The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil
OBJECTIVE: Despite the high prevalence of substance abuse and mood disorders among victimized children and adolescents, few studies have investigated the association of these disorders with treatment adherence, represented by numbers of visits per month and treatment duration. We aimed to investigat...
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| Format: | Article |
| Language: | English |
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Elsevier España
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| Series: | Clinics |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012000100002&lng=en&tlng=en |
| _version_ | 1811327722664755200 |
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| author | Sandra Scivoletto Thiago F Silva Paulo Jannuzzi Cunha Robert A Rosenheck |
| author_facet | Sandra Scivoletto Thiago F Silva Paulo Jannuzzi Cunha Robert A Rosenheck |
| author_sort | Sandra Scivoletto |
| collection | DOAJ |
| description | OBJECTIVE: Despite the high prevalence of substance abuse and mood disorders among victimized children and adolescents, few studies have investigated the association of these disorders with treatment adherence, represented by numbers of visits per month and treatment duration. We aimed to investigate the effects of substance abuse and mood disorders on treatment adherence and duration in a special program for victimized children in São Paulo, Brazil. METHODS: A total of 351 participants were evaluated for psychiatric disorders and classified into one of five groups: mood disorders alone; substance abuse disorders alone; mood and substance abuse disorders; other psychiatric disorders; no psychiatric disorders. The associations between diagnostic classification and adherence to treatment and the duration of program participation were tested with logistic regression and survival analysis, respectively. RESULTS: Children with mood disorders alone had the highest rate of adherence (79.5%); those with substance abuse disorders alone had the lowest (40%); and those with both disorders had an intermediate rate of adherence (50%). Those with other psychiatric disorders and no psychiatric disorders also had high rates of adherence (75.6% and 72.9%, respectively). Living with family significantly increased adherence for children with substance abuse disorders but decreased adherence for those with no psychiatric disorders. The diagnostic correlates of duration of participation were similar to those for adherence. CONCLUSIONS: Mood and substance abuse disorders were strong predictive factors for treatment adherence and duration, albeit in opposite directions. Living with family seems to have a positive effect on treatment adherence for patients with substance abuse disorders. More effective treatment is needed for victimized substance-abusing youth |
| first_indexed | 2024-04-13T15:13:02Z |
| format | Article |
| id | doaj.art-2375313d47754be0b93bfc0028c18671 |
| institution | Directory Open Access Journal |
| issn | 1807-5932 1980-5322 |
| language | English |
| last_indexed | 2024-04-13T15:13:02Z |
| publisher | Elsevier España |
| record_format | Article |
| series | Clinics |
| spelling | doaj.art-2375313d47754be0b93bfc0028c186712022-12-22T02:41:57ZengElsevier EspañaClinics1807-59321980-53226713910.6061/clinics/2012(01)02S1807-59322012000100002The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, BrazilSandra Scivoletto0Thiago F Silva1Paulo Jannuzzi Cunha2Robert A Rosenheck3Universidade de São PauloUniversidade de São PauloUniversidade de São PauloYale School of MedicineOBJECTIVE: Despite the high prevalence of substance abuse and mood disorders among victimized children and adolescents, few studies have investigated the association of these disorders with treatment adherence, represented by numbers of visits per month and treatment duration. We aimed to investigate the effects of substance abuse and mood disorders on treatment adherence and duration in a special program for victimized children in São Paulo, Brazil. METHODS: A total of 351 participants were evaluated for psychiatric disorders and classified into one of five groups: mood disorders alone; substance abuse disorders alone; mood and substance abuse disorders; other psychiatric disorders; no psychiatric disorders. The associations between diagnostic classification and adherence to treatment and the duration of program participation were tested with logistic regression and survival analysis, respectively. RESULTS: Children with mood disorders alone had the highest rate of adherence (79.5%); those with substance abuse disorders alone had the lowest (40%); and those with both disorders had an intermediate rate of adherence (50%). Those with other psychiatric disorders and no psychiatric disorders also had high rates of adherence (75.6% and 72.9%, respectively). Living with family significantly increased adherence for children with substance abuse disorders but decreased adherence for those with no psychiatric disorders. The diagnostic correlates of duration of participation were similar to those for adherence. CONCLUSIONS: Mood and substance abuse disorders were strong predictive factors for treatment adherence and duration, albeit in opposite directions. Living with family seems to have a positive effect on treatment adherence for patients with substance abuse disorders. More effective treatment is needed for victimized substance-abusing youthhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012000100002&lng=en&tlng=ensubstance abuseissues in developing countriesmental healthprogram evaluationchild abuse |
| spellingShingle | Sandra Scivoletto Thiago F Silva Paulo Jannuzzi Cunha Robert A Rosenheck The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil Clinics substance abuse issues in developing countries mental health program evaluation child abuse |
| title | The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil |
| title_full | The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil |
| title_fullStr | The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil |
| title_full_unstemmed | The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil |
| title_short | The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil |
| title_sort | impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in sao paulo brazil |
| topic | substance abuse issues in developing countries mental health program evaluation child abuse |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012000100002&lng=en&tlng=en |
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