Navegando por Palavras-chave "Attention-deficit/hyperactivity disorder"

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    Group cognitive behavioral therapy for children and adolescents with ADHD
    (Springer Heidelberg, 2017) Coelho, Luzia Flavia [UNIFESP]; Fernandes Barbosa, Deise Lima [UNIFESP]; Rizzutti, Sueli [UNIFESP]; Amodeo Bueno, Orlando Francisco [UNIFESP]; Miranda, Monica Carolina [UNIFESP]
    The present study analyzed the use of group CBT protocol to treat ADHD by comparing two types of treatment, unimodal (medication only) and multimodal (medication combined with CBT), in terms of their effects on cognitive and behavioral domains, social skills, and type of treatment effect by ADHD subtype. Participants were 60 children with ADHD, subtypes inattentive and combined, aged 7 to 14, 48 boys. Combined treatment included 20 CBT sessions while all children were given Ritalin LA (R) 20 mg. Cognitive and behavioral outcome measures showed no differences between treatment groups. On social skills, multimodal showed more improvement in frequency indicators on empathy, assertiveness, and self-control subscales and in the difficulty on assertiveness and self-control subscales. Using a group CBT protocol for multimodal ADHD treatment may improve patient adherence and ADHD peripheral symptoms.
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    Qualidade de vida de crianças e adolescentes com transtorno de déficit de atenção e hiperatividade (TDAH) e seus principais cuidadores
    (Universidade Federal de São Paulo (UNIFESP), 2016-09-29) Andrade, Elisa Meireles [UNIFESP]; Rosário, Maria Conceição Do [UNIFESP]; http://lattes.cnpq.br/7047019188515732; http://lattes.cnpq.br/9342708710818224; Universidade Federal de São Paulo (UNIFESP)
    ADHD is one of the most common psychiatric disorders in childhood and adolescence and if untreated can last into adulthood. Studies have shown that the presence of ADHD causes great academic, social, professional and quality of life commitment in the patients. Although some studies have shown that the quality of life of the ADHD patients primary caregiver also is committed, although no study has investigated the associations between quality of life scores of patients and their primary caregivers, taking into consideration their clinical and sociodemographic characteristics. Objectives: To address these gaps this study was developed with the objective to investigate the association between quality of life and severity of symptoms in ADHD patients and their primary caregivers, and to investigate the impact of pharmacological treatment after six months in ADHD children?s quality of life and their primary caregivers. Methods: 101 ADHD children and/or adolescents were interviewed in Psychiatry Unit for Children and Adolescents (UPIA) of the Federal University of São Paulo (UNIFESP) and their primary caregivers. There were also interviewed 26 children and / or adolescents without ADHD and their primary caregivers. All answered standardized research questionnaires on symptoms of ADHD; on family environment; psychiatric diagnoses and quality of life at UNIFESP São Paulo. Results: The results showed that ADHD caregivers had worse scores in all four domains of WHOQOL, compared with caregivers of controls and the self domain and school domain of quality of life were statistically worse in patients with ADHD, comparing with controls. There was association between social relations domain of caregivers? QoL and self domain of ADHD children. No significant differences were found after the pharmacological treatment in ADHD caregivers but the friends domain of ADHD children?s QoL showed significant improvement. Conclusion: It was found that caregivers of children with ADHD showed damage in all areas of their QoL compared to caregivers of healthy controls. Younger children with lower IQ, with less severe symptoms of ADHD and fewer comorbidities had better scores on QoL. The main caregivers of children and adolescents with ADHD with higher education, higher socioeconomic level and without any psychiatric disorder had higher QOL scores. After six months of drug treatment, only the friends domain of children?s QoL had significant changes, which reinforces the need for investment in psychoeducation, behavioral and psychosocial interventions for the whole family.