received MAT services to those who did not. Of the 596 individuals with a history of opioid use in the START program, 55 (9.2%) received MAT. Receipt of MAT services did not differ by gender, age, county of residence, or drug use, though individuals who identified as White were more likely to participate in MAT. In a multiple logistic regression model, additional months of MAT increased the odds of parents retaining custody of their children. To address barriers to MAT, results-focused educational interventions may be needed for the child welfare workforce, as well as programs to improve collaboration and decision-making between the child welfare workforce, court personnel, and drug addiction treatment providers.
[Mh] Termos MeSH primário: Maus-Tratos Infantis/estatística & dados numéricos
Bem-Estar da Criança/estatística & dados numéricos
Filho de Pais Incapacitados/estatística & dados numéricos
Tratamento de Substituição de Opiáceos/estatística & dados numéricos
Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico
Avaliação de Resultados (Cuidados de Saúde)/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Custódia da Criança/estatística & dados numéricos
Pré-Escolar
Feminino
Seres Humanos
Lactente
Kentucky
Masculino
Tratamento de Substituição de Opiáceos/utilização
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:27774638
[Au] Autor:Hoytema van Konijnenburg EMM; van der Lee JH; Teeuw AH; Lindeboom R; Brilleslijper-Kater SN; Sieswerda-Hoogendoorn T; van Goudoever JB; Lindauer RJL; aftERcare-group
[Ad] Endereço:Department of Pediatrics, Emma Children's Hospital, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
[Ti] Título:Psychosocial problems of children whose parents visit the emergency department due to intimate partner violence, substance abuse or a suicide attempt.
[So] Source:Child Care Health Dev;43(3):369-384, 2017 05.
[Is] ISSN:1365-2214
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: High levels of maltreatment are found in children who are identified because their parents visit the emergency department due to partner violence, substance abuse or suicide attempt. However, it is unknown if these children experience psychosocial problems. This study aims to assess their levels of post-traumatic stress, anxiety, depression, behavioural problems and health-related quality of life. METHODS: A cross-sectional study was conducted in six hospitals. All consecutive families of which a parent visited the emergency department due to partner violence, substance abuse or suicide attempt between 1 July 2012 and 1 March 2014 with children aged 1.5-17 years were approached for participation. Parents and children aged 8 years and older filled out questionnaires measuring post-traumatic stress [13-item version of Children's Revised Impact of Event Scale (CRIES-13)], anxiety, depression (Revised Child Anxiety and Depression Scale), behavioural problems [Child Behavior Checklist (CBCL) and Youth Self-Report (YSR)] and health-related quality of life (PedsQL). Scores of participants were compared with reference data obtained in children in similar age ranges from representative Dutch community samples (CRIES-13, Revised Child Anxiety and Depression Scale, PedsQL and CBCL) and to a normed cutoff score (CRIES-13). RESULTS: Of 195 eligible families, 89 (46%) participated in the study. Participating children did not score different from community children, both on child-reported and parent-reported instruments. Standardized mean differences of total sum scores were 0 (CRIES-13 and CBCL 1.5-5), 0.1 (YSR), 0.2 (CBCL 6-18) and -0.3 (PedsQL) and not statistically different from community children. Thirty-five percent of the participating children scored above the cutoff score on the CRIES-13, indicating post-traumatic stress disorder, but this difference was not statistically significant from community children (mean difference 8%; 95% CI -4-22%). CONCLUSIONS: We found no differences in psychosocial problems between children whose parents visited the emergency department due to partner violence, substance abuse or suicide attempt and children from community samples. Because 35% of the children scored in the range of post-traumatic stress disorder, we advise healthcare providers to pay attention to post-traumatic stress symptoms.
[Mh] Termos MeSH primário: Transtornos do Comportamento Infantil/diagnóstico
Filho de Pais Incapacitados/psicologia
Serviço Hospitalar de Emergência
Pais
Maus-Tratos Conjugais/psicologia
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos Relacionados ao Uso de Substâncias/psicologia
Tentativa de Suicídio/psicologia
[Mh] Termos MeSH secundário: Adolescente
Sintomas Afetivos
Criança
Transtornos do Comportamento Infantil/psicologia
Pré-Escolar
Estudos Transversais
Serviço Hospitalar de Emergência/estatística & dados numéricos
Feminino
Seres Humanos
Lactente
Masculino
Países Baixos/epidemiologia
Escalas de Graduação Psiquiátrica
Qualidade de Vida
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1111/cch.12419


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[PMID]:28458113
[Au] Autor:Flouri E; Ioakeimidi S; Midouhas E; Ploubidis GB
[Ad] Endereço:Department of Psychology and Human Development, UCL Institute of Education, University College London, UK. Electronic address: e.flouri@ucl.ac.uk.
[Ti] Título:Maternal psychological distress and child decision-making.
[So] Source:J Affect Disord;218:35-40, 2017 Aug 15.
[Is] ISSN:1573-2517
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is much research to suggest that maternal psychological distress is associated with many adverse outcomes in children. This study examined, for the first time, if it is related to children's affective decision-making. METHODS: Using data from 12,080 families of the Millennium Cohort Study, we modelled the effect of trajectories of maternal psychological distress in early-to-middle childhood (3-11 years) on child affective decision-making, measured with a gambling task at age 11. RESULTS: Latent class analysis showed four longitudinal types of maternal psychological distress (chronically high, consistently low, moderate-accelerating and moderate-decelerating). Maternal distress typology predicted decision-making but only in girls. Specifically, compared to girls growing up in families with never-distressed mothers, those exposed to chronically high maternal psychological distress showed more risk-taking, bet more and exhibited poorer risk-adjustment, even after correction for confounding. Most of these effects on girls' decision-making were not robust to additional controls for concurrent internalising and externalising problems, but chronically high maternal psychological distress was associated positively with risk-taking even after this adjustment. Importantly, this association was similar for those who had reached puberty and those who had not. LIMITATIONS: Given the study design, causality cannot be inferred. Therefore, we cannot propose that treating chronic maternal psychological distress will reduce decision-making pathology in young females. CONCLUSIONS: Our study suggests that young daughters of chronically distressed mothers tend to be particularly reckless decision-makers.
[Mh] Termos MeSH primário: Filho de Pais Incapacitados/psicologia
Tomada de Decisões
Saúde Materna
Mães/psicologia
Estresse Psicológico/psicologia
[Mh] Termos MeSH secundário: Adulto
Criança
Pré-Escolar
Estudos de Coortes
Família
Feminino
Seres Humanos
Masculino
Relações Mãe-Filho
Assunção de Riscos
Maturidade Sexual
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:27779625
[Au] Autor:Bergink V; Larsen JT; Hillegers MH; Dahl SK; Stevens H; Mortensen PB; Petersen L; Munk-Olsen T
[Ad] Endereço:The National Centre for Register-Based Research, Department of Economics and Business Economics, Aarhus University, Aarhus, Denmark.
[Ti] Título:Childhood adverse life events and parental psychopathology as risk factors for bipolar disorder.
[So] Source:Transl Psychiatry;6(10):e929, 2016 10 25.
[Is] ISSN:2158-3188
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Childhood adverse events are risk factors for later bipolar disorder. We quantified the risks for a later diagnosis of bipolar disorder after exposure to adverse life events in children with and without parental psychopathology. This register-based population cohort study included all persons born in Denmark from 1980 to 1998 (980 554 persons). Adversities before age 15 years were: familial disruption; parental somatic illness; any parental psychopathology; parental labour market exclusion; parental imprisonment; placement in out-of-home care; and parental natural and unnatural death. We calculated risk estimates of each of these eight life events as single exposure and risk estimates for exposure to multiple life events. Main outcome variable was a diagnosis of bipolar disorder after the age of 15 years, analysed with Cox proportional hazard regression. Single exposure to most of the investigated adversities were associated with increased risk for bipolar disorder, exceptions were parental somatic illness and parental natural death. By far the strongest risk factor for bipolar disorder in our study was any mental disorder in the parent (hazard ratio 3.53; 95% confidence interval 2.73-4.53) and the additional effects of life events on bipolar risk were limited. An effect of early adverse life events on bipolar risk later in life was mainly observed in children without parental psychopathology. Our findings do not exclude early-life events as possible risk factors, but challenge the concept of adversities as important independent determinants of bipolar disorder in genetically vulnerable individuals.
[Mh] Termos MeSH primário: Transtorno Bipolar/psicologia
Filho de Pais Incapacitados/psicologia
Acontecimentos que Mudam a Vida
Transtornos Mentais/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Transtorno Bipolar/diagnóstico
Transtorno Bipolar/genética
Criança
Pré-Escolar
Estudos de Coortes
Dinamarca
Feminino
Seres Humanos
Lactente
Masculino
Transtornos Mentais/genética
Psicopatologia
Fatores de Risco
Estatística como Assunto
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1038/tp.2016.201


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[PMID]:28792560
[Au] Autor:Piché G; Cournoyer M; Bergeron L; Clément MÈ; Smolla N
[Ad] Endereço:Université du Québec en Outaouais, Département de psychoéducation et de psychologie, Communauté de pratique épidémiologie psychosociale (COPEP).
[Ti] Título:[Epidemiology of depressive and anxiety disorders among Quebec children and adolescents].
[Ti] Título:Épidémiologie des troubles dépressifs et anxieux chez les enfants et les adolescents québécois..
[So] Source:Sante Ment Que;42(1):19-42, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Epidemiology of child and adolescent mental health is a relatively new discipline, particularly in the province of Quebec. Some work has however estimated the prevalence of the most common mental disorders among young people, such as anxiety and depression, as well as identified associated individual, family and socio-economic variables. This article has two objectives: to present a review of major epidemiological research findings in child psychiatry conducted in the province of Quebec and highlight the contribution of these findings for public health. To achieve these objectives, this article presents the results of research related to three themes: 1) measurement and identification of anxiety and depressive disorders in children and adolescents, 2) the prevalence of these disorders and comorbidity, 3) the correlates of anxiety and depressive disorders identified in epidemiological studies. The authors will then highlight future implications of these results across Québec policies in the field of public health.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/epidemiologia
Transtorno Depressivo/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Filho de Pais Incapacitados
Seres Humanos
Prevalência
Quebeque/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE


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[PMID]:28687638
[Au] Autor:Rodrigues M; Binnoon-Erez N; Plamondon A; Jenkins JM
[Ad] Endereço:Department of Applied Psychology and Human Development, University of Toronto, Toronto, Ontario, Canada; and.
[Ti] Título:Behavioral Risk Assessment From Newborn to Preschool: The Value of Older Siblings.
[So] Source:Pediatrics;140(2), 2017 Aug.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aim of this study was to examine the plausibility of a risk prediction tool in infancy for school-entry emotional and behavioral problems. Familial aggregation has been operationalized previously as maternal psychopathology. The hypothesis was tested that older sibling (OS) psychopathology, as an indicator of familial aggregation, would enable a fair level of risk prediction compared with previous research, when combined with traditional risk factors. METHODS: By using a longitudinal design, data on child and family risk factors were collected on 323 infants ( = 2.00 months), all of whom had OSs. Infants were followed up 4.5 years later when both parents provided ratings of emotional and behavioral problems. Multiple regression and receiver operating characteristic curve analyses were conducted for emotional, conduct, and attention problems separately. RESULTS: The emotional and behavioral problems of OSs at infancy were the strongest predictors of the same problems in target children 4.5 years later. Other risk factors, including maternal depression and socioeconomic status provided extra, but weak, significant prediction. The area under the receiver operating characteristic curve for emotional and conduct problems yielded a fair prediction. CONCLUSIONS: This study is the first to offer a fair degree of prediction from risk factors at birth to school-entry emotional and behavioral problems. This degree of prediction was achieved with the inclusion of the emotional and behavioral problems of OSs (thus limiting generalizability to children with OSs). The inclusion of OS psychopathology raises risk prediction to a fair level.
[Mh] Termos MeSH primário: Sintomas Afetivos/diagnóstico
Sintomas Afetivos/psicologia
Transtornos do Comportamento Infantil/diagnóstico
Transtornos do Comportamento Infantil/psicologia
Medição de Risco
Irmãos/psicologia
[Mh] Termos MeSH secundário: Filho de Pais Incapacitados/psicologia
Pré-Escolar
Transtorno Depressivo/diagnóstico
Transtorno Depressivo/psicologia
Feminino
Seres Humanos
Lactente
Recém-Nascido
Acontecimentos que Mudam a Vida
Estudos Longitudinais
Masculino
Ontário
Psicopatologia
Fatores de Risco
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170709
[St] Status:MEDLINE


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[PMID]:28594753
[Au] Autor:Reddy UM; Davis JM; Ren Z; Greene MF; Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes Workshop Invited Speakers
[Ad] Endereço:Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, the Tufts University School of Medicine, Boston, Massachusetts, and the Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
[Ti] Título:Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes: Executive Summary of a Joint Workshop by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, American College of Obstetricians and Gynecologists, American Academy of Pediatrics, Society for Maternal-Fetal Medicine, Centers for Disease Control and Prevention, and the March of Dimes Foundation.
[So] Source:Obstet Gynecol;130(1):10-28, 2017 Jul.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In April 2016, the Eunice Kennedy Shriver National Institute of Child Health and Human Development invited experts to a workshop to address numerous knowledge gaps and to review the evidence for the screening and management of opioid use in pregnancy and neonatal abstinence syndrome. The rising prevalence of opioid use in pregnancy has led to a concomitant dramatic fivefold increase in neonatal abstinence syndrome over the past decade. Experts from diverse disciplines addressed research gaps in the following areas: 1) optimal screening for opioid use in pregnancy; 2) complications of pregnancy associated with opioid use; 3) appropriate treatments for pregnant women with opioid use disorders; 4) the best approaches for detecting, treating, and managing newborns with neonatal abstinence syndrome; and 5) the long-term effects of prenatal opioid exposure on children. Workshop participants identified key scientific opportunities to advance the understanding of opioid use disorders in pregnancy and to improve outcomes for affected women, their children, and their families. This article provides a summary of the workshop presentations and discussions.
[Mh] Termos MeSH primário: Síndrome de Abstinência Neonatal/prevenção & controle
Transtornos Relacionados ao Uso de Opioides/prevenção & controle
Complicações na Gravidez/prevenção & controle
[Mh] Termos MeSH secundário: Criança
Filho de Pais Incapacitados
Feminino
Seres Humanos
Recém-Nascido
Obstetrícia
Gravidez
Resultado da Gravidez
Estados Unidos
[Pt] Tipo de publicação:CONSENSUS DEVELOPMENT CONFERENCE; JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002054


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[PMID]:28397395
[Au] Autor:Collings S; Grace R; Llewellyn G
[Ad] Endereço:Faculty of Arts and Social Science, UNSW Australia, Sydney, NSW, Australia.
[Ti] Título:The role of formal support in the lives of children of mothers with intellectual disability.
[So] Source:J Appl Res Intellect Disabil;30(3):492-500, 2017 May.
[Is] ISSN:1468-3148
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mothers with intellectual disability face socioeconomic disadvantage and social isolation, which is associated with poorer child outcomes. Social services feature prominently in the lives of mothers with intellectual disability especially those without informal support; however, the role of formal support in the lives of their children has not been explored. METHODS: Seven children aged 7-11 years took part in semi-structured interviews to explore their social experiences. Stories about interactions at home, school and with peers were analysed to illuminate influences, including social support, in their lives. RESULTS: Formal support can provide an enduring relationship for children from socially restricted homes when it focuses on the child's abilities, interests and needs as distinct from those of their mother. Child-focused support can be from a paid worker or volunteer. CONCLUSIONS: Family support services need to apply a child focus to improve the well-being of children in vulnerable families.
[Mh] Termos MeSH primário: Bem-Estar da Criança
Filho de Pais Incapacitados/psicologia
Deficiência Intelectual/psicologia
Mães/psicologia
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Masculino
New South Wales
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170412
[St] Status:MEDLINE
[do] DOI:10.1111/jar.12361


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[PMID]:28355042
[Au] Autor:Peyre H; Hoertel N; Stordeur C; Lebeau G; Blanco C; McMahon K; Basmaci R; Lemogne C; Limosin F; Delorme R
[Ad] Endereço:Département d'Etudes Cognitives, Ecole Normale Supérieure, 29 rue d'Ulm, 75005 Paris, France. peyrehugo@yahoo.fr.
[Ti] Título:Contributing Factors and Mental Health Outcomes of First Suicide Attempt During Childhood and Adolescence: Results From a Nationally Representative Study.
[So] Source:J Clin Psychiatry;78(6):e622-e630, 2017 Jun.
[Is] ISSN:1555-2101
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate whether risk factors for suicide attempts differ in children and adolescents and to categorize adulthood mental health outcomes of child and adolescent suicide attempters in the general population. METHODS: Using a large (N = 34,653), nationally representative US adult sample, the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions, we examined whether individuals who first attempted suicide during childhood (under the age of 13 years) differ from those who first attempted suicide during adolescence (13 through 17 years) in (1) contributing factors for first suicide attempt, including mental disorders and traumatic experiences that occurred before the first suicide attempt, parental history of mental disorders, and family poverty and (2) adulthood mental health outcomes, including lifetime and current prevalence of DSM-IV psychiatric disorders and quality of life measures. RESULTS: Suicide attempts during childhood (n = 104) were more strongly related to childhood maltreatment, while suicide attempts during adolescence (n = 415) were more strongly associated with major depressive episode. Compared to first suicide attempts during adolescence, first attempts during childhood were associated with increased risk for multiple suicide attempts (61.3% vs 32.6%), several psychiatric disorders (mania, hypomania, and panic disorder), and poorer social functioning during adulthood (all P values < .05). CONCLUSIONS: Suicide attempts in children and adolescents substantially differ in contributing factors and adulthood mental health outcomes. Preventing childhood maltreatment and early intervention for psychiatric disorders may have broad benefits to reduce not only the suffering of these children and adolescents, but also the burden of suicide.
[Mh] Termos MeSH primário: Adultos Sobreviventes de Maus-Tratos Infantis/estatística & dados numéricos
Filho de Pais Incapacitados/estatística & dados numéricos
Transtorno Depressivo Maior/epidemiologia
Transtornos Mentais/epidemiologia
Pais/psicologia
Pobreza/estatística & dados numéricos
Tentativa de Suicídio/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Criança
Transtorno Depressivo Maior/complicações
Feminino
Seres Humanos
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE



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