Made available in DSpace on 2015-04-14T13:53:41Z (GMT). No. of bitstreams: 1 434302.pdf: 321242 bytes, checksum: e9605c5573b855210795d4f3fa267990 (MD5) Previous issue date: 2011-06-17 / O aumento consider?vel da popula??o idosa tem sido foco de estudos e pesquisas, em todo o mundo, a fim de conhecermos melhor esta etapa da vida e como trata-la com mais efic?cia. A fisioterapia pode lan?ar m?o de muitas t?cnicas entre elas a cinesioterapia.Esta pesquisa teve como objetivo principal avaliar a efic?cia da cinesioterapia na melhora da funcionalidade dos idosos. Este trabalho avaliou cinq?enta idosos, com question?rio de avalia??o s?cio econ?mica, WHOQOL-bref, e Escala de Depress?o Geri?trica (GDS), ap?s esta entrevista os idosos realizaram cinesioterapia, durante 45 minutos, tr?s vezes por semana, num per?odo de tr?s meses. Ap?s foram reavaliados com os mesmos question?rios, a fim de verificar se houve melhora na qualidade de vida desta popula??o estudada.Verificou-se estatisticamente que houve melhora na independ?ncia, nas atividades de vida di?ria, aumento de for?a, flexibilidade, e atenua??o dos sintomas depressivos. Causando nesses idosos melhora da qualidade de vida, independ?ncia, sensa??o de bem-estar emocional evitando o isolamento que levam a confinamento e exclus?o da vida social do idoso.Considera-se que outras pesquisas nesta ?rea possam ser realizadas a fim constatar que a fisioterapia e seus recursos podem atuar na melhora da funcionalidade dos idosos e melhora de seu estado geral, causando nesta popula??o boa qualidade de vida ao envelhecer.

Made available in DSpace on 2015-04-14T13:53:56Z (GMT). No. of bitstreams: 1 447890.pdf: 8825285 bytes, checksum: 2f13c7fbfd2c35d22260ef80079c2bf9 (MD5) Previous issue date: 2013-02-26 / Population aging is a global phenomenon that occurs more rapidly in developing countries like Brazil. As a consequence, there is the increased frequency of health problems characteristic of the elderly, including mental disorders. Depression is the most common psychiatric illness among the elderly. This pathology can achieve different levels of severity, from mild to the most severe and associated with suicide. Older individuals are at higher risk of suicide than any other population. The aim of this study is to evaluate ideation, attempts and risks of suicide in a random sample of the elderly attended by the Family Health Program of Porto Alegre. A prospective cross-sectional study was conducted. The sample consisted of 530 randomly selected older people from 27 Family Health Teams in the city of Porto Alegre (FHT/POA) drawn in a stratified manner by the "Health Districs". Diagnosis was made by psychiatrists experienced in evaluating the elderly and using the Brazilian version of the Mini International Neuropsychiatric Interview (M.I.N.I 5.0.0 plus). The results showed a total of 15.7% (n=83) of the elderly sample presented a risk of suicide. Of this total 10% (n = 53) had low risk, 0.8% (n = 4) moderate risk, and 4.9% (n = 26) high risk. Among the subjects who were at risk for suicide a few significant associations can be highlighted: female (19.5%, P <0.001), not having income (34.1%, P = 0.022) and loss of one or more children (22.6%, P = 0.007). Regarding the mood it was found that 59.2% (n=45) of those individuals with current unipolar depression presented a suicide risk, whilst 62.5% (n=5) with current bipolar disorder and 33.3% (n=8) with a past history of this disease also presented a risk of suicide. A high rate of suicide risk was found by this study in the elderly population living in the community of Porto Alegre. Increased mental distress was noted in the evaluated individuals and it was possible to identify predictive factors for suicide risk through the analyses performed. The findings of this study are worrying, being necessary to be replicated in other localities and samples. Even so, the results cited clamor for urgency in promoting the treatment of mental disorders and suicide risk, especially those specializing in the elderly. / O envelhecimento populacional ? um fen?meno mundial que ocorre de forma mais acelerada em pa?ses em desenvolvimento como o Brasil. Em consequ?ncia disso h? um aumento da frequ?ncia de problemas de sa?de caracter?sticos do idoso, entre eles os transtornos mentais. A depress?o ? a doen?a psiqui?trica mais frequente entre idosos. Esta patologia pode alcan?ar diferentes n?veis de gravidade, desde o leve at? o mais severo e associado ao suic?dio. Pessoas idosas t?m risco mais alto para suic?dio do que qualquer faixa et?ria. O objetivo do presente estudo ? avaliar idea??o, tentativa e risco de suic?dio em uma amostra aleat?ria de idosos atendidos pela Estrat?gia Sa?de da Fam?lia de Porto Alegre. O estudo ? do tipo transversal com coleta prospectiva. A amostra constituiu-se de 530 idosos randomicamente selecionados de 27 Equipes de Sa?de da Fam?lia do Munic?pio de Porto Alegre (ESF/POA) sorteadas de modo estratificado por Ger?ncia Distrital. Para os diagn?sticos, psiquiatras com experi?ncia na avalia??o de idosos utilizaram a vers?o brasileira do Mini International Neuropsychiatric Interview 5.0.0 plus (M.I.N.I. 5.0.0 plus). Em rela??o aos resultados: um total de 15,7% (n=83) dos idosos da amostra apresentaram risco de suic?dio. Desse total, 10% (n=53) obtiveram risco baixo de suic?dio, 0,8%(n=4) risco moderado e 4,9%(n=26) risco alto. Dentre os idosos que estavam com risco de suic?dio algumas associa??es significativas podem ser destacadas: sexo feminino (19,5%; P<0,001), n?o ter renda (34,1%; P=0,022) e perda de um ou mais filhos (22,6%; P=0,007). Com rela??o ao humor, verificou-se que 59,2% (n=45) dos indiv?duos com depress?o unipolar atual apresentaram risco de suic?dio. 62,5% (n=5) com transtorno bipolar atual estavam com risco de suic?dio assim como 33,3% (n=8) dos indiv?duos com transtorno bipolar no passado. Neste estudo foi encontrado uma alta taxa de risco de suic?dio em idosos que vivem na comunidade de Porto Alegre. Notou-se elevado sofrimento mental nestes indiv?duos avaliados e foi poss?vel identificar fatores preditores do risco de suic?dio atrav?s das an?lises realizadas. Os achados do presente trabalho s?o preocupantes, sendo necess?rio serem reproduzidos em outras localidades e amostras. Mesmo assim, os resultados citados clamam pela urg?ncia na promo??o do tratamento de transtornos mentais e do risco de suic?dio, em especial, aquele especializado em idosos.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-12-11T16:22:38Z No. of bitstreams: 1 JACONDINO_BITTENCOURT_CAMILA_TESE.pdf: 3976957 bytes, checksum: f39c098e5a7074b67c812ed17b136305 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-12-18T13:48:22Z (GMT) No. of bitstreams: 1 JACONDINO_BITTENCOURT_CAMILA_TESE.pdf: 3976957 bytes, checksum: f39c098e5a7074b67c812ed17b136305 (MD5) / Made available in DSpace on 2017-12-18T13:52:28Z (GMT). No. of bitstreams: 1 JACONDINO_BITTENCOURT_CAMILA_TESE.pdf: 3976957 bytes, checksum: f39c098e5a7074b67c812ed17b136305 (MD5) Previous issue date: 2017-08-25 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Aging is becoming a reality in Brazil, as well as an increase in chronic no communicable diseases, among which depression is among the most frequent mental disorders in the population over 60 years. The causes of this mood disorder are multi factorial, and recent research points to a decrease in oxytocin, a neuropeptide, which acts as a neurotransmitter and neuromodulator, plays an important role in social behavior. The gene for its receptor (OXTR) is located on the short arm of the human chromosome 3p25, and a single nucleotide variation (rs2254298), have been linked with the emergence of mood disorders. Due to a point mutation, the guanine (G) was replaced by adenine (A), causing the G allele carriers to be favored by the behavioral relations. On the other hand, absence or a poor or ineffective social network, low self-esteem, associated with aging, OXTR polymorphism and depression may increase cardiovascular risk factors (CRF), making the elderly more susceptible to a negative outcome. PURPOSE: to analyze the association of oxytocin receptor gene polymorphism (2254298) with depression, social support, self-esteem and cardiovascular risk factor (CVRF). METHODS: A cross-sectional study carried out with a population of elderly people from the basic care of Porto Alegre, with and without depression, diagnosed by the Brazilian version of Mini International Neuropsychiatric Interview (MINI Plus), DNA extraction was performed from the leukocyte layer, and Genotyping by the Polymerase Chain Reaction and Restriction Fragment Length Polymorphism (PCR-RFLP) technique, and the digestion fragments were run with agarose gel stained with ethidium bromide. Self-esteem and social emotional / affective support were verified through the Rosemberg and Griep Social Support scales respectively. Hypertension, diabetes mellitus (DM), dyslipidemia, obesity, sedentary lifestyle and smoking were the CVRF investigated, and the metabolic variables investigated were triglycerides and postprandial glucose concentration by capillary puncture. Body mass index (BMI) and waist circumference and blood pressure were also measured. The hormones oxytocin and cortisol were obtained through the serum and measured by the ELISA technique. RESULTS: The sample consisted of 177 elderly people of basic care in Porto Alegre, mean age 72.6 ? 6.9, of which 129 (72.9%) were female. 66 (37.3%) had a diagnosis of depression, there was no association between OXTR rs 2254298 with depression, social support, self-esteem and CVRF. In the Poisson regression analysis, it was observed that the self-esteem (p = 0.031), and the social interaction domain (p = 0.037). A negative correlation was observed between serum oxytocin and BMI (p = 0.019) and postprandial triglycerides, (p = 0.035). The elderly classified as lean by Lipschitz criterion had significantly higher oxytocin averages (p = 0.005) and this relationship was maintained by regression analysis (p = 0.010). CONCLUSIONS: The results suggest that the OXTR polymorphism (rs 2254298) is not associated with depression, social support, self-esteem, and cardiovascular risk factors in this sample. The final multivariate analysis showed a higher frequency of depression in individuals with lower self-esteem and social interaction; and the elderly with higher levels of serum oxytocin had lower BMI, and those with lower concentration of this hormone, higher postprandial TGC. / O envelhecimento est? se tornando uma realidade no Brasil, assim como o aumento das doen?as cr?nicas n?o transmiss?veis, dentre as quais a depress?o est? entre as patologias mentais mais frequentes na popula??o acima de 60 anos. As causas deste transtorno de humor s?o multifatoriais, e pesquisas recentes apontam a diminui??o da ocitocina, um neuropept?dio, que agindo como neurotransmissor e neuromodulador, exerce um importante papel no comportamento social. O gene do seu receptor (OXTR) est? localizado no bra?o curto do cromossomo humano 3p25, e uma varia??o de nucleot?deo ?nico (rs2254298), possui uma estreita rela??o, com o surgimento de transtornos do humor. Devido a uma muta??o pontual, houve a substitui??o da guanina (G) por adenina (A), fazendo com que os portadores do alelo G, sejam favorecidos pelas rela??es sociais e afetivas. Por outro lado, a aus?ncia ou uma rede social pobre ou ineficaz, baixa autoestima, morbidades caracter?sticas do envelhecimento, polimorfismo do OXTR e depress?o podem ampliar os fatores de risco cardiovascular (FRCV), tornando o idoso mais suscept?vel a um desfecho negativo. OBJETIVO: Analisar a associa??o do polimorfismo do gene do receptor da ocitocina rs (2254298) com depress?o, apoio social, autoestima e fatores de risco cardiovascular (FRCV) em idosos da aten??o prim?ria de Porto Alegre. M?TODOS: Estudo transversal realizado com uma popula??o de idosos provenientes da aten??o b?sica de Porto Alegre, com e sem depress?o, diagnosticados pela vers?o brasileira do Mini International Neuropsychiatric Interview, (M.I.N.I Plus). A extra??o de DNA foi realizada a partir da camada de leuc?citos, e a genotipagem pela t?cnica de Polymerase Chain Reaction and Restriction Fragment Length Polymorphism (PCR-RFLP), e os fragmentos da digest?o foram corridos com gel de agarose corados com brometo de et?dio. A autoestima e o suporte s?cio emocional/afetivo foram verificados atrav?s das escalas de Rosemberg e Apoio Social de Griep respectivamente. A hipertens?o arterial (HAS), diabetes mellitus (DM), dislipidemia, obesidade, sedentarismo e tabagismo foram os (FRCV) investigados, e as vari?veis metab?licas averiguadas foram os triglicer?deos (TGC) e glicemia p?s-prandial, por pun??o capilar. O ?ndice de massa corporal (IMC) e circunfer?ncia da cintura e a press?o arterial tamb?m foram mensurados. Os horm?nios ocitocina e cortisol foram obtidos atrav?s do soro e mensurados atrav?s da t?cnica de ELISA. RESULTADOS: A amostra foi composta por 177 idosos da aten??o b?sica de Porto Alegre, com m?dia de idade 72,6?6,9 anos, sendo 129 (72,9%) do sexo feminino. Do total de idosos, 66 (37,3%) possuem o diagn?stico de depress?o, n?o foi observada associa??o entre o OXTR rs 2254298 com o epis?dio depressivo maior, apoio social, autoestima e os (FRCV). Na an?lise de regress?o de Poisson observou-se que a autoestima (p=0,031), e o dom?nio de intera??o social (p=0,037) mantiveram-se associados como desfecho para a depress?o. Foi verificada uma correla??o negativa entre a ocitocina s?rica com o IMC (p=0,019) e (TGC) p?s-prandial, (p=0,035). Os idosos classificados como magros pelo crit?rio de Lipschitz, apresentaram significativamente maiores m?dias de ocitocina, (p=0,005) e esta rela??o manteve-se associada pela an?lise de regress?o (p=0,010). CONCLUS?O: Os resultados sugerem que o polimorfismo do OXTR (rs 2254298) n?o est? associado com depress?o, apoio social, autoestima e (FRCV). O modelo final da an?lise multivariada mostrou maior frequ?ncia de depress?o em indiv?duos com menor autoestima e intera??o social; e os idosos com n?veis mais elevados de ocitocina s?rica apresentaram menor IMC, e os com menor concentra??o deste horm?nio, maior TGC p?s-prandial.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-06-15T12:30:31Z No. of bitstreams: 1 LESSA_ADRIANA_DA_ SILVA_DIS.pdf: 2649828 bytes, checksum: 7eac8b67c3d3a9b276347fe494f32d87 (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-06-26T11:31:28Z (GMT) No. of bitstreams: 1 LESSA_ADRIANA_DA_ SILVA_DIS.pdf: 2649828 bytes, checksum: 7eac8b67c3d3a9b276347fe494f32d87 (MD5) / Made available in DSpace on 2018-06-26T11:38:48Z (GMT). No. of bitstreams: 1 LESSA_ADRIANA_DA_ SILVA_DIS.pdf: 2649828 bytes, checksum: 7eac8b67c3d3a9b276347fe494f32d87 (MD5) Previous issue date: 2017-03-14 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This is a cross section study of prospective data gathering with the main objective of analyzing the relation between depressive symptomatology, gender and sociodemographic (marital status, income and scholarship) conditions that exist in a sample of an elderly community enrolled in the Family Health Strategy (ESF) program of the city of Porto Alegre-RS/Brazil. The sample was comprised of 301 elderly people, with an average age of 71,1 years, predominantly women (71,8%). This paper is attached to the Aging and Mental Health Program line of research of the Post-Graduate Program of the Geriatrics and Gerontology Institute (IGG) of the PUC-RS University. The data was gathered through structured interviews (sociodemographic data collected by questionnaire forms), and by application of the GDS-15 instrument (depressive symptom tracking). RESULTS: Possessing an average income of over one minimum wage is a protective factor, decreasing the occurence of depressive symptoms (42%) when compared to those with no income. Elderly with individual income of less than one minimum wage also presented a reduction in the occurrence of depressive symptoms of 35% when compared to those with no income. Besides individual income, elderly with daily use of reading and writing also presented a reduction in the occurrence of depressive symptoms of 21%. The biggest significance variable that distinguishes both genders was marital status. In men, the lack of companionship increase depression by 82% (RP=1,82; IC 95%: 1,20 ? 2,76; p=0,005). In women, marital status wasn't a significant indicator of depression (RP=1,01; IC 95%: 0,79 ? 1,29; p=0,948). / Este ? um estudo transversal de coleta prospectiva que teve como objetivo principal avaliar as rela??es entre a sintomatologia depressiva, g?nero e os dados sociodemogr?ficos (estado civil, renda e anos de escolaridade) que permeiam uma amostra comunit?ria de idosos cadastrados pelo programa Estrat?gia Sa?de da Fam?lia (ESF) do Munic?pio de Porto Alegre-RS/Brasil. A amostra foi composta por 301 idosos com m?dia de idade de 71,1 anos, predominantemente mulheres (71,8%). Este trabalho est? vinculado ? linha de pesquisa Envelhecimento e Sa?de Mental do Programa de P?s-gradua??o do Instituto de Geriatria e Gerontologia (IGG) da PUCRS. Os dados foram obtidos atrav?s de entrevista estruturada (dados sociodemogr?ficos coletados atrav?s do question?rio geral) e da aplica??o do instrumento GDS-15 (rastreamento de sintomas depressivos). RESULTADOS: Possuir renda individual maior que um sal?rio m?nimo ? fator protetivo na ocorr?ncia de menor propor??o de sintomas depressivos (42%), quando comparados com quem n?o possui renda. Os idosos que apresentaram renda individual menor que um sal?rio m?nimo tamb?m tem uma redu??o na preval?ncia de sintomas depressivos em 35%, quando comparados com os que n?o possuem renda. Al?m da renda individual, idosos que usam a leitura/escrita no seu cotidiano apresentam uma redu??o na preval?ncia de sintomatologia depressiva em 21%. A vari?vel com maior signific?ncia estat?stica que distingue os dois g?neros foi estado civil. Para homens, n?o ter companheira aumenta a preval?ncia de depress?o em 82% (RP=1,82; IC 95%: 1,20 ? 2,76; p=0,005). Para as mulheres, o estado civil n?o foi um preditor significativo (RP=1,01; IC 95%: 0,79 ? 1,29; p=0,948).

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2017-02-21T21:34:19Z No. of bitstreams: 1 Disserta??o FINAL com ficha catalogr?fica.pdf: 2423200 bytes, checksum: a285bac8f62ce27de8224377ba93c71e (MD5) / Made available in DSpace on 2017-02-21T21:34:19Z (GMT). No. of bitstreams: 1 Disserta??o FINAL com ficha catalogr?fica.pdf: 2423200 bytes, checksum: a285bac8f62ce27de8224377ba93c71e (MD5) Previous issue date: 2016-09-21 / Funda??o de Amparo ? Pesquisa do Estado da Bahia - FAPEB / Introduction: Lichen Planus is a chronic inflammatory disease of uncertain etiology that may affect skin or mucosa, especially the oral mucosa. Objective: Evaluate the clinical epidemiological profile, and psychological and salivary factors of patients with oral lichen planus. Materials and Methods: The clinical epidemiological profile was assessed by descriptive analysis of 38 dental records of individuals with clinical/pathological diagnosis of oral lichen planus, treated at an Oral Lesions Reference Center in the period between 2005 and 2015 (Article 1). A case control study was conducted to evaluate the levels of anxiety, depression and stress, and both flow and pattern of secretion of salivary cortisol in 42 adults. The experimental group was composed of 21 individuals with a clinical/histopathological diagnosis of oral lichen planus. The control group originated from the same population of cases, consisted of 21 individuals without the disease, randomly admitted and matched to the cases by sex and age. Both groups underwent clinical examination of the oral cavity, structured interview, psychological tests (Beck Anxiety and Depression Inventory and Perceived Stress Scale) and saliva collection at three different times of the day (Article 2). Data was initially analyzed by means of descriptive statistics, by means of absolute and relative frequency and centralization and dispersion steps. Bivariate analysis was performed between the study variables and the presence of oral lichen planus, estimating the odds ratio (OR) as a measure of association, and using confidence intervals at 95%. The Mann-Whitney test was used to compare the groups with regard to scores of anxiety, depression and stress, and the pattern of salivary cortisol secretion. The Friedman test was used to evaluate the pattern of salivary cortisol secretion throughout the day. We used the t-Student test to compare the mean salivary flow between the groups, as well as the area under the curve of the cortisol response to awakening. The correlation between cortisol concentrations with the scores of depression, anxiety, stress and salivary flow was measured through the Spearman correlation coefficient. The adopted significance level was 5%. Results: In Article 1, we observed that 68.42% of the subjects were aged greater than or equal to 40 years; 65.80% were women and 78.90%, had black or brown skin. Most had no systemic disease (68.42%). As for lifestyle, 42.10% were drinkers and 26.30% were smokers. Reticular lichen planus was the most prevalent clinical form (78.13%), mainly affecting the oral mucosa (68.40%). In Article 2, a significant association was found between anxiety scores (p = 0.001), depression (p = 0.005) and perceived stress (p = 0.026), but not when compared to the salivary flow (p = 0.29) or to the pattern of salivary cortisol secretion when waking up (p = 0.98), 30 minutes after waking up (p = 0.95) and at nighttime (p = 0.97). Conclusion: Most cases of lichen planus of the reticular type, usually located in the oral mucosa, occurred in aged over 40, white women. Through psychological tests, it was observed an association between oral lichen planus and anxiety, depression and stress, but not in relation to the analyzed salivary factors. / Introdu??o: O L?quen Plano ? uma doen?a inflamat?ria cr?nica de etiologia incerta que pode afetar pele e ou mucosas, especialmente a mucosa bucal. Objetivo: Avaliar o perfil cl?nico- epidemi?logico, fatores psicol?gicos e salivares em indiv?duos com l?quen plano bucal. Materiais e M?todos: O perfil cl?nico-epidemiol?gico foi avaliado atrav?s da an?lise descritiva de 38 prontu?rios odontol?gicos de indiv?duos com diagn?stico cl?nico/histopatol?gico de l?quen plano bucal atendidos em um Centro de Refer?ncia de Les?es Bucais, no per?odo de 2005 a 2015 (Artigo 1). Um estudo de caso controle foi realizado para avaliar os n?veis de ansiedade, depress?o e estresse e o fluxo e padr?o de secre??o do cortisol salivar em 42 indiv?duos adultos. O grupo de casos foi composto por 21 indiv?duos com diagn?stico cl?nico/histopatol?gico de l?quen plano bucal. O grupo controle, proveniente da mesma popula??o de origem dos casos, foi constitu?do por 21 indiv?duos sem a doen?a, admitidos de forma aleat?ria e pareados por sexo e idade em rela??o aos casos. Ambos os grupos foram submetidos a exame cl?nico da cavidade bucal, entrevista estruturada, testes psicol?gicos (Invent?rios de Ansiedade e Depress?o de Beck e Escala de Estresse Percebido) e coleta de saliva em tr?s momentos distintos (Artigo 2). Os dados foram analisados, inicialmente, por meio de estat?stica descritiva, por meio de frequ?ncia absoluta e relativa e medidas de centraliza??o e dispers?o. An?lise bivariada foi realizada entre as vari?veis do estudo e o l?quen plano bucal, estimando-se a odds ratio (OR) como medida de associa??o e seus respectivos intervalos de confian?a em 95%. O teste de Mann-Whitney foi aplicado para comparar os grupos com rela??o aos escores de ansiedade, depress?o e estresse e o padr?o de secre??o do cortisol salivar. O teste de Friedman para avaliar o padr?o de secre??o do cortisol salivar ao longo do dia. O teste t de Student para comparar as m?dias do fluxo salivar entre os grupos, bem como a resposta do cortisol ao acordar. A correla??o entre as concentra??es de cortisol com os escores de depress?o, ansiedade, estresse e fluxo salivar foi analisada pelo Coeficiente de Correla??o de Spearman. O n?vel de signific?ncia adotado foi de 5%. Resultados: No artigo 1, foi observado que 47,37% dos indiv?duos tinham idade maior ou igual a 40 anos; 65,80% eram mulheres e 78,90% pardos/pretos. A maioria n?o apresentava doen?a sist?mica (68,42%). Quanto ao estilo de vida, 42,10% faziam consumo de bebidas alco?licas e 26,30% eram fumantes. O l?quen plano reticular foi a forma cl?nica mais prevalente (78,13%) acometendo principalmente a mucosa jugal (68,40%). No artigo 2, foi encontrada uma associa??o significativa entre os escores de ansiedade (p=0,001), depress?o (p=0,005) e estresse percebido (p=0,026), mas n?o em rela??o ao fluxo salivar (p=0,29) e o padr?o de secre??o de cortisol salivar ao acordar (p=0,98), 30 minutos depois de acordar (p=0,95) e noturno (p=0,97). Conclus?o: A maioria dos casos de l?quen plano bucal do tipo reticular, localizados geralmente em mucosa jugal, ocorreu em mulheres, n?o brancas com idade igual ou superior a 40 anos. Foi observada associa??o entre o l?quen plano bucal e ansiedade, depress?o e estresse por meio dos testes psicol?gicos, mas n?o em rela??o aos fatores salivares analisados.

Submitted by Jadson Francisco de Jesus SILVA (jadson@uefs.br) on 2018-08-01T22:17:41Z No. of bitstreams: 1 disserta??o de mestrado JULIAN ARAUJO DA SILVA SIMOURA Completa.pdf: 3705558 bytes, checksum: ad4478af61049852fd9522965dab7c65 (MD5) / Made available in DSpace on 2018-08-01T22:17:41Z (GMT). No. of bitstreams: 1 disserta??o de mestrado JULIAN ARAUJO DA SILVA SIMOURA Completa.pdf: 3705558 bytes, checksum: ad4478af61049852fd9522965dab7c65 (MD5) Previous issue date: 2017-05-31 / Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPq / Introduction: Lichen planus is a chronic inflammatory disease of uncertain etiology that can affect the skin and/or mucous membranes, especially the oral mucosa. Objective: To evaluate psychological (anxiety, depression and stress) and salivary (flow and levels of salivary alpha amylase) factors in individuals with oral lichen planus. Materials and Methods: An exploratory control case study was conducted. The case group consisted of 23 individuals with clinical and histopathological diagnosis of oral lichen planus, matched by sex and age to a control group, with an equal number of healthy individuals, from the same population that originated the cases. The population underwent clinical examination of the oral cavity, psychological tests (perceived stress scale and Beck depression and anxiety inventories) and saliva collection to determine the salivary flow and alpha-amylase levels at three moments along the day (on waking, thirty minutes after waking and before bed). The data were analyzed statistically. The Odds Ratio and its 95% confidence interval were computed. The McNemar ?2 test was used, considering a significance level of 5%. For quantitative variables, the Mann-Whitney test was used to compare the medians of salivary flow, alpha amylase response on waking, and salivary alpha amylase levels at each of the collection times, between cases and controls. The Friedman test was applied to evaluate the concentration of the alpha amylase from each of the three moments of saliva collection throughout the day. Spearman's correlation coefficient was computed to determine correlation between alpha amylase concentration and the test scores of stress, anxiety, depression, and salivary flow. Results: There was a significant correlation between anxiety, depression, stress and LPB, and between stress and ?-AS decline. Higher levels of salivary alpha amylase were found in the case group in the second collection time when compared to controls. Conclusion: The applied psychological tests indicated that factors such as stress, anxiety and depression were correlated to oral lichen planus. Salivary analyses demonstrated a higher concentration of alpha amylase thirty minutes after waking on individuals with the disease, suggesting the role of alpha amylase as a promising biomarker for further longitudinal studies on the subject. / Introdu??o: O L?quen Plano ? uma doen?a inflamat?ria cr?nica de etiologia incerta que pode afetar pele e ou mucosas, especialmente a mucosa bucal. Objetivo: Avaliar fatores psicol?gicos (estresse, ansiedade e depress?o) e salivares (fluxo e padr?o de secre??o da alfa amilase) em indiv?duos com l?quen plano bucal. Materiais e M?todos: Um estudo de caso controle do tipo explorat?rio foi realizado em 46 indiv?duos adultos. O grupo de casos foi composto por 23 indiv?duos com diagn?stico cl?nico/histopatol?gico de l?quen plano bucal. O grupo controle, proveniente da mesma popula??o de origem dos casos, foi constitu?do por 23 indiv?duos sem a doen?a, admitidos de forma aleat?ria e pareados por sexo e idade em rela??o aos casos. A popula??o foi submetida a testes psicol?gicos (Invent?rio de ansiedade e de depress?o de Beck e a escala de estresse percebido) e a coleta de saliva para determina??o do fluxo salivar e dos n?veis de alfa-amilase em tr?s momentos ao longo do dia (ao acordar, trinta minutos ap?s acordar e antes de dormir). Os dados foram analisados estatisticamente, calculou-se a Odds Ratio e o seu intervalo de confian?a a 95%. Foi utilizado o teste ?2 de McNemar, considerando-se o n?vel de signific?ncia de 5%. Para vari?veis quantitativas, aplicou-se o teste de Mann-Whitney para comparar as medianas do fluxo salivar, da resposta da alfa amilase ao acordar, e dos n?veis de alfa amilase salivar em cada um dos tempos de coleta entre casos e controles. Para avaliar a concentra??o da alfa amilase de cada um dos tr?s momentos de coleta da saliva ao longo do dia, foi aplicado o teste Friedman. No que diz respeito ? correla??o entre concentra??o de alfa amilase e scores dos testes de estresse, ansiedade, depress?o e o fluxo salivar, calculou-se o coeficiente de correla??o de Spearman para determinar. Resultados: Encontrou-se associa??o/correla??o significativa entre ansiedade, depress?o, estresse e LPB. N?veis mais elevados de alfa amilase salivar foram encontrados no grupo caso no segundo tempo de coleta quando comparados aos controles. Conclus?o: Fatores psicol?gicos como estresse, ansiedade e depress?o foram associados a ocorr?ncia do liquen plano bucal. A alfa amilase salivar pode ser uma promissora candidata para detectar fatores psicol?gicos em popula??es com l?quen plano bucal, mais estudos precisam ser realizados a fim de esclarecer os fatores fisiol?gicos relacionados ao aumento da alfa amilase salivar em portadores da doen?a.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2018-02-15T12:28:25Z No. of bitstreams: 1 JOSE MARIO LIMONGI JUNIOR.pdf: 1520868 bytes, checksum: 2fab462a6f26c6c60ff93adc8543e65d (MD5) / Made available in DSpace on 2018-02-15T12:28:25Z (GMT). No. of bitstreams: 1 JOSE MARIO LIMONGI JUNIOR.pdf: 1520868 bytes, checksum: 2fab462a6f26c6c60ff93adc8543e65d (MD5) Previous issue date: 2017-12-18 / Introduction: Epilepsy is a chronic neurological condition characterized by seizures recurring caused by excessive neuronal activity in the brain, usually self-limited. Several studies have reported impaired quality of life in epilepsy associated with different clinical and psicossocial aspects. However, it is still little studied in adult patients with epilepsy (PWE) the ability to deal with adverse events and whether there is relationship between resilience and aspects of epilepsy. Objetive: Assess the resilience and its relationship with sociodemographic, clinical and the perception of life in PWE. Materials and procedures: 80 consecutive adults PWE were included, treated in the clinic Clinical Neurology Hospital Celso Pierro (PUC-Campinas). The PWE were assessed: sociodemographic questionnaire, medical history, economic classification criteria Brazil, Wagnild & Young resilience scale, life orientation test (LOT-R) and Inventory of depression in neurological disorders epilepsy (NDDI-E) . Statistical tests were used with significance level of p <0.05. Results: The average age of PWE was 45.4 (? 14.4) years, 46 (57.5%) were females; 38 (47.5%) and 42 are unemployed (52.5%) and 41 (51.2%) patients were married. The average age of the first patients seizure was 21.1 (? 17.1) years; 49 (61.2%) were seizure for less than a year and the average duration of epilepsy was 27.7 (? 16.2) years. The seizure type was focal in 67 (83.75%) cases and generalized only in 13 (16.25%). Fifty-one PWE were using one antiepileptic drug (AED), and more than two drugs, 29 (36.2%) cases. The epileptic syndrome was, idiopathic generalized epilepsy in 13 cases (16.25%), symptomatic focal in 45 (56.25%) and probably symptomatic focal in 22 cases (27.50%). In symptomatic epilepsies etiology was temporal lobe epilepsy with hippocampal sclerosis in 27 (33.7%) cases. The average score of the resilience scale was 139.2 (? 15.6). In classification level resilience was observed that 15 (18.7%) patients had low resilience (?125), middle (> 125 and ?145) and high resilience (> 145) were respectively 32 (40%) and 33 (41.2%) patients. The average score TOV-R was 20.5 (? 3.4) and NDDI-E 12.6 (? 2.6). The PWE that used two or more AED had significantly lower scores on scale resilience when compared to those using single drug (142.3 ? 14.7 133.9 ? 16.1 x; t-test, p = 0.025). It was observed that the PWE presenting depressive episode (values above 15) in NDDI-E show significantly lower scores on scale resilience (141.7 ? 14.1 x 119.8 ? 14.2; T-test; p = 0.000) and lower scores on TOV -R (21.0 ? 2.6 x 16.5 ? 6.1, t-test, p = 0.000). There was a significant positive correlation between the scores of resilience scale with the TOV-R. There was a negative correlation between the scores of resilience and range scores NDDI-E. Discussion and conclusion: Most PWE showed medium and high resilience, suggesting that persons with high resilience can develop skills to overcome challenges and adversity and unpredictability of epilepsy. In screening for depressive episodes in NDDI-E was observed average values do not suggestive of depressive symptoms. Low resilience was significantly associated with the use of more than one AED. There was no association with other clinical and socio-demographic aspects of epilepsy. PWE with greater optimism in the perception of their lives (LOT-R) have more resilience. There was an association between depressive symptoms (NDDI-E) and lower resilience. In conclusion, less resilients PWE use more than one AED, show less optimism to perceive their lives and more depressive symptoms. / Introdu??o: Epilepsia ? uma condi??o neurol?gica cr?nica caracterizada por crises epil?pticas (CE) recorrentes, causada pela atividade neuronal excessiva no c?rebro, usualmente autolimitada. V?rios estudos descrevem comprometimento da qualidade de vida na epilepsia associado a diferentes aspectos cl?nicos e psicossociais. Entretanto, ainda ? pouco estudada em pacientes adultos com epilepsia (PCE) a capacidade de lidar com eventos adversos e se h? rela??o entre resili?ncia e aspectos da epilepsia. Objetivo: Avaliar a resili?ncia e sua rela??o com aspectos sociodemogr?ficos, cl?nicos e com a percep??o da vida em PCE. Casu?stica e procedimentos: Foram inclu?dos 80 PCE adultos consecutivos, atendidos no ambulat?rio de Neurologia Cl?nica do Hospital e Maternidade Celso Pierro (PUC-Campinas). Os PCE foram avaliados com: Question?rio sociodemogr?fico, hist?ria cl?nica, crit?rio de classifica??o econ?mica Brasil, Escala de resili?ncia de Wagnild & Young, Teste de orienta??o da vida (TOV-R) e Invent?rio de depress?o em transtornos neurol?gicos para epilepsia (IDTN-E). Foram utilizados testes estat?sticos com n?vel de signific?ncia p< 0,05. Resultados: A idade m?dia dos PCE foi 45.4 (?14.4) anos, 46 (57.5%) eram do g?nero feminino; 38 (47.5%) estavam desempregados e 42 (52.5%) e 41 (51.2%) pacientes casados. A idade m?dia da primeira crise epil?ptica (CE) foi de 21.1 (?17.1) anos; 49 (61.2%) estavam com CE h? menos de um ano e a dura??o m?dia da epilepsia foi de 27.7 (?16.2) anos. O tipo de CE foi focal em 67 (83.75%) casos e exclusivamente generalizada em 13 (16.25%). Cinquenta e um PCE estavam utilizando uma droga antiepil?ptica (DAE) e, mais que duas drogas, 29 (36.2%). A s?ndrome epil?ptica foi: epilepsia generalizada idiop?tica em 13 casos (16.25%), focal sintom?tica em 45 (56.25%) e focal provavelmente sintom?tica em 22 casos (27.50%). Nas epilepsias sintom?ticas a etiologia foi epilepsia de lobo temporal com esclerose hipocampal em 27 (33.7%). O escore m?dio da escala de resili?ncia foi 139.2 (?15.6). Na classifica??o dos n?veis de resili?ncia foi observado que 15 (18.7%) pacientes tinham baixa resili?ncia (?125) e, m?dia (>125 e ?145) e alta resili?ncia (>145) foram respectivamente, 32 (40%) e 33 (41.2%) pacientes. O escore m?dio do TOV-R foi 20.5 (?3.4) e do IDTN-E, 12.6 (?2.6). Os PCE que utilizavam mais de uma DAE apresentaram de modo significativo menores escores na escala de resili?ncia quando comparados ?queles que utilizavam droga ?nica (142.3?14.7 x 133.9?16.1; Teste T; p=0.025). Foi observado que os PCE em epis?dio depressivo (valores acima de 15) no IDTN-E tiveram de modo significativo menores escores na escala de resili?ncia (141.7?14.1 x 119.8?14.2; Teste T; p=0.000) e menores escores no TOV-R (21.0?2.6 x 16.5?6.1; Teste T; p=0.000). Houve correla??o positiva significativa entre os escores da escala de resili?ncia com o TOV-R. Houve correla??o negativa significativa entre os escores da escala de resili?ncia e os escores do IDTN-E. Discuss?o e conclus?o: A maioria dos PCE foram classificados em m?dia e alta resili?ncia, o que sugere que indiv?duos com elevada resili?ncia podem desenvolver habilidades para superar os desafios e adversidades frente a imprevisibilidade da epilepsia. No rastreamento de epis?dios depressivos, no IDTN-E, foi observado valores m?dios n?o sugestivos de sintomas depressivos. Baixa resili?ncia foi associada de modo significativo ? utiliza??o de mais de uma DAE. N?o foi observada associa??o com outros aspectos cl?nicos da epilepsia e sociodemogr?ficos. PCE com maior otimismo na percep??o de suas vidas (TOV-R) apresentam maior resili?ncia. Houve associa??o entre sintomas depressivos (IDTN-E) e menor resili?ncia. Concluindo, PCE com menor resili?ncia utilizam mais de uma DAE, apresentam menor otimismo ao perceberem suas vidas com mais sintomas depressivos.

Made available in DSpace on 2016-04-04T18:27:29Z (GMT). No. of bitstreams: 1 Ana Paula Azevedo1.pdf: 418961 bytes, checksum: c905c6d041e00f79a71353e50365d8f7 (MD5) Previous issue date: 2007-02-14 / Pontif?cia Universidade Cat?lica de Campinas / Depressive Disorder is one of the most frequent problems that cause incapability nowadays. It is considerated one of the great reasons that take people to search health care assistance in the world. Its symptoms are sad humor, melancholy, cry, apathy, tedium, chronic dislike, angry increase, anxiety, despair, fatigue, tiredness, less wish, beyond other symptoms. From the point of view of behavior analysis, depression must be understood by analyzing the contingencies that sustain the behavior because the main reasons that explain the behavior must be searched in people relations with the external environment. Looking by the perspective that a behavior must be studied in terms of its function, depression could be understood as responses classifications selected and developed during the person?s life considering the interaction with the environment that the person was exposed. The purpose of this present study was to identify functional relations among the verbal report of five people with depression diagnosis. It was chosen to do the analysis of the most frequent behavior in each participant. The methodologies used for the selection of the behavior were Beck?s Depression Inventory (BDI), clinic interviews and self-observation. After the selection of the behavior, additional interviews were included in order to collect information about the function of the behaviors and about the life history of each participant. The results showed similar functional processes in all participants. The contingences involved in the most frequent behavior in each one were about negative reinforcement and as a result, it was observed avoidance behavior under an aversive stimulation. In the investigation of their life history related with the most frequent behavior, were detected learning aspects of the behavior and negative reinforcement such as frequent situations of avoidance, low incidence of positive reinforcement, frequent punishment situations in childhood and adolescence and lack of positive reinforcements. It was concluded that the contingences involved in the most frequent behavior and the investigation of the relationships during the life history of these participants were adequate methods to obtain data regarding to depression. In addition, it gives information about the interaction of these people with their environment. Therefore, investigations like this study could support a more specific assessment in each case, contributing for a better treatment. / O transtorno depressivo ? um dos mais freq?entes e incapacitantes problemas da atualidade, e ? considerado um dos grandes motivos pela busca de servi?os de sa?de em todo o mundo. Caracteriza-se por humor triste, melancolia, choro f?cil, apatia, t?dio, aborrecimento cr?nico, irritabilidade aumentada, ansiedade, ang?stia, desespero, desesperan?a, fadiga, cansa?o, des?nimo, diminui??o da vontade, entre outros sintomas. Do ponto de vista da An?lise do Comportamento, a depress?o deve ser compreendida a partir da an?lise das conting?ncias que a mant?m, visto que s?o nas rela??es com o ambiente externo que devem ser buscadas as explica??es para o comportamento. Seguindo a perspectiva de que um comportamento deve ser estudado nos termos da sua fun??o, a depress?o poderia ser entendida como classes de respostas selecionadas e desenvolvidas ao longo da vida do indiv?duo a partir de suas intera??es com o meio. O objetivo do presente trabalho foi identificar rela??es funcionais no relato verbal de cinco pessoas com diagn?stico de depress?o. Optou-se analisar os comportamentos de maior freq??ncia em cada participante, e para a sele??o dos comportamentos utilizou-se o Invent?rio de Depress?o de Beck, entrevistas cl?nicas e auto-observa??o. Ap?s a sele??o dos comportamentos foram feitas outras entrevistas cl?nicas objetivando coletar dados sobre a fun??o dos comportamentos de maior freq??ncia e informa??es sobre a hist?ria de vida em cada participante. A an?lise dos dados foi feita enfatizando-se os processos de an?lise do comportamento que poderiam estar relacionados ao comportamento analisado. Os resultados apontaram processos funcionais parecidos em todos os participantes. As conting?ncias envolvidas no comportamento de maior freq??ncia em cada um foram de refor?amento negativo e, logo, tiveram fun??o de esquiva de situa??es aversivas. Na investiga??o da hist?ria de vida relacionada ao comportamento de maior freq??ncia, foram encontrados aspectos de aprendizagem do comportamento e de refor?amento negativo, como freq?entes situa??es de esquivas, baixa incid?ncia de refor?amento positivo, puni??es freq?entes na inf?ncia e adolesc?ncia e perda de refor?adores positivos. Conclui-se que a an?lise das conting?ncias envolvidas no comportamento de maior freq??ncia e a investiga??o das rela??es estabelecidas na hist?ria de vida nesses participantes foram um m?todo adequado para obter dados a respeito da depress?o, al?m de fornecer informa??es sobre a intera??o desses sujeitos com seu ambiente. Dessa maneira, investiga??es como a apresentada auxiliam para uma avalia??o mais precisa de cada caso, contribuindo para uma interven??o cl?nica mais adequada.

Made available in DSpace on 2016-04-04T18:28:02Z (GMT). No. of bitstreams: 1 Vivian Mascella.pdf: 1282816 bytes, checksum: b8e395c9ccb4c074672d95f2c19c8223 (MD5) Previous issue date: 2011-12-02 / The current research sought to evaluate stress, anxiety and depression in women whith Migraine and women whith Tension-type Headache. A total of 31 women participated in the research .Sixteen out of 31 women suffered from Migraine and 15 out of 31 women showed Tension-type Headache. All the participants were between 18 to 72 years old. After being diagnosed by doctors, the participants were attended at a neurology and brain surgery clinic located in the interior of the State of S?o Paulo. A Semi-Structured Interview Form, Lipp Inventory of Stress Symptoms for Adults (LISS), Beck Anxiety Scale (BAS), and Beck Depression Scale (BDS) were used to collect data.The analysis of the data was both quantitative and qualitative. For LISS, BAS, and BDS, the answers were evaluated according to the charts and to the norms of their manuals. For the open answers of Interview form, the analysis of contend was made according to Bardin.The results revealed that 100% of the women who had Migraine showed stress; 50% of them were in a resistant period and 43,75% were in a nearly-exhausted period. 66,67% of the women who had Tension-type headache showed stress; 53,33% of them were in a resistant period and 6,67% in a nearly-exhausted period. Concerning anxiety, 31,25% of the women who had Migraine revealed a moderate level, while 60% of the women who had Tension-type Headache showed a minimum level. Concerning depression, 37,50% of the women who had Migraine showed moderate depression, and 53,33% of the women who had Tension-type Headache showed minimum levels of anxiety. It was observed that women who had Migraine showed more serious levels of stress, anxiety and depression than women who had Tension-type Headache. It is relevant to note that, although the survey sample is decreased, the results found are similar to other studies, and confirms the need to develop a psychological treatment suitable for women who suffer from Migraine and tension-type Headache, aiming to promote health and improves the quality of life. / A presente pesquisa teve como objetivo avaliar stress, ansiedade e depress?o em mulheres com Migr?nea e mulheres com Cefaleia do Tipo Tensional. As participantes foram 31 mulheres, sendo que 16 apresentavam Migr?nea e 15 apresentavam Cefaleia tipo tensional, na faixa et?ria de 18 a 72 anos. As participantes foram encaminhadas ap?s o diagn?stico dos m?dicos e atendidas numa cl?nica de Neurologia e Neurocirurgia no interior do Estado de S?o Paulo. Para a coleta dos dados, foi utilizado um roteiro de entrevista semiestruturada, Invent?rio de Sintomas de Stress para Adultos de Lipp (ISSL), Escala de Ansiedade de Beck (BAI), Escala de Depress?o de Beck (BDI). A an?lise dos dados foi quantitativa e qualitativa. As respostas dadas ao ISSL, BAI e BDI foram avaliadas de acordo com as tabelas e normas de seus manuais, e as respostas abertas foram submetidas ? an?lise de conte?do de Bardin. Os resultados revelaram que 100% das mulheres com Migr?nea apresentavam stress, sendo que 50% estavam em fase de resist?ncia e 43,75% se encontravam em fase de quase-exaust?o. Enquanto que 66,67% das mulheres com Cefaleia tipo tensional apresentavam stress, sendo que 53,33% estavam em fase de resist?ncia e 6,67% em fase de quase-exaust?o. No que se refere ? ansiedade 31,25% das mulheres com Migr?nea estavam num n?vel moderado, enquanto que 60% das mulheres com Cefaleia tipo tensional apresentavam um n?vel m?nimo. Com rela??o ? depress?o, 37,50% das mulheres com Migr?nea estavam em n?veis moderados, e 53,33% das mulheres com Cefaleia tipo tensional apresentavam n?veis m?nimos de ansiedade. Verifica-se que as mulheres com Migr?nea apresentam n?veis mais graves de stress, ansiedade e depress?o do que mulheres com Cefaleia tipo tensional. ? relevante destacar que, embora a amostra da pesquisa seja reduzida, os resultados encontrados s?o semelhantes aos de outros estudos, e confirma a necessidade de elabora??o de um tratamento psicol?gico adequado para mulheres que sofrem com Migr?nea e Cefaleia tipo tensional, visando ? promo??o da sa?de e melhora da qualidade de vida.

Made available in DSpace on 2016-04-04T18:29:33Z (GMT). No. of bitstreams: 1 Dejenane Ap Pascoal Pereira.pdf: 988659 bytes, checksum: 80dc6010e262560ea396cfc6342a58ec (MD5) Previous issue date: 2007-02-06 / The survey has complied with the validation and standardization of the Children Depression Evaluation Scale (Pereira & Amaral, 2004) in a sample of 626 children from 6 up to 12 years of age. It has been carried out the factorial analysis and the scale remained with 24 items in 4 factors: Depressed Mood, Social Relationship, Self-Esteem and Autonomic-Physiologic Response. The Cronbach Coefficient has shown good precision (alfa=0,82). Table in percentile and T score were elaborated for: type of school, sex, age, school grade, age range and school grade range. Statistical analysis (Mann-Whitney and Kruskal-Wallis) have shown the necessity of specific standards for: type of school (p<0,001), sex (p<0,001) and public school x sex (p<0,001). In the analysis of the children who presented percentile above 75, the Qui-Square showed significant difference for: type of school (x?=11,30 GL=1; p<0,001), sex (x?=9,79; GL=1; p=0,002) and public school x sex (x?=11,13; GL=1; p<0,001). The Children Depression Evaluation Scale has proven to be valid and trustworthy for the use in the Brazilian population, being of great value for mental health research, prevention and treatment. / A pesquisa cumpriu a valida??o e normatiza??o da Escala de Avalia??o de Depress?o para Crian?as (Pereira & Amaral, 2004) em amostra de 626 crian?as de 6 a 12 anos. Foi realizada a an?lise fatorial e a escala permaneceu com 24 itens em 4 fatores: Humor Deprimido; Relacionamento Social; Auto-Estima e Resposta Fisiol?gico-Auton?mica. O Coeficiente de Cronbach mostrou boa precis?o (alfa=0,82). Tabelas em percentil e escore T foram elaboradas para: tipo de escola, sexo, idade, s?rie escolar, faixas-et?rias e faixas de s?ries escolares. An?lises estat?sticas (Mann-Whitney e Kruskal-Wallis) mostraram a necessidade de normas espec?ficas para: tipo de escola (p<0,001), sexo (p<0,001) e escola p?blica x sexo (p<0,001). Na an?lise das crian?as que apresentaram percentil acima de 75, o Qui-Quadrado mostrou diferen?a significativa para: tipo de escola (x?=11,30 GL=1; p<0,001), sexo (x?=9,79; GL=1; p=0,002) e escola p?blica x sexo (x?=11,13; GL=1; p<0,001). A Escala de Avalia??o de Depress?o para Crian?as mostra ser v?lida e fidedigna para uso na popula??o brasileira, sendo de grande valor para pesquisa, preven??o e tratamento da sa?de mental.