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P-425 - Does Attention Deficit Hyperactivity Disorder Exist in Isolated Indigenous Children Living in Tribes From the Brazilian Amazon?

Published online by Cambridge University Press:  15 April 2020

L. Caixeta
Affiliation:
Neuropsychiatry, Federal University of Goias, Goiânia, Brazil
P.B. Azevedo
Affiliation:
Psychiatry, Catholic University Medical School, Goiânia, Brazil
C.H. Reimer
Affiliation:
Psychiatry, Catholic University Medical School, Goiânia, Brazil

Abstract

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The clinical constructs of attention deficit/hyperactivity disorder (ADHD) have been described in several cultures worldwide. Yet this symptomatic presentation still remains to be assessed in remote population groups.

Objective:

To explore the possibility of the existence of ADHD’ symptoms among settlement-dwelling indigenous children of the Karajá ethnic group in the Brazilian Amazon and to estimate the rate of ADHD’ symptoms among 7-16-year-olds.

Method:

All parents/caretakers of 7-16-year olds from all (N = 5) most populated indigenous groups were invited to participate, if they were worried about their children emotional/behavioural problems. Fifty three parents spontaneously came for a psychiatric interview (DSM-IV criteria applied), individually conducted at the settlement's health post by a child psychiatrist.

Results:

The estimated rate of ADHD’ symptoms in problematic indigenous children aged 7–16 years was 24.5% (95% CI: 13.6 – 35.4) since 13 out of 53 parents/caretakers reported the classical triad of ADHD symptoms (inattentiveness, hyperactivity, impulsiveness).

Conclusion:

ADHD is a clinically relevant construct in the Karajá indigenous population, representing a major concern among parents/caretakers of children and adolescents from this ethnic group.

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Abstract
Copyright
Copyright © European Psychiatric Association 2012
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