Early childhood attachment stability to mothers, fathers, and both parents as a network: associations with parents' well-being, marital relationship, and child behavior problems.

This study examines the stability of child attachment to mothers and fathers separately, and to both parents as a network between the infancy and preschool periods using a sample of 143 biparental families and their children (73 boys) recruited from the general population. Attachment was assessed at 15 months with the Strange Situation Procedure (SSP) and at 45 months with the Preschool Attachment Classification Coding System (PACS). First, results show no stability in attachment to mothers, to fathers, or to both parents as a network. Second, parents' mental health, life satisfaction, marital satisfaction, and child externalizing behavior are associated with attachment stability. Taken altogether, group comparisons reveal that children with a stable secure attachment to both parents as a network have parents with higher levels of well-being and exhibit less problem behaviors than children with 1) a stable secure attachment to one parent and an unstable attachment to the other parent (from secure to insecure or from insecure to secure), or 2) who never had a stable secure attachment to either parent. This study highlights the significance of attachment to both parents as a network over time as it is associated with developmental outcomes.

An Attachment-Based Parental Capacity Assessment to Orient Decision-Making in Child Protection Cases: A Randomized Control Trial.

Two parenting capacity assessment (PCA) protocols, with a short parent-child intervention embedded in each protocol, evaluated the potential for enhanced parenting to orient child placement decision. Parents (n = 69), with substantiated reports of maltreatment by child protective services, and their children (0-6) were randomly assigned to one of two PCAs with either the Attachment Video-feedback (PCA-AVI) or a psychoeducational intervention (PCA-PI) as the embedded intervention component. The PCA-AVI group showed the highest increases in parent-child interaction quality at post-test. Also, at PCA completion, evaluators' conclusions about the parents' capacity to care for both PCA groups were associated with parent-child interactive improvements at post-test, the court's placement decision at post-test, and child placement one year later. However, only conclusions drawn by PCA-AVI evaluators were predictive of child re-reports of maltreatment in the year following PCA. PCAs, relying on short attachment interventions to assess the potential for enhanced parenting, are promising tools to orient child placement decisions.

Meta-Analysis of Sex Differences in ADHD Symptoms and Associated Cognitive Deficits.

Objective: A meta-analysis was carried out to determine whether there are sex differences among children and adolescents with ADHD on the primary symptoms of ADHD and on executive and attentional functioning. Method: Studies published from 1997 to 2017 comparing boys and girls with a valid ADHD diagnosis were retained. Results: The meta-analysis found boys with ADHD to be more hyperactive than girls with ADHD and boys to have more difficulties in terms of motor response inhibition and cognitive flexibility. Results also confirm that youths with ADHD have more executive deficits than non-ADHD peers have, but there is no sex difference in this regard. Conclusion: Results show that there are sex differences in the behavioral expression of the difficulties related to ADHD. This highlights the importance of pursuing research to refine the profile of girls with ADHD and to develop diagnostic criteria adapted to each sex.

Pesquisas transculturais em psicologia do desenvolvimento: considerações teórico-metodológicas / Cross-cultural research in developmental psychology: theoretical and methodological considerations / Investigaciones transculturales en psicología del desarrollo: consideraciones teórico-metodológicas

A cultura e os contextos sociais são aspectos importantes na investigação de fenômenos concernentes ao desenvolvimento humano. Tem-se como objetivo apresentar considerações teórico-metodológicas, baseadas na experiência de uma pesquisa realizada por pesquisadores brasileiros e canadenses, acerca dos procedimentos adotados na produção científica envolvendo a Psicologia Transcultural e a Psicologia do Desenvolvimento, apontando desafios e possibilidades para superá-los. Salienta-se a importância da adequação da pesquisa para diferentes culturas e recomenda-se atentar para os seguintes procedimentos: definição do tema de pesquisa, escolha e adaptação dos instrumentos de medida, definição do construto, treinamento dos pesquisadores e estudo piloto. A indicação de critérios dessa natureza tem como objetivo aprimorar a sistematização e descrição de estudos transculturais na área da Psicologia do Desenvolvimento para que se possam produzir resultados consistentes e válidos

The culture and social contexts are important in the investigation of aspects related to human development. The objective was to present theoretical and methodological considerations, based on our experience related to a research carried out by Brazilian and Canadian researchers, on the procedures adopted in the scientific literature involving the Transcultural Psychology and Developmental Psychology, pointing challenges and possibilities of overcoming them. The importance of adequacy of research for different cultures was stressed and it is recommended be attentive to the following: definition of the research topic, choice of the measuring instrument, definition of the construct, instrument adaptation, training researchers and pilot study. Indication criteria of this nature aims to improve the systematization and description of cross-cultural studies in Developmental Psychology, in order to make possible to produce consistent and valid results

La cultura y los contextos sociales son aspectos importantes en la investigación de fenómenos concernientes al desarrollo humano. Se tiene como objetivo presentar consideraciones teórico-metodológicas, basadas en la experiencia de una investigación realizada por investigadores brasileños y canadienses, acerca de los procedimientos adoptados en la producción científica envolviendo la Psicología Transcultural y la Psicología del Desarrollo, apuntando desafíos y posibilidades. Se destaca la importancia de la adecuación de la investigación para diferentes culturas y se recomienda atentar para los siguientes procedimientos: definición del tema de investigación, elección y adaptación de los instrumentos de medida, definición del constructo, entrenamiento de los investigadores y estudio piloto. La indicación de criterios de esa naturaleza tiene como objetivo mejorar la sistematización y descripción de estudios transculturales en el área de la Psicología del Desarrollo para que se puedan producir resultados consistentes y válidos

Types and Influence of Social Support on School Engagement of Young Survivors of Leukemia.

The present study aimed to describe and explore the influence of social support on the school engagement of young survivors of pediatric leukemia. Fifty-three young Quebecers, previously diagnosed and treated for leukemia, completed a questionnaire measuring their school engagement and participated in an interview focusing on the support offered by four groups of relations with regard to school: parents, siblings, friends, and other nonprofessional relations. The interview responses revealed that parents were perceived to be the primary source of informational and emotional support, with support also provided to a lesser extent by friends, siblings, and members of the extended family. Inferential analyses indicated that young survivors report a higher school engagement score when they perceive themselves as receiving support from a greater number of groups of relations, especially from friends or siblings.

Structure of executive functions in typically developing kindergarteners.

Whereas studies of the past 10 years have shown the executive functions (EFs) in adults to be differentiated into at least three principal components (working memory, inhibition, and flexibility), EF structure in children is far less well understood despite a large body of research on the subject. A study was undertaken to test different structural models of EFs through confirmatory factor analysis (CFA) on a large sample of typically developing kindergarteners (N = 272). The method employed sought to remedy the shortcomings of past research in this field such as absence of CFA, insufficient number of EF components tested, insufficient number of indicators per latent variable, and absence of control on processing speed. Children were assessed using a battery of EF tasks developed by the researchers to measure working memory (WM), flexibility, and inhibition (backward word span, backward block span, fruit Stroop, day-night test, hand Stroop, Trails-P, card sort, face sort, and verbal fluency shift). CFA results show the best-fitting model to comprise two factors, namely, an inhibition factor and a WM-flexibility factor. Invariance analyses suggest that this structure is the same for girls and boys and that latent variable means do not differ by sex. These results support the hypothesis of EF differentiation during development. The researchers formulate other hypotheses regarding neurophysiological development.

Executive functions in kindergarteners with high levels of disruptive behaviours.

Executive function (EF) deficits have yet to be demonstrated convincingly in children with disruptive behaviour disorders (DBD), as only a few studies have reported these. The presence of EF weaknesses in children with DBD has often been contested on account of the high comorbidity between DBD and attention-deficit/hyperactivity disorder (ADHD) and of methodological shortcomings regarding EF measures. Against this background, the link between EF and disruptive behaviours in kindergarteners was investigated using a carefully selected battery of EF measures. Three groups of kindergarteners were compared: (1) a group combining high levels of disruptive behaviours and ADHD symptoms (COMB); (2) a group presenting high levels of disruptive/aggressive behaviours and low levels of ADHD symptoms (AGG); and (3) a normative group (NOR). Children in the COMB and AGG groups presented weaker inhibition capacities compared with normative peers. Also, only the COMB group showed weaker working memory capacities compared with the NOR group. Results support the idea that preschool children with DBD have weaker inhibition capacities and that this weakness could be common to both ADHD and DBD.

Directionality of physical and psychological dating violence among adolescents in Recife, Brazil.

OBJECTIVE: The aim was to investigate the physical and psychological dating violence among adolescents with respect to the profiles of directionality - only man perpetrates, only woman perpetrates, and bidirectional, ie, both perpetrate violence. METHODS: Sample was performed by two-stage cluster selection in public and private school in the city of Recife (PE), Brazil, presenting data on 355 adolescents of both sexes between 15 and 19 years old. Psychological violence was measured in dimensions threat, verbal/emotional, and relational. Statistical analyzes incorporated the sampling weight and the complex sample design. RESULTS: Violence is bidirectional in most forms studied (83.9%) and girls reported higher levels of perpetration of physical violence, and boys reported more perpetration of relational violence. CONCLUSION: It was concluded that adolescent dating violence shows a pattern where partners attack each other, both physically and psychologically. Future research should study the patterns of these acts of violence, keeping the adolescent couple as the unit of analysis and exploring the context in which such violence occurs.

[Notes and reflections on family support programs that foster the social competence of children]. / Apontamentos e reflexões sobre programas de apoio familiar que favorecem a competência social da criança.

Harmony in family relationships has a positive impact on all its members and especially on the development of the social competence of the child. Based on current scientific knowledge, the scope of this article is to examine the quality criteria required for psychosocial support programs aimed at intervening together with families in order to reduce the behavioral problems of children and enhance their social competence. The programs discussed in this article are Incredible Years, High Scope and Fast Track (United States), ELEM and Fluppy (Canada). It is revealed that family interventions based on this knowledge meet high standards of efficacy and ethics. However, the conclusion reached is that researchers and professionals still face obstacles in protocols where the low coherence between assessment and intervention may compromise the quality of support offered to families from a public health perspective.

Apontamentos e reflexões sobre programas de apoio familiar que favorecem a competência social da criança / Notes and reflections on family support programs that foster the social competence of children

A harmonia nas relações familiares tem um impacto positivo para todos os seus membros e, em especial, para o desenvolvimento da competência social da criança. Com base nos conhecimentos científicos atuais, a proposta deste artigo é examinar os critérios de qualidade necessários aos programas de apoio psicossocial que visam intervir junto às famílias, no intuito de diminuir os problemas de comportamento das crianças e melhorar sua competência social. Os programas abordados nesse artigo são Incredible Years, High Scope e Fast Track (Estados Unidos), ELEM e Fluppy (Canadá). Constata-se que as intervenções familiares com base nesses conhecimentos atendem a altos padrões de eficácia e ética. Porém, conclui-se que pesquisadores e profissionais ainda encontram obstáculos em protocolos onde a baixa coerência entre a avaliação e a intervenção pode comprometer a qualidade do apoio oferecido às famílias numa perspectiva de saúde pública.

Harmony in family relationships has a positive impact on all its members and especially on the development of the social competence of the child. Based on current scientific knowledge, the scope of this article is to examine the quality criteria required for psychosocial support programs aimed at intervening together with families in order to reduce the behavioral problems of children and enhance their social competence. The programs discussed in this article are Incredible Years, High Scope and Fast Track (United States), ELEM and Fluppy (Canada). It is revealed that family interventions based on this knowledge meet high standards of efficacy and ethics. However, the conclusion reached is that researchers and professionals still face obstacles in protocols where the low coherence between assessment and intervention may compromise the quality of support offered to families from a public health perspective.

Directionality of physical and psychological dating violence among adolescents in Recife, Brazil / Direcionalidade da violência física e psicológica no namoro entre adolescentes do Recife, Brasil

OBJECTIVE: The aim was to investigate the physical and psychological dating violence among adolescents with respect to the profiles of directionality - only man perpetrates, only woman perpetrates, and bidirectional, ie, both perpetrate violence. METHODS: Sample was performed by two-stage cluster selection in public and private school in the city of Recife (PE), Brazil, presenting data on 355 adolescents of both sexes between 15 and 19 years old. Psychological violence was measured in dimensions threat, verbal/emotional, and relational. Statistical analyzes incorporated the sampling weight and the complex sample design. RESULTS: Violence is bidirectional in most forms studied (83.9%) and girls reported higher levels of perpetration of physical violence, and boys reported more perpetration of relational violence. CONCLUSION: It was concluded that adolescent dating violence shows a pattern where partners attack each other, both physically and psychologically. Future research should study the patterns of these acts of violence, keeping the adolescent couple as the unit of analysis and exploring the context in which such violence occurs. .

OBJETIVO: O objetivo desta pesquisa foi estudar a violência física e psicológica entre namorados adolescentes com relação aos perfis de direcionalidade - apenas o homem perpetra, apenas a mulher perpetra, e bidirecional, ou seja, ambos perpetram violência. MÉTODO: Realizou-se amostra por conglomerados em dois estágios de seleção nas redes pública e particular de ensino médio da cidade de Recife (PE), apresentando-se dados referentes a 355 adolescentes de ambos os sexos entre 15 e 19 anos de idade. A violência psicológica foi mensurada nas dimensões ameaça, verbal/emocional e relacional. As análises estatísticas incorporaram o peso amostral e o desenho da amostra complexa. RESULTADOS: A violência é bidirecional na maioria das formas estudadas (83,9%). As meninas relataram mais alto nível de perpetração de violência física, e os meninos apresentaram maior perpetração de violência relacional. CONCLUSÃO: Concluiu-se que a violência praticada nas relações afetivas/amorosas dos adolescentes apresenta um padrão onde os parceiros se agridem mutuamente, tanto física como psicologicamente. Futuras pesquisas devem aprofundar os estudos sobre esses padrões e contextos de violência, tendo como unidade de análise o casal de adolescentes. .

O engajamento paterno como fator de regulação da agressividade em pré-escolares / La participacion del padre como factor de ajuste de la agresividad en pre-escolares / Paternal engagement as an adjustment factor of aggressiveness in preschool students

Este estudo teve por objetivo investigar o engajamento paterno como fator de regulação da agressividade em crianças de quatro a seis anos de idade. Cinquenta pais responderam a questionários sobre seu engajamento com os filhos e dados sociodemográficos e 26 educadoras responderam questionários acerca do desenvolvimento social das crianças. Foram realizadas análises descritivas e inferenciais. Constatou-se que os pais estão engajados com seus filhos e realizam com maior frequência atividades referentes a suporte emocional, disciplina e jogos físicos. O pai com maior jornada de trabalho é menos engajado e quanto mais ele se dedica aos cuidados básicos e às tarefas de casa, menos os filhos apresentam problemas de externalização. Políticas e programas de apoio ao envolvimento paterno são essenciais para a transformação e consolidação da responsabilidade masculina com relação aos filhos e para a prevenção da agressividade persistente.(AU)

Este estudio tuvo como objetivo investigar la participación de los padres como un factor en la regulación de la agresividad en niños de cuatro a seis años de edad. Cincuenta padres respondieron cuestionarios sobre su relación con sus hijos y datos sociodemográficos; y 26 profesores respondieron cuestionarios sobre el desarrollo social de los niños. Se realizaron analices descriptivo e inferencial con la ayuda del software SPSS. Se encontró que los padres están comprometidos con sus hijos y realizan con más frecuencia actividades relacionadas con apoyo emocional, disciplina y juegos físicos. Los padres con más horas de trabajo son menos comprometidos y, cuanto más se dedican a la atención básica y a las tareas domésticas, menos problemas de externalización tienen sus hijos. Políticas y programas para apoyar la participación de los padres son esenciales para la transformación y consolidación de la responsabilidad masculina respecto a los niños y la prevención de la agresividad persistente.(AU)

This study aimed to investigate paternal engagement as a factor related to aggressiveness regulation in four to six year old children. Fifty fathers answered questionnaires regarding their involvement with their children and sociodemographic data and 26 teachers answered questionnaires about the social development of the children. Descriptive and inferential statistical techniques were employed. It was found that the fathers were engaged with their children and more frequently performed activities related to emotional support, discipline and physical games. The fathers with more working hours were less engaged and the more the father involved himself in the basic care and household tasks, the less his child presented externalizing problems. Policies and programs to support paternal involvement are essential for the transformation and consolidation of male responsibility in relation to children and the prevention of persistent aggression.(AU)

O engajamento paterno como fator de regulação da agressividade em pré-escolares / La participacion del padre como factor de ajuste de la agresividad en pre-escolares / Paternal engagement as an adjustment factor of aggressiveness in preschool students

Este estudo teve por objetivo investigar o engajamento paterno como fator de regulação da agressividade em crianças de quatro a seis anos de idade. Cinquenta pais responderam a questionários sobre seu engajamento com os filhos e dados sociodemográficos e 26 educadoras responderam questionários acerca do desenvolvimento social das crianças. Foram realizadas análises descritivas e inferenciais. Constatou-se que os pais estão engajados com seus filhos e realizam com maior frequência atividades referentes a suporte emocional, disciplina e jogos físicos. O pai com maior jornada de trabalho é menos engajado e quanto mais ele se dedica aos cuidados básicos e às tarefas de casa, menos os filhos apresentam problemas de externalização. Políticas e programas de apoio ao envolvimento paterno são essenciais para a transformação e consolidação da responsabilidade masculina com relação aos filhos e para a prevenção da agressividade persistente.

Este estudio tuvo como objetivo investigar la participación de los padres como un factor en la regulación de la agresividad en niños de cuatro a seis años de edad. Cincuenta padres respondieron cuestionarios sobre su relación con sus hijos y datos sociodemográficos; y 26 profesores respondieron cuestionarios sobre el desarrollo social de los niños. Se realizaron analices descriptivo e inferencial con la ayuda del software SPSS. Se encontró que los padres están comprometidos con sus hijos y realizan con más frecuencia actividades relacionadas con apoyo emocional, disciplina y juegos físicos. Los padres con más horas de trabajo son menos comprometidos y, cuanto más se dedican a la atención básica y a las tareas domésticas, menos problemas de externalización tienen sus hijos. Políticas y programas para apoyar la participación de los padres son esenciales para la transformación y consolidación de la responsabilidad masculina respecto a los niños y la prevención de la agresividad persistente.

This study aimed to investigate paternal engagement as a factor related to aggressiveness regulation in four to six year old children. Fifty fathers answered questionnaires regarding their involvement with their children and sociodemographic data and 26 teachers answered questionnaires about the social development of the children. Descriptive and inferential statistical techniques were employed. It was found that the fathers were engaged with their children and more frequently performed activities related to emotional support, discipline and physical games. The fathers with more working hours were less engaged and the more the father involved himself in the basic care and household tasks, the less his child presented externalizing problems. Policies and programs to support paternal involvement are essential for the transformation and consolidation of male responsibility in relation to children and the prevention of persistent aggression.

A percepção de professoras acerca da agressividade em pré-escolares / Teacher’s perceptions about the aggressiveness in preschool children

Os anos pré-escolares constituem um período crucial, durante o qual as crianças aprendem estratégias de substituição à agressão. Este estudo exploratório-descritivo e transversal teve como objetivo caracterizar o comportamento agressivo de crianças de quatro a seis anos de idade. As crianças foram selecionadas a partir de treze instituições de educação infantil de Santa Catarina. Vinte e seis educadoras de 50 crianças entre quatro e seis anos de idade responderam ao Inventário de Comportamento Infantil (TRF) e a Escala de Comportamento Social do Pré-escolar (PSBS-T). Optou-se pela abordagem quantitativa de dados e foram realizadas análises descritivas e inferenciais com o auxílio do programa Statistical Package for Social Sciences (SPSS) e do software Assessment Data Manager (ADM). As crianças foram caracterizadas como pouco agressivas e apresentaram alto escore de comportamento pró-social. Quanto mais comportamentos agressivos a criança apresenta, maior é a sua dificuldade em se relacionar com seus pares. Os resultados sugerem o processo de substituição da agressão física por formas mais elaboradas de resolver conflitos, tais como a agressão indireta.(AU)

The preschool years are a crucial period during which children learn strategies to replace aggression. This exploratory-descriptive and transversal study aimed to characterize the aggressive behavior of children aged four to six years old. Children were selected from thirteen early childhood institutions of Santa Catarina. Twenty-six educators from 50 children between four and six years old answered the Teacher Report Form for Ages 1½-5 (TRF) and the Preschool Social Behavior Scale - Teacher Form (PSBS-T). We opted for the quantitative data approach and descriptive and inferential data analyses were performed through the Statistical Package for Social Sciences (SPSS) and the software Assessment Data Manager (ADM). Children were characterized as less aggressive and had a high score of prosocial behavior. The more aggressive the child shows, the greater its difficulty in relating with peers. The results suggest the replacement process of physical aggression by more elaborate ways of resolving conflicts, such as indirect aggression.(AU)

A percepção de professoras acerca da agressividade em pré-escolares / Teacher’s perceptions about the aggressiveness in preschool children

Os anos pré-escolares constituem um período crucial, durante o qual as crianças aprendem estratégias de substituição à agressão. Este estudo exploratório-descritivo e transversal teve como objetivo caracterizar o comportamento agressivo de crianças de quatro a seis anos de idade. As crianças foram selecionadas a partir de treze instituições de educação infantil de Santa Catarina. Vinte e seis educadoras de 50 crianças entre quatro e seis anos de idade responderam ao Inventário de Comportamento Infantil (TRF) e a Escala de Comportamento Social do Pré-escolar (PSBS-T). Optou-se pela abordagem quantitativa de dados e foram realizadas análises descritivas e inferenciais com o auxílio do programa Statistical Package for Social Sciences (SPSS) e do software Assessment Data Manager (ADM). As crianças foram caracterizadas como pouco agressivas e apresentaram alto escore de comportamento pró-social. Quanto mais comportamentos agressivos a criança apresenta, maior é a sua dificuldade em se relacionar com seus pares. Os resultados sugerem o processo de substituição da agressão física por formas mais elaboradas de resolver conflitos, tais como a agressão indireta.

The preschool years are a crucial period during which children learn strategies to replace aggression. This exploratory-descriptive and transversal study aimed to characterize the aggressive behavior of children aged four to six years old. Children were selected from thirteen early childhood institutions of Santa Catarina. Twenty-six educators from 50 children between four and six years old answered the Teacher Report Form for Ages 1½-5 (TRF) and the Preschool Social Behavior Scale - Teacher Form (PSBS-T). We opted for the quantitative data approach and descriptive and inferential data analyses were performed through the Statistical Package for Social Sciences (SPSS) and the software Assessment Data Manager (ADM). Children were characterized as less aggressive and had a high score of prosocial behavior. The more aggressive the child shows, the greater its difficulty in relating with peers. The results suggest the replacement process of physical aggression by more elaborate ways of resolving conflicts, such as indirect aggression.

Family functioning and socioaffective competencies of children in the beginning of schooling.

The aim of this short-term longitudinal study, based on the system theory, was to test the association between different aspects of family functioning of preschoolers and their socioaffective competencies at the end of the first grade. The total sample included 278 children (137 boys and 141 girls) and their families. The analysis of variance results regarding the aspects of family cohesion and harmony showed that preschoolers from more cohesive families display more social skills, while those from more conflicting families display more externalizing behavior problems (aggression and irritability). With respect to the family's ability to resolve problems, it was observed that, especially for middle and upper class families, this aspect is associated with better social skills and fewer internalized behavior problems. Overall, results of the present study suggest that the family functioning at early stage might influence children's abilities to regulate their emotions and to establish/maintain important relationships with peers and teachers in their early school years.

Persistence of problematic sexual behaviors in children.

The purpose of this study was to identify personal and family predictors and correlates of persistence of problematic sexual behaviors (PSB) in children. Participants were the families of 49 children (ages 4-11 years) referred by Child Protective Services in 4 administrative districts of Quebec. Caregivers completed interviews and questionnaires twice at a 1-year interval. Results showed that 43% of children persisted with PSB. When age was controlled, greater exposure to sexualized behaviors in the family proved both a correlate and a predictor of PSB persistence in children 12 months later. Externalizing problems and somatic complaints emerged as correlates of PSB as well. Maltreatment subtypes did not predict PSB persistence.

Atuação profissional da atenção básica de saúde face à identificação e notificação da violência infanto-juvenil / Professional perfomances of primary care health in the face of identification and notification of children and adolescents violence / Experiencia profesional de atención primaria de salud en la cara de identificación de la violencia y la notificación del niño

A participação dos profissionais da Atenção Básica em Saúde e a inserção na comunidade, por meio da Estratégia de Saúde da Família (ESF), podem favorecer a identificação precoce dos fatores de risco para a violência e a intervenção nas situações de vulnerabilidade. O objetivo deste estudo é analisar atuação dos profissionais da ESF e das Unidades Básicas de Saúde(UBS) em Feira de Santana, Bahia, no ano de 2008, quanto à identificação e notificação de crianças e adolescentes vitimizados pela violência física e sexual.Trata-se de estudo exploratório, com amostragem aleatória (582), estratificada por conglomerado, segundo tipo de Unidade e categoria profissional, utilizando questionário sigiloso. Foram calculados Qui-quadrado/Pearson e Razão de Prevalência. Os resultados apontam que 88,9 porcento dos profissionais eram mulheres; 62,8 porcento da ESF; os Agentes Comunitários de Saúde (ACS) e os Técnicos de Enfermagem identificaram casos na visita domiciliar e por informação de terceiros, enquanto Médicos e Enfermeiros, na consulta. Segundo relato dos profissionais, a violência física e sexual foi mais frequentes entre vítimas com até 11 anos e sexo feminino 67,9 porcento. A notificação foi citada por 56,9 porcento, embora 17,8 porcento dessas tenham sido efetuadas pelo profissional; notificação nos Conselhos Tutelares 45,2 porcento e Delegacias 33,6 porcento. Conclui-se que a identificação de casos mostrou associação positiva e significante com profissional do sexo feminino, com filhos, experiência entre 6 e 10 anos, categoria de médicos, enfermeiros e ter capacitação prévia. Embora sem significância estatística, os ACS e profissionais da ESF, comparados às outras categorias, mostraram importante atuação na identificação de casos de violência.

The participation of professionals in Primary Health Care and insertion into the community through the Family Health Strategy (ESF) will facilitate the early identification of risk factors for violence and intervention in situations of vulnerability. The objective is analyzing the performance of professionals of FHS and Basic Health Care Unit HBU, Feira of Santana 2008,as the identifying and notification of children and adolescents victimized by physical and sexual violence. This is an exploratory study, with random sampling 582, stratified by conglomerate, according to type of Unit and professional category using confidential questionnaire. To this, were calculated Qui-Square/Pearson and Reason of Prevalence. The results indicate that 88.9 percent of professionals were women; 62.8 percent of FHS, the Community Health Agents CHA, Nursing Staff identified cases through information of home visits and information of third ones; while that Doctors and Nurses, through consultation. According to account of professionals, the physical and sexual violence were more frequent between victims until 11 years old and female sex 67.9 percent.The notification was mentioned by 56. 9 percent although 17. 8 percent these have been made by professional; notification in the Protection Councils 45.2 percent and Police Stations 33. 6 percent. We conclude that the identification of cases showed positive association and significant with female professional, with children, experience between 6 and 10 years, category of doctors, nurses and have previous training. Although not statistically significant, the ACS and professionals of the FHS, compared to other categories, showed an important role in identifying cases of violence.

La participación de los profesionales de Atención Primaria de la Salud y la inserción en la comunidad a través de la Estrategia de Salud de la Familia (ESF) facilitar la identificación precoz de los factores de riesgo para la violencia y la intervención en situaciones de vulnerabilidad. El objetivo es analizar el desempeño de profesionales de la ESF, Feira de Santana (2008) en laidentificación y comunicación de los niños, y adolescentes víctimas de violencia física y sexual. Estudio exploratorio con muestreo aleatorio (582), estratificado por conglomerados, segundo tipo de Unidad y categoría profesional, mediante cuestionario confidencial. Qui-quadrado / Pearson y razón de prevalencia fueron calculados. Los resultados muestran que 88,9por ciento de los profesionales son mujeres, 62,8por ciento del ESF, Agentes Comunitarios de Salud (ACS), técnicos de enfermería identificados casos a través de visitas domiciliarias y información de terceras partes; mientras médicos y enfermeras, a través de consultas. Para los profesionales, violencias física y sexual eran más comunes para víctimas con un máximo de 11 años y mujeres (67,9por ciento). La notificación fue citada por 56,9por ciento, mientras que 17,8por ciento de ellos han sido realizados por un servicio profesional en los Consejos de Tutela (45,2por ciento) y Policía (33,6por ciento). Concluye que la identificación de los casos mostró asociación positiva y significativa con profesional femenino, con hijos, experiência entre 6 y 10 años, categoría de médicos enfermeras, y tienen una capacitación previa. Aunque no es estadísticamente significativa, ACS y profesionales de la ESF, en comparación con otras categorías, hay importante identificación de casos de violencia.