INTRODUÇÃO: O Transtorno do Déficit de Atenção e Hiperatividade (TDAH) é um transtorno neurocomportamental caracterizado pela combinação de déficit de atenção, hiperatividade e impulsividade. Acarreta prejuízos à relação familiar, escolar e ao convívio social devido à impulsividade emocional aumentada e ausência de controle das em consequência do desenvolvimento cerebral tardio. OBJETIVO GERAL: Validar e traduzir para a língua portuguesa o instrumento Expression and Emotion Scale of Children - EESC. ESPECÍFICO: Avaliar a expressão emocional (EE) pelos pacientes com TDAH. MÉTODO: Aplicou-se a técnica Probe e testes psicométricos à validação. A avaliação da EE dos pacientes com TDAH, uma amostra de 126 sujeitos foi dividida em grupos quanto à comorbidade, idade e gênero. RESULTADOS: Diante da técnica Probe obteve-se 96,9% de compreensão à versão final traduzida e adaptada para o português. Cronbach alfa = 0,7597, CIC 0,66 e a acurácia 71%. Quando comparado amostra com TDAH e Controle, houve significância na EE favorável a amostra Controle. Não houve significância entre a amostra com TDAH com e sem comorbidade, em tratamento, e a mesma quanto ao gênero, na EE. Em relação à idade, a amostra de pacientes com TDAH obteve significância na mudança na EE favorável ao Controle, isto somente nos grupos de crianças/ adolescentes com mais de 9 anos de idade. CONCLUSÃO: Diante dos dados psicométricos, a Escala de Expressão e Emoção para Crianças demonstrou-se válida para ser aplicada a crianças e adolescentes com TDAH de 6 a 15 anos de idade. A avaliação possibilitou verificar diferencial na Expressão Emocional entre crianças/adolescentes com TDAH e Controle. Notou-se também que as fases do desenvolvimento psicológico influenciam na Expressão Emocional tanto em indivíduos saudáveis quanto naqueles com TDAH. A presença de comorbidades leves e o gênero não influenciam na mudança da Expressão Emocional quando comparados à amostra com TDAH / INTRODUCTION: The Attention Deficit/Hyperactivity Disorder (ADHD) is a neurobehavioral disorder characterized by combination of attention deficit, hyperactivity and impulsivity. It was assumed that there is damage to family, school and relationship social due to emotional impulsivity increased and lack of the management because of the late brain development of the individual. GENERAL OBJECTIVE: Validate and translate for portuguese language the questionnaire Expression and Emotion Scale for Children - EESC. SPECIFIC: To evaluate the emotional expression (EE) by patients with ADHD. METHOD: It was applied the Probe technique and psychometric tests for the validation. The evaluation of the EE in patients with ADHD was to a sample of 126 subjects that were divided in groups of according to comorbidity, age and gender. RESULTS: On the Probe technique was obtained 96.9 % of understanding in the final version translated and adapted to Portuguese. Cronbach alfa = 0.7597, 0.66 CIC and the accuracy 71%. Compared with ADHD sample and Control, there was significance in the EE favorable sample Control. There was no significance in the EE between the sample with ADHD with and without comorbidity in treatment and in terms of gender. Regarding age, the sample of ADHD patients got significance in EE of in favor of Control, this only in groups of children / adolescents over 9 years old. CONCLUSIONS: Relative the psychometric data, the Expression and Emotion Scale for Children proved to valid to be applied for children and adolescents with ADHD of 6 to 15 years old. The assessment enabled us to verify differential in Emotional Expression among children / adolescents with ADHD and Control. It was also noted that the stages of psychological development influence the Emotional Expression in healthy individuals and in those with ADHD. And the presence of light comorbidities and gender did not influence the Emotional Expression when compared to the sample with ADHD

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-12-20T13:11:50Z No. of bitstreams: 1 Felipe Andrade Ponzio.pdf: 1099755 bytes, checksum: b1c0d3b28e7637fa76750a3eaadf2c21 (MD5) / Made available in DSpace on 2017-12-20T13:11:50Z (GMT). No. of bitstreams: 1 Felipe Andrade Ponzio.pdf: 1099755 bytes, checksum: b1c0d3b28e7637fa76750a3eaadf2c21 (MD5) Previous issue date: 2017-11-17 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Fundação São Paulo - FUNDASP / This research aimed at analyzing the epistemology of neoliberalism, having as the main object of study the Attention Deficit Hyperactivity Disorder (ADHD). It is through the consequences of the emergence of ADHD that we establish a relationship between the abnormality of attention and the recognition, by the American psychiatry, of the entrepreneurial behavior. From this recognition and its main characteristics, we follow the path proposed by Foucault of analysis of liberal rationality and its transformation, in the United States, in neoliberalism. We approach the epistemological question, therefore, at the level of rationality to link its emergence with a change of perception of the notion of temporality in the USA and in the Euro-American countries in general / Esta pesquisa se propôs a analisar a epistemologia do neoliberalismo, tendo como objeto privilegiado de estudo o Transtorno do Déficit de Atenção e Hiperatividade (TDAH). É através dos desdobramentos da emergência do TDAH que relacionamos a anormalidade da atenção com a positivação, pela psiquiatria estadunidense, do comportamento empreendedor. Desta positivação e suas principais características, percorremos o caminho proposto por Foucault de análise da racionalidade liberal e sua transformação, nos Estados Unidos, em neoliberalismo. Abordamos a questão epistemológica, portanto, no nível da racionalidade para relacionar sua emergência com uma mudança de percepção da noção de temporalidade nos EUA e nos países euro-americanos de maneira geral

O objetivo desta tese foi investigar o impacto do conhecimento sobre o TDAH em estudantes universitários. O primeiro capítulo é uma revisão narrativa da literatura que caracteriza a psicoeducação como uma estratégia de oferta de informações sobre saúde mental válida para: favorecer a busca de ajuda e adesão ao tratamento, reduzir o estigma associado às doenças mentais e ensinar formas de manejo dos sintomas. O segundo capítulo é uma revisão sistemática da literatura sobre a psicoeducação do TDAH, que sugere a necessidade de elaborar intervenções psicoeducativas para estudantes universitários com TDAH. O terceiro capítulo investiga as fontes de informação utilizadas por adultos brasileiros para buscar informações sobre saúde mental e sinaliza a necessidade de combinar a credibilidade das informações científicas com a acessibilidade da Internet. O quarto capítulo avalia uma cartilha online sobre TDAH em estudantes universitários. Este material foi efetivo para a psicoeducação do TDAH na amostra estudada. / The purpose of this thesis was to investigate the impact ADHD knowledge in college students. The first chapter is a narrative review of the literature that characterizes psychoeducation as a strategy for providing valid mental health information to: favor the search for help and adherence to treatment, reduce the stigma associated with mental illness, and teach ways of managing the symptoms. The second chapter is a systematic review of the literature on the psychoeducation of ADHD, which suggests the need to develop psychoeducational interventions for college students with ADHD. The third chapter investigates the sources of information used by Brazilian adults to seek information about mental health and signals the need to combine the credibility of scientific information with the accessibility of the Internet. The fourth chapter evaluate an online booklet on ADHD in college students. This material was effective for the psychoeducation of ADHD in the sample studied.

O Transtorno de Déficit de Atenção e Hiperatividade (TDAH) é caracterizado por caracterizado por desconcentração frequente, falta de controle dos impulsos e comportamento hiperativo iniciados na infância que permanecem por toda a vida em até 75% dos casos. O transtorno está associado a adversidades como baixo desempenho escolar e outras condições comórbidas, como ansiedade, depressão, uso de substâncias psicoativas e problemas de coordenação motora, principalmente destreza manual, este último mais descrito na infância e nomeado por Transtorno do Desenvolvimento da Coordenação (TDC). O presente estudo teve duas fases: na primeira, o objetivo foi investigar a frequência de autorrelato de sintomas de TDAH em uma população de estudantes de Odontologia; na segunda, confirmar clinicamente o diagnóstico desse transtorno, avaliar história pregressa de problemas motores (se presença do TDC) e aplicar instrumentos para avaliar destreza manual e aspectos psicossociais. Material e Métodos. Foram incluídos 408 estudantes do curso de Odontologia da Universidade de São Paulo na primeira fase, com idade média de 22± 4,06 anos, aplicada a escala de autorrelato para sintomas de TDAH - Adult Self Report Scale (ASRS). Na segunda fase, foram identificados os casos considerados risco para TDAH (47 estudantes) e convocados para entrevista clínica para avaliação de diagnóstico do TDAH e de Transtorno do Desenvolvimento da Coordenação, conforme critérios do Manual de Diagnóstico e Estatística para Transtornos Mentais quarta edição (DSM-IV). Foram incluídos 10 estudantes com TDAH e 19 controles sem TDAH, pareado para gênero e idade. Houve um estudante com diagnóstico de TDAH+TDC. Instrumentos aplicados: escala de Beck-ansiedade, Escala de Beck-depressão, ASSIST, WHOQOL-bref, teste Grooved- Pegboard e Pick-up teste de Moberg. Foi formado um grupo controle sem diagnóstico de TDAH, pareado para gênero e idade. A estimativa de TDAH foi baseada na proporção de casos com escores elevados na escala ASRS; para o estudo de caso controle, foram feitas análises utilizando testes não paramétricos (Qui-quadrado, Wilcox, Mann-Whitney). O nível de significância considerado foi <5%. Resultados: para a primeira fase, 11,5% tiveram altos escores para sintomas de TDAH; na segunda fase, diagnóstico clínico em 10 sujeitos e 19 controles. Houve um estudante com diagnóstico de TDAH+TDC. O grupo TDAH apresentou-se diferente do controle para as seguintes variáveis: autorrelato de sintomas depressivos (p=0,027), desempenho acadêmico (p= 0,009), destreza manual (p=0,017) e qualidade de vida no domínio físico (p=0,01). Conclusão: Universitários com TDAH apresentam mais adversidades em relação a seus pares não TDAH, como mais sintomas depressivos, mais prejuízo acadêmico e pior qualidade de vida, assim como pior destreza manual. / Attention Deficit Hyperactivity Disorder (ADHD) is characterized by difficulties in concentration, by hyperactivity and impulsive control, which remain throughout life by up to 75% of cases. The ADHD is associated with many adversities such as poor school performance and other comorbidities, including anxiety, depression, substance abuse, and motor coordination problems (predominantly manual dexterity). The latter is more common in childhood and is called Developmental Coordination Disorder (DCD). The present study consisted of two phases: the first phase investigated the frequency of self-reported ADHD symptoms in a population of college students; the second phase aimed to clinically confirm the diagnosis of ADHD and to evaluate the past history of motor coordination problems (when the presence of TDC). Material and Methods: 408 students of the School of Dentistry of the University of São Paulo were included in the first phase, with a mean age of 22 ± 4.06 years and the scale of self-reported ADHD symptoms was applied - Adult Self Report Scale (ASRS). In the second phase, the cases considered at risk for ADHD (47 students) were identified and called for a clinical interview for the diagnostic assessment of ADHD and Developmental Coordination Disorder (DCD). Ten students were clinically diagnosed with ADHD and 19 controls. Only one student was diagnosed with ADHD + DCD. In cases in which ADHD and DCD were confirmed, according to criteria of the Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV), instruments were applied: Beck Scale-anxiety, depression-Beck scale, ASSIST, WHOQOL-BREF, Grooved-Pegboard test and Pick-up Moberg Test. A control group consisting of individuals without diagnosis of ADHD, matched for sex and age, was formed. Estimation of ADHD was based on the proportion of cases with high scores on the ASRS scale; for case-control analyses using nonparametric tests (chi-square, Wilcox, Mann-Whitney). The significance level was set at 5%. Results: In the first phase, including 408 students, 11.5% presented high scores for symptoms of ADHD. The group that received a clinical diagnosis of ADHD showed greater psychosocial impairment compared with the control group, as the worst quality of life in the physical domain (p = 0.01), more depressive symptoms (p = 0.027), greater impairment in academic performance (p = 0.009) and worst quality manual dexterity related to task performance (p = 0.017). Conclusion: College students with ADHD have more adversities in relation to their non-ADHD peers, as more depressive symptoms, poor school performance and poor quality of life and manual dexterity, which can be even more impactful because the Dentistry course requires great dexterity of its students.

Thesis (M.A. (Clinical Psychology)) --University of Limpopo, 2003 / Refer to document

The purpose of this review was to determine whether the use of sensory-based alternative seating to increase the appropriate behaviors of individuals with disabilities is an evidence-based practice (EBP). Articles located on this topic were descriptively analyzed, and What Works Clearinghouse (WWC) guidelines were applied to determine each study’s methodological rigor, level of evidence, and whether, taken together, there is enough research to support alternative seating as an EBP. A total of 37 studies of the effects of sensory-based alternative seating on individuals with disabilities were found. These studies included a total of 44 participants, between 3 to 9 years of age. Based on WWC guidelines, six of the 37 studies, or 16%, met standards for rigor, and of those, only one study showed evidence of a positive effect on the target behavior. The results and their implications for teachers/practitioners, and future research are discussed.

The purpose of this study was to determine if an association exists among the diagnosis of speech-language impairments (SLI) and the diagnoses of learning disabilities (LD) and/or attention deficit hyperactivity disorder (ADHD) in a school-aged population of children referred to a Learning Disorders Clinic (LDC) because of academic underachievement and/or behavior problems. The two research questions asked in this study are: (a) What percentage of students diagnosed with SLI have a concomitant diagnosis of LD and/or ADHD? and (b) Is there an association among the diagnosis of SLI and the diagnoses of LD and/or ADHD? A sample of 94 subjects was obtained from review of 291 LDC records of children ref erred and diagnosed during the years 1989-1992. The subjects were grouped into eight categories by diagnosis, that is, (a) SLI, (b) SLI/LD, (c) SLI/ADHO, (d) SLI/LO/ADHD, (e) no diagnosis of SLI/LO/AOHD, (f) LO, (g) ADHD, and (h) LD/ADHD. The obtained Chi square value was not statistically significant at a .OS alpha level. Thus, the null hypothesis: there will be no association among the diagnosis of SLI and the diagnoses of LO and/or ADHD, could not be rejected. In this sample, however, 85% of the children diagnosed with SLI had a concomitant diagnosis of LD and/or ADHD, and 70% with no SLI diagnosis were diagnosed with LD and/or ADHD. The overlapping nature of the disorders of SLI, LD, and ADHD is noted. The definitions of SLI and LO demonstrate how enmeshed language and learning problems are. One inference from this study is that as children grow older, their language deficits are recognized in the context of a learning disorder.

Sluggish cognitive tempo (SCT) is a construct that includes symptoms of slowness, mental confusion, excessive daydreaming, low motivation, and drowsiness/sleepiness. SCT is often co-morbid with attention-deficit/hyperactivity disorder (ADHD), and SCT symptoms are associated with significant academic and interpersonal impairment above and beyond the influence of ADHD symptoms. Despite the overlap between ADHD and SCT and associated impairments, no studies have evaluated how evidence-based psychosocial interventions for adolescents with ADHD impact symptoms of SCT. This study examined whether SCT symptoms improved in a sample of 274 young adolescents with ADHD who received either an organizational skills or a homework completion intervention. SCT intervention response was evaluated broadly in all participants, and specifically, for participants in the clinical range for SCT symptom severity at baseline. Change in ADHD symptoms of inattention, executive functioning, and motivation was examined as potential predictors of improvement in SCT. Multilevel modeling analyses indicated that SCT symptoms decreased at the same rate for adolescents in both the organizational skills and homework completion interventions when compared to the waitlist group (d = .410). For adolescents with parent-reported clinical levels of SCT, the decrease in symptoms was more pronounced (d = .517), with the interventions decreasing the total score of SCT by 2.91 (one symptom). Additionally, in the high SCT group, behavior regulation executive functioning, metacognitive executive functioning, and inattention predicted change. Clinical implications and future directions are discussed, including development of interventions for adolescents with high levels of SCT.

Homeschooling is currently the fastest-growing educational population in the United States with an estimated 2 million students. Because 11% of school children have been diagnosed with attention deficit/hyperactivity disorder (ADHD), there are likely to be many children with ADHD symptoms in the homeschooling population. The purpose of this study was to extend knowledge of the experiences of homeschooling in this population to assist students with ADHD as well as their parents and educators to make informed educational decisions. The multiple intelligences theory provided the theoretical framework for this phenomenological study. The key research question was focused on how current or former homeschool students who report ADHD symptoms describe their experiences in a homeschool environment. Perceptions were collected from 12 participants ranging in age from 12 to 21 years of age who were recruited using criterion sampling. Semi-structured interviews were conducted by phone or face-to-face. Data were analyzed using Moustakas' modification of van Kaam's structure. Through this process, the themes of individualization, self-concept, and experience of symptoms were identified. Specifically, the findings indicated that homeschooling children with ADHD symptoms is an individualized phenomenon and most students thrive in a structured yet flexible environment where tools and methods can be personalized. Participants developed individualized learning practices that would not be acceptable in a more traditional learning environment. This study contributes to the empirical literature promoting social change by providing foundational knowledge that can be built upon in future research to offer evidence-based information to this rapidly-growing population.

The purpose of this study was to examine the effectiveness of PCIT as an alternative to medication in managing symptoms and behavior problems of preschool-aged children with ADHD. Using a multiple baseline single-case design, the study measured the impact of PCIT on four preschool-aged children's problem behaviors and ADHD symptoms, parenting practices, and mothers' attitudes towards therapy. Outcome measures included the Child Behavior Checklist, Eyberg Child Behavior Inventory, Behavior Assessment System for Children, ADHD Symptom Observation form, Dyadic Parent-Child Interaction Coding System, Parenting Practices Interview, and Therapy Attitude Inventory. Results from visual analyses, a visual permutation test, and hierarchical linear modeling showed partial treatment effects for mothers' use of labeled praises (b = 10.67, p < 0.0001), commands (b = -26.84, p = 0.000), behavior management skills (b = 91.21, p < 0.0001), children's behavior problems (b = -20.29, p = 0.000), and parent-reported ADHD symptoms (b = -25.76, p = 0.000). Mothers expressed high satisfaction with PCIT and reported their relationships with their children and their children's compliance and behavior problems had improved post-intervention. The consistency with which other caretaking partners (e.g., fathers) practiced the same discipline procedures as the mothers in the study played a significant role in the changes observed in mothers' use of effective discipline practices and children's behavior problems. Findings of this study indicate PCIT may partially be an effective intervention in improving children's behavior problems and ADHD symptoms.