This study verified the effects of a Mindfulness and Social-Emotional Learning Program (M-SEL) in mental health problems and quality of life (QoL) in fifth graders of elementary public schools in Southern Brazil. A total of 132 students with a mean age of 11.1 (SD ϭ 1.19) years old were selected. Students (n ϭ 64) who received up to 12 M-SEL sessions during 5 months were compared with a wait-list control group (n ϭ 68). Intervention combined mindfulness practices, Collaborative for Academic, Social, and Emotional Learning competencies, and the council method. Outcomes were measured by the Strengths and Difficulties Questionnaire (Fleitlich, Cortazar, & Goodman, 2000), the Youth Quality of Life Instrument (Salum et al., 2012), and the Swanson, Nolan and Pelham-IV (Mattos, Serra-Pinheiro, Rohde, & Pinto, 2006) questionnaire. Relative to controls, M-SEL participants significantly improved in most mental health domains (emotional, conduct, relationship, and prosocial behavior) and in QoL scores. No changes occurred for attention deficit and hyperactivity symptoms. These preliminary results suggest the potential psychological contribution of the M-SEL program, as well as its feasibility as a psychosocial intervention for Brazil's educational system.
Objetivo: analisar a produção científica sobre as ações de saúde mental desenvolvidas no âmbito da Estratégia Saúde da Família. Metodologia: revisão integrativa de literatura realizada na Biblioteca Virtual em Saúde, PubMed e Web of Science, que após aplicação dos critérios, selecionaram-se 14 artigos científicos. Resultados: as ações de saúde mental desenvolvidas na Saúde da Família são de matriciamento, o Programa Intervenção Precoce, a Terapia Comunitária Integrativa, os grupos terapêuticos e a visita domiciliar. Também foi identificado o desenvolvimento de práticas focadas na doença com o privilégio de consultas ambulatoriais e o uso excessivo de psicofármacos. Há necessidade de investimentos na formação do profissional da saúde, além do fortalecimento da rede extra-hospitalar que sirva de retaguarda para a Saúde da Família. Conclusão: a literatura aponta que o cuidado em saúde mental na Saúde da Família é tímido e ainda muito focado no modelo biomédico.
Objective To conduct a systematic review about the long-term response to cognitive-behavioral therapy (CBT) for anxiety disorders (ADs) in children and adolescents. Methods The PubMed and ISI Web of Science databases were consulted. Search in the databases was performed in November 2012 and included cohort studies after CBT for ADs in children and adolescents with a follow-up period over 12 months. Results A total of 10 papers met the inclusion criteria. The follow-up period ranged from 12 months to 13 years and the results generally showed maintenance of the short-term benefits with CBT. However, the studies presented limitations, especially regarding methods, such as lack of a control group and losses to follow-up. Conclusion The long-term benefits of CBT were identified, however it would be interesting to conduct other studies with more frequent assessment periods, in order to minimize losses to follow-up, in addition to evaluating children and adolescents in the various stages of their development.
RESUMO Objetivo Realizar a adaptação transcultural para o português brasileiro do instrumento Inventory of Callous-Unemotional Traits (ICU) para avaliação de traços de insensibilidade e afetividade restrita de adolescentes. Método Estudo metodológico que envolveu as etapas de tradução, retradução, avaliação por comitê de especialistas e de clareza da versão pré-final do ICU, avaliado por 40 adolescentes, entre 10 e 17 anos, de ambos os sexos, de uma escola pública. Resultados A versão pré-final do ICU foi aprovada pelo comitê de especialistas e pelo autor do instrumento. A avaliação da clareza revelou uma boa compreensão dos itens. Os 10 itens com menor clareza foram modificados conforme as sugestões. Conclusão A versão final do ICU para o português brasileiro mostrou ser similar ao instrumento original no que se refere à equivalência semântica, operacional e conceitual. Recomenda-se a realização de estudos que evidenciem a validade psicométrica do ICU adaptado para o português brasileiro.
Objectives: To assess the results of a brief antibullying intervention for adolescents in public schools. Method: This was a controlled experimental study whose subjects were 1,043 students in 5th through 9th grades from public schools in Porto Alegre/State of Rio Grande do Sul, conducted between April and November 2015. Adolescents and school teachers randomly assigned to the intervention group participated in two meetings focused on educative aspects of bullying. Outcome was assessed using the Bullying Questionnaire - victim and perpetrator version. Generalized Estimating Equations was used to evaluate the effect of the intervention. Results: Average age of subjects was 12.5 (SD=1.62) years. A total of 613 (58.7%) adolescents participated in interventions. They were compared to 430 (41.3%) participants in the control group. The study did not observe any significant difference in bullying scores after the intervention. Conclusions: This study indicates the usefulness of clarifying precisely what bullying is in schools as part of an initial approach to an educative strategy on this topic.
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