Cargando…

Clinico-epidemiological profile of patients at children’s psychosocial care centers in São Bernardo do Campo: a cross-sectional study

BACKGROUDS: Child and Adolescent Psychosocial Care Centers (Centros de Atenção Psicossocial, CAPSI) are dedicated centers for persistent psychiatric disorders, which provide an individualized therapeutic approach based on extra-hospital services. OBJECTIVES: We aimed to describe the clinico-epidemio...

Descripción completa

Detalles Bibliográficos
Autores principales: Messias, Maialu Pedreira, Silva, Etienne de Miranda e, de Andrade, Mariele Hertha, Cavallo, Isabela Cristina Casanova, Galvão, Lucas Pequeno, Périco, Cintia de Azevedo Marques, Torales, Julio, Ventriglio, Antonio, Castaldelli-Maia, João Mauricio, Martins-da-Silva, Anderson Sousa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Paulista de Medicina - APM 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671560/
https://www.ncbi.nlm.nih.gov/pubmed/35920532
http://dx.doi.org/10.1590/1516-3180.2021.0577.R1.17022022
_version_ 1784832578510913536
author Messias, Maialu Pedreira
Silva, Etienne de Miranda e
de Andrade, Mariele Hertha
Cavallo, Isabela Cristina Casanova
Galvão, Lucas Pequeno
Périco, Cintia de Azevedo Marques
Torales, Julio
Ventriglio, Antonio
Castaldelli-Maia, João Mauricio
Martins-da-Silva, Anderson Sousa
author_facet Messias, Maialu Pedreira
Silva, Etienne de Miranda e
de Andrade, Mariele Hertha
Cavallo, Isabela Cristina Casanova
Galvão, Lucas Pequeno
Périco, Cintia de Azevedo Marques
Torales, Julio
Ventriglio, Antonio
Castaldelli-Maia, João Mauricio
Martins-da-Silva, Anderson Sousa
author_sort Messias, Maialu Pedreira
collection PubMed
description BACKGROUDS: Child and Adolescent Psychosocial Care Centers (Centros de Atenção Psicossocial, CAPSI) are dedicated centers for persistent psychiatric disorders, which provide an individualized therapeutic approach based on extra-hospital services. OBJECTIVES: We aimed to describe the clinico-epidemiological profiles of the patients seeking interventions at the CAPSIs. DESIGN AND SETTING: A cross-sectional study was conducted in two CAPSI in São Bernardo do Campo, SP, Brazil. One CAPSI is dedicated to the treatment of alcohol- and drug-related disorders, and the other to the treatment of other mental disorders. METHODS: In July 2017, we reviewed all active medical records of these two CAPSI, and collected the patients information including sex, race, education, type of referral, initial complaints, psychiatric diagnoses, and medication utilization. RESULTS: Of the 233 patients, 69.5% were male and 42.5% lived with their immediate family. Most of the patients were referred from other health services. Complaints on admission included agitation and aggressive behavior (30.9%). Autism spectrum disorder (ASD) was the most prevalent diagnosis (46.8%), followed by depressive disorder (13.8%). Of the patients, 81.5% were on regular medical follow-up and 70.3% were on a single medication only. CONCLUSION: Aggression complaints are the most prevalent in CAPSI, and diagnoses of ASD and psychotic disorders are more common. This situation differs from most CAPSI that present school complaints as the most prevalent, in which diagnoses of attention-deficit/hyperactivity disorder and conduct disorders are likely to be more frequent. The epidemiological profile of each CAPSI should guide the implementation of human and structural resources targeting the most prevalent complaints and diagnoses.
format Online
Article
Text
id pubmed-9671560
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Associação Paulista de Medicina - APM
record_format MEDLINE/PubMed
spelling pubmed-96715602022-11-18 Clinico-epidemiological profile of patients at children’s psychosocial care centers in São Bernardo do Campo: a cross-sectional study Messias, Maialu Pedreira Silva, Etienne de Miranda e de Andrade, Mariele Hertha Cavallo, Isabela Cristina Casanova Galvão, Lucas Pequeno Périco, Cintia de Azevedo Marques Torales, Julio Ventriglio, Antonio Castaldelli-Maia, João Mauricio Martins-da-Silva, Anderson Sousa Sao Paulo Med J Original Article BACKGROUDS: Child and Adolescent Psychosocial Care Centers (Centros de Atenção Psicossocial, CAPSI) are dedicated centers for persistent psychiatric disorders, which provide an individualized therapeutic approach based on extra-hospital services. OBJECTIVES: We aimed to describe the clinico-epidemiological profiles of the patients seeking interventions at the CAPSIs. DESIGN AND SETTING: A cross-sectional study was conducted in two CAPSI in São Bernardo do Campo, SP, Brazil. One CAPSI is dedicated to the treatment of alcohol- and drug-related disorders, and the other to the treatment of other mental disorders. METHODS: In July 2017, we reviewed all active medical records of these two CAPSI, and collected the patients information including sex, race, education, type of referral, initial complaints, psychiatric diagnoses, and medication utilization. RESULTS: Of the 233 patients, 69.5% were male and 42.5% lived with their immediate family. Most of the patients were referred from other health services. Complaints on admission included agitation and aggressive behavior (30.9%). Autism spectrum disorder (ASD) was the most prevalent diagnosis (46.8%), followed by depressive disorder (13.8%). Of the patients, 81.5% were on regular medical follow-up and 70.3% were on a single medication only. CONCLUSION: Aggression complaints are the most prevalent in CAPSI, and diagnoses of ASD and psychotic disorders are more common. This situation differs from most CAPSI that present school complaints as the most prevalent, in which diagnoses of attention-deficit/hyperactivity disorder and conduct disorders are likely to be more frequent. The epidemiological profile of each CAPSI should guide the implementation of human and structural resources targeting the most prevalent complaints and diagnoses. Associação Paulista de Medicina - APM 2022-08-01 /pmc/articles/PMC9671560/ /pubmed/35920532 http://dx.doi.org/10.1590/1516-3180.2021.0577.R1.17022022 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
Messias, Maialu Pedreira
Silva, Etienne de Miranda e
de Andrade, Mariele Hertha
Cavallo, Isabela Cristina Casanova
Galvão, Lucas Pequeno
Périco, Cintia de Azevedo Marques
Torales, Julio
Ventriglio, Antonio
Castaldelli-Maia, João Mauricio
Martins-da-Silva, Anderson Sousa
Clinico-epidemiological profile of patients at children’s psychosocial care centers in São Bernardo do Campo: a cross-sectional study
title Clinico-epidemiological profile of patients at children’s psychosocial care centers in São Bernardo do Campo: a cross-sectional study
title_full Clinico-epidemiological profile of patients at children’s psychosocial care centers in São Bernardo do Campo: a cross-sectional study
title_fullStr Clinico-epidemiological profile of patients at children’s psychosocial care centers in São Bernardo do Campo: a cross-sectional study
title_full_unstemmed Clinico-epidemiological profile of patients at children’s psychosocial care centers in São Bernardo do Campo: a cross-sectional study
title_short Clinico-epidemiological profile of patients at children’s psychosocial care centers in São Bernardo do Campo: a cross-sectional study
title_sort clinico-epidemiological profile of patients at children’s psychosocial care centers in são bernardo do campo: a cross-sectional study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671560/
https://www.ncbi.nlm.nih.gov/pubmed/35920532
http://dx.doi.org/10.1590/1516-3180.2021.0577.R1.17022022
work_keys_str_mv AT messiasmaialupedreira clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT silvaetiennedemirandae clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT deandrademarielehertha clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT cavalloisabelacristinacasanova clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT galvaolucaspequeno clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT pericocintiadeazevedomarques clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT toralesjulio clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT ventriglioantonio clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT castaldellimaiajoaomauricio clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy
AT martinsdasilvaandersonsousa clinicoepidemiologicalprofileofpatientsatchildrenspsychosocialcarecentersinsaobernardodocampoacrosssectionalstudy