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1.
Intellect Dev Disabil ; 58(5): 355-360, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33032314

RESUMO

The COVID-19 epidemic caused disruption and dislocation in the lives of people with disabilities, their families, and providers. What we have learned during this period regarding the strengths and weaknesses of the service system for people with disabilities should provide a roadmap for building a more robust and agile system going forward. Based on a canvas of leaders in our field, I propose a way of outlining a reimagined system.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Deficiências do Desenvolvimento/reabilitação , Serviços de Saúde/tendências , Deficiência Intelectual/reabilitação , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Deficiências do Desenvolvimento/epidemiologia , Deficiências do Desenvolvimento/psicologia , Humanos , Deficiência Intelectual/epidemiologia , Deficiência Intelectual/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia
3.
Rev Med Suisse ; 16(708): 1786-1789, 2020 Sep 30.
Artigo em Francês | MEDLINE | ID: mdl-32997447

RESUMO

Behavioral disorders in people with developmental and intellectual disability are frequent but their management is rarely taught. This article is to help primary physicians prescribe drug treatment. We will also discuss the key elements of two of the most commonly used classes of drugs, taking into account the patient's co-morbidities, contraindications and the main side effects.


Assuntos
Deficiência Intelectual/tratamento farmacológico , Deficiência Intelectual/psicologia , Comportamento Problema/psicologia , Comorbidade , Humanos , Deficiência Intelectual/complicações
4.
Rev Med Suisse ; 16(708): 1796-1800, 2020 Sep 30.
Artigo em Francês | MEDLINE | ID: mdl-32997449

RESUMO

Behavioural disorders in adults with mental disabilities are very common and represent a diagnostic challenge. In fact, they often hide a somatic problem, which is more frequent in this population compared to the general population. These somatic symptoms may cause or enhance psychiatric symptoms. People with mental disabilities often have difficulties expressing their pain, which often manifests itself as mood changes. Consequently, it is important to be able to identify the pain as a priority and to treat it. The general practitioner should therefore check for the most common somatic complaints in people with mental disabilities, with the help of the acronym DODUGO (Dental, Otic, Digestive, UroGenital, Orthopaedic).


Assuntos
Deficiência Intelectual , Sintomas Inexplicáveis , Comportamento Problema , Adulto , Humanos , Deficiência Intelectual/complicações , Deficiência Intelectual/psicologia , Dor/complicações , Dor/diagnóstico , Dor/psicologia , Transtornos da Personalidade/complicações , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia
5.
J Appl Res Intellect Disabil ; 33(6): 1523-1533, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32885897

RESUMO

INTRODUCTION: The measures implemented to manage the COVID-19 pandemic have been shown to impair mental health. This problem is likely to be exacerbated for carers. METHOD: Informal carers (mainly parents) of children and adults with intellectual disabilities, and a comparison group of parents of children without disabilities, completed an online questionnaire. Almost all the data were collected while strict lockdown conditions were in place. RESULTS: Relative to carers of children without intellectual disability, carers of both children and adults with intellectual disability had significantly greater levels of a wish fulfilment coping style, defeat/entrapment, anxiety, and depression. Differences were 2-3 times greater than reported in earlier pre-pandemic studies. Positive correlations were found between objective stress scores and all mental health outcomes. Despite their greater mental health needs, carers of those with intellectual disability received less social support from a variety of sources. CONCLUSIONS: The greater mental health needs of carers in the context of lesser social support raises serious concerns. We consider the policy implications of these findings.


Assuntos
Adaptação Psicológica , Cuidadores/psicologia , Infecções por Coronavirus , Deficiência Intelectual/psicologia , Saúde Mental/estatística & dados numéricos , Pandemias , Pneumonia Viral , Isolamento Social/psicologia , Estresse Psicológico , Adulto , Betacoronavirus , Criança , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Sistemas de Apoio Psicossocial , Pesquisa Qualitativa , Apoio Social , Inquéritos e Questionários , Reino Unido/epidemiologia
6.
Lancet Child Adolesc Health ; 4(9): 699-708, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32827491

RESUMO

Sexual and reproductive health is an important aspect of human development, but discussions with adolescents and young adults on this topic are often challenging for health-care providers. As a result, many adolescents and young adults do not receive appropriate, comprehensive sexual education, despite recognition from WHO and the UN that access to this education is a human right. Adolescents and young adults with mild to moderate intellectual or developmental disability, or both, are just as likely to be sexually active as are their peers without disability; however, these individuals are less likely to receive comprehensive sexual education. To ensure adequate comprehensive sexual education for adolescents and young adults with intellectual and developmental disabilities, sexual health educators should facilitate conversations about sexual and reproductive health that are non-judgmental and sexually inclusive. Such initiatives should use an educational framework grounded in universal design for learning, including use of multiple media types with clear, concise language and images.


Assuntos
Educação Sexual/métodos , Comportamento Sexual , Saúde Sexual/educação , Adolescente , Deficiências do Desenvolvimento/psicologia , Deficiências do Desenvolvimento/terapia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Deficiência Intelectual/psicologia , Deficiência Intelectual/terapia , Masculino , Medição de Risco , Adulto Jovem
7.
Minerva Pediatr ; 72(3): 226-235, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32613821

RESUMO

Although medical literature shows that children are minimally susceptible to 2019-Corona virus disease (COVID-19), they are hit the hardest by psychosocial impact of this pandemic. Being quarantined in homes and institutions may impose greater psychological burden than the physical sufferings caused by the virus. School closure, lack of outdoor activity, aberrant dietary and sleeping habits are likely to disrupt children's usual lifestyle and can potentially promote monotony, distress, impatience, annoyance and varied neuropsychiatric manifestations. Incidences of domestic violence, child abuse, adulterated online contents are on the rise. Children of single parent and frontline workers suffer unique problems. The children from marginalized communities are particularly susceptible to the infection and may suffer from extended ill-consequences of this pandemic, such as child labor, child trafficking, child marriage, sexual exploitation and death etc. Parents, pediatricians, psychologists, social workers, hospital authorities, government and non-governmental organizations have important roles to play to mitigate the psychosocial ill-effects of COVID-19 on children and adolescents. To provide the basic amenities, social security, medical care, and to minimize the educational inequities among the children of the different strata of the society are foremost priorities.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Estresse Psicológico/etiologia , Atividades Cotidianas , Adolescente , Criança , Maus-Tratos Infantis/psicologia , Socorristas/psicologia , Acesso aos Serviços de Saúde , Humanos , Deficiência Intelectual/psicologia , Acontecimentos que Mudam a Vida , Fatores de Risco , Instituições Acadêmicas , Isolamento Social/psicologia , Marginalização Social , Fatores Socioeconômicos , Estresse Psicológico/prevenção & controle , Populações Vulneráveis/psicologia
8.
Expert Opin Pharmacother ; 21(15): 1897-1913, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32692263

RESUMO

INTRODUCTION: ADHD causes significant distress and functional impairment in multiple domains of daily life. Therefore, diagnosis and treatment are important to improve the quality of life of people. The pharmacotherapy for ADHD is well established but needs systematic evaluation in Intellectual Disability (ID) populations. AREAS COVERED: This paper reviews the ADHD pharmacological treatment in people with ID using the PRISMA guidance for scoping reviews to help identify the nature and strength of evidence. EXPERT OPINION: In the last 20 years, seven randomized controlled trials have evaluated pharmacotherapies for ADHD in people with ID; five looking at methylphenidate. Generally, studies were underpowered; all but two had less than 25 participants. Of the two larger trials one was single blinded and therefore open to bias. Only two used a parallel-group method, the remainder were mostly short crossover trials; not ideal when measuring behavioral and psychological parameters which are long standing. The remaining evidence is made up of observational studies. Methylphenidate and atomoxetine, particularly at higher doses, have shown clear benefits in people with ID. Most people with ID tolerated ADHD medications well. Benefits were seen in behavioral and/or cognitive domains. The evidence base is limited, though promising, for dexamfetamine, clonidine, and guanfacine.


Assuntos
Cloridrato de Atomoxetina/uso terapêutico , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Clonidina/uso terapêutico , Dextroanfetamina/uso terapêutico , Deficiência Intelectual/tratamento farmacológico , Metilfenidato/uso terapêutico , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/complicações , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Criança , Cognição/efeitos dos fármacos , Humanos , Deficiência Intelectual/complicações , Deficiência Intelectual/psicologia , Guias de Prática Clínica como Assunto , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento
9.
Metas enferm ; 23(5): 15-21, jun. 2020.
Artigo em Espanhol | IBECS | ID: ibc-194588

RESUMO

OBJETIVO: conocer qué piensan y sienten las personas con esquizofrenia ante la autopercepción del estigma de su enfermedad. MÉTODO: se realizó un estudio cualitativo con enfoque fenomenológico. La población de estudio fueron los usuarios del Centro de Día de la Asociación Morea (Asociación de familiares y enfermos mentales) de Ourense. El muestreo fue intencional, seleccionándose siete personas mayores de edad con diagnóstico de esquizofrenia (DMS-5), con una evolución mínima de dos años. Para la recogida de los datos se utilizó entrevista semiestructurada individual (dos entrevistas consecutivas al mismo sujeto), efecuada por dos entrevistadores, que fueron grabadas y transcritas. Se llevó a cabo análisis temático (identificación y categorización de los principales ejes de significado subyacentes en los datos). RESULTADOS: tras el análisis de las entrevistas se detectaron cinco categorías temáticas: "culpabilidad", "roles sociales", "miedo al rechazo y peligrosidad", "responsabilidad" y "pérdida de capacidades y control". Todos los participantes son conscientes de su enfermedad, de su cronicidad y de que tendrán que tomar tratamiento de por vida. Manifiestan haber perdido relaciones con amigos e incluso familia a raíz de su enfermedad. La mayoría percibe que el resto de la población les tiene miedo. Todos consideran que la enfermedad les ha hecho perder capacidades como la memoria, la atención y la autonomía para algunas facetas de la vida. CONCLUSIONES: las personas con esquizofrenia se sienten estigmatizadas por la sociedad. A colación de los resultados obtenidos parece necesario aumentar la información y educación en la población para disminuir el estigma y los prejuicios hacia las personas que padecen esquizofrenia y poder así facilitar su plena integración en la sociedad


OBJECTIVE: to understand the feelings and thoughts of people with schizophrenia faced with their own perception of the stigma associated with their disease. METHODS: a qualitative study with phenomenological approach. The study population was the users of the Morea Association Day Centre (Association of mental patients and relatives) in Ourense. The sample was intentional, and seven persons of age with diagnosis of schizophrenia were selected (DMS-5), with a minimum two-year evolution. Individual semi-structured interview was used for data collection (two consecutive interviews with the same subject), conducted by two interviewers, which were recorded and transcribed. Thematic analysis was conducted (identification and classification of the main axes of meaning underlying in data). RESULTS: after the analysis of the interviews, five thematic categories were detected: "guilt", "social roles", "fear of rejection and danger", "responsibility" and "loss of abilities and control". All participants were aware of their disease, its chronicity and that they would have to take life-long treatment. They stated that they had lost contact with friends and even relatives due to their disease. Most of them perceived that the rest of the population was afraid of them. All of them considered that their disease had led them to lose abilities such as memory, attention, and independence for some aspects in life. CONCLUSIONS: people with schizophrenia feel stigmatized by society. Based on the results obtained, it seems necessary to increase information and education among the population in order to reduce the stigma and prejudices towards people who suffer schizophrenia, and thus facilitate their complete integration into the society


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Percepção , Emoções , Estereotipagem , Esquizofrenia/enfermagem , Psicologia do Esquizofrênico , Esquizofrenia/diagnóstico , Pesquisa Qualitativa , Deficiência Intelectual/enfermagem , Deficiência Intelectual/psicologia , Rejeição em Psicologia
10.
Siglo cero (Madr.) ; 51(2): 99-117, abr.-jun. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193114

RESUMO

La asistencia personal para personas con discapacidad intelectual puede contribuir a la aplicación de los nuevos paradigmas de autodeterminación e inclusión social y a una mejora de la calidad de vida. Mediante revisión de la literatura y un análisis con expertos profesionales, expertos por experiencia y potenciales usuarios, se elaboró un modelo breve de asistencia personal para ser ejecutado por agentes comunitarios con supervisión profesional. El modelo considera actividades en los espacios habituales de las personas y sus familias, con apoyo para el uso de recursos formales e informales de la comunidad y el refuerzo de redes de apoyo que continúen operando una vez que termine la intervención. Con una duración de 9 meses, el modelo se desarrolla mediante un proceso de 3 etapas: 1) establecimiento de vínculo y elaboración de un plan individualizado, 2) implementación del plan y 3) refuerzo de los aprendizajes de los participantes y traspaso a redes de apoyo. Se discute la factibilidad de la aplicación del modelo en países latinoamericanos y la necesidad de realizar estudios que evalúen su implementación


Personal assistance for people with intellectual disabilities can contribute to the application of the new paradigms of self-determination and social inclusion and to an improvement in the quality of life. Through a literature review and analysis with professional experts, experts from experience and potential users, a brief model of personal assistance was developed to be executed by community agents with professional supervision. The model considers activities in the usual spaces of people and their families, with support for the use of community formal and informal resources and the reinforcement of social support networks that continue operating once the intervention ends. With duration of 9 months, the model is developed through a 3-stage process: 1) engagement and formulation of an individualized plan, 2) implementation of the plan, and 3) participants' learning reinforcement and transfer to support networks. The feasibility of the model in Latin American countries and the need for studies to evaluate its implementation are discussed


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Deficiência Intelectual/reabilitação , Deficiência Intelectual/psicologia , Qualidade de Vida , Desejabilidade Social , Apoio Social , Política Pública , Políticas Públicas Antidiscriminatórias , Prova Pericial , Chile
11.
Cytogenet Genome Res ; 160(6): 321-328, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32535594

RESUMO

Balanced chromosomal rearrangements are usually associated with a normal phenotype, although in some individuals, phenotypic alterations are observed. In these patients, molecular characterization of the breakpoints can reveal the pathogenic mechanism, providing the annotation of disease-associated loci and a better genotype-phenotype correlation. In this study, we describe a patient with a balanced reciprocal translocation between 4q27 and 7p22 associated with neurodevelopmental delay. We performed cytogenetic evaluation, next-generation sequencing of microdissected derivative chromosomes, and Sanger sequencing of the junction points to define the translocation's breakpoints at base pair resolution. We found that the PCDH10 and TNRC18 genes were disrupted by the breakpoints at chromosomes 4 and 7, respectively, with the formation of chimeric genes at the junction points. Gene expression studies in the patient's peripheral blood showed reduced expression of TNRC18, a gene with unknown function and clinical significance. PCDH10 plays a role in the development of the nervous system and might be involved with the patient's neurodevelopmental delay. In this study, the full molecular characterization of the junction points was shown as an efficient tool for fine breakpoint mapping in balanced translocations in order to unmask gene disruptions and investigate the potential pathogenic role of the disrupted genes.


Assuntos
Caderinas/genética , Pontos de Quebra do Cromossomo , Cromossomos Humanos Par 4/genética , Cromossomos Humanos Par 7/genética , Transtornos do Neurodesenvolvimento/genética , Translocação Genética/genética , Adulto , Sequência de Bases , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Deficiência Intelectual/genética , Deficiência Intelectual/psicologia , Transtornos do Neurodesenvolvimento/psicologia
12.
Pediatr Clin North Am ; 67(3): 499-511, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443989

RESUMO

This article summarizes the literature on prevalence and establishment of severe problem behavior in individuals with intellectual and developmental disabilities, empirical support for applied behavior analysis, and evidence-based behavioral assessment and treatment procedures. Early intervention and prevention approaches and the role of the pediatrician with regard to surveillance, early intervention, and coordination of care are discussed.


Assuntos
Terapia Comportamental/métodos , Deficiências do Desenvolvimento/terapia , Deficiência Intelectual/terapia , Comportamento Problema/psicologia , Criança , Deficiências do Desenvolvimento/psicologia , Humanos , Deficiência Intelectual/psicologia , Fatores de Risco
13.
Ir J Psychol Med ; 37(3): 231-236, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32404232

RESUMO

The impacts of the COVID-19 pandemic affect all groups in society. People with intellectual disability (ID) are especially vulnerable to the physical, mental and social effects of the pandemic. Cognitive impairments can limit understanding of information to protect them relying on carers to be vigilant on their behalf during quarantine. Restrictions on usual activities are likely to induce mental stress especially among those who are autistic leading to an escalation in challenging behaviours, risk of placement breakdown and increased the use of psychotropic medication. People with ID are vulnerable to exploitation by others where the usual community supports no longer function to protect them. In future pandemics, it is important that lessons are learned from the impacts COVID-19 have on people with ID. Collecting the evidence through a rigorous approach should help to empower people with ID and their carers to face future outbreaks of infectious diseases.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Deficiência Intelectual/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Estresse Psicológico/psicologia , Humanos , Deficiência Intelectual/complicações , Pandemias , Estresse Psicológico/complicações
14.
Pediatrics ; 145(5)2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32312907

RESUMO

The demand for transplantable solid organs far exceeds the supply of deceased donor organs. Patient selection criteria are determined by individual transplant programs; given the scarcity of solid organs for transplant, allocation to those most likely to benefit takes into consideration both medical and psychosocial factors. Children with intellectual and developmental disabilities have historically been excluded as potential recipients of organ transplants. When a transplant is likely to provide significant health benefits, denying a transplant to otherwise eligible children with disabilities may constitute illegal and unjustified discrimination. Children with intellectual and developmental disabilities should not be excluded from the potential pool of recipients and should be referred for evaluation as recipients of solid organ transplants.


Assuntos
Deficiências do Desenvolvimento/cirurgia , Deficiência Intelectual/cirurgia , Transplante de Órgãos/ética , Transplantados , Criança , Deficiências do Desenvolvimento/psicologia , Humanos , Deficiência Intelectual/psicologia , Transplante de Órgãos/psicologia , Transplantados/psicologia
15.
BMC Psychiatry ; 20(1): 184, 2020 04 22.
Artigo em Inglês | MEDLINE | ID: mdl-32321479

RESUMO

BACKGROUND: 3q29 deletion syndrome is associated with a range of medical, neurodevelopmental, and psychiatric phenotypes. The deletion is usually de novo but cases have been reported where the deletion is inherited from apparently unaffected parents. The presence of these unaffected or mildly affected individuals suggests there may be an ascertainment bias for severely affected cases of 3q29 deletion syndrome, thus the more deleterious consequence of the 3q29 deletion may be overestimated. However, a substantial fraction of 3q29 deletion syndrome morbidity is due to psychiatric illness. In many case reports, probands and transmitting parents are not systematically evaluated for psychiatric traits. Here we report results from a systematic phenotyping protocol for neurodevelopmental and neuropsychiatric traits applied to all 3q29 deletion carriers in a multiplex family. CASE PRESENTATION: Through the 3q29 registry at Emory University, a multiplex family was identified where three offspring had a paternally inherited 3q29 deletion. We evaluated all 4 3q29 deletion family members using our previously described standardized, systematic phenotyping protocol. The transmitting parent reported no psychiatric history, however upon evaluation he was discovered to meet criteria for multiple psychiatric diagnoses including previously undiagnosed schizoaffective disorder. All four 3q29 deletion individuals in the pedigree had multiple psychiatric diagnoses that interfered with quality of life and prohibited successful academic and occupational functioning. Cognitive ability for all individuals was average or below average, but within the normal range. CONCLUSIONS: This is the first case report of inherited 3q29 deletion syndrome where all affected individuals in the pedigree have been comprehensively and systematically evaluated for neurodevelopmental and psychiatric symptoms, using a standard battery of normed instruments administered by expert clinicians. Our investigation reveals that individuals with 3q29 deletion syndrome may have psychiatric morbidity that is debilitating, but only apparent through specialized evaluation by an expert. In the absence of appropriate evaluation, individuals with 3q29 deletion syndrome may suffer from psychiatric illness but lack avenues for access to care. The individuals evaluated here all have cognition in the normal range alongside multiple psychiatric diagnoses each, suggesting that cognitive ability alone is not a representative proxy for 3q29 deletion-associated disability. These results require replication in a larger cohort of individuals with 3q29 deletion syndrome.


Assuntos
Deficiência Intelectual/genética , Transtornos Mentais/genética , Linhagem , Transtornos Psicóticos/genética , Deleção Cromossômica , Cromossomos Humanos Par 3/genética , Deficiências do Desenvolvimento/genética , Humanos , Deficiência Intelectual/psicologia , Masculino , Transtornos Mentais/fisiopatologia , Fenótipo , Transtornos Psicóticos/diagnóstico , Qualidade de Vida , Síndrome
16.
Siglo cero (Madr.) ; 51(1): 89-109, ene.-mar. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193109

RESUMO

El objetivo de este estudio es elaborar un perfil de percepciones, emociones y opiniones en torno a experiencias de apego de un grupo de madres de niños con retraso madurativo, a través del análisis de contenido de un foro virtual. A partir de los datos se extraen tres dimensiones de análisis: sistema de conductas del niño, sistema de cuidados y crianza mediada por profesionales. Los resultados permiten detectar como temas recurrentes de preocupación en las madres los siguientes: incertidumbre por el diagnóstico; dificultades para interpretar la conducta de sus hijos y responder consecuentemente; búsqueda de intimidad afectiva, y predominio del aprendizaje guiado durante las primeras etapas del diagnóstico. Se concluye que la categoría retraso madurativo, al ser provisional, dificulta el proceso de aceptación, lo cual impacta negativamente en el sistema de cuidados materno. Al respecto, la terminología, actitudes y prácticas de los profesionales de apoyo parecen jugar un papel importante. El deseo de lograr intimidad afectiva, las emociones positivas y un adecuado acompañamiento profesional serían factores protectores para establecer vínculos de apego más favorables entre las figuras parentales y sus hijos


The aim of this study is to develop a profile of attachment experienc¬es through the analysis of content shared in a virtual forum by a group of mothers who have children with developmental delay. Three categories were extracted from the data: behavioural system, care system, and professional parenting assistance. The results allowed the identification of the mothers' emotional states associated with the uncer¬tainty about diagnosis, difficulty interpreting their children behaviour, and responding consequently, seeking emotional intimacy, and prevalence of guided learning during the early stages of diagnosis. It is concluded that the diagnosis "developmental delay", being provisional, makes the acceptance process difficult, which impacts the maternal care system negatively. Terminology, attitudes, and practices of support professionals seem to play an important role. The desire for emotional intimacy, positive emotions, and appropriate professional support would be protective factors to establish a more favourable attachment between parents and children


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adulto Jovem , Adulto , Mães/psicologia , Relações Mãe-Filho/psicologia , Deficiência Intelectual/psicologia , 25783
19.
Dev Med Child Neurol ; 62(3): 283-289, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32010976

RESUMO

Children with cerebral palsy (CP) have an increased risk of cognitive impairments. This narrative review of the literature discusses assessment of cognition in children with CP, presents the most salient characteristics of cognitive functioning pertaining to each subtype, and discusses the relationships between brain injury, functioning, and intervention from a developmental perspective. A search for original studies of cognitive functioning in children with different subtypes of CP was performed. The search resulted in 81 unique hits. There were few studies with a representative sample of children with CP where all participants were individually assessed. Cognitive functioning in children with the most severe motor impairments were often assumed and not assessed. Furthermore, there was a confounding of IQ below 70 and intellectual disability, possibly leading to an overestimation of the prevalence of intellectual disability. Longitudinal neuropsychological studies, including also very young children and those with the most severe speech and motor impairments, as well as intervention studies, are called for. WHAT THIS PAPER ADDS: Few studies have assessed cognition in a representative sample of children with cerebral palsy. Cognition in children with severe motor impairment is often assumed, not assessed. Lack of assessment may lead to overestimating the prevalence of intellectual disability. Lowered cognitive functioning in older children highlights the need for longitudinal studies.


Assuntos
Paralisia Cerebral/psicologia , Cognição/fisiologia , Disfunção Cognitiva/psicologia , Paralisia Cerebral/complicações , Criança , Disfunção Cognitiva/complicações , Humanos , Deficiência Intelectual/complicações , Deficiência Intelectual/psicologia , Testes Neuropsicológicos
20.
Rev Med Suisse ; 16(681): 310-313, 2020 Feb 12.
Artigo em Francês | MEDLINE | ID: mdl-32049452

RESUMO

For the purpose of improving the management of somatic disorders among patients suffering from severe intellectual development and autism spectrum disorders, a specific admissions mechanism has been implemented at Geneva University Hospitals (HUG). The Adult Psychiatric Hospital Unit (UPHA), a complex intervention unit, collaborates with HUG's Disability Program. From May 2018 to May 2019, 29 requests for hospitalizations were accepted. These requests primarily originated from private practice physicians (42 %). In some cases, immediate admissions were urgently organized, and in others a 13-day waiting period was imposed. Hospitalizations were adapted to the patient: more often than not, these were short (48 %), with 6 hospitalizations extended for an average 103-day period. A clinical case illustrates the healthcare management provided.


Assuntos
Transtorno do Espectro Autista/psicologia , Transtorno do Espectro Autista/terapia , Deficiência Intelectual/psicologia , Deficiência Intelectual/terapia , Adulto , Pessoas com Deficiência/psicologia , Hospitalização , Humanos , Suíça
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