Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2017-0119
Trends in Psychiatry and Psychotherapy
Original Article

Emotional and behavioral problems: a school-based study in southern Brazil

Problemas emocionais e comportamentais: um estudo de base escolar no sul do Brasil

Suelen de Lima Bach; Mariane Lopez Molina; Paulinia Leal do Amaral; Amanda Neumann Reyes; Karen Jansen; Ricardo Azevedo da Silva; Janaína Vieira dos Santos Motta

http://dx.doi.org/10.1590/2237-6089-2017-0119 Trends Psychiatry Psychother, vol.41, n3, p.211-217, 2019
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Abstract

Abstract Introduction Mental health assessment in childhood needs to be carried out within a broader context that includes different factors. Objective To assess the prevalence of emotional and behavioral problems in schoolchildren and associated factors. Method A cross-sectional study was conducted with a school-based sample at 20 schools selected by systematic random sampling. Participants consisted of children aged 7-8 year old and their parents or primary caregivers. The Strengths and Difficulties Questionnaire (SDQ) was used to screen for the presence of emotional and behavioral problems in children. Results A total of 596 dyads were evaluated. The prevalence of emotional and behavioral problems was 30.0% among boys and 28.2% among girls. Hyperactivity/inattention were more prevalent among boys (p=0.015). Belonging to economically disadvantaged strata increased the likelihood of emotional and behavioral problems among schoolchildren by 71% (p=0.001), while having parents or caregivers with mental disorder increased by 2.2 times that probability (p<0.001). Conclusion: Our findings showed a high prevalence of emotional and behavioral problems among schoolchildren, as well as the influence of economic conditions and of the mental health of parents and caregivers on child mental health.

Keywords

Schoolchildren, emotional and behavioral problems, child mental health

Resumo

Resumo Introdução A avaliação da saúde mental na infância necessita ser realizada dentro de um contexto amplo que considere os diferentes fatores envolvidos. Objetivo Verificar a prevalência de problemas emocionais e comportamentais em escolares, bem como fatores associados. Método Estudo transversal, com amostra de base escolar em que foram selecionadas 20 escolas por amostragem aleatória sistemática. Participaram crianças com 7-8 anos e seus pais ou principais cuidadores. A presença de problemas emocionais e comportamentais nas crianças foi rastreada pelo Strengths and Difficulties Questionnaire (SDQ). Resultados Foram avaliadas 596 díades. A prevalência de problemas emocionais e comportamentais foi de 30,0% entre os meninos e 28,2% entre as meninas. Sintomas de hiperatividade/desatenção foram mais prevalentes entre meninos (p=0,015). Pertencer a camadas menos favorecidas economicamente aumentou em 71% a probabilidade de problemas emocionais e comportamentais entre os escolares (p=0,001), enquanto ter pais ou cuidadores com transtorno mental aumentou 2,2 vezes tal probabilidade (p<0,001). Conclusões: Nossos achados demonstram a elevada prevalência de problemas emocionais e comportamentais entre escolares, bem como a influência das condições econômicas e da saúde mental de pais e cuidadores sobre a saúde mental infantil.

Palavras-chave

Escolares, problemas emocionais e comportamentais, saúde mental infantil

References

Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O. Child and adolescent mental health worldwide: Evidence for action. Lancet. 2011;378:1515-25.

Adriaanse M, van Domburgh L, Zwirs B, Doreleijers T, Veling W. School-based screening for psychiatric disorders in Moroccan-Dutch youth. Child Adolesc Psychiatry Ment Health. 2015;9.

Petresco S, Anselmi L, Santos IS, Barros AJD, Fleitlich-Bilyk B, Barros FC. Prevalence and comorbidity of psychiatric disorders among 6-year-old children: 2004 Pelotas Birth Cohort. Soc Psychiatry Psychiatr Epidemiol. 2014;49:975-83.

Laudrum T. Emotional and behavioral disorders. Handbook of special education. 2017:28-32.

Flouri E, Mavroveli S, Tzavidis N. Cognitive ability, neighborhood deprivation, and young children’s emotional and behavioral problems. Soc Psychiatry Psychiatr Epidemiol. 2012;47:985-92.

The World Health Report 2001: Mental health, new understanding, new hope. 2001.

Halpern R, Figueiras ACM. Environmental influences on child mental health. J Pediatr. 2004;80:S104-10.

Camargo Vitolo YL, Fleitlich-Bilyk B, Goodman R, Bordin IAS. Crenças e atitudes educativas dos pais e problemas de saúde mental em escolares. Rev Saude Publica. 2005;39:716-24.

Barros AJD, Victoria CG. Indicador econômico para o Brasil baseado no censo demográfico de 2000. Rev Saude Publica. 2005;39:523-9.

Amorim P. Mini International Neuropsychiatric Interview (MINI): validação de entrevista breve para diagnóstico de transtornos mentais. Braz J Psychiatry. 2000;22:106-15.

Fleitlich-Bilyk B, Goodman R. Prevalence of child and adolescent psychiatric disorders in southeast Brazil. J Am Acad Child Adolesc Psychiatry. 2004;43:727-34.

Woerner W, Fleitlich-Bilyk B, Martinussen R, Fletcher J, Cucchiaro G, Dalgalarrondo P. The Strengths and Difficulties Questionnaire overseas: evaluations and applications of the SDQ beyond Europe. Eur Child Adolesc Psychiatry. 2004;13(^sSuppl 2):II47-54.

Goodman R. The strengths and difficulties questionnaire: a research note. J Child Psychiatr. 1997:581-6.

Barros AJD, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3.

Cury CR, Golfeto JH. Strengths and Difficulties Questionnaire (SDQ): a study of school children in Ribeirão Preto. Braz J Psychiatry. 2003;25:139-45.

Becker A, Lorenzo MJ, Ralston SJ, Rothenberger A, Rothenberger PA. Psychopathological screening of children with ADHD: Strengths and Difficulties Questionnaire in a pan-European study. Eur Child Adolesc Psychiatry. 2006;62:56-62.

Goodman A, Fleitlich-Bilyk B, Patel V, Goodman R. Child, family, school and community risk factors for poor mental health in Brazilian schoolchildren. J Am Acad Child Adolesc Psychiatry. 2007;46:448-56.

Rodriguez JDM, Silva AAM, Bettiol H, Barbieri MA, Rona RJ. The impact of perinatal and socioeconomic factors on mental health problems of children from a poor Brazilian city: A longitudinal study. Soc Psychiatry Psychiatr Epidemiol. 2011;46:381-91.

Elberling H, Linneberg A, Olsen EM, Goodman R, Skovgaard AM. The prevalence of SDQ-measured mental health problems at age 5-7 years and identification of predictors from birth to preschool age in a Danish birth cohort: The Copenhagen Child Cohort 2000. Eur Child Adolesc Psychiatry. 2010;19:725-35.

Hancock KJ, Mitrou F, Shipley M, Lawrence D, Zubrick SR. A three generation study of the mental health relationships between grandparents, parents and children. BMC Psychiatry. 2013;13.

Cid MFB, Matsukura TS. Problemas de saúde mental em escolares e seus responsáveis: um estudo de prevalência. Rev Ter Ocup Univ Sao Paulo. 2014;25:1-10.

Ferriolli SHT, Marturano EM, Puntel LP. Contexto familiar e problemas de saúde mental infantil no Programa Saúde da Família. Rev Saude Publica. 2007;41:251-9.

Sá D, Bordin I, Martin D, Paula C. Fatores de risco para problemas de saúde mental na infância/adolescência. Psicol Teor Pesq. 2010;26:643-52.

Mendes AV, Loureiro SR, Crippa JA. Depressão materna e a saúde mental de escolares. Rev Psiq Clin. 2008;35:178-86.

Anselmi L, Fleitlich-Bilyk B, Menezes AMB, Araújo CL, Rohde LA. Prevalence of psychiatric disorders in a Brazilian birth cohort of 11-year-olds. Soc Psychiatry Psychiatr Epidemiol. 2010;45:135-42.

Duarte CS, Bordin IA. Instrumentos de avaliação. Braz J Psychiatry. 2000;22:55-8.

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