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Depressive Symptoms and Suicidal Ideation in Adolescents Accompanying a Parent in Recyclable Trash Collection

  • Gabriela B. Etcheverry (a1), Érico F. Pereira (a2) and Mara L. Cordeiro (a3)

Abstract

The relationship between mental health and poverty has been well documented in adults. However, few studies have addressed how low socioeconomic status and psychosocial vulnerabilities may influence depressive symptoms in adolescents. The current study was carried out in a non-randomly selected sample of 239 adolescents whose parents work as ragpickers (waste collectors for recycling) in Brazil. In-person interviews were conducted, and the presence of depressive symptoms and suicidal ideation were assessed using the Children’s Depression Inventory (CDI). We observed that 23% (CI±5.34) of the adolescents presented with depressive symptoms and 35% (CI±6.05) had suicidal ideation. Fatigue or loss of energy (p = .012) and irritable mood (p = .013) were significantly higher among boys than girls according to DSM-IV criteria. However, we found no gender differences in DSM-IV criteria for Major Depressive Disorders (MDD) or Dysthymic Disorder (DD) in diminished interest or pleasure, weight loss or weight gain, decreased appetite, sleep problems, feelings of worthlessness, diminished concentration or ability to think, recurrent thoughts of death, suicidal ideation, or low self-esteem. There were no significant gender differences in total CDI score, however a greater percentage of girls presented with depressed mood than boys (29.9% vs. 17.1%, p < .05).

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Corresponding author

*Correspondence concerning this article should be addressed to Mara L. Cordeiro, Ph.D. Instituto de Pesquisa Pelé Pequeno Principe. Av. Silva Jardim, 1632. 80250–120. Curitiba (Brazil). Phone: +55–4133101036. FAX: +55–4133221446. E-mail: mcordeiro@mednet.ucla.edu

References

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Agerbo, E., Nordentoft, M., & Mortensen, P. B. (2002). Familial, psychiatric, and socioeconomic risk factors for suicide in young people: Nested case-control study. BMJ, 325, 74. http://dx.doi.org/10.1136/bmj.325.7355.74
American Academy of Child and Adolescent Psychiatry. (2012). Summary of the practice parameters for the assessment and treatment. Whashington, DC: Author.
American Academy of Child and Adolescent Psychiatry. (2001). Practice parameters for the assessment and treatment of children and adolescent with suicidal behavior. Journal of the American Academy Child Adolescent Psychiatry, 40, 2451.
Bahls, S. C. (2002). Epidemiologia de sintomas depressivos em adolescentes de uma escola pública de Curitiba, Brasil [Epidemiology of depressive symptoms in adolescents of a public school in Curitiba, Brazil]. Revista Brasileira de Psiquiatria , 24, 6367.http://dx.doi.org/10.1590/S1516-44462002000200005
Baptista, M. N. (1997). Depressão e suporte familiar: Perspectivas de adolescentes e suas mães [Depression and family support: Prospects adolescents and their mothers] . (Unpublished Master’s Thesis) Instituto de Psicologia da Pontifícia Universidade Católica de Campinas. Campinas, Brazil.
Barreto, F. J. N., & Cipolotti, R. (2011). Sintomas depressivos em crianças e adolescentes com anemia falciforme [Depressive symptoms in children and adolescents with sickle cell anemia]. Jornal Brasileiro de Psiquiatria, 60, 277283. http://dx.doi.org/10.1590/S0047-20852011000400008
Beautrais, A. L., Joyce, P. R., & Mulder, R. T. (1998). Youth suicide attempts: A social and demographic profile. Australian and New Zealand Journal of Psychiatry, 32, 349357. http://dx.doi.org/10.3109/00048679809065527
Belfer, M. L. (2008). Child and adolescent mental disorders: The magnitude of the problem across the globe. Journal of the American Academy Child Adolescent Psychiatry 49, 226236. http://dx.doi.org/10.1111/j.1469-7610.2007.01855.x
Belfer, M. L., & Saxena, S. (2006). WHO child atlas project. Lancet, 367, 551552. http://dx.doi.org/10.1016/S0140-6736(06)68199-3
Bennett, D. S., Ambrosini, P. J., Kudes, D., Metz, C., & Rabionovich, H. (2005). Gender differences in adolescent depression: Do symptoms differ for boys and girls? Journal of Affective Disorders, 89, 3544. http://dx.doi.org/10.1016/j.jad.2005.05.020
Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E.,…, Nelson, B. (1996). Childhood and adolescent depression: A review of the past 10 years. Part I. Journal of the American Academy Child Adolescent Psychiatry 35, 14271439. http://dx.doi.org/10.1097/00004583-199611000-00011
Botega, N. J., Marin-Leon, L., Oliveira, H. B., Barros, M. B. A., da Silva, V. F., & Dalgalarrondo, P. (2009). Prevalência de ideação, plano e tentativa de suicídio: Um inquérito de base populacional em Campinas, São Paulo, Brasil [Prevalence of suicidal ideation, suicide plans and attempted suicide: A population-based survey in Campinas, São Paulo State, Brazil]. Caderno de Saúde Publica, 25, 26322638. http://dx.doi.org/10.1590/S0102-311X2009001200010
Brooks, T. L., Harris, S. K., Thrall, J. S., & Woods, E. R. (2002). Association of adolescent risk behaviors with mental health symptoms in high school students. Journal of Adolescent Health, 31, 240246. http://dx.doi.org/10.1016/S1054-139X(02)00385-3
Carlini-Cotrim, B., Gazal-Carvalho, C., & Gouveia, N. (2000). Comportamentos de saúde entre jovens estudantes das redes pública e privada da área metropolitana do estado de São Paulo [Health behavior among students of public and private schools in the metropolitan area of Sao Paulo, Brazil]. Revista de Saude Publica, 34, 636645. http://dx.doi.org/10.1590/S0034-89102000000600012
Carmo, S. (2009). A semântica do lixo e o desenvolvimento socioeconômico dos catadores de recicláveis: considerações sobre um estudo de caso múltiplo em cooperativas na cidade do Rio de Janeiro [The semantics of garbage and the socioeconomic development of recyclable garbage gatherers-considerations about a multiple case studies in cooperatives in the city of Rio de Janeiro]. Caderno da EBAPE.BR, 7, 591606. http://dx.doi.org/10.1590/S1679-39512009000400005
Center for Disease Control and Prevention. (2012). National center for health statistics: Self-inflicted injury/suicide. Retrieved from http://www.cdc.gov/ViolencePrevention/pdf/Suicide_DataSheet-a.pdf
Chandra, V., Osorio-Rodarte, I., & Braga, C. A. P. (2009) Korea and the BICs (Brazil, India and China) catching up experiences. Washington, DC: The world bank poverty reduction and economic management network economic policy and debt department. Retrived from http://www-wds.worldbank.org/external/default/WDSContentServer/IW3P/IB/2009/10/27/000158349_20091027140420/Rendered/PDF/WPS5101.pdf
Charlton, J., Kelly, S., Dunnell, K., Evans, B., & Jenkins, R. (1993) Suicide deaths in England and Wales: Trends in factors associated with suicide deaths. Population Trends. 71, 3442.
Charman, T. (1994). The stability of depressed mood in young adolescents: A school-based survey. Journal Affective Disorders 30, 109116. http://dx.doi.org/10.1016/0165-0327(94)90038-8
Costello, E. J., Compton, S. N., Keeler, G., & Angold, A. (2003). Relationships between poverty and psychopathology: A natural experiment. JAMA, 290, 20232029. http://dx.doi.org/10.1001/jama.290.15.2023
da Silva, M. C., Fassa, A. G., & Kriebel, D. (2006). Minor psychiatric disorders among Brazilian ragpickers: A cross-sectional study. Environmental Health, 5, 17. http://dx.doi.org/10.1186/1476-069X-5-17
da Silva, M. C., Fassa, A. G., Siqueira, C. E., & Kriebel, D. (2005). World at work: Brazilian ragpickers. Occupational and Environmental Medicine, 62, 736740. http://dx.doi.org/10.1136/oem.2005.020164
da Silva, V. F., Oliveira, H. B., Botega, N. J., Marin-Leon, L., Barros, M. B. A., & Dalgalarrondo, P. (2006). Fatores associados à ideação suicida na comunidade: Um estudo de caso-controle [Factors associates with suicidal ideation in the community: A case-control study]. Caderno de Saude Publica, 22, 18351843. http://dx.doi.org/10.1590/S0102-311X2006000900014
Devine, D., Kempton, T., & Forehand, R. (1994). Adolescent depressed mood and young adult functioning: A longitudinal study. Journal of Abnormal Child Psychology, 22, 629640. http://dx.doi.org/10.1007/BF02168942
Duarte, C., Hoven, C., Berganza, C., Bordin, I., Bird, H., & Miranda, C. T. (2003). Child mental health in Latin America: Present and future epidemiologic research. International Journal of Psychiatry in Medicine, 33, 203222. http://dx.doi.org/10.2190/4WJB-BW16-2TGE-565W
El-Missiry, A., Soltan, M., Hadi, M. A., & Sabry, W. (2011). Screening for depression in a sample of Egyptian secondary school female students. Journal of Affective Disorders, 136, 6168. http://dx.doi.org/10.1016/j.jad.2011.06.031
Figueras Masip, A., Amador-Campos, J. A., Gomez-Benito, J., & del Barrio Gandara, V. (2010). Psychometric properties of the Children’s Depression Inventory in community and clinical sample. The Spanish Journal of Psychology, 13, 990999.
Foley, D. L., Goldston, D. B., Costello, J. E., & Angold, A. (2006). Proximal psychiatric risk factors for suiciality in youth. Archives of General Psychiatry, 63, 10171024. http://dx.doi.org/10.1001/archpsyc.63.9.1017
Fonseca, M. H. G., Ferreira, R. A., & Fonseca, S. G. (2005). Prevalência de sintomas depressivos em escolares [The prevalence of depresion symptoms in scholars]. Pediatria, 27, 223232.
Gifford, R., & Lacombe, C. (2006). Housing quality and children´s socioemotional health. Journal of Housing and the Built Environment, 21, 177189. http://dx.doi.org/10.1007/s10901-006-9041-x
Gouveia, V. V., Barborsa, G. A., Almeida, H. J. F., & Gião, A. A. (1995). Inventario de Depressão Infantil (CDI): Estudo de adaptação com escolares de João Pessoa [Children Depression Inventory: Adaptation study with school children from the city of João Pessoa]. Jornal Brasileiro de Psiquiatria, 44, 345349.
Henderson, C., Diez Roux, A. V., Jacobs, D. R. Jr., Kiefe, C. I., West, D., & Williams, D. R. (2005). Neighbourhood characteristics, individual level socioeconomic factors, and depressive symptoms in young adults: The CARDIA study. Journal of Epidemiology & Community Health, 59, 322328. http://dx.doi.org/10.1136/jech.2003.018846
Hoyert, D. L., Kung, H-C., & Smith, B. L. (2005). Deaths: Preliminary data for 2003. National Vital Statistics Report. 53(15), 148.
Johnson, J. G., Cohen, P., Dohrenwend, B. P., Link, B. G., & Brook, J. S. (1999). A longitudinal investigation of social causation and social selection processes involved in the association between socioeconomic status and psychiatric disorders. Journal of Abnormal Psychology, 108, 490499. http://dx.doi.org/10.1037//0021-843X.108.3.490
Johnson, J. G., Cohen, P., Gould, M. S., Kasen, S., Brown, J., & Brook, J. S. (2002). Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Archives of General Psychiatry, 59, 741749. http://dx.doi.org/10.1001/archpsyc.59.8.741
Kovacs, M. (2003). Children’s Depression Inventory (CDI): Technical manual update. Toronto, Canada: Multhi-Health Systems Inc.
Kovacs, M. (1985). The Children’s Depression Inventory (CDI). Psychopharmacol Bull, 21, 995998.
Kuruvilla, A., & Jacob, K. S. (2007). Poverty, social stress & mental health. Indian Journal of Medical Research, 126, 273278.
Liu, X., Gentzler, A. L.,Tepper, P., Kiss, E., Kothencné, V. O., Tamas, Z., … Kovacs, M. (2006). Clinical features of depressed children and adolescents with various forms of suicidality. Journal of Clinical Psychiatry, 67, 14421450. http://dx.doi.org/10.4088/JCP.v67n0917
Liu, X., Sun, Z., Neiderhiser, J. M., Uchiyama, M., Okawa, M., & Rogan, W. (2001). Behavioral and emotional problems in Chinese adolescents: Parent and teacher reports. Journal of the American Academy Child Adolescent Psychiatry 40, 828836. http://dx.doi.org/10.1097/00004583-200107000-00018
Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., … Hendin, H.(2005). Suicide prevention strategies: A systematic review. JAMA, 294, 20642074. http://dx.doi.org/10.1001/jama.294.16.2064
Mello, A. F., Juruena, M. F., Pariante, C. M., Tyrka, A. R., Price, L. H., Carpenter, L. L., & Del Porto, J. A. (2007). Depressão e estresse: Existe um endofenótipo? [Depression and stress: Is there an endophenotype?]. Revista Brasileira de Psiquiatria, 29, 1318. http://dx.doi.org/10.1590/S1516-44462007000500004
Pataki, C. S., & Carlson, G. A. (1995). Childhood and adolescent depression: A review. Harvard Review of Psychiatry, 3, 140151. http://dx.doi.org/10.3109/10673229509017179
Rao, U., & Chen, L. A. (2009). Characteristics, correlates, and outcomes of childhood and adolescent depressive disorders. Dialogues in Clinical Neuroscience, 11, 4562.
Ray, M. R., Mukherjee, G., Roychowdhury, S., & Lahiri, T. (2004). Respiratory and general health impairments of ragpickers in India: A study in Delhi. International Archives of Occupational and Environmental Health, 77, 595598. http://dx.doi.org/10.1007/s00420-004-0564-8
Regier, D. A., Farmer, M. E., Rae, D. S., Myers, J. K., Kramer, M., Robins, L. N., … Locke, B. Z.(1993). One-month prevalence of mental disorders in the United States and sociodemographic characteristics: The epidemiologic catchment area study. Acta Psychiatrica Scandinava, 88, 3547. http://dx.doi.org/10.1111/j.1600-0447.1993.tb03411.x
Reijneveld, S. A., & Schene, A. H. (1998). Higher prevalence of mental disorders in socioeconomically deprived urban areas in The Netherlands: Community or personal disadvantage? Journal of Epidemiology & Community Health, 52, 27. http://dx.doi.org/10.1136/jech.52.1.2
Roelofs, J., Braet, C., Rood, L., Timbremont, B., van Vlierberghe, L., Goossens, L., & van Breukelen, G.(2010). Norms and screening utility of the Dutch version of the Children’s Depression Inventory in clinical and nonclinical youths. Psychological Assessment, 22, 866877. http://dx.doi.org/10.1037/a0020593
Serfaty, E. (1998). Suicidio en la adolescencia. [Suicide in Adolescence] Adolescencia Latinoamericana., 1, 105110.
Souza, L. D. M., da Silva, R. A., Jansen, K., Kuhn, R. P., Horta, B. L., & Pinheiro, R. T. (2010). Ideação suicida em adolescentes de 11 a 15 anos: Prevalências e fatores associados [Suicidal Ideation in adolescents aged 11 to 15 years: Prevalencia and associated factors]. Revista Brasileira de Psiquiatria, 32, 3741. http://dx.doi.org/10.1590/S1516-44462009005000011
Steinberg, P. I., & Duggal, S. (2004). Threats of violence in group-oriented day treatment. International Journal of Group Psychotherapy, 54, 522. http://dx.doi.org/10.1521/ijgp.54.1.5.40382
Timbremont, B., Braet, C., & Dreessen, L. (2004). Assessing depression in youth: Relation between the Children’s Depression Inventory and a structured interview. Journal of Clinical Child & Adolescent Psychology, 33, 149157. http://dx.doi.org/10.1207/S15374424JCCP3301_14
Tracy, M., Zimmerman, F. J., Galea, S., McCauley, E., & Stoep, A. V. (2008) What explains the relation between family poverty and childhood depressive symptoms? Journal of Psychiatric Research, 42, 11631175. http://dx.doi.org/10.1016/j.jpsychires.2008.01.011
Voitch, G. (2008, August 28). Brasil tem 1,5 milhões de lixões. [Brazil has 1,5 million of dumps]. Gazeta do Povo. Retrieved from http://www.gazetadopovo.com.br/vidaecidadania/conteudo.phtml?id=802538
Xue, Y., Leventhal, T., Brooks-Gunn, J., & Earls, F. J. (2005). Neighborhood residence and mental health problems of 5- to 11-year-olds. Archives of General Psychiatry, 62, 554563. http://dx.doi.org/10.1001/archpsyc.62.5.554
Wathier, J. L., DellÁglio, D. B., & Bandeira, D. R. (2008). Analise fatorial do Inventario de Depressão Infantil (CDI) em amostra de jovens brasileiros [factor analysis of Children’s Depression Inventory (CDI) in a sample of young brazilians]. Avaliação Psicológica, 7, 7584.
Zalsman, G., Oquendo, M. A., Greenhill, L., Goldberg, P. H., Kamali, M., Martin, A., & Mann, J. J. (2006). Neurobiology of depression in children and adolescents. Child & Adolescent Psychiatric Clinics of Nort American, 15, 843868. http://dx.doi.org/10.1016/j.chc.2006.05.010

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