Abstract:Resumo O objetivo do presente estudo foi analisar a sensibilidade do Índice de Memória Operacional (IMO) da Escala Wechsler de Inteligência para Crianças - 4ª Edição, na identificação de dificuldades em crianças e adolescentes com o diagnóstico de Transtorno de Déficit de Atenção e Hiperatividade (TDAH). Participaram 40 sujeitos, entre 06 e 16 anos, com diagnóstico neurológico prévio de TDAH. Foi utilizada a Escala de Atenção de Swanson, Nolan e Pelham - 4ª Edição (SNAP - IV) para pais/responsáveis e os subtes… Show more
“…Therefore, whenever possible, we recommend the use of the Working Memory Index (IMO) (Digits, and Sequence of Numbers and Letters) of the Wechsler Intelligence Scale for Children (WISC- IV) and the Wechsler Intelligence Scale for Adults (Digits, Arithmetic and Sequence of Numbers and Letters) (WAIS-III). 72 The Wechsler Intelligence Scales for Children and the Wechsler Intelligence Scale for Adults are specific instruments that can be applied by a neuropsychologist to evaluate executive function, and some subtests of these tools such as the IMO have been shown to be capable of providing a great amount of information that can help in the diagnosis of ADHD and in the development of treatment plans.…”
Background Phenylketonuria (PKU) is an inborn error of metabolism caused by deficient activity of phenylalanine hydroxylase. In Brazil, the National Neonatal Screening Program enables early treatment of patients with PKU, which prevents them from developing severe neurological damage and mental disabilities. However, between 20 and 30% of early-treated patients with PKU present focal cognitive deficits, including deficits in working memory, processing speed, and psychiatric symptoms such as anxiety, depression, and attention deficit hyperactivity disorder (ADHD). Therefore, age-specific neuropsychiatric and cognitive tests are important components of PKU patient care. To date, there are no officially approved guidelines or recommendations of tools in Portuguese validated for use in Brazil that could be applied to assess these parameters in patients with PKU.
Objective To recommend tools validated for use in Brazil that can be used in daily clinical practice to assess quality of life and neuropsychological outcomes in patients with PKU.
Methods Six Brazilian experts discussed about eligible tools based on their clinical experience, the feasibility of their use in clinical routines, and their availability in public health services. Before the meeting, an independent review of the literature was conducted to identify the currently validated tools in Brazil, using the MEDLINE and SciELO databases.
Results The experts recommended nine tools to assess quality of life (Peds-QL, SF-36 or WHOQOL-bref), executive function (BRIEF or Bayley-III), IQ (SONR 2½-7[a] or WASI) and ADHD (MTA-SNAP-IV and ASRS).
Conclusion These instruments may be easily incorporated into clinical practice and improve the quality of multidisciplinary care of patients with PKU.
“…Therefore, whenever possible, we recommend the use of the Working Memory Index (IMO) (Digits, and Sequence of Numbers and Letters) of the Wechsler Intelligence Scale for Children (WISC- IV) and the Wechsler Intelligence Scale for Adults (Digits, Arithmetic and Sequence of Numbers and Letters) (WAIS-III). 72 The Wechsler Intelligence Scales for Children and the Wechsler Intelligence Scale for Adults are specific instruments that can be applied by a neuropsychologist to evaluate executive function, and some subtests of these tools such as the IMO have been shown to be capable of providing a great amount of information that can help in the diagnosis of ADHD and in the development of treatment plans.…”
Background Phenylketonuria (PKU) is an inborn error of metabolism caused by deficient activity of phenylalanine hydroxylase. In Brazil, the National Neonatal Screening Program enables early treatment of patients with PKU, which prevents them from developing severe neurological damage and mental disabilities. However, between 20 and 30% of early-treated patients with PKU present focal cognitive deficits, including deficits in working memory, processing speed, and psychiatric symptoms such as anxiety, depression, and attention deficit hyperactivity disorder (ADHD). Therefore, age-specific neuropsychiatric and cognitive tests are important components of PKU patient care. To date, there are no officially approved guidelines or recommendations of tools in Portuguese validated for use in Brazil that could be applied to assess these parameters in patients with PKU.
Objective To recommend tools validated for use in Brazil that can be used in daily clinical practice to assess quality of life and neuropsychological outcomes in patients with PKU.
Methods Six Brazilian experts discussed about eligible tools based on their clinical experience, the feasibility of their use in clinical routines, and their availability in public health services. Before the meeting, an independent review of the literature was conducted to identify the currently validated tools in Brazil, using the MEDLINE and SciELO databases.
Results The experts recommended nine tools to assess quality of life (Peds-QL, SF-36 or WHOQOL-bref), executive function (BRIEF or Bayley-III), IQ (SONR 2½-7[a] or WASI) and ADHD (MTA-SNAP-IV and ASRS).
Conclusion These instruments may be easily incorporated into clinical practice and improve the quality of multidisciplinary care of patients with PKU.
“…Embora esta escala avalie a capacidade intelectual e a resolução de problemas de crianças e adolescentes (Dias-Viana & Gomes, 2019), sua utilização na avaliação de TDAH se dá através da necessidade inicial de descarte de uma possível deficiência intelectual da criança e também na identificação de dificuldades relacionadas a memória e atenção que são alterações encontradas em indivíduos portadores de TDAH e que podem ser verificados através do índice de memória operacional (Bütton & Figueiredo, 2019). As tarefas que envolvem este índice exigem a capacidade de atenção, concentração, controle mental e raciocínio, relacionada diretamente ao desempenho escolar e a aprendizagem (Weiss, Saklofske, Prifitera & Holdnack, 2017).…”
Section: Instrumentos Utilizados Para Mensurar Tdahunclassified
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