Suggestive diagnosis of attention‑defcit/hyperactivity disorder in indigenous children and adolescents from the Brazilian Amazon
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open access
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Article
Date
2019
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Springer
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Pontifícia Universidade Católica de Goiás. Escola de Ciências Médicas e da Vida. Goiânia, GO, Brasil.
Universidade Federal de Goiás. Faculdade de Medicina. Goiânia, GO, Brasil.
Pontifícia Universidade Católica de Goiás. Escola de Ciências Médicas e da Vida. Goiânia, GO, Brasil.
Pontifícia Universidade Católica de Goiás. Escola de Ciências Médicas e da Vida. Goiânia, GO, Brasil.
Unidade de Psiquiatria da Infância e Adolescência. São Paulo, SP, Brasil / Yale University. Child Study Center. New Haven, CT, USA / Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes. São Paulo, SP, Brasil.
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Porto Alegre, RS, Brasil / Universidade Federal do Rio Grande do Sul. Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil / Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes. São Paulo, SP, Brasil.
Universidade Federal de Goiás. Faculdade de Medicina. Goiânia, GO, Brasil.
Pontifícia Universidade Católica de Goiás. Escola de Ciências Médicas e da Vida. Goiânia, GO, Brasil.
Pontifícia Universidade Católica de Goiás. Escola de Ciências Médicas e da Vida. Goiânia, GO, Brasil.
Unidade de Psiquiatria da Infância e Adolescência. São Paulo, SP, Brasil / Yale University. Child Study Center. New Haven, CT, USA / Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes. São Paulo, SP, Brasil.
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Porto Alegre, RS, Brasil / Universidade Federal do Rio Grande do Sul. Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil / Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes. São Paulo, SP, Brasil.
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Abstract
Abstract
The prevalence of attention-defcit/hyperactivity disorder (ADHD) symptoms has been scarcely studied in indigenous cultures that preserve ancestral cultural characteristics. The objective of the study is to estimate the prevalence of suggestive diagnosis of ADHD among indigenous children and adolescents from villages in the Amazon. This is an analytical crosssectional study using instruments to track ADHD symptoms (the Child Behaviour Checklist for ages 6–18: CBCL/6–18 and the teacher report form for ages 6–18: TRF/6–18) and to investigate their negative impact on the patients (using the Strengths and Difculties Questionnaire—SDQ). The prevalence of a suggestive ADHD diagnosis according to the CBCL/TRF DSMIV ADHD subscale without and with negative impact as assessed by the SDQ was 4.3% and 1.1%, respectively. Comorbid oppositional-defant, conduct problems and anxious symptoms were present in all cases screening positive for ADHD. We also presented a case report as an illustration of the observed clinical presentation. ADHD is a recognizable disorder even in a culture that preserves millennial characteristics. Furthermore, the presence of ADHD symptoms was associated with signifcant impairment.
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This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords in Portuguese
Karajá, Região Amazônica, Carajá, TDAH, Epidemiologia
Keywords
CBCL, TRF, ADHD, Indigenous, Children, Adolescents
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DeCS
Brasil, Índios Sul-Americanos, Ecossistema Amazônico, Saúde de Populações Indígenas, Saúde da Criança, Saúde do Adolescente, Estudos Epidemiológicos, Transtorno do Deficit de Atenção com Hiperatividade
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AZEVÊDO, Paulo Verlaine Borges e et al. Suggestive diagnosis of attention‑defcit/hyperactivity disorder in indigenous children and adolescents from the Brazilian Amazon. European Child and Adolescent Psychiatry, v. 29, n. 3, p. 373-384, 4 June 2019.
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1018-8827
DOI
10.1007/s00787-019-01356-y