A cross-sectional study to assess the prevalence of DSM-5 specific learning disorders in representative school samples from the second to sixth grade in Brazil.

Little is known about specific learning disorder (SLD) in low- and middle-income countries (LMICs), and even less from representative school samples in small size cities outside huge urban centers. Few studies addressed the new DSM-5 criteria for SLDs. We investigated the prevalence of DSM-5 SLDs, t...

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Publicado en:European Child & Adolescent Psychiatry Vol. 25; no. 2; pp. 195 - 208
Autores principales: Fortes, Isabela, Paula, Cristiane, Oliveira, Melaine, Bordin, Isabel, de Jesus Mari, Jair, Rohde, Luis
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2016
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-015-0708-2
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        atl: A cross-sectional study to assess the prevalence of DSM-5 specific learning disorders in representative school samples from the second to sixth grade in Brazil.
      aug:
        au:
          Fortes, Isabela
          Paula, Cristiane
          Oliveira, Melaine
          Bordin, Isabel
          de Jesus Mari, Jair
          Rohde, Luis
        affil: Instituto de Matemática e Estatística, Universidade de São Paulo, São Paulo Brazil
      sug:
        subj:
          Learning Disorders
          Schools, Elementary Brazil
          Cross Sectional Studies
          Brazil
          Comorbidity
          Psychiatry
          Psychological Well-Being
          Questionnaires
          Human
          Male
          Female
          Child
          Adolescence
          Descriptive Statistics
          Data Analysis Software
          Chi Square Test
          T-Tests
          Intelligence
          Fisher's Exact Test
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Little is known about specific learning disorder (SLD) in low- and middle-income countries (LMICs), and even less from representative school samples in small size cities outside huge urban centers. Few studies addressed the new DSM-5 criteria for SLDs. We investigated the prevalence of DSM-5 SLDs, their comorbidities and correlates in school samples of students from the second to sixth grades living in median cities from four different geographic regions in Brazil. A national test for academic performance covering reading, writing and mathematical abilities was applied. Psychiatric diagnoses were assessed by the K-SADS-PL applied to the primary caregiver. A total of 1618 children and adolescents were included in the study. The following prevalence rates of SLDs were found: 7.6 % for global impairment, 5.4 % for writing, 6.0 % for arithmetic, and 7.5 % for reading impairment. Attention-deficit/hyperactivity disorder (ADHD) was the only comorbidity significantly associated with SLD with global impairment ( p = 0.031). Anxiety disorders and ADHD were associated with SLD with arithmetic impairment. Significant differences were detected in prevalence rates among cities, and several socio-demographic correlates (age, gender, IQ, and socioeconomic status) were significantly associated with SLD with global impairment in our sample. Careful validation and normatization of instruments to assess academic performance is a major problem in LMICs. As expected, we found a significant heterogeneity in prevalence rates of SLD according to geographic regions considering that Brazil is a country with a robust diversity. SLD with global and arithmetic impairment was significantly associated with psychiatric comorbidities.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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