Associations between Inadequate Parenting Practices and Behavioral Problems in Children and Adolescents with Attention Deficit Hyperactivity Disorder.

Children and adolescents with ADHD present behaviors such as impulsiveness, inattention, and difficulties with personal organization that represent an overload for parents. Moreover, it also increases their level of stress and leads them to resort to inadequate educational strategies. The present study verifies associations between inadequate parenting practices and behavioral profiles of children and adolescents with ADHD. The sample was composed of 22 children with ADHD (age range 6-16 years) and their mothers. Spearman correlation analyses were made with the scores of Parenting Style Inventory (PSI) and Child Behavior Checklist for ages 6-18 (CBCL/6-18). Results indicate statistically significant associations between behavioral problems and the use of punishment practices and negligence. When assessing a child with ADHD, it is important to verify the predominant types of parenting practices that can influence both immediate interventions and the prognosis of the disorder.

Association between ADHD symptoms and inhibition-related brain activity using functional near-infrared spectroscopy (fNIRS).

Attention deficit hyperactivity disorder (ADHD) is associated with deficits in inhibitory functions including interference control, inhibition of prepotent/automatic responses and suppression of already initiated responses. This study used functional near-infrared spectroscopy (fNIRS) to investigate the neural basis of these three forms of inhibition assessed by a recently developed behavioral protocol combining the Stroop-matching/stop-signal task in twenty-five young adults with inattention, impulsivity and/or hyperactivity symptoms. The severity of ADHD symptoms was measured using the Adult ADHD Self-Report Scale (ASRS). The concentration of oxygenated hemoglobin (HbO) was assessed in the dorsolateral prefrontal cortex (DLPFC), inferior frontal gyrus (IFG) and temporoparietal regions (TP) during the Stroop-matching/stop-signal task. Correlations yielded significant associations between ASRS scores and HbO concentration in frontal regions during blocks with stop-signal tasks, namely the right IFG, the left DLPFC and the left IFG. This study revealed that different types of inhibition involve unique frontal and temporoparietal activities and linked frontal dysfunction during the suppression of ongoing responses to the severity of ADHD symptoms.

Health Problems in Individuals With PWS Are Associated With Lower Quality of Life for Their Parents: A Snapshot in the Brazilian Population.

Prader-Willi syndrome (PWS) is a complex genetic disorder requiring interdisciplinary team monitoring and intensive care by parents. So far there is little information on people with PWS in Brazil. Our aim was to describe health problems and treatments used by people with PWS in Brazil and their relationship to their parents' quality of life. Parents answered questionnaires about their child's medical and exercise history, behavior problems, sociodemographic characteristics, and their own quality of life. Results: The responses of the participants showed similar health problems as in other countries. Anxiety and tantrums were the behavioral problems most commonly cited by parents. Parents of people with PWS had lower scores in respect of quality of life than the Brazilian population. Behavioral problems in individuals with PWS were negatively associated with their parents' quality of life. Behavioral and medical conditions in the children were associated with reduced quality of life in the parents. We conclude that heath care should not only be directed toward those with PWS, but also their parents.

Translation and cross-cultural adaptation of the Motor Behavior Checklist (MBC) into Brazilian Portuguese.

INTRODUCTION: There are only a few instruments available to assess behavioral problems in school-age children based on reports of physical education teachers. The Motor Behavior Checklist (MBC) was designed to be completed by this professional in free play-situations or during physical education classes to rate students' motor-related behavior using 5-point Likert scales. The MBC comprises 59 items distributed into two broadband factors (externalizing and internalizing) and seven behavior problem scales: rule breaking, hyperactivity/impulsivity, lack of attention, low energy, stereotyped behaviors, lack of social interaction, and lack of self-regulation. The objective of this study was to describe the translation and cross-cultural adaptation processes of the MBC into Brazilian Portuguese. METHOD: The following procedures were conducted: forward translation of the original instrument, production of a synthesized version, back-translation, literal and semantic comparison, back-translator's evaluation of divergent items, synthesized version with back-translator's suggestions, clarity assessment of the synthesized version by professionals (physical education teachers), focus group to assess clarity indicators of the instrument, evaluation of adjustments by the author of the instrument, and production of the final version. RESULTS: The results indicated a satisfactory level of agreement between the original and the back-translated versions, with 68% of exact equivalence between the translated items and 16% of terms requiring minor adjustments. In the draft version, 84% of the items were evaluated as clear by physical education teachers. CONCLUSION: The translated version has compatible content with the original version. Future studies should be conducted to assess the psychometric properties of the Brazilian Portuguese version of the MBC.

Electronic media use during COVID-19 pandemic: effects on the behavioral/emotional functioning of Brazilian children / Uso de mídia eletrônica durante a pandemia de COVID-19: efeitos no funcionamento comportamental/emocional de crianças brasileiras / Uso de medios electrónicos durante la pandemia COVID-19: efectos sobre el funcionamiento conductual/emocional de niños brasileños

During COVID-19 pandemic an increase electronic media (e-media) usage time was reported correlated to behavioral problems. This study verified the associations between e-media and behavioral/emotional problems in children in the context of the pandemic. Sample: Parents of 277 children aged 7-11 years old. Instruments: socioeconomic questionnaire; MAF-P and CBCL/6-18. Spearman's correlation analyses showed positive associations between the MAF-P and CBCL/6-18 scales. Adult games were correlated with 12 scales; websites for information/entertainment were associated with 6 scales, gambling online with one scale; electronic games and watching YouTube videos were associated with all 17 scales. In conclusion, overall, the results indicate the need of supervising children's e-media access considering the number and frequency of use and the elevated number of emotional and behavioral problems found among the evaluated group

Durante a pandemia da COVID-19 verificou-se aumento no tempo de uso de mídias eletrônicas (e-media) relacionado a problemas comportamentais. Este trabalho avaliou associações entre tempo de uso de e-media e problemas comportamentais/emocionais em crianças no contexto da pandemia. Contou com uma amostra de 277 responsáveis por crianças de 7-11 anos. Os instrumentos utilizados foram questionário socioeconômico, MAF-P e CBCL/6-18. As análises de correlação de Spearman apontaram associações positivas entre as e-media na MAF-P e escalas do CBCL/6-18. Os jogos adultos correlacionaram-se a 12 escalas; sites para informação/diversão foram associados a seis; apostar na internet a um; e jogos eletrônicos e ver vídeos no YouTube associaram-se a 17 escalas. Conclui-se, de modo geral, que os resultados indicam a necessidade de supervisão para acesso a e-media por crianças, considerando o número, a frequência de uso e o elevado número de problemas emocionais e comportamentais verificados no grupo estudado

Durante la pandemia de COVID-19, hubo un aumento en el tiempo dedicado al uso de medios electrónicos (e-media) relacionados con problemas de comportamiento. Este trabajo evaluó las asociaciones entre el tiempo de uso de los medios electrónicos y los problemas conductuales/emocionales en niños en el contexto de la pandemia. Muestra: 277 tutores de niños de 7 a 11 años. Instrumentos: socioeconómico, MAF-P y CBCL/6-18. Los análisis de correlación de Spearman mostraron asociaciones positivas entre los medios electrónicos en las escalas MAF-P y CBCL/6-18. Juegos para adultos correlacionados con 12 escalas; sitios de información/diversión asociados a 6; apostar en internet a las 1; los juegos electrónicos y ver videos en YouTube se asociaron con 17 escalas. Se concluye, en general, que los resultados indican la necesidad de supervisión para el acceso a e-media por parte de los niños, considerando el número y la frecuencia de uso y el elevado número de problemas emocionales y conductuales verificados en el grupo estudiado

Mídias eletrônicas e sintomas de desatenção/hiperatividade entre crianças e adolescentes durante a pandemia Covid-19 / Medios electrónicos y síntomas de inatención/hiperactividad en niños/adolescentes durante la pandemia Covid-19 / Electronic media and symptoms of inattention/hyperactivity among children/ adolescents during the Covid-19 pandemic

The correlation between inattention and hyperactivity symptoms/behavior manifestations and screen time was evaluated among Brazilian children and adolescents (7-18 years old) who were socially isolated due to the COVID-19 pandemic. A total of 517 legal guardians completed questionnaires about electronic media use (MAF-P) and emotional/behavioral problems (CBCL/6-18). The results showed that texting was correlated to less inattention/hyperactivity symptoms; listening to music, the use of social media and electronics for school purposes were negatively correlated to attention problems and inattention/hyperactivity symptoms and playing videos games and online videos were associated to more attention problems and inattention/hyperactivity symptoms. The results contribute to the understanding of the relationship between inattention/hyperactivity symptoms and screen time in a sample of Brazilian children and adolescents during the pandemic.

Se evaluó la correlación entre síntomas/manifestaciones conductuales de inatención e hiperactividad y tiempo de uso de medios electrónicos entre niños y adolescentes brasileños (7-18 años) en aislamiento social por la pandemia de COVID-19. Los participantes fueron 517 tutores que completaron inventarios de uso de medios (MAF-P) y problemas emocionales/conductuales (CBCL/6-18), entre junio y agosto de 2020. Los resultados indican que más tiempo dedicado a la comunicación de mensajes se correlacionó con menos informes de síntomas de inatención/hiperactividad; Escuchar música durante más tiempo, usar redes sociales y dispositivos electrónicos para la escuela/el trabajo se asoció con menos síntomas inatención/hiperactividad y problemas de atención. Finalmente, jugar más videojuegos y ver videos en línea se asoció con más síntomas de falta de atención/hiperactividad y problemas de atención. Los resultados contribuyen a comprender que existen asociaciones entre la frecuencia de síntomas de inatención/hiperactividad y el tiempo de uso de medios electrónicos en una muestra de niños y adolescentes brasileños durante la pandemia.

Avaliou-se a correlação entre sintomas/manifestações comportamentais de desatenção e hiperatividade e tempo de uso de mídias eletrônicas entre crianças e adolescentes (7-18 anos) brasileiras em isolamento social devido a pandemia da COVID-19. Participaram 517 responsáveis que preencheram inventários de uso de mídias (MAF-P) e de problemas emocionais/comportamentais (CBCL/6-18), entre junho-agosto de 2020. Resultados indicam que mais tempo em comunicação por mensagens correlacionou-se a menos relatos de sintomas de desatenção/hiperatividade; já mais tempo ouvindo música, usando redes sociais e eletrônicos para escola/trabalho associaram-se com menor número de sintomas de desatenção/hiperatividade e de problemas atencionais. Por fim, maior em videogames e assistindo vídeos online associaram-se a mais sintomas de desatenção/hiperatividade e problemas atencionais. Os resultados contribuem para entender que existem associações entre frequência de sintomas de desatenção/hiperatividade e tempo de uso de mídias eletrônicas em uma amostra de crianças e adolescentes brasileiros durante a pandemia.

Perceptions of Siblings of People with Trisomy 21 on Family Relationships / Percepções de Irmãos de Pessoas com Trissomia 21 sobre as Relações Familiares

ABSTRACT: The birth of a child with a disability brings implications, changes in the environment and family dynamics. The family goes through a process of overcoming until the child acceptance with disability and the establishment of a suitable family environment that includes and meets his/her needs. Trisomy 21 (T21) is the most frequent genetic anomaly among those diagnosed. This study aimed to identify the perception of a sibling group of people with T21 regarding their family and social relationships. The sample consisted of 18 adolescents aged between 11 and 16 years, siblings of people with T21, and 17 guardians. Data collection occurred through semi-structured interviews conducted by video calls, with an average duration of 10 to 15 minutes. The interviews were recorded, transcribed and analyzed qualitatively based on the creation of thematic nuclei and categories. The results reinforce the importance of family relationships as a security factor and acceptance of the siblings' needs.

RESUMO: O nascimento de uma criança com deficiência traz implicações, mudanças no ambiente e na dinâmica familiar como um todo. A família passa por um processo de superação até a aceitação da criança com deficiência e a instalação de um ambiente familiar propício que a inclua e atenda às suas necessidades. A trissomia 21 (T21) é a anomalia genética mais frequente dentre as diagnosticadas. Este estudo teve como objetivo conhecer a percepção de um grupo de irmãos de pessoas com T21 quanto às suas relações familiares e sociais. A amostra foi composta por 18 adolescentes com idades entre 11 e 16 anos, irmãos de pessoas com T21 e 17 responsáveis. A coleta de dados ocorreu por meio de entrevista semiestruturada realizadas por meio de chamada de vídeo, com duração média de dez a 15 minutos. As entrevistas foram gravadas, transcritas e analisadas qualitativamente a partir da criação de núcleos temáticos e categorias. Os resultados reforçam a importância das relações familiares como um fator segurança e acolhimento das necessidades dos irmãos.

Cognitive and behavioral profile of Williams Syndrome toddlers.

PURPOSE: To verify indicators of cognitive development, receptive language skills and adaptive behavioral patterns in toddlers with Williams syndrome (WS). METHODS: The sample comprised 8 children of both sex, aged between 48 and 72 months with WS. Instruments of data collection were Denver Developmental Screening Test II; Peabody Picture Vocabulary Test; Vineland Adaptive Behavior Scale; Child Behavior Checklist for Ages 1½-5and 6 to 18; Columbia Mental Maturity Scale (CMMS), and Behavior Problems Inventory-01. RESULTS: The major developmental impairments were associated with fine motor skills and personal care abilities. Deficits in receptive language and communication skills were reported according to the PPVT and Denver II, respectively. The caregivers reported behavioral and emotional problems associated to anxiety and depression, and attention problems scales of CBCL. CONCLUSION: The toddlers demonstrated deficits in adaptive functioning and behavioral, motor and cognitive difficulties such as inattention and hyperactivity, stereotypies and aggressive behavior.

Mismatch between diagnostic reports and special educational needs classification in a public educational system.

OBJECTIVE: To assess the diagnostic status, the sociodemographic and health profiles for students with special educational needs (SEN) in a public educational system, and to map their use of educational/social services. METHODS: The sample comprised 1,202 SEN students from a total of 59,344 students. RESULTS: Only 792 students of the 1,202 had an established diagnosis. The most prevalent SEN condition was intellectual disability. There was a low percentage (29.4%) of use of specialized educational services or support. It was found that, for some neurodevelopmental disorders, prevalence data suggest an under-reporting in the school system. CONCLUSION: Results suggest that there is a mismatch between the diagnostic reports and the SEN condition legally recognized according to Brazilian law, in addition to the under-reporting and under specialized service use of students with disabilities.

Escrita em alunos com dificuldades de aprendizagem: Efeito Mateus / Writing in students with learning difficulties: Matthew effect

O estudo investigou a linguagem escrita de crianças do 2º e 4º anos com e sem sinais de transtorno específico de aprendizagem. Objetivou comparar as escritas entre dois os grupos de alunos, de modo a verificar se a diferença entre eles seria menor nas séries iniciais e tenderia a aumentar nas séries finais, como previsto teoricamente com base no efeito Mateus. Participaram do estudo 51 professores e 1085 alunos, sendo 49 indicados com sinais compatíveis com o transtorno específico de aprendizagem. O instrumento utilizado para analisar a escrita dos alunos foi o Teste de Desempenho Escolar (TDE-II). A partir das análises realizadas, observou-se que o total de palavras certas no ditado do TDE-II foi maior no 4º ano do que no 2º ano para a amostra total, como esperado, e que a diferença entre os alunos com e sem queixas de dificuldades foi maior no 4º ano do que no 2º ano. Análise de post-hoc revelou que não houve diferença estatisticamente significativa entre os alunos com queixas do 2º ano e do 4º ano, ou seja, a diferença entre eles foi tão pequena que não se mostrou significativa. Tal resultado corrobora o efeito Mateus, sugerindo que crianças com dificuldades ao início da escolarização tendem a apresentar menores ganhos e se distanciar cada vez mais dos colegas com habilidades mais desenvolvidas. Logo, estratégias e intervenções precisam ser desenvolvidas para facilitar o desenvolvimento da linguagem escrita das crianças e promover avanços logo ao início da escolarização.

The study investigated writing of 2nd and 4th grade children with and without signs of the specific learning disorder, and aimed to compare the difference in writing between these two groups of students, to analyze whether the difference between them would be smaller in the early grades and would tend to increase in the final grades, as theoretically predicted by Matthew effect. 51 teachers and 1085 students participated in this study, among which 49 had signs compatible with the specific learning disorder. The instrument used to analyze the students writing was the School Performance Test (TDE-II). It was observed that, in general, the total number of correct words in the TDE-II dictation was greater in the 4th grade, compared to the 2nd grade, as expected, and the difference between students with and without complaints of difficulties was greater among the students in 4th grade than among 2nd grade students. Post-hoc tests showed that there was no statistically significant difference between 2nd grade students with complaints and 4th grade students of with complaints, that is, the difference between them was so small that it was not significant. This result corroborates the "Matthew effect": children with difficulties at the beginning of schooling tend to present lower gains and, increasingly, distance themselves from colleagues with more developed skills. Thus, strategies and interventions must be designed to facilitate children's literacy and promote advances at beginning of schooling.

Impaired executive functions in experimental model of temporal lobe epilepsy.

OBJECTIVE: The present study aimed to investigate cognitive and behavioural changes consistent with attention deficit hyperactivity disorder (ADHD -like behavior in male Wistar rats with temporal lobe epilepsy (TLE). METHOD: Male Wistar rats at 25 day of age were submitted to animal model of TLE by pilocarpine injection (350 mg/kg, ip) and a control group received saline 0.9%. The animals were continuously video monitored up to the end of experiments. The behavioural tests (open field, elevated plus maze and operant conditioning box) started from 60 days postnatal. RESULTS: Animals with TLE exhibited elevated locomotor activity, reduced level of anxiety-related behavior, impulsivity and impaired visuospatial working memory. CONCLUSION: Taken as a whole, we concluded that animals with TLE exhibited some cognitive and behavioural changes consistent with ADHD-like behavior.

Percepção de estudantes sobre a criação de jogos nasaulas deEducação Física / Students' perception of creating games in Physical Education classes / Percepción de los estudiantes sobre la creación dejuegos en las clases de Educación Física

O objetivo deste artigo foi descrever e analisar a percepção dos estudantes sobre a experiência de criar e vivenciar jogos nas aulas de educação física. Participaram 56 estudantes, entre 8 e 10 anos, de uma escola da cidade de São Paulo e dois professores de educação física. As percepções e reações dos estudantes neste projeto de criação de jogos foram obtidos por dois instrumentos: a) Observação das aulas e construção de Diário de campo e b) Diálogo coletivo com os estudantes ao final da intervenção, ambos analisados qualitativamente. Nos relatos dos estudantes o sentimento de felicidade esteve presente assim como o vislumbramento por receberem elogios dos colegas. Mencionaram também o desafio na mediação de conflitos e posturas no grupo. Identificam-se aqui uma grande variedade de formas de aprendizagens por conta do protagonismo do estudante fruto dessa relação dialógica entre criar o jogo, comunicar o jogo e vivenciar o jogo.

The purpose of this article was to describe and analyze the students' perception of the experience of creating and experiencing games in physical education classes. 56 students, between 8 and 10 years old, participated in a school in the city of São Paulo and two physical education teachers. The perceptions and reactions of students in this game creation project were obtained by two instruments: a) Observation of classes and construction of field diary and b) Collective dialogue with students at the end of the intervention, both analyzed qualitatively. In the students' reports, the feeling of happiness was present as well as the visibility gained by receiving praise from their colleagues. They also mentioned the challenge in mediating conflicts and postures in the group. A wide variety of learning forms are identified here due to the student's role as a result of this dialogical relationship between creating the game, communicating the game and experiencing the game.

El propósito de este artículo fue describir y analizar la percepción de los estudiantes sobre la experiencia de crear y experimentar juegos en las clases de educación física. Participaron de la investigación 56 estudiantes, entre 8 y 10 años, de una escuela de la ciudad de São Paulo y dos profesores de educación física. Las percepciones y reacciones de los estudiantes en este proyecto de creación de juegos se obtuvieron por medio de dos instrumentos: a) La observación de clases y construcción de un diario de campo y b) Un diálogo colectivo con los estudiantes al final de la intervención, ambos analizados cualitativamente. En los informes de los estudiantes, el sentimiento de felicidad estaba presente así como el vislumbramiento de recibir elogios de sus compañeros. También mencionaron el desafío de mediar conflictos y posturas en el grupo. Aquí se identifican una amplia variedad de formas de aprendizaje debido al rol del alumno como resultado de esta relación dialógica entre crear el juego, comunicar el juego y experimentar el juego

Development and Content Validity of IFERA-II for Adults / Desenvolvimento e Validade de Conteúdo do IFERA-II para Adultos

Abstract Considering the importance of the functional assessment, a scale was developed to evaluate Executive Functions (EFs), State Regulation (SR) and Delay Aversion (DA) in adults, based on a children's scale, and evidence of content validity was investigated. In Phase 1, items from the children's version were adapted to generate the Inventory of Difficulties in Executive Functions, Regulation and Delay Aversion for Adults (IFERA-II), with 28 items of EFs (inhibition, working memory and flexibility), RS and DA. Analysis by judges verified the representativeness of the contents of the items. After adaptations, 18 adult participants responded to the IFERA-II and were interviewed regarding comprehension, need for examples and clarity of vocabulary. A new revision led to the preliminary version of the IFERA-II, the psychometric properties of which should be investigated.

Resumo Diante da importância da avaliação funcional, foi elaborada uma escala para avaliar Funções Executivas (FE), Regulação do Estado (RE) e Aversão ao Adiamento (AA) em adultos, baseada em uma escala infantil, e foram investigadas evidências de validade de conteúdo. Na Fase 1, itens da versão infantil foram adaptados gerando o Inventário de Dificuldades em Funções Executivas, Regulação e Aversão ao Adiamento para Adultos (IFERA-II), com 28 itens de FE (inibição, memória de trabalho, flexibilidade), RE e AA. Análise pelos juízes verificou representatividade de conteúdo dos itens. Após adequações, 18 participantes adultos responderam ao IFERA-II e à entrevista sobre compreensão, necessidade de exemplos e clareza de vocabulário. Nova revisão resultou na versão preliminar do IFERA-II, cujas propriedades psicométricas devem ser investigadas futuramente.

Physiological adaptation after a 12-week physical activity program for patients with Prader-Willi syndrome: two case reports.

BACKGROUND: Physical activity programs are a powerful tool against several diseases including obesity and their comorbidities. Prader-Willi syndrome is the most common genetic disease associated with obesity, and brings with it behavioral and emotional problems that need complex management. Research into the effect of physical activity programs on Prader-Willi syndrome is limited and it is frequently argued that if a physical activity program is too complex, the participants are more likely to drop out. Therefore, in this study, we assessed the physiological adaptation effect of a physical activity program with increasing complexity and load, in a boy and a girl with Prader-Willi syndrome by assessing changes in lipid profile, body composition, and physical fitness parameters. CASE PRESENTATION: Case 1 was an 11-year-old girl, mixed race (brown), with an intelligence quotient of 68, 52.0 % body fat, and a body mass index of 45.3 kg/m(2). The Prader-Willi syndrome diagnosis was made when she was 5-years old and was found to be due to an imprinting genomic defect. Case 2 was a 14-year-old boy, mixed race (brown), with an intelligence quotient of 74, 48.8 % body fat, and a body mass index of 37.3 kg/m(2). The diagnosis was made when he was 10-years old and was found to be caused by gene deletion. Both participants presented physical characteristics and behavior problems typical of Prader-Willi syndrome. Case 2 presented high blood pressure, high cholesterol and sleep apnea and had to use continuous positive airway pressure to sleep. Both participants were assessed for 12 weeks (three times a week) using a physical activity program designed to improve strength and muscle hypertrophy. The work load was progressively adjusted as necessary and new exercises were added to the program. Prior to the program, the participants' parents received instructions about managing problem behavior and advice about nutrition. CONCLUSIONS: After physical activity program several health markers assessed by biological tests and parental report had improved in both participants. The participants positively accepted the adaptations made to the physical activity program during the study. More studies are necessary to assess the benefits of physical activity in the Prader-Willi syndrome population.

Voluntary and Automatic Orienting of Attention in Children with Attention Deficit Hyperactivity Disorder

ABSTRACT Objective: Voluntary and automatic orienting of attention enable proper processing of environmental information. Few studies have assessed how this process varies during development in children with attention deficit hyperactivity disorder (ADHD). Methods: This study analyzed voluntary and automatic orienting in 30 children with ADHD and 30 age and sex matched controls (Control group-CG). Two experiments assessed voluntary and automatic orienting by recording reaction times (RT) to conditions in relation to temporal interval, spatial position, cue validity and age. The RT medians calculated for each condition and participant were analyzed using ANOVA to compare ADHD and CG. Results: Children with ADHD exhibited globally higher RT than the CG group. They also showed prejudices during the reorienting process and demonstrated adequate voluntary orienting for shorter intervals. In automatic task, there was no group interaction, expressing early facilitation, but not inhibition of return. Conclusion: These results identify correlations of ADHD and the children's age in relation to voluntary and automatic orienting of attention.

Nutritional intervention with hypocaloric diet for weight control in children and adolescents with Prader-Willi Syndrome.

Prader-Willi Syndrome (PWS) is a genetic disorder caused by the lack of expression of paternal alleles in the proximal region of the long arm of chromosome 15. Low inhibitory control and hyperphagia are two of the most severe neurobehavioral symptoms of the syndrome. The aim of the present study was to assess the efficiency of nutritional training program with the use hypocaloric diet for weight control in a group of five children and adolescents with PWS. The intervention program consisted of 10 sessions for parents' orientation during 8months. Patients had their anthropometric measures assessed (weight, height and body mass index - BMI). The main results indicate weight maintenance, height increase, and BMI decrease after intervention. These results were considered indicators of the program's efficiency.

Microcephaly and other Zika virus related events: the impact on children, families and health teams. / Microcefalia e outras manifestações relacionadas ao vírus Zika: impacto nas crianças, nas famílias e nas equipes de saúde.

The present study aimed to present an overview of recent national and international research on the Zika virus (ZIKV), as well as to explore possible action plans focused on children, their families and the health teams involved.Therefore, the study proposes the implementation of tracking systems in order to identify, describe and characterize the potential correlates of prenatal exposure to ZIKV, divided into three lines of action: 1. Diagnostic and etiological evaluation as well as screening of developmental problems in children confirmed or suspected of prenatal ZIKV infection. 2. Investigation of the emotional impact, quality of life, coping strategies and support network of the affected children and their families. 3. Training of multidisciplinary teams to conduct assessments and intervention programs throughout these children's development, especially in the first three years of life. In conclusion, the recent ZIKV outbreak in Brazil and several other Latin American countries places a significant burden on the health care systems: to understand the real meaning of a potential new teratogen; to unravel the pathogenic mechanisms of ZIKV, particularly in a prevention perspective; and to recognize the broad spectrum of clinical manifestations in order to devise intervention programs.

Exercício físico na escola e crianças com TDAH: um estudo de revisão / Physical exercise at school and children with ADHD: A review study

Este estudo de revisão sistemática teve como objetivo levantar as pesquisas que investigaram o efeito da atividade física realizada no ambiente escolar em crianças com Transtorno de Déficit de Atenção e Hiperatividade (TDAH). Quinze estudos reuniram os critérios de inclusão estipulados e foram divididos em dois grupos, tendo como base a observação do efeito da atividade física sobre os sintomas de TDAH considerando as adaptações agudas e crônicas. Os programas de atividade física empregados eram variados, como os exercícios respiratórios do programa de ioga e a prática de diferentes modalidades esportivas, individuais e coletivas. Os resultados dos estudos apontam para a melhora dos sintomas do TDAH, tanto nas pesquisas que analisaram os efeitos agudos quanto crônicos das intervenções. Conclui-se que há efeitos benéficos da atividade física nos sintomas de TDAH em crianças e jovens e ressalta-se o protagonismo da escola como um espaço possível para o desenvolvimento de diferentes estratégias de intervenção física com potencial efeito sobre o TDAH.

This systematic review aimed to investigate the effect of physical activity in the school setting in children with Attention Deficit Hyperactivity Disorder (ADHD). Fifteen studies met the stipulated inclusion criteria and were divided into two groups based on the observation of the effect of physical activity on the symptoms of ADHD considering the acute and chronic adaptations. The programs of physical activity employed were varied, such as the breathing exercises of the yoga program and the practice of different sports modalities, individual and collective. The results of the studies point to the improvement of the symptoms of ADHD, both in the studies that analyzed the effects of acute and chronic interventions. It is concluded that there are beneficial effects of physical activity on the symptoms of ADHD in children and youngsters, and emphasizes the role of the school as a possible space for the development of different strategies of physical intervention with potential effect on ADHD.

Translation and cross-cultural adaptation of the Motor Behavior Checklist (MBC) into Brazilian Portuguese / Tradução e adaptação transcultural para o português do Brasil do Motor Behavior Checklist (MBC)

Abstract Introduction There are only a few instruments available to assess behavioral problems in school-age children based on reports of physical education teachers. The Motor Behavior Checklist (MBC) was designed to be completed by this professional in free play-situations or during physical education classes to rate students' motor-related behavior using 5-point Likert scales. The MBC comprises 59 items distributed into two broadband factors (externalizing and internalizing) and seven behavior problem scales: rule breaking, hyperactivity/impulsivity, lack of attention, low energy, stereotyped behaviors, lack of social interaction, and lack of self-regulation. The objective of this study was to describe the translation and cross-cultural adaptation processes of the MBC into Brazilian Portuguese. Method The following procedures were conducted: forward translation of the original instrument, production of a synthesized version, back-translation, literal and semantic comparison, back-translator's evaluation of divergent items, synthesized version with back-translator's suggestions, clarity assessment of the synthesized version by professionals (physical education teachers), focus group to assess clarity indicators of the instrument, evaluation of adjustments by the author of the instrument, and production of the final version. Results The results indicated a satisfactory level of agreement between the original and the back-translated versions, with 68% of exact equivalence between the translated items and 16% of terms requiring minor adjustments. In the draft version, 84% of the items were evaluated as clear by physical education teachers. Conclusion The translated version has compatible content with the original version. Future studies should be conducted to assess the psychometric properties of the Brazilian Portuguese version of the MBC.

Resumo Introdução Existem poucos instrumentos disponíveis para avaliar problemas de comportamento em crianças em idade escolar com base no relato de professores de educação física. O Motor Behavior Checklist (MBC) foi criado para ser usado por este profissional observando a criança em uma situação de brincadeira livre ou nas aulas de educação física utilizando escalas Likert de 5 pontos. O MBC compreende 59 itens distribuídos em duas categorias (externalizantes e internalizantes) e sete escalas de problemas de comportamento: quebra de regras, hiperatividade/impulsividade, falta de atenção, baixa energia, comportamentos estereotipados, falta de interação social e falta de autorregulação. O objetivo deste estudo foi descrever o processo de tradução e adaptação transcultural do MBC para o português do Brasil. Método Os procedimentos foram: tradução do instrumento original, produção de uma versão sintetizada, retrotradução, comparação literal e semântica, parecer do retrotradutor sobre itens divergentes, versão síntese com as sugestões do retrotradutor, avaliação da clareza da versão síntese por profissionais (professores de educação física), grupo focal para avaliar indicadores de clareza do instrumento, avaliação dos ajustes pelo autor do instrumento e produção da versão final. Resultados Os resultados indicaram um nível satisfatório de concordância entre as versões originais e retrotraduzidas, com 68% de itens iguais e 16% de itens com poucas alterações. A versão síntese teve 84% dos itens avaliados como claros por professores de educação física. Conclusão A versão traduzida possui conteúdo compatível com a versão original. Estudos futuros deverão ser conduzidos para a verificação das propriedades psicométricas da versão em português brasileiro do MBC.

Translation, adaptation, and preliminary validation of the Brazilian version of the Behavior Problems Inventory (BPI-01).

INTRODUCTION: Children with atypical development often present behavior problems that impair their psychosocial adaptation. OBJECTIVE: To describe the cultural adaptation to Brazilian Portuguese of the Behavior Problems Inventory (BPI-01), as well as preliminary indicators of instrument reliability and validity. METHODS: The process involved translation, back-translation, and cultural adaptation of the instrument. Psychometric properties (reliability and validity) were assessed comparing scores obtained with the BPI-01, the Wechsler Intelligence Scales for Children and Adults, the Child Behavior Checklist for Ages 6-18 (CBCL/6-18), and the Autism Screening Questionnaire (ASQ). The sample comprised 60 children (30 typically developing and 30 atypically developing). RESULTS: The cultural adaptation process was considered adequate. Internal consistency of the BPI-01 was satisfactory, with a Cronbach's alpha of 0.65 for the self-injurious behavior scale, 0.82 for stereotyped behaviors, and 0.91 for aggressive/destructive behaviors. Considering a mean frequency of 0.5, the receiver operating characteristic (ROC) curve revealed 80% sensitivity and 3% specificity in the stereotyped behavior scale, 50 and 10% in aggressive/destructive behaviors, and 76 and 6% in self-injurious behaviors, respectively. Low-to-moderate correlations were observed between BPI-01, ASQ, and CBCL/6-18 scores. CONCLUSION: BPI-01 showed good psychometric properties, with satisfactory preliminary indicators of reliability, convergent validity, and sensitivity for the diagnosis of atypical development.