RESUMEN
ABSTRACT Background: Parental depression and anxiety are relevant factors that may influence child externalizing and internalizing behavior; also influenced by stigmatized knowledge about such mental illnesses. Objectives: To identify which instruments were used in studies on the effects of parental depression and anxiety on child behavior from 6 to 12 years old; to analyze the main results in offspring's behaviors on articles published between 2011 to 2019. Methods: we did a literature review searching PubMed, BVS, ISI, and Scopus databases; keywords: "Maternal Depression", "Maternal Anxiety", "Paternal Depression", "Paternal Anxiety", "Mother's (also Mothers') Depression", "Mother's (also Mothers') Anxiety", "Father's (also Fathers') Depression", "Father's (also Fathers') Anxiety", "Parental Depression", "Parental Anxiety" AND "Child Behavior", in Portuguese and English. Results: We found 1,500 articles, after applying the inclusion criteria, n = 23 were selected and analyzed. 78.3% of studies were performed with mothers, 17.4% with both parents, and 0% with fathers alone. Different instruments were used to assess depression or anxiety in parents, and child behavior. Discussion: studies that included both parents and parental anxiety assessments were scarce; no study in this review evaluated only fathers. Social abilities, personality traits, self-conceptions, and knowledge about anxiety and depression could enhance the quality of studies' results.
RESUMEN
RESUMO As cardiopatias congênitas (CC) estão entre as principais causas de morbimortalidade na primeira infância e os lactentes com essa condição podem apresentar atrasos no desenvolvimento neuropsicomotor (DNPM). O objetivo deste estudo foi avaliar a influência da CC no DNPM de lactentes. Trata-se de um estudo observacional com avaliação do desenvolvimento neuropsicomotor realizada pela Bayley Scales of Infant and Toddler Development (BSID-III). As condições maternas e clínicas dos lactentes foram verificadas no relatório de alta médica e na caderneta de saúde da criança, e a condição socioeconômica das famílias pelo Critério da Classificação Econômica Brasil. Para associar as variáveis clínicas e o DNPM foram utilizados o coeficiente de correlação de Spearman e o teste de razão de verossimilhança. Foram avaliados 18 lactentes, com predomínio do sexo feminino (72,2%). A maioria das mães (47,1%) possuía ensino médio completo ou superior incompleto, com média da idade de 27,2±5,5 anos. Houve correlação das escalas do BSID-III com as variáveis quantitativas analisadas: escala motora com o peso (p=0,02 e r=0,54) e com uso de oxigenoterapia (p=0,009 e r=−0,591); já para as variáveis qualitativas as associações foram entre: escala motora e condição socioeconômica (p=0,015), escala motora e comunicação interatrial - (CIA) (p=0,023) e escala da linguagem e CIA (p=0,038). A CC influenciou o DNPM, principalmente no aspecto motor. Além disso peso, diagnóstico de CIA, uso de oxigenoterapia e condição socioeconômica foram considerados como principais fatores de risco para o atraso no DNPM.
RESUMEN Las cardiopatías congénitas (CC) se encuentran entre las principales causas de morbimortalidad en la primera infancia, y los lactantes con esta afección pueden tener retrasos en el desarrollo neuropsicomotor (DNPM). El presente estudio tuvo el objetivo de evaluar la influencia de las CC en el DNPM de los lactantes. Este es un estudio observacional en el cual se evaluó el desarrollo neuropsicomotor utilizando la Bayley scales of infant and toddler development (BSID-III). Las condiciones maternas y clínicas de los lactantes se obtuvieron en el informe de alta médica y en la libreta de salud del niño, y el estado socioeconómico de las familias en el Criterio de Clasificación Económica de Brasil. Para asociar las variables clínicas y el DNPM, se utilizaron el coeficiente de correlación de Spearman y la prueba de razón de probabilidad. Se evaluaron a 18 lactantes, con un predominio del sexo femenino (72,2%). La mayoría de las madres (47,1%) tenían la secundaria completa o la educación superior incompleta, con una edad promedio de 27,2±5,5 años. Hubo una correlación entre las escalas BSID-III y las variables cuantitativas analizadas: escala motora con el peso (p=0,02 y r=0,54) y con el uso de oxigenoterapia (p=0,009 y r=−0,591); para las variables cualitativas, las asociaciones fueron entre: escala motora y estado socioeconómico (p=0,015), escala motora y comunicación interauricular (CIA) (p=0,023) y escala de lenguaje y CIA (p=0,038). Las CC influyeron en el DNPM, principalmente en el aspecto motor. Además, el peso, el diagnóstico de CIA, el uso de oxigenoterapia y el estado socioeconómico fueron considerados los principales factores de riesgo para el retraso en el DNPM.
ABSTRACT Congenital heart defects (CHD) are among the main causes of morbidity and mortality in infants who has this impairment may present delays in neuropsychomotor development (NPMD). This study assesses the influence of CHD on NPMD of infants. This is an observational study assessing neuropsychomotor development performed by Bayley Scales of Infant and Toddler Development - BSID-III. The Brazilian Economic Classification Criteria was used to verify the socioeconomic status of the families and also the maternal and infants' clinical conditions were verified in the medical discharge report and in the child's health handbook. For the association between the quantitative and qualitative variables with the NPMD, the Spearman's correlation coefficient and the likelihood ratio test were used. A total of 18 infants were assessed, with a predominance of females (72.2%). Most mothers (47.1%) had complete high school or incomplete higher education, with a mean age of 27.2±5.5 years. There was a correlation between the BSID-III scales and the quantitative variables analyzed: motor scale with weight (p=0.02 and r=0.54) and oxygen therapy (p=0.009 and r=−0.591); besides that, the qualitative variables correlation were: motor scale and socioeconomic condition (p=0.015), motor scale and Interatrial Communication - IAC (p=0.023) and language with IAC scales (p=0.038). CHD influences the delay of NPMD, mainly for motor aspect. Furthermore, weight, diagnosis of IAC, use of oxygen therapy and socioeconomic status were considered the main risk factors for the delay in NPMD.
Asunto(s)
Humanos , Lactante , Trastornos Psicomotores/etiología , Trastornos de la Destreza Motora/etiología , Trastornos del Neurodesarrollo/etiología , Cardiopatías Congénitas/complicaciones , Terapia por Inhalación de Oxígeno/efectos adversos , Trastornos Psicomotores/diagnóstico , Factores Socioeconómicos , Desarrollo Infantil/fisiología , Estudios Transversales , Trastornos del Conocimiento/diagnóstico , Trastornos del Conocimiento/etiología , Trastornos de la Destreza Motora/diagnóstico , Trastornos del Neurodesarrollo/diagnóstico , Hospitalización , Trastornos del Lenguaje/diagnóstico , Trastornos del Lenguaje/etiología , Tiempo de Internación , Pruebas NeuropsicológicasRESUMEN
BACKGROUND: Treacher Collins syndrome has a wide variation of clinical presentation, including airway obstruction and hearing loss. The objective of this study was to assess patient-rated quality of life in Treacher Collins syndrome, who received multidisciplinary treatment at a specialized craniofacial hospital, and to compare their quality of life with a control sample. METHODS: Treacher Collins patients under treatment in a multidisciplinary setting were assessed with the World Health Organization Quality of Life (WHOQOL-100) questionnaire. The Siviero scale was used to classify quality of life as unsatisfactory (scores below 25), intermediate (scores between 25 and 75), and satisfactory (scores above 75). Quality of life comparison between Treacher Collins patients and 2342 unaffected individuals from a previous database was performed using the analysis of variance test. Differences were considered significant at Pâ<â0.05. RESULTS: Treacher Collins patients demonstrated an overall intermediate and satisfactory (score >60%) quality of life in almost all WHOQOL-100 facets and domains. The comparison of the scores between unaffected individuals and Treacher Collins patients demonstrated a significant difference (Pâ<â0.05) in the environment domain. CONCLUSION: The highest functioning Treacher Collins syndrome patients under multidisciplinary treatment presented intermediate and satisfactory quality of life, consistent with quality of life scores of unaffected controls. In the environment domain, Treacher Collins patients presented even higher scores of quality of life than the control group. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
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Disostosis Mandibulofacial , Calidad de Vida , Estudios de Cohortes , Humanos , Padres , Encuestas y CuestionariosRESUMEN
A dependência de drogas constitui sério problema de saúde pública, necessitando do desenvolvimento de estratégias tanto para tratamento como promoção e prevenção de saúde de usuários e familiares. Este artigo trata-se de uma revisão da literatura sobre a produção científica acerca dos tratamentos oferecidos aos familiares de dependentes químicos no Brasil, ao longo dos últimos 10 anos através da biblioteca virtual da Bireme. Observa-se escassa produção de conhecimento científico visando o desenvolvimento de estratégias de tratamento familiar viáveis, acessíveis e que não se limitem apenas a espaços grupais informativos, educativos e de acolhimento, demonstrando a necessidade do desenvolvimento de estratégias que impactem em aspectos subjetivos subjacentes, latentes, que permeiam a constituição das relações familiares, a manutenção e repetição do sintoma.
Drug addiction is a serious public health problem, requiring the development of treatment and prevention/promotion of health for pacients and their families. This article is a literature review of the scientific literature about the treatments offered to the families of drug addicts in Brazil over the past 10 years through the Virtual Library Bireme. Itis observed scarce production of scientific knowledge for the development of viable and accessible family treatment strategies, that are not limited only to informative groups, educational and emotional shelter spaces, demonstrating the need to develop strategies that impact on underlying latent subjective aspects that permeate the creation of family relations, the maintenance and repetition of the symptoms.
Asunto(s)
Humanos , Trastorno Depresivo , Medicina Familiar y Comunitaria , Promoción de la Salud , Drogas Ilícitas , Salud de la FamiliaRESUMEN
O objetivo deste estudo foi avaliar o uso de drogas em uma amostra representativa de 2.434 estudantes do Município de São Paulo, relacionando o consumo às religiões mais praticadas. Para isso aplicou-se o "Questionário sobre uso de drogas" para avaliar o consumo dessas substâncias. Os resultados revelaram que a maior parte da amostra é católica; os estudantes que menos consumiram drogas se intitulam protestantes. Os que se classificam como não tendo religião estão entre os que mais consomem drogas nesta amostra. Aqueles que se denominam praticantes, seja qual for a religião, tenderam a apresentar menor consumo de drogas
The Aim of this study was to evaluate drug use amongst a representative sample of 2,434 students in the municipality of Sao Paulo, linking consumption to the most practiced religions. For this, the "Survey on Drug Use" was implemented to assess the consumption of these substances. The results were: the majority of the sample is Catholic; students who consumed fewer drugs identify themselves Protestant; those who classify themselves as having no religion are amongst those who consumed most drugs in this sample; Those who call themselves practicing, whatever religion it may be, tended to exhibit lower drug use