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- Saúde mental de crianças e adolescentes portugueses em acolhimento residencialPublication . Campos, Joana; Barbosa-Ducharne, Maria; Dias, Pedro; Rodrigues, SóniaEm Portugal existem mais de 8000 crianças em Acolhimento Residencial (AR). Neste estudo participaram 77 crianças em AR (63,6% rapazes). Através da Bateria ASEBA foi possível observar que os participantes apresentaram níveis clínicos de problemas de saúde mental (maioritariamente as raparigas). Estes estão relacionados com o motivo de acolhimento e com o tipo de apoio recebido. A dimensão da casa medeia a relação entre a sintomatologia e o número de apoios recebidos. Estes resultados apelam à necessidade de instituir procedimentos de avaliação psicológica no momento de admissão da criança, sensibilizar os profissionais das casas de AR para estes sinais e sintomas e implementar programas de prevenção e promoção da saúde mental.
- Emotional and behavioral problems and psychosocial skills in adolescents in residential carePublication . Campos, Joana; Barbosa‑Ducharne, Maria; Dias, Pedro; Rodrigues, Sónia; Martins, Ana Catarina; Leal, MarianaResearch suggests that mental health problems in adolescents in residential care (RC) are more prevalent than for youth in the community, and that psychosocial competencies are protective factors of mental health. This study compared adolescents in RC in Portugal, with a Portuguese community sample on the incidence of mental health problems and psychosocial skills, explored gender differences and the relationships between mental health problems and psychosocial competencies. Four hundred and forty-three adolescents in RC participated. Results showed that the RC adolescents had higher levels of mental health problems lower academic achievement, a poorer social support network, but were more involved in sports and hobbies, household chores than the adolescents in the normative sample. Gender differences were observed. Psychosocial skills were negatively correlated with mental health problems. These findings indicate an urgent need in Portugal for early screening of mental health problems and socio-cognitive interventions for youth in RC.
- Viabilidade da monitorização da intervenção psicoterapêutica com adolescentes com recurso a aplicações móveisPublication . Dias, Pedro; Lima, Vânia Sousa; Machado, Bárbara César; Campos, Joana; Teixeira, Luis Miguel Lopes; Torres, Nuno; Lopes, Luiz; Veiga, ElisaA monitorização sistemática da intervenção psicoterapêutica é determinante na avaliação da eficácia clínica de uma intervenção e na adequação da mesma às necessidades do indivíduo. Ao longo da última década, a tecnologia foi evoluindo rapidamente, bem como as aplicações tecnológicas associadas aos processos de psicoterapia. A inclusão da monitorização psicoterapêutica nos processos de intervenção psicológica surgiu enquanto necessidade atual, a par da evolução tecnológica. Assim, este trabalho de investigação surge no âmbito de um projeto dirigido à construção de uma aplicação móvel para a monitorização psicoterapêutica nos processos de intervenção psicológica. Com o objetivo de conhecer as perceções de terapeutas, acerca da viabilidade de uma aplicação móvel na realização da monitorização psicoterapêutica, provenientes de diferentes contextos, foram realizadas entrevistas semiestruturadas a 14 terapeutas. As entrevistas têm em vista a exploração da viabilidade da monitorização da intervenção psicoterapêutica com adolescentes e a pertinência do recurso a aplicações móveis no processo terapêutico. Previamente à entrevista, os terapeutas preencheram o consentimento informado, o acordo de confidencialidade e uma ficha sociodemográfica. As entrevistas foram transcritas e foi realizada uma análise semi-indutiva do seu conteúdo com recurso ao software NVivo 10. Os resultados obtidos evidenciaram que a monitorização psicoterapêutica é percecionada como relevante pelo terapeuta, não só para a sua prática profissional, como também para o próprio cliente. Os entrevistados identificaram igualmente fatores facilitadores na utilização deste tipo de aplicações móveis na prática clínica atual. Da sua reflexão acerca da viabilidade das novas tecnologias na monitorização psicoterapêutica emerge a identificação de ganhos e constrangimentos para o terapeuta e para o cliente.
- Emotional and behavioural problems and psychosocial skills in adolescents in residential carePublication . Campos, Joana; Barbosa-Ducharne, Maria; Dias, Pedro; Martins, Ana; Leal, Mariana
- MIPA-Mobile: Monitorização da intervenção psicoterapêutica com adolescentes através de uma aplicação móvelPublication . Dias, Pedro; Lima, Vânia Sousa; Campos, Joana; Machado, Bárbara César; Teixeira, Luis Miguel Lopes; Lopes, Luiz; Torres, NunoConsiderando a relevância da Monitorização Psicoterapêutica (MP) nos processos de intervenção psicológica e o potencial associado às novas tecnologias de informação e comunicação, este trabalho apresenta o projeto MIPA-Mobile, que visa desenvolver e testar um modelo de MP com adolescentes, com recurso a uma aplicação informática disponível em diversas plataformas móveis, integrando a informação proveniente de diferentes informadores-chave (i.e. pais, adolescente e professor). A abordagem de MP adotada neste projeto não se baseia apenas na observação de variáveis como a mudança da sintomatologia, mas também na observação de variáveis como o bem-estar subjetivo e variáveis relacionadas com o processo psicoterapêutico (aliança terapêutica).
- Mental health characteristics and needs in children and adolescents in residential carePublication . Campos, Joana; Barbosa-Ducharne, Maria; Dias, Pedro; Martins, Ana; Leal, Mariana; Rodrigues, SóniaBackground: Residential Care (RC) consists of the placement of a child in an institution which has permanent facilities, equipment and a staff that guarantees the appropriate care of his/her needs and provides conditions to allow for his/her education, well-being and development. Several studies have showed that the prevalence and severity of mental health problems are greater in children and adolescents in RC than in the general population. The risk factors for the problems observed are related, not only to previous family contexts, but also to individual characteristics and contextual variables. Furthermore, there is a significant number of clinical cases that are not timely diagnosed, leading to emotional and behavioural problems and being a risk factor for psychopathology in adult life. Objectives: The main goals of this presentation is to analyse the frequency of Internalization Problems (IP), Externalizing Problems (EP) and Total Problems (TP) of adolescents in RC in Portugal; determine the degree of (dis)agreement between different informants regarding emotional and behavioural problems, and analyse gender differences for emotional and behavioural problems. Method: 256 adolescents (56.6% male), aged 11 to 18 (M = 15.14, SD = 2.08) participated in this study. The information was collected through the questionnaires that compose the ASEBA Battery (CBCL; TRF; YSR) using caregivers, teachers and the adolescents as informants. Results: The three informants classified a high percentage of adolescents as borderline or clinical cases for IP, EP and TP. This result shows the presence of psychological problems and maladaptive behaviours that indicate psychopathological symptomatology. Regarding the agreement between the informants, the highest correlations were found between the self-report and caregivers’ assessment on the EP scales. Moreover, significant differences associated to gender were found, with girls showing more problems and psychological maladjustment in Anxiety/Depression, Somatic Complains, IP and EP. Conclusions: The findings of this study highlight the need for RC professionals to be adequately aware of the signs and symptoms of mental health problems in adolescents. RC centres should adopt evidence-based prevention programmes, require careful assessment of adolescents’ needs, be culturally appropriate and integrate adolescents into psychosocial health policies. It is essential to implement measures to assess the quality of RC centres, provide specific training to caregivers in order to promote proper management of adolescents’ behaviour, build more positive interactions and respect the Children’s rights, thus enhancing well-being.
- Prevalence and correlates of picky eating in preschool-aged children: a population-based studyPublication . Machado, Bárbara César; Dias, Pedro; Lima, Vânia Sousa; Campos, Joana; Gonçalves, SóniaObjective: The present study, conducted with a population-based preschool children sample, aimed to examine the prevalence rates of picky eating according to the presence of the avoidance or restriction of food intake, searching for picky-eating correlates. Methods: 959 children from 1.5 to 6 years old were evaluated by their parents and caregivers/teachers. Picky eating was assessed by CBCL 1.5–5 and C-TRF, following Cano et al.'s (2015) procedure. Results: The prevalence of picky eating was 25.1%. The comparison of the picky-eating group and the non-pickyeating group indicated that picky eatingwas more common in older children and in children from lower-income families with younger parents. Significant associations were found between picky eating, pregnancy and birth delivery complications. Emotional and behavioral problems were also found to differentiate picky eaters and non-picky eaters using DSM-5-oriented subscales. The results of a binary logistic regression analysis revealed that children with somatic complaints and attention problems were more likely to be picky eaters. Discussion: Picky eating in preschool children should be considered together with sociodemographic features, pregnancy and delivery issues, and the presence of emotional and behavioral problems. Our results support the possibility that picky eating, as a specific eating pattern, could also be part of a broader pattern of behavioral problems in children.
- Saúde mental no acolhimento residencial de crianças e jovens: prevalência, fatores de risco e fatores de proteçãoPublication . Campos, Joana; Ducharne, Maria Barbosa; Dias, Pedro; Rodrigues, SóniaThe Residential Care is an extrafamilial promotion and protection measure that aims at placing the child or young person in the care of an entity which has the facilities and permanent equipment and a team of caregivers that guarantees you the care appropriate to their needs and provide them conditions that allow their education, welfare and integral development. In Portugal there are about 8000 children and young people who are in Residential Care, corresponding this number to 0.43% of children and adolescents Portuguese. Several studies have concluded that the prevalence rate and the severity of mental health problems is higher in children and young people institutionalized in relation to the general population. Risk factors for the problems observed are related not only with the family context previous to institutionalization, as well as individual characteristics and contextual variables from their centres. At the same time there is a significant number of clinical cases that are not promptly diagnosed, causing emotional and behavioral problems manifested reveal a risk factor for the psychopathology in adulthood. The main objective of this work focuses on the presentation of the state of the art regarding the prevalence of mental health problems in children and young people in Residential Care, as well as their risk factors and protective factors.