Matsuzaka Camila T, Wainberg Milton L, Norcini Pala Andrea, Hoffmann Elis V, Coimbra Bruno M, Braga Rosaly F, Duarte Cristiane S, Sweetland Annika C, Mello Marcelo F
Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Division of Epidemiology, New York State Psychiatric Institute, New York, NY, USA.
Braz J Psychiatry. 2018 Jan-Mar;40(1):56-62. doi: 10.1590/1516-4446-2016-1990. Epub 2017 Jul 6.
Associations between parental/caregiver depression and adverse child outcomes are well established and have been described through one or more mechanisms: child psychopathology following exposure to a depressed caregiver, child psychopathology exacerbating a caregiver's depression, and caregiver and offspring depression sharing the same etiology. Data from low and middle-income countries is scarce. We examined correlations between common symptoms of mental disorders in caregivers and their offspring's psychopathology in a Brazilian sample.
In this cross-sectional study, adult caregivers were screened for depression during routine home visits by community health workers as part of the Brazilian Family Health Strategy. Caregivers with suspected depression were assessed using the Zung Self-Rating Depression Scale and the Self-Reporting Questionnaire (SRQ-20). Children's symptoms were evaluated using the Strengths and Difficulties Questionnaire (SDQ).
The sample included 68 primary caregivers and 110 children aged 6 to 15 years. Higher caregiver scores on the SRQ-20 correlated significantly with psychiatric symptoms in offspring.
These results substantiate our hypothesis that child psychopathology correlates with caregivers' psychiatric symptoms. This paper adds to the growing literature on community mental health assessment and can help guide future strategies for reducing the burden of common mental disorders in caregivers and children alike in low and middle-income countries.
父母/照料者抑郁与儿童不良后果之间的关联已得到充分证实，并通过一种或多种机制进行了描述：儿童在接触抑郁的照料者后出现精神病理学问题、儿童精神病理学加重照料者的抑郁，以及照料者和后代的抑郁具有相同的病因。来自低收入和中等收入国家的数据很少。我们在一个巴西样本中研究了照料者精神障碍的常见症状与其后代精神病理学之间的相关性。
在这项横断面研究中，作为巴西家庭健康战略的一部分，社区卫生工作者在常规家访期间对成年照料者进行抑郁筛查。使用zung自评抑郁量表和自陈问卷（SRQ-20）对疑似抑郁的照料者进行评估。使用长处与困难问卷（SDQ）评估儿童的症状。
样本包括68名主要照料者和110名6至15岁的儿童。照料者在SRQ-20上的得分越高，与后代的精神症状显著相关。
这些结果证实了我们的假设，即儿童精神病理学与照料者的精神症状相关。本文增加了关于社区心理健康评估的越来越多的文献，并有助于指导未来减轻低收入和中等收入国家照料者和儿童常见精神障碍负担的策略。
