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Master's Dissertation
DOI
10.11606/D.61.2011.tde-29062011-111922
Document
Author
Full name
Márcia Regina Ferro
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
Bauru, 2011
Supervisor
Committee
Maximino, Luciana Paula (President)
Abramides, Dagma Venturini Marques
Neme, Carmen Maria Bueno
Title in Portuguese
Síndrome Del 22q11: estudo comportamental
Keywords in Portuguese
Comportamento
Psicologia
síndrome Velocardiofacial
Abstract in Portuguese
Objetivo: Investigar a competência social e a frequência de problemas afetivos e de comportamento em crianças e adolescentes com Síndrome Del 22q11. Investigar a frequência de problemas de saúde mental em crianças e adolescentes com Síndrome Del 22q11. Modelo/Participantes: 13 sujeitos, 8 sexo Feminino e 5 Masculino. De 06 a 18 anos. Com diagnóstico da Deleção 22q11. Local de Execução: Hospital de Reabilitação de Anomalias Craniofaciais (HRAC) USP. Bauru SP. Instrumentos: (I) o Inventário de Comportamentos da Infância e Adolescência (CBCL), para pais de Achenbach (1991)- versão brasileira do instrumento (Bordin, Mari e Caeiro 1995) composto de 138 itens diferentes com questões estruturadas e semi-estruturadas, relativas à avaliação da competência social e de problemas de comportamento e (II) a Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL)- versão brasileira (Brasil 2003) com questões semi-estruturadas para identificar distúrbios afetivos na faixa etária de 6 a 18 anos. (III) Teste de Matrizes Progressivas Coloridas de Raven (1999), de 5 a 11 anos, Teste de Matrizes Progressivas, Escala Geral Séries, A, B, C, D e E, (Raven 2003) brasileiros com idade acima de 11 anos. Resultados: A Escala de Comportamento Total (comportamento Internalizante, Externalizante e Outros Problemas, houve indicação significativa de 9(70%) sujeitos para acompanhamento clínico. No estudo de saúde mental, três (23%) dos sujeitos foram classificadas com Transtorno de Déficit de Atenção, sendo uma adolescente e duas crianças do sexo feminino. Uma das crianças também com Transtorno de Oposição Desafiante. Conclusões: A investigação de frequência de problemas sócias, afetivos e comportamentais, se faz necessário, visto que essa população, apresenta índices significativos de problemas desta ordem. Os sujeitos com o diagnóstico da síndrome, devem ser investigados na infância, porque podem apresentar indícios de sintomas como, Transtornos de Atenção e Hiperatividade, Transtornos de oposição desafiante, Transtornos de ansiedade de separação, sendo estes sintomas paralelos ou as comorbidades. O tratamento deve ter inicio o mais cedo possível, devido a evolução para quadros de saúde mental mais graves.
Title in English
22q11 deletion syndrome: behavioral study
Keywords in English
Behavior
Psychology
Velocardiofacial syndrome
Abstract in English
Objective: To investigate the social competence and frequency of affective and behavioral disorders in children and adolescents with 22q11 deletion syndrome, and to investigate the frequency of mental health disturbances in children and adolescents with 22q11 deletion syndrome. Design/Participants: 13 individuals, being 8 females and 5 males, aged 6 to 18 years, diagnosed with 22q11 deletion syndrome. Setting: Hospital for Rehabilitation of Craniofacial Anomalies (HRAC) USP. Bauru, SP. Instruments: (I) Achenbach Child Behavior Checklist (CBCL) (1991), Brazilian version (Bordin, Mari e Caeiro 1995) composed of 138 different items with structured and semi-structured questions, addressing the evaluation of social competence and behavioral problems; (II) the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL) Brazilian version (Brasil 2003) with semi-structured questions to identify affective disorders in the age range 6 to 18 years; and (III) Ravens Progressive Matrices Test (1999) for 5 to 11 years, Progressive Matrices Test, General Scale Series, A, B, C, D and E, (Raven 2003), for Brazilian individuals aged more than 11 years. Results: According to the Global Behavior Scale (internalizing and externalizing behavior and other problems), there was significant indication of 9 (70%) individuals for clinical follow-up. In the mental health analysis, three (23%) subjects were classified as presenting Attention Deficit Hyperactivity Disorder (with predominance of inattentive type), being a teenager and two children of female gender, one of children whom also had Oppositional Defiant Disorder. Conclusions: Analysis of the frequency of social, affective and behavioral problems is necessary, since this population presented significant rates of these disorders. Subjects diagnosed with the syndrome should be investigated in childhood, because they may present signs of symptoms as Attention Deficit Hyperactivity Disorder and Separation Anxiety Disorder, which may be parallel or associated to comorbidities. The treatment should be initiated as early as possible because of the possible evolution to more severe mental health disorders.
 
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Publishing Date
2011-07-12
 
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