Background The literature provides several studies on the effects of cocaine when exposed to the fetus. However, the majority of these data comes from animal models. Objective The objective of this study is to present socio-demographic and clinical data in crack-cocaine using pregnant women and their babies, as compared to non-users. Methods Cross-sectional study, comprised by 56 dyads of crack-cocaine using mothers-babies and 89 control dyads. In addition to the socio-demographic data and the babies’ information, data collection was based on ABIPEMI for socioeconomic level, WAIS for IQ, MINI for psychopathology and ASSIST for drug use. Results Most crack users, in comparison to non-users, did not have a partner (10.52% vs 4.4%, P = 0.001) and presented lower IQ (78.15, +/-8.07 vs 84.27 +/- 9.87; P = 0.002). The prevalence of antisocial personality disorder and suicide risk in users was higher than in non-users (24.44% vs none, P < 0.001; 28.26% vs 10.46% P = 0.01). Most of the users did not participate in prenatal care (75%). The babies that the crack-cocaine using mothers gave birth to weighed significantly less than the controls (2.858 g vs 3.240 g, P = 0.002). Discussion Users had a higher degree of psychopathology and lower attendance in prenatal care. There was an overlap of adverse factors, both for exposed mothers and babies. The sum of these vulnerabilities could result in significant harm to the developing infant.

OBJETIVOS: Avaliar a concordância entre observadores da Entrevista Semi-Estruturada para Diagnóstico em Psiquiatria da Infância, versão epidemiológica (K-SADS-E). MÉTODOS: Quatro observadores em fase final de treinamento na aplicação do instrumento K-SADS-E pontuaram independentemente 29 entrevistas, registradas em vídeo-tape, de pacientes ambulatoriais do Programa de Transtorno de Déficit de Atenção/Hiperatividade do Hospital de Clínicas de Porto Alegre. Os resultados foram analisados pelo coeficiente de kappa (k). RESULTADOS: Os coeficientes k foram 0,93 (p<0,001) para transtornos do humor, 0,9 (p<0,001) para transtornos de ansiedade e 0.94 (p<0,001) para transtornos de déficit de atenção/hiperatividade e do comportamento disruptivo. CONCLUSÃO: Os resultados demonstram uma excelente concordância entre observadores na formulação diagnóstica dos vários transtornos da infância e adolescência, por meio da versão em português da K-SADS-E.

OBJETIVE: The main objective of this study was to assess the interrater agreement for the Schedule for Affective Disorders and Schizophrenia Epidemiological version for School-Age Children (K-SADS-E). METHODS: Four interviewers being trained with the K-SADS-E scored independently 29 videotaped interviews performed with psychiatric outpatients in the ADHD Outpatient Clinic at Hospital de Clínicas de Porto Alegre. Interrater agreement analysis was performed using the kappa coefficient (k). RESULTS: Kappa coefficients were .93 (p<.001) for affective disorders, .9 (p<.001) for anxiety disorders, .94 (p<.001) for attention-deficit/hyperactivity disorders and disruptive behavior disorders. CONCLUSION: These findings suggest an excellent interrater agreement for the diagnosis of several mental disorders in childhood and adolescence by the Brazilian Portuguese version of the K-SADS-E.