O desafio do diagnóstico psiquiátrico na criança

D'Abreu, Lylla Cysne Frota

doi:10.4013/ctc.2012.51.01

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…Quando diversos autores apontam que um dos maiores desafios da clínica em SMCA está ligado à complexidade diagnóstica (Couto et al, 2008;D'Abreu, 2012;Silva & Ghazzi, 2016), apoiam-se no fato de que, toda criança em sofrimento psíquico, seja ele desencadeado pelos atrasos ou transtornos no desenvolvimento, ou ainda de conflitos familiares, em contextos escolares e/ou no território, transbordam nas relações sociais e na capacidade de responderem aos ideais. Logo, os comportamentos de agressividade, agitação, automutilação, dificuldades de aprendizagem, uso de drogas e isolamento (conforme ilustrado nas nuvens de palavras, Figura 1 e Figura 2) figurariam índice ou símbolo de sofrimento psíquico, o que faria com que esses sujeitos encontrassem um espaço possível no campo da saúde mental.…”

Section: Diagnósticos E Medicalizaçãounclassified

Dez anos de um CAPSi: comparação da caracterização de usuários atendidos

et al. 2020

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Resumo Estudo retrospectivo de caráter descritivo. Por meio de coleta em prontuários, objetivou-se caracterizar crianças e adolescentes atendidos em um Centro de Atenção Psicossocial Infantojuvenil (CAPSi) durante seu décimo ano de funcionamento e comparar com estudo análogo realizado no primeiro ano de funcionamento. Os dados foram analisados com auxílio dos softwares SPSS e Iramuteq. Identificou-se aumento de 51,85% ( n = 84 ) da demanda em relação ao primeiro ano. Observou-se aumento de usuários de sexo feminino, cuja marca foram queixas de automutilação. Manteve-se prevalência de usuários do sexo masculino, cuja marca foram problemas de comportamento, como agressividade e hiperatividade. Discute-se, neste estudo, as articulações entre CAPSi e demais serviços da Rede de Atenção Psicossocial (RAPS), especialmente acerca dos encaminhamentos. Também se discute sobre a medicalização sem registro de hipótese diagnóstica e os desafios de se exercer a clínica ampliada e a lógica do trabalho psicossocial, a qual se opõe ao paradigma exclusivamente biomédico, simplificador dos fenômenos do desenvolvimento infantil.

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Section: Diagnósticos E Medicalizaçãounclassified

Dez anos de um CAPSi: comparação da caracterização de usuários atendidos

et al. 2020

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“…However, it was noticed that a great majority of the references associated AT with signs and symptoms, which was then taken into account. The child psychiatric diagnosis poses a challenge, once great part of psychiatric disorders are diagnosed by the combination and intensity of signs, or objective findings characterized by the examining doctor, symptoms, through registered complaints, and functional loss 31,32 . In spite of the assistance provided by classification systems, such as DSM and IDC, symptoms are overlapping and there are always individual and subjective aspects that act upon the patient's clinical results and diagnosis 31 .…”

Section: Figure 1 Flowchart Of Collection From the Databasesmentioning

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Auditory training methods in children with psychiatric diagnosis: an integrative literature review

2020

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Purpose: to identify auditory training approaches used in the pediatric population with psychiatric diagnoses and to characterize the contexts in which the intervention took place, as well as protocols and discernment of the results. Methods: a search was carried out in four databases, using the fixed terms "auditory training" OR "auditory rehabilitation". Regarding the sampling, there was a considerable range of diagnoses, signs and symptoms, including the most common ones. Articles published until August 2018 whose population did not present hearing loss were selected; articles whose subjects had made use of any personal sound amplification products, presented otitis or had any isolated diagnosis of auditory processing disorder, were excluded. Results: 16 articles out of the 103 references found, met the inclusion criteria. The samplings studied were children and adolescents with learning, language or reading disorders, dyslexia, attention deficit hyperactivity disorder, autism spectrum disorder and schizophrenia. The bottom-up intervention and the combined approach (bottom-up and top-down), in the formal context, were the most frequent approaches, whose results led to the improvement in linguistic, metalinguistic and auditory skills. The amount and frequency of sessions, as well as their duration varied. Conclusion: the heterogeneity of auditory training techniques diversified the results. However, it seems there is a potential for recommending auditory training in the reviewed population.

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Use of Music as an Adjuvant Therapy for Mental Illnesses: a Review

Ávila

Rocha

Pinto

2021

BMS

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INTRODUCTION: The use of music therapy (MT) as an adjuvant treatment for different types of diseases is promising and valid, given the emotional and cognitive benefits that exposure to music (actively or passively) offers. This literature review aims to elucidate how MT can be used to complement the usual treatment of mental disorders, its best propaedeutics, and possible harms. METHOD: The guiding question for this review was “In people diagnosed with mental disorders, does MT as an adjuvant therapy offer better clinical results compared to traditional treatment?”. The descriptors used on the search were “mental disorders”, “music therapy” and “psychiatric rehabilitation”, in MEDLINE, SciELO, and LILACS. The study was conducted in April 2021. Rigid inclusion and exclusion criteria were applied. RESULTS: The 15 studies selected for this review come from 9 countries. Most are controlled clinical trials from the United States. They present several benefits of using MT in mental disorders such as depression, anxiety, panic disorder, post-traumatic stress disorder, and schizophrenia, improving emotional control, cognitive ability, interpersonal relationships, and quality of life. DISCUSSION: MT shows strong positive results in the treatment of mental disorders in people of different ages, offers emotional relief, improved cognitive functions and interpersonal relationships, also reducing stress and depressive symptoms. In addition, it is a feasible therapy, with different applications, but it does not replace pharmacological treatment and psychotherapy. Few articles showed harmful effects of MT, observed only when it was associated with psychoactive drugs, generating unwelcome responses. CONCLUSION: Evidence suggests that MT is an excellent adjuvant therapy for the treatment of mental disorders with different clinical spectrums. Experiments with a larger sample size are required to elucidate the most effective technique and treatment duration for each mental disorder, considering individuality and the undeniable importance of pharmacotherapy and psychotherapy.

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O desafio do diagnóstico psiquiátrico na criança

Cited by 4 publications

References 24 publications

Dez anos de um CAPSi: comparação da caracterização de usuários atendidos

Dez anos de um CAPSi: comparação da caracterização de usuários atendidos

Auditory training methods in children with psychiatric diagnosis: an integrative literature review

Use of Music as an Adjuvant Therapy for Mental Illnesses: a Review

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