@article{0682d0ad4b21442cab283a372d5deb4d,
title = "Correlations between caregiver psychiatric symptoms and offspring psychopathology in a low-resource setting",
abstract = "Objective: 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{\textquoteright}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{\textquoteright}s psychopathology in a Brazilian sample. Methods: 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{\textquoteright}s symptoms were evaluated using the Strengths and Difficulties Questionnaire (SDQ). Results: 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. Conclusion: These results substantiate our hypothesis that child psychopathology correlates with caregivers{\textquoteright} 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.",
keywords = "Brazil, Caregivers, Child, Depressive disorder, Primary health care",
author = "Matsuzaka, {Camila Tanabe} and Wainberg, {Milton L.} and {Norcini Pala}, Andrea and Hoffmann, {Elis V.} and Coimbra, {Bruno M.} and Braga, {Rosaly F.} and Duarte, {Cristiane S.} and Sweetland, {Annika C.} and Mello, {Marcelo F.}",
note = "Funding Information: CTM has received a scholarship from Conselho Nacional de Desenvolvimento Cient{\'i}f ico e Tecnol{\'o}gico (CNPq) and Instituto Lemann. MLW receives support from NIMH (D43 TW009675 and T32 MH096724). ANP receives support from NIMH (T32-MH19139 Behavioral Sciences Research in HIV Infection; Principal Investigator: Theodorus Sandfort, PhD). EVH has received a scholarship from Coordenac¸{\~a}o de Aperfeic¸oamento de Pessoal de N{\'i}vel Superior (CAPES) and Instituto Lemann. These scholarships provided travel expenses for CTM and EVH to spend a year in the T32 Global Mental Health Post-Doctoral Fellowship (T32MH096724; Wainberg ML & Oquendo MA) at the Columbia University Department of Psychiatry/New York State Psychiatric Institute. ACS receives support from NIMH (K01MH104514). Funding Information: The authors gratefully acknowledge the enormous contributions made to this project by the patients, the families, and the staff from Brazilian Family-Health Strategy (UBS Ia{\c c}ap{\'e}) and Universidade Federal de SS{\~a}o Paulo. This study was supported by Funda{\c c}{\~a}o de Amparo {\`a} Pesquisa do Estado de S{\~a}o Paulo (FAPESP; grant 2012/17485-4). CTM has received a scholarship from Conselho Nacional de Desenvolvimento Cient{\'i}fico e Tecnol{\'o}gico (CNPq) and Instituto Lemann. MLW receives support from NIMH (D43 TW009675 and T32 MH096724). ANP receives support from National Institute of Mental HealthNIMH (T32-MH19139 Behavioral Sciences Research in HIV Infection; Principal Investigator: Theodorus Sandfort, PhD). ACS receives support from NIMH (K01MH104514). Funding Information: The authors gratefully acknowledge the enormous contributions made to this project by the patients, the families, and the staff from Brazilian Family-Health Strategy (UBS Iac¸ap{\'e}) and Universidade Federal de S{\~a}o Paulo. This study was supported by Fundac¸{\~a}o de Amparo {\`a} Pesquisa do Estado de S{\~a}o Paulo (FAPESP; grant 2012/17485-4). Publisher Copyright: {\textcopyright} 2018, Associacao Brasileira de Psiquiatria. All rights reserved. Copyright: Copyright 2018 Elsevier B.V., All rights reserved.",
year = "2018",
month = jan,
day = "1",
doi = "https://doi.org/10.1590/1516-4446-2016-1990",
language = "English",
volume = "40",
pages = "56--62",
journal = "Revista Brasileira de Psiquiatria",
issn = "1516-4446",
publisher = "Associacao Brasileira de Psiquiatria",
number = "1",
}