Publications by authors named "Tiago N Munhoz"

Article Synopsis
  • The study investigates how using small datasets to select an optimal cutoff score for the Patient Health Questionnaire-9 (PHQ-9) can lead to inaccurate results.
  • Researchers evaluated whether data-driven methods for cutoff selection resulted in scores that were significantly different from the true population optimal score and if these methods produced biased accuracy estimates.
  • Findings showed that many small studies frequently failed to identify the correct optimal cutoff score, particularly in smaller samples, leading to an overestimation of test sensitivity.
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Background: The scale-up of parenting programmes to support early childhood development (ECD) is poorly understood. Little is known about how and when early interventions are most effective. Sustainability of ECD programming requires a better understanding of the mechanisms of real-world interventions.

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  • Maternal depression can negatively affect children's mental health, but some kids can still do well despite it.
  • A study in Brazil looked at how different factors, like family income and early learning experiences, help children become resilient when their mothers are depressed.
  • The research found that things like cognitive stimulation and having a higher IQ can help kids cope better, showing that early support is important for those facing tough situations.
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Objective: To investigate risk factors associated with impaired attention-related executive functions (EFs) at age 11 and working memory at age 15.

Methods: Data from participants of the population-based 2004 Pelotas Birth Cohort at ages 11 (n=3,582) and 15 (n=1,950) were analyzed. The study measured attentional control, cognitive flexibility, and selective attention using the Test of Everyday Attention for Children (TEA-Ch).

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Article Synopsis
  • The study investigated how children of non-depressed mothers performed better on developmental tests at age 3 compared to those with depressed mothers, focusing on a sample from Brazil.
  • Analysis involved assessing maternal depression and children's development over three years using established measurement tools.
  • Results showed that persistent maternal depression negatively impacted child development, highlighting the need to prioritize the identification of women at risk for depression in maternal and child health initiatives.
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Article Synopsis
  • - The study aimed to assess the mental health of nursing professionals in Pelotas, Brazil during the COVID-19 pandemic, focusing on changes in depressive symptoms over a year from June 2020 to June 2021.
  • - Results showed that 13% of nursing professionals had depressive symptoms, with notable findings of 24.1% experiencing persistent depression, contrasting with a lower 12.2% who experienced remission.
  • - Factors linked to worse mental health included being female, having a heavier workload, feeling overwhelmed, having ill family or friends, and using psychotropic medications, highlighting the ongoing impact of the pandemic on nurse well-being.
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Background: Intimate partner violence (IPV) is highly prevalent in low-income and middle-income countries and has been a major obstacle towards reaching global health targets for women and children. We aimed to investigate cross-sectional and longitudinal associations between IPV victimisation and maternal parenting practices of young children in a population-based birth cohort study in Brazil.

Methods: The 2015 Pelotas Birth Cohort is an ongoing, prospective cohort, including all hospital births occurring between Jan 1 and Dec 31, 2015, in the city of Pelotas, Brazil.

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This study aimed to assess the mental health of a University community in South Brazil during the COVID-19 pandemic. A cross-sectional web-based survey was conducted between July-August 2020 through a self-administered questionnaire. All University staff and students were eligible.

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Conduct problems are associated with an increased risk of a wide range of physical, mental, and social problems. However, there is still uncertainty about how early risk factors differentiate different developmental patterns of conduct problems and whether findings replicate across diverse social contexts. We aimed to identify developmental trajectories of conduct problems, and test early risk factors, in the 2004 Pelotas Birth Cohort in Brazil.

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Background: Women living in low- and middle-income countries are more exposed to known risk factors for depression occurrence and persistency over time.

Aim: Our aim was to investigate the course of depression in the first 2 years postpartum among Brazilian women enrolled in a cash transfer program.

Method: Longitudinal analysis of baseline (T0; mean 3.

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Objectives: To assess the prevalence of and factors associated with the lifetime medical diagnosis of depression in Brazil.

Design: Population-based, cross-sectional study.

Setting: Analysis of data from the 2019 Brazilian National Health Survey.

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Article Synopsis
  • The Happy Child Program in Brazil targets 1.4 million children under three to promote their neuropsychomotor development through home visits.
  • A study involving 3,242 children found no significant differences in development scores between the intervention group and the control group after three years, even with adjustments for various factors.
  • The findings suggest that the program faced challenges like low engagement, mixed implementation quality, and lack of impact, providing insights for future improvements.
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Background: Childhood trauma is a proposed transdiagnostic risk factor for psychopathology, but epidemiological evidence from low-income and middle-income countries (LMICs) is scarce. We investigated associations between trauma and child psychiatric disorders in a birth cohort in Brazil.

Methods: The 2004 Pelotas Birth Cohort is an ongoing, population-based, prospective birth cohort, including all hospital births occurring between Jan 1 and Dec 31, 2004, in the city of Pelotas, Brazil.

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Objectives: The objective of this study was to investigate the prevalence of the following risk behaviors: experimentation with cigarettes, electronic cigarettes, alcohol, substances, delinquent behavior, and sex at age 15, stratified by sex and socioeconomic position. We also investigated the prevalence of cigarette and alcohol experimentation at age 11 and the persistence and cumulative incidence of these behaviors between 11 and 15 years of age.

Methods: In this cohort study, we included 3,491 11-year-olds and 1,949 15-year-olds from the 2004 Pelotas Birth Cohort.

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Possible mechanisms by which maternal pre-pregnancy body mass index (BMI) programs offspring mental disorders in late childhood are not fully clarified. To assess the association between maternal BMI and mental health problems at 11 years old, we used data from the 2004 Pelotas birth cohort which comprised 4231 newborns. Maternal pre-pregnancy BMI was analyzed as underweight (< 18.

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This study aimed to examine the impact of maternal depressive symptoms trajectories on 15-year-old adolescents' self-esteem and emotion regulation and test the mediating role of child maltreatment in this association. The 2004 Pelotas Birth Cohort is an ongoing cohort study originally comprised of 4231 live births in a southern Brazilian city. We examined a subsample of 1949 adolescents at age 15 years.

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Article Synopsis
  • The study investigated the socioeconomic, family, and individual factors affecting infant development in vulnerable families in Brazil, using data from 3,242 children under 12 months across 30 municipalities.
  • The research utilized the Ages and Stages Questionnaire (ASQ) to evaluate development, finding that preterm birth and intrauterine growth restriction significantly lowered scores, particularly among children born to mothers with low education and depressive symptoms.
  • Key factors identified as having a major impact on infant development included maternal education, mental health, and specific health issues like prematurity, with implications for targeted interventions to support vulnerable families.
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Background: Young people living in poverty are at higher risk of mental disorders, but whether interventions aimed to reduce poverty have lasting effects on mental health has not been well established. We examined whether exposure to Brazil's conditional cash transfers programme (CCT), (BFP), during childhood reduces the risk of mental health problems in early adolescence.

Methods: We used data from 2063 participants in the 2004 Pelotas Birth Cohort study.

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Objective: Investigate effects of persistent sleep disturbances during early childhood over ADHD during the adolescence, and the potential attention-related executive functions mediating this effect.

Methods: We used data from the 2004 Pelotas Birth Cohort. Children's Sleep disturbances were reported by their mothers at 12, 24, and 48 months of age, whereas the Test-of-Everyday-Attention-for-Children (TEA-Ch) and the Development and Well Being Assessment (DAWBA) were applied at 11 years of age to evaluate attention-related executive functions and ADHD, respectively.

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Objective: To assess vaccination coverage, based on the National Immunization Program schedule, among children receiving financial support from the Family Income Transfer Program, Brazil, according to the family socioeconomic status and maternal characteristics.

Methods: 3,242 children under 12 months old were assessed between August/2018 and April/2019, of whom 3,008 were reassessed between September/2019 and January/2020. The analyses were performed using multilevel models (level 3, Federative Unit; level 2, municipality; level 1, children).

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In high-income countries, links between harsh and abusive parenting and child conduct and emotional problems are well-documented. However, less is known about these relationships in low- and middle-income countries, where harsh parenting may be more widely accepted and higher rates of conduct or emotional problems may exist which could influence the strength of these associations. We sought to investigate these relationships in a large population-based, prospective longitudinal study from Brazil, which also allowed us to test for sex differences.

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Responsive caregiving is the dimension of parenting most consistently related to later child functioning in both developing and developed countries. There is a growing need for efficient, psychometrically sound and culturally appropriate measurement of this construct. This study describes the cross-cultural validation in Brazil of the Responsive Interactions for Learning (RIFL-P) measure, requiring only eight minutes for assessment and coding.

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Background: We aimed to investigate the association between preterm birth and body composition at 6, 18, and 30 years of age using data from three population-based birth cohort studies.

Methods: Gestational age (GA), defined by the date of the last menstrual period (categorized in ≤33, 34-36, and ≥ 37 weeks), was gathered in the first 24-h after delivery for all live births occurring in the city of Pelotas, Brazil, in 2004, 1993 and 1982. Body composition was assessed by air-displacement plethysmography.

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