The role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.

<h4>Objectives</h4>We investigated whether perceived social support among adolescent students moderated the association between violence exposure and internalising symptoms in São Paulo city, Brazil.<h4>Methods</h4>We tested the stress-buffering model using data from the cros...

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Autores principales:	Meaghen Quinlan-Davidson, Ligia Kiss, Delan Devakumar, Mario Cortina-Borja, Manuel Eisner, Maria Fernanda Tourinho Peres
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0340a05e8553488db199defd4d3f817a
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spelling	oai:doaj.org-article:0340a05e8553488db199defd4d3f817a2021-12-02T20:17:19ZThe role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.1932-620310.1371/journal.pone.0258036https://doaj.org/article/0340a05e8553488db199defd4d3f817a2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258036https://doaj.org/toc/1932-6203<h4>Objectives</h4>We investigated whether perceived social support among adolescent students moderated the association between violence exposure and internalising symptoms in São Paulo city, Brazil.<h4>Methods</h4>We tested the stress-buffering model using data from the cross-sectional school-based, survey São Paulo Project on the Social Development of Children and Adolescents. Internalising symptoms were measured using an adapted version of the Social Behaviour Questionnaire; serious victimisation, being bullied once/week, school violence and community violence, friend and teacher support were scales adapted by the research team; the Alabama Parenting Questionnaire measured parenting style. Linear mixed-effects models were used to quantify moderation effects of (i) social support between violence exposure and internalising symptoms and (ii) gender between violence exposure and internalising symptoms across schools.<h4>Results</h4>Across schools, being bullied once/week, school violence, and community violence were associated with a significant (p<0.001) increase in internalising symptoms (e.g., bullied b = 5.76, 95% CI 2.26, 9.26; school violence b = 0.48, 95% CI 0.30, 0.67; community violence b = 0.36; 95% CI 0.22, 0.50). Males exposed to all types of violence had significantly lower (p<0.01) internalising symptoms compared to females (e.g., serious victimisation: b = -1.45; 95% CI -2.60, -0.29; school violence b = -0.27; 95% CI -0.30, -0.24; community violence b = -0.23; 95% CI -0.25, -0.20). As a main effect, social support was associated with a significant (p<0.01) decrease in internalising symptoms across schools (e.g., positive parenting b = -2.42; 95% CI -3.12, -1.72; parent involvement b = -2.75; 95% CI -3.32, -2.17; friend support b = -1.05; 95% CI -1.74, -0.34; teacher support b = -0.90; 95% CI -1.58, -0.22). Social support did not moderate the association between violence exposure and internalising symptoms.<h4>Conclusions</h4>Adolescent students in São Paulo exposed to violence have a higher likelihood of internalising symptoms, compared to those who are not. Support from parents, friends, and teachers, independent of violence, appear to be protective against internalising symptoms, pointing to potential programmes that could improve adolescent mental health.Meaghen Quinlan-DavidsonLigia KissDelan DevakumarMario Cortina-BorjaManuel EisnerMaria Fernanda Tourinho PeresPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258036 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Meaghen Quinlan-Davidson Ligia Kiss Delan Devakumar Mario Cortina-Borja Manuel Eisner Maria Fernanda Tourinho Peres The role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.
description	<h4>Objectives</h4>We investigated whether perceived social support among adolescent students moderated the association between violence exposure and internalising symptoms in São Paulo city, Brazil.<h4>Methods</h4>We tested the stress-buffering model using data from the cross-sectional school-based, survey São Paulo Project on the Social Development of Children and Adolescents. Internalising symptoms were measured using an adapted version of the Social Behaviour Questionnaire; serious victimisation, being bullied once/week, school violence and community violence, friend and teacher support were scales adapted by the research team; the Alabama Parenting Questionnaire measured parenting style. Linear mixed-effects models were used to quantify moderation effects of (i) social support between violence exposure and internalising symptoms and (ii) gender between violence exposure and internalising symptoms across schools.<h4>Results</h4>Across schools, being bullied once/week, school violence, and community violence were associated with a significant (p<0.001) increase in internalising symptoms (e.g., bullied b = 5.76, 95% CI 2.26, 9.26; school violence b = 0.48, 95% CI 0.30, 0.67; community violence b = 0.36; 95% CI 0.22, 0.50). Males exposed to all types of violence had significantly lower (p<0.01) internalising symptoms compared to females (e.g., serious victimisation: b = -1.45; 95% CI -2.60, -0.29; school violence b = -0.27; 95% CI -0.30, -0.24; community violence b = -0.23; 95% CI -0.25, -0.20). As a main effect, social support was associated with a significant (p<0.01) decrease in internalising symptoms across schools (e.g., positive parenting b = -2.42; 95% CI -3.12, -1.72; parent involvement b = -2.75; 95% CI -3.32, -2.17; friend support b = -1.05; 95% CI -1.74, -0.34; teacher support b = -0.90; 95% CI -1.58, -0.22). Social support did not moderate the association between violence exposure and internalising symptoms.<h4>Conclusions</h4>Adolescent students in São Paulo exposed to violence have a higher likelihood of internalising symptoms, compared to those who are not. Support from parents, friends, and teachers, independent of violence, appear to be protective against internalising symptoms, pointing to potential programmes that could improve adolescent mental health.
format	article
author	Meaghen Quinlan-Davidson Ligia Kiss Delan Devakumar Mario Cortina-Borja Manuel Eisner Maria Fernanda Tourinho Peres
author_facet	Meaghen Quinlan-Davidson Ligia Kiss Delan Devakumar Mario Cortina-Borja Manuel Eisner Maria Fernanda Tourinho Peres
author_sort	Meaghen Quinlan-Davidson
title	The role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.
title_short	The role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.
title_full	The role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.
title_fullStr	The role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.
title_full_unstemmed	The role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.
title_sort	role of social support in reducing the impact of violence on adolescents' mental health in são paulo, brazil.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/0340a05e8553488db199defd4d3f817a
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The role of social support in reducing the impact of violence on adolescents' mental health in São Paulo, Brazil.

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