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Monitorização psicoterapêutica com crianças e adolescentes em situação de vulnerabilidade psicossocial : avaliação de trajetórias terapêuticas
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O presente estudo tem como principal objetivo analisar a relação entre a sintomatologia e o consumo iniciais e a evolução observada ao longo do processo terapêutico de crianças e adolescentes em situação de vulnerabilidade psicossocial, recorrendo a indicadores sistemáticos de monitorização. No estudo participaram 193 crianças e jovens com idades compreendidas entre os 6 e os 18 anos, em acompanhamento psicológico num serviço público especializado orientado para a prevenção de comportamentos de risco e dependências. Foi utilizado um protocolo composto pelos instrumentos do sistema ASEBA, pelo Brief Problem Monitor e pelo ASSIST, aplicados ao longo do processo terapêutico. Os principais resultados demonstram que as crianças e adolescentes apresentam níveis elevados de dificuldades emocionais e comportamentais, com maior expressão nas dimensões de internalização e total de problemas. O álcool, o tabaco e a cannabis constituem as substâncias com maior prevalência de consumo entre os jovens. A ausência de viés de atrito reforça a representatividade dos dados recolhidos ao longo do processo. A análise de Reliable Change Index revelou trajetórias individuais heterogéneas, com predomínio de estabilidade clínica ao longo dos momentos de avaliação. Estes resultados sublinham a importância de práticas clínicas sustentadas por monitorização sistemática e multi-informador em contextos de vulnerabilidade psicossocial, sendo necessários estudos adicionais que possam aprofundar a compreensão dos fatores que condicionam a evolução terapêutica nesta população.
The present study aims to examine the relationship between initial symptomatology and substance use and the therapeutic progress observed throughout the intervention process of children and adolescents living in psychosocial vulnerability, using systematic monitoring indicators. The study included 193 children and young people aged between 6 and 18 years, receiving psychological support in a specialized public service focused on the prevention of risk behaviours and addictions. A protocol composed of the ASEBA system instruments, the Brief Problem Monitor, and the ASSIST was administered throughout the therapeutic process. The main findings show that children and adolescents present elevated levels of emotional and behavioural difficulties, with greater expression in the internalizing and total problems dimensions. Alcohol, tobacco, and cannabis are the substances with the highest prevalence of use among young people. The absence of attrition bias reinforces the representativeness of the data collected over the course of the intervention. The analysis of the Reliable Change Index revealed heterogeneous individual trajectories, with a predominance of clinical stability across assessment points. These results highlight the importance of clinical practices supported by systematic and multi-informant monitoring in contexts of psychosocial vulnerability, while underscoring the need for further studies to deepen the understanding of the 8actos that shape therapeutic outcomes in this population.
The present study aims to examine the relationship between initial symptomatology and substance use and the therapeutic progress observed throughout the intervention process of children and adolescents living in psychosocial vulnerability, using systematic monitoring indicators. The study included 193 children and young people aged between 6 and 18 years, receiving psychological support in a specialized public service focused on the prevention of risk behaviours and addictions. A protocol composed of the ASEBA system instruments, the Brief Problem Monitor, and the ASSIST was administered throughout the therapeutic process. The main findings show that children and adolescents present elevated levels of emotional and behavioural difficulties, with greater expression in the internalizing and total problems dimensions. Alcohol, tobacco, and cannabis are the substances with the highest prevalence of use among young people. The absence of attrition bias reinforces the representativeness of the data collected over the course of the intervention. The analysis of the Reliable Change Index revealed heterogeneous individual trajectories, with a predominance of clinical stability across assessment points. These results highlight the importance of clinical practices supported by systematic and multi-informant monitoring in contexts of psychosocial vulnerability, while underscoring the need for further studies to deepen the understanding of the 8actos that shape therapeutic outcomes in this population.
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Monitorização psicoterapêutica Internalização Externalização Competências Consumo de substâncias Psychotherapy monitoring Internalizing Externalizing Competencies Substance use
Contexto Educativo
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Licença CC
Sem licença CC