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Previous issue date: 2018-01-11 / Mental disorders in childhood reach a prevalence of 13.4%, with 6.5% presenting with anxiety disorders and 2.6% with depressive disorder, the latter being the most prevalent in an isolated or comorbid form. The creation of programs to work these disorders in children becomes important for the non-progression of the symptoms in the later development. This study carried out a narrative review of the literature regarding the existing protocols for intervention with children based on cognitive-behavioral therapy. However, the main objective of this study was to evaluate the internal validity of the infant recycling therapy (TRI) protocol in reducing anxiety and / or depression symptoms in children aged 8 to 12 years. We also evaluated mental health problems among the participants and the intensity of cognitive distortions in the sample. The research consisted of a descriptive and explanatory study with a time series design. The TRI was applied in 22 children of both sexes with the purpose of comparing the symptoms of pre and post intervention children, as well as at the end of each stage of psychotherapy. The collection of symptomatic data was given by the application of SCARED and CDI, the cognitive distortions were monitored by the CATS questionnaire. Those responsible were assessed from the ASR. Of the participants who entered the study, 19 completed the protocol, which demonstrated good adherence to the treatment. The main symptomatology at admission was depression and the highest prevalence was in males. Participants presented a progressive reduction profile of both symptoms as well as negative automatic thoughts. Those responsible for the children presented clinical symptoms for internalizing problems. The data were analyzed by repeated measures ANOVA and to understand the differences of averages in each treatment step, Post Hoc analyzes were performed. The results suggest that the protocol contributed to the reduction of anxiety and depression significantly (p <0.005), as well as an improvement in the intensity of the cognitive distortions initially presented (p <0.005). The main symptom change occurred after the initial stage of the protocol, that is, the work with the emotions. These results suggest that TRI has proved to be a good clinical tool in the treatment of anxious and depressive symptoms in children and adolescents. Follow-up evaluations could indicate if these results were maintained over time, and this is a suggestion for future studies. In addition, we present the data from a conserved profile seen the absence of control group in this work, which could also be improved in other studies. / Os transtornos mentais na inf?ncia atingem uma preval?ncia de 13,4%, cuja 6,5% apresentam transtornos de ansiedade e 2,6% transtorno depressivo, sendo estes dois os mais prevalentes de forma isolada ou comorbida. A cria??o de programas para trabalhar estes transtornos em crian?as torna-se importante para a n?o progress?o dos sintomas no desenvolvimentoposterior. Este estudo realizou uma revis?o narrativa da literatura frente aos protocolos existentes para interven??o com crian?as com base na terapia cognitivo-comportamental. Entretanto, o principal objetivo deste trabalho esteve em avaliar a validade interna do
protocolo de Terapia de reciclagem infantil (TRI) em reduzir sintomas de ansiedade e/ou depress?o em crian?as de 8 a 12 anos. Tamb?m se avaliou problemas de sa?de mental nos respons?veis pelos participantes e intensidade de distor??es cognitivas da amostra. A pesquisa constituiu-se em um estudo descritivo e explicativo com delineamento de s?rie temporal. Aplicou-se a TRI em 22 crian?as de ambos os sexos com o objetivo de comparar a sintomatologia das crian?as pr? e p?s interven??o, bem como no final de cada etapa de psicoterapia. A coleta de dados sintomatol?gicos se deu pela aplica??o da SCARED e CDI, as distor??es cognitivas foram monitoradas pelo question?rio CATS. Os respons?veis foram avaliados a partir do ASR. Dos participantes que ingressaram no estudo, 19 conclu?ram o protocolo, o que demonstrou boa ades?o ao tratamento. A principal sintomatologia no ingresso foi depress?o e a maior preval?ncia esteve no sexo masculino. Os participantes apresentaram um perfil de redu??o progressiva de ambos os sintomas, bem como de pensamentos autom?ticos negativos. Os respons?veis pelas crian?as apresentaram sintomas cl?nicos para problemas internalizantes. Os dados foram analisados por ANOVAS de medidas repetidas e para ompreender as diferen?as de m?dias em cada etapa do tratamento, foram realizadas an?lises Post Hoc. Os resultados sugerem que o protocolo colaborou para a redu??o da ansiedade e depress?o significativamente (p<0,005), al?m de melhora na intensidade das distor??es cognitivas inicialmente apresentadas (p<0,005). A principal mudan?a sintomatol?gica ocorreu ap?s a etapa inicial do protocolo, ou seja, o trabalho com as emo??es.
Esses resultados sugerem que a TRI se mostrou uma boa ferramenta cl?nica no tratamento de sintomas ansiosos e depressivos no p?blico infanto-juvenil. Avalia??es de follow-up poderiam nos apontar se estes resultados foram mantidos ao longo do tempo, sendo esta uma sugest?o para futuros estudos. Al?m disso, apresenta-se os dados a partir de um perfil conservados visto a aus?ncia de grupo controle neste trabalho, o que tamb?m poderiam ser aprimorado em outros estudos.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/8152 |
| Date | 11 January 2018 |
| Creators | Paiva, Camila Bosse |
| Contributors | Oliveira, Maragareth da Silva |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Psicologia, PUCRS, Brasil, Escola de Ci?ncias da Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 2588426296948062698, 500, 500, 3411867255817377423 |
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