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The association of chronic adversity with psychiatric disorder and disorder severity in adolescents

dc.creatorBenjet, Corina
dc.creatorBorges, Guilherme
dc.creatorMéndez, Enrique
dc.creatorFleiz, Clara
dc.creatorMedina-Mora, María Elena
dc.date.accessioned2017-06-29T06:08:30Z
dc.date.available2017-06-29T06:08:30Z
dc.date.issued2011es_ES
dc.identifier689es_ES
dc.identifier.issn1018-8827es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/5373
dc.identifier.urihttps://doi.org/10.1007/s00787-011-0199-8es_ES
dc.language.isoenges_ES
dc.publisherSPRINGER, 233 SPRING ST, NEW YORK, NY 10013 USAes_ES
dc.relation20 (9) 459-468 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.titleThe association of chronic adversity with psychiatric disorder and disorder severity in adolescentses_ES
dc.typearticlees_ES
dc.contributor.affiliationInst Nacl Psiquiatria, Dept Invest Epidemiol, Direcc Invest Epidemiol & Psicosociales, Calzada Mexico Xochimilco 101, Mexico City 14370, DF, Mexico.es_ES
dc.contributor.emailcbenjet@imp.edu.mxes_ES
dc.relation.jnabreviadoEUR CHILD ADOLESC PSYCHIATRYes_ES
dc.relation.journalEuropean Child and Adolescent Psychiatryes_ES
dc.identifier.placeNew Yorkes_ES
dc.date.published2011es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.doi10.1007/s00787-011-0199-8   es_ES
dc.description.monthSepes_ES
dc.description.abstractotrodiomaThe purpose of this paper is to estimate the impact of chronic adversity on psychopathology in adolescents, taking into account the type of adversity, number of adversities experienced and type of psychiatric disorder, as well as to estimate the impact on severity of the disorder. A total of 3,005 male and female adolescents from the Mexican Adolescent Mental Health Survey aged 12-17 years were interviewed in a stratified multistage general population probability survey. Assessment of 20 DSM-IV disorders, disorder severity and 12 chronic childhood adversities were assessed with the adolescent version of the World Mental Health Composite International Diagnostic Interview (WMH-CIDI-A). Family dysfunction adversities including abuse presented the most consistent associations between chronic adversity and psychopathology and their impact was generally non-specific with regard to the type of disorder. Parental divorce, parental death and economic adversity were not individually associated with psychopathology. Among those with a psychiatric disorder, sexual abuse and family violence were associated with having a seriously impairing disorder. The odds of having a psychiatric disorder and a serious disorder increased with increasing numbers of adversities; however, each additional adversity increased the odds at a decreasing rate. While the study design does not allow for conclusions regarding causality, these findings suggest general pathways from family dysfunction to psychopathology rather than specific associations between particular adversities and particular disorders, and provide further evidence for the importance of family-focused intervention and prevention efforts.es_ES
dc.subject.meshmChildhood parental losses_ES
dc.subject.meshmEarly-life stresses_ES
dc.subject.meshmMental healthes_ES
dc.subject.meshmRisk factorses_ES
dc.subject.meshmAdult psychopathologyes_ES
dc.subject.meshmSurvival analysises_ES
dc.subject.meshmNational Comorbidity Surveyes_ES
dc.subject.meshmMajor depressiones_ES
dc.subject.meshmReplicationes_ES
dc.subject.meshmChildrenes_ES
dc.subject.kwAdolescentees_ES
dc.subject.kwPsicopatologíaes_ES
dc.subject.kwAdversidades_ES
dc.subject.kwAbusoes_ES
dc.subject.kwÉstres en la vidaes_ES
dc.subject.kwAnálisis de supervivenciaes_ES
dc.subject.koAdolescencees_ES
dc.subject.koPsychopathologyes_ES
dc.subject.koAdversityes_ES
dc.subject.koAbusees_ES
dc.subject.koLife stresses_ES
dc.subject.koSurvival analysises_ES


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