This study aims to compare generic measures of HRQoL obtained with the KIDSCREEN-27 into subgroups of adolescents from different contexts including subgroup of outpatient treatment for mental disorders and subgroups of students from regions with low and high human development index in the direction of analyzing the discriminant properties of the instrument and its utility to monitor health outcomes in adolescents. Descriptive statistics are presented by group and gender. The statistical analyses aimed to check the reliability, convergent validity between self-report and proxy versions and discriminant validity between clinical and students contexts using KIDCREEN-27 questionnaires. Most assumptions about the reliability, convergent and discriminant validity of the instrument KIDSCREEN-27 were established. This research highlighted lower scores of HRQOL in adolescents with mental illness in four of five dimensions, with an effect size ranging from 0.25 for Physical Well-Being to 0.46 for Autonomy & Parents. The results were acceptable, but the findings in this study were more modest than those obtained in the original validation of the instrument.
This exploratory study aims to examine the family identification patterns obtained with the Family Identification Test (FIT) in 1082 adolescents, by subgroups from different backgrounds including subgroup of outpatient treatment for mental disorders (clinical group, CG), and subgroups of students from regions with low and high human development index: public school group (PG), and private school group (PrG), in order to explore discriminant properties of the instrument and its utility to monitor mental health outcomes in adolescents. The FIT allows one to describe different self-concepts (self-congruence, actual and ideal self-image), and the perception of others (father's image, mother's image, etc.) by using twelve attributes related to three common personality dimensions (extraversion, neuroticism and agreeableness). The correlation between those concepts indicates the patterns of identification. Statistical analyzes were performed to test the hypothesis that there would be one or more differences of means between the groups and the results of the FIT. A statistically significant effect was obtained with MANOVA followed by a series of ANOVAs that indicated differences in family identification patterns. The adolescents from PrG showed higher means than adolescents from PG in auto-congruence, actual and ideal identification with the father and ideal identification with grandparent variables; and also showed differences with the CG in actual and ideal identification with the father. The results differentiated adolescents from different backgrounds. Adolescents from clinical and public schools groups reported a smaller desire to look like their fathers, which might have some clinical significance like lower cohesion or family attachment or more pronounced feelings of rejection with father figure. Future studies are needed to analyze these findings over time and in representative population samples.
A qualidade do suporte familiar se apresenta como fator importante para adolescentes grávidas na busca de resolução de dificuldades e conflitos inerentes a esta importante fase do ciclo vital. Este estudo objetiva verificar a ocorrência de associação entre suporte familiar e saúde mental em adolescentes grávidas e, para tanto, foi realizado um estudo de caso controle de 72 primigestas de 12 a 18 anos atendidas em programa de pré-natal público em Belém, PA, no mês de julho de 2009. Foram aplicados três instrumentos na coleta de dados: um questionário para investigar variáveis demográficas e comportamentais; o Inventário de Percepção do Suporte Familiar (IPSF), para investigar três dimensões do suporte familiar – afetivo-consistente, adaptação e autonomia familiar; e o Questionário de Saúde Geral (QSG), para rastrear transtornos mentais comuns (TMC). O rastreamento com o QSG permitiu a classificação de dois grupos de adolescentes grávidas: um com 31 portadoras de TMC (casos) e outro com 41 não portadoras de TMC (controles). Na análise estatística, utilizaram-se as razões de prevalência (RP) para comparação dos grupos (casos e controles) com as variáveis sociodemográficas e com as dimensões do suporte familiar. Nos resultados, encontrou-se no grupo de casos uma RP duas vezes maior na variável relacionada ao acompanhamento da gestação pelo parceiro (RP 2,27 IC 95% 1,01 a 5,08) e quatorze vezes maior no grupo com suporte familiar na média baixa (RP 14,55 IC 95% 1,98 a 106,78). Concluiu-se existir uma forte associação entre baixo suporte familiar e TMC entre as adolescentes gestantes investigadas.
Resumo: Este estudo compreende as relações estabelecidas no contexto escolar vivenciados pelo indivíduo com Síndrome de Down, com enfoque na socialização e no processo de inclusão. O presente estudo teve como objetivo conhecer as possíveis dificuldades enfrentadas por uma criança com Síndrome de Down no contexto escolar e propor contribuições, visando a sua inclusão nesse espaço, levando em consideração o paradigma da Educação Inclusiva. Esta pesquisa se fundamentou na abordagem qualitativa, descritiva, exploratória e foi realizada por um estudo de caso. Os resultados foram analisados à luz da abordagem Bioecológica Desenvolvimento Humano de Urie Bronfenbrenner. Os instrumentos utilizados foram a Construção de história por imagens indutoras e Pesquisa Semiestruturada. Os resultados obtidos apontam para a complexidade e a importância dos múltiplos contextos que envolvem o desenvolvimento social do indivíduo.
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