Rastreamento De Problemas De Saúde Mental Em Crianças Pré-Escolares No Contexto Da Atenção Básica À Saúde

Abstract

Objective: To study the applicability of the Strength and Difficulties Questionnaire (SDQ 2,4-p) as a screening tool for mental health problems in preschoolers, in the context of Primary Health Care; to evaluate the mental health problems of the sample, comparing data from SDQ (2,4-p) and from the Child Behavior Check List (CBCL 1½-5 years).Methods: Cross-sectional observational study with a convenience sample of 31-50-month-old children, whose caretakers provided informational reports. In the first stage, professionals from the primary care health unit have applied the SDQ (2,4-p) during routine appointments. Subsequently, the CBCL (1½-5) was applied by a professional experienced in infant mental health. The SDQ and CBCL results were compared and the correlation between the scales was tested.Results: Among 280 questionnaires available to the health professionals, 48 were filled out and the CBCL was applied to 40 of the participants. Among the problems found with the SDQ, 18 cases (37.6% out of 48) have shown abnormal score in the “Total Difficulties” and 38 (80.9% out of 48) have shown normal score in the “Impact of Difficulty”. Behavioral issues were highlighted by the percentage of abnormal scores (47.9%). The correlation between SQD and CBCL was positive for all scales, except for the pro-social behavior.Conclusions: Clinically important mental health problems were found in preschool children. Variables of the SDQ discriminate normal and abnormal scores according to the CBCL parameters, thus functioning as a good screening tool.

Questões Relacionadas Ao Rastreamento De Problemas Emocionais/Comportamentais Em Pré-Escolares

“…Emotional symptoms, conduct problems, hyperactivity/inattention, peer-relationship problems and prosocial behaviors are assessed based on the 25 items answered in a Likert scale. Results found by Santos and Celeri 3 confirmed that the SDQ allows the identification of cases presenting problems within a “normal”, “borderline” or “abnormal” range in Brazil. In addition, they indicate significant and positive correlations between the scales of SDQ and preschool Child Behavior Checklist (CBCL/1.5-5), 6 which is another internationally known instrument for the assessment of small children’s behavioral problems.…”

“…The study of Santos and Celeri 3 about screening mental health problems in preschool children, which was published in the current edition of Revista Paulista de Pediatria , was developed with the aim of favoring an early assessment in the context of essential health care. The authors reinforce the importance of cultural adaptation of instruments that have been developed in other countries to facilitate the early identification of problems, 4 which results in better prognosis.…”

“…The Strengths and Difficulties Questionnaire (SDQ) 5 used by the authors 3 is internationally recognized as a fast and effective instrument for screening the difficulties presented by children aged between 2 and 4. Emotional symptoms, conduct problems, hyperactivity/inattention, peer-relationship problems and prosocial behaviors are assessed based on the 25 items answered in a Likert scale.…”

Mitos E Verdade Sobre a Psicologia Do Trânsito

“…As quatro primeiras escalas formam o "total de problemas internalizantes" e as duas últimas formam o "total de problemas externalizantes". As sete escalas somadas formam o "total de problemas emocionais e comportamentais" (Santos & Celeri, 2018).…”

Os impactos biopsicossociais sofridos pela população infantil durante a pandemia do COVID-19

“…Na infância e adolescência é o momento em que os circuitos neuronais dos jovens estão sofrendo constantes influências das experiências que a criança vivencia, gerando assim impactos no seu comportamento (Santos & Celeri, 2018). Nessa perspectiva, o confinamento interfere nas potencialidades das crianças, provocando dificuldades para a aquisição de novas habilidades e capacidades, além de prejudicar as interações e relações interpessoais dos jovens que são importantes na fase da infância e adolescência (Aydogdu, 2020).…”