{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T14:53:27Z","timestamp":1778597607553,"version":"3.51.4"},"reference-count":20,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"unspecified","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Instituto J\u00f4 Clemente","award":["Intellectual Disability Observatory Project - PI:"],"award-info":[{"award-number":["Intellectual Disability Observatory Project - PI:"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,9,18]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the occurrence of depression and mental health disorders other than depression among Brazilian people with intellectual disabilities, analysing data from a national household survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional epidemiological study using data from the 2019 National Health Survey (PNS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Brazil, nationwide data collection in urban and rural private households.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>272\u2009499 individuals, among whom 1.2% (n=3198) reported intellectual disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measures<\/jats:title>\n                    <jats:p>Self-reported depression and mental health disorders other than depression (anxiety, panic, schizophrenia, bipolar disorder, psychosis or obsessive\u2013compulsive disorder (OCD)), either isolated or comorbid.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among people with intellectual disabilities, 43.2% reported at least one mental health disorder versus 13.7% without disabilities. In adults aged 0\u201359 years, intellectual disability was associated with higher odds of depression (adjusted OR (aOR) 3.25, 95%\u2009CI 1.76 to 6.00), mental health disorders other than depression (aOR 12.23, 95%\u2009CI 7.52 to 19.90) and depression associated with other mental health disorders (aOR 14.34, 95%\u2009CI 7.92 to 25.96). In older adults (\u226560 years), risks also remained elevated: depression (aOR 1.71, 95%\u2009CI 1.04 to 2.79), mental health disorders other than depression (aOR 4.33, 95%\u2009CI 2.09 to 8.94) and depression associated with other mental health disorders (aOR 2.98, 95%\u2009CI 1.49 to 5.95). Women with intellectual disabilities were more likely to report depression and multimorbidity, while men more often reported non-depressive disorders. Poorer self-perceived health was consistently linked to worse outcomes across age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mental health disorders and their comorbidities are significantly more prevalent among people with intellectual disabilities in Brazil. These findings highlight the urgent need for inclusive, equitable and specialised mental healthcare policies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-104089","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T09:00:51Z","timestamp":1760605251000},"page":"e104089","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence and predictors of depression and other mental health disorders in Brazilian adults with intellectual disabilities: a population-based secondary analysis"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6070-7233","authenticated-orcid":false,"given":"Gabriela Arantes","family":"Wagner","sequence":"first","affiliation":[{"name":"Medicina Preventiva, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Cesar Lopes","family":"Gerum","sequence":"additional","affiliation":[{"name":"Department of Operations and Supply Chain Management, Cleveland State University, Cleveland, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz F","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics, Cleveland State University, Cleveland, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo Rafael Souza","family":"Silva","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancia M\u00e9dicas da Universidade de Pernambuco, Universidade de Pernambuco, Recife, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauricio","family":"Lima","sequence":"additional","affiliation":[{"name":"Medicina Preventiva, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Ribeiro","family":"Duraes","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciene","family":"Covolan","sequence":"additional","affiliation":[{"name":"Departamento de Fisiologia, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"2025120415071041000_15.10.e104089.1","unstructured":"Instituto brasileiro de geografia e estat\u00edstica (ibge). pesquisa nacional de sa\u00fade 2019: percep\u00e7\u00e3o do estado de sa\u00fade, estilos de vida, doen\u00e7as cr\u00f4nicas e sa\u00fade bucal - Brasil e grandes regi\u00f5es. 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