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- ItemSomente MetadadadosBehaviour problems in adolescents with cardiac disease: an exploratory study in a paediatric cardiology outpatient clinic(Cambridge Univ Press, 2013-06-01) Silva, Maria M. da [UNIFESP]; Schoen-Ferreira, Teresa H. [UNIFESP]; Diogenes, Maria S. B. [UNIFESP]; Carvalho, Antonio C. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Aims: To assess behavioural problems in adolescents with congenital and acquired heart disease in comparison with healthy controls. the perception of behavioural problems by the patients' parents was also assessed and compared. Methods: A cross-sectional study was carried out in 130 adolescents with congenital and acquired heart disease and 246 healthy controls. the second part of the Youth Self-Report was applied to the patients and controls, and the Child Behavior Checklist to the patients' parents. Results: Male patients showed significantly fewer behavioural problems compared with male controls. No significant difference was found in the female gender. Healthy male adolescents scored significantly higher in the Internalising, Externalising, and in the Total Problems scales. Patients scored significantly higher only on the Social Problems subscale. Female patients in middle and late adolescence and male patients in early adolescence displayed more problems. No significant difference was found between the diagnostic groups. Operated patients did not differ from the non-operated ones. Patients scored significantly lower than did their parents. Conclusions: Male adolescents with cardiac disease reported fewer behavioural problems when compared with healthy controls, but no difference was observed in the female gender. Patients also reported fewer behavioural problems than did their parents. Adolescents with cardiac disease scored higher than did controls only on the Social Problems subscale. Analysing the patients' behavioural profile, female patients in middle and late adolescence and male patients in early adolescence were the most problematic ones. No difference was observed between the diagnostic groups, nor between operated and non-operated patients.
- ItemAcesso aberto (Open Access)A criança e sua pele: uma etnografia sobre as estratégias de viver com dermatite atópica(Universidade Federal de São Paulo (UNIFESP), 2015-09-17) Zaninetti, Bruna [UNIFESP]; Freitas, Marcos Cezar de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Ethnographic research, which had as object of study children in continuous treatment after the diagnosis of atopic dermatitis. The proposal was to understand how the ongoing experience of being sick chronically interfere in family life and in everyday school life of children and adolescents with atopic dermatitis. Data collection was carried out through monitoring of children with atopic dermatitis and the main strategy to obtain data was the organization of field notes with the main events in the school routine and outpatient children. The initial place of the research was a clinic of allergy and immunology of a university and this territory observation was extended to the family and school life of the research subjects. The main objectives were to identify how the situation reveals the significance of having atopic dermatitis; understand the meaning that children with atopic dermatitis and their families attribute to the disease and identify the stigmas that the situation of being chronically ill can create. As a theoretical framework we used the categories of Goffman (2004; 2010; 2012), with which you can analyze in relational perspective the child's behavior in specific situations. The dissertation was divided in two parts, one with the theoretical chapters that presented the conception of body assumed in the research, a clinical description of the atopic dermatitis and the theoretical referential system and methodological, which used to reference the authors: Le Breton (2011; 2013) Mauss (2003), Geertz (2012), Laplantine (2010) and Goffman (2008; 2010; 2012). In the second part was presented a description of the scenarios and situations observed during the survey. Through research it became clear that the difficulties of having a skin disease not restricted to organic questions, but also present themselves in interactions with the others in different situations, requiring that children create and recreate strategies for living with the disease that have.
- ItemSomente MetadadadosHope matters to the glycemic control of adolescents and young adults with type 1 diabetes(Sage Publications Ltd, 2015-05-01) Santos, Fabio R. M. [UNIFESP]; Sigulem, Daniel [UNIFESP]; Areco, Kelsy C. N. [UNIFESP]; Gabbay, Monica Andrade Lima [UNIFESP]; Dib, Sergio A. [UNIFESP]; Bernardo, Viviane [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This study investigated the association of hope and its factors with depression and glycemic control in adolescents and young adults with type 1 diabetes. A total of 113 patients were invited to participate. Significant negative correlations were found between hope and HbA1c and also between hope and depression. Hope showed a significant association with HbA1c and depression in the stepwise regression model. Among the hope factors, inner positive expectancy was significantly associated with HbA1c and depression. This study supports that hope matters to glycemic control and depression. Intervention strategies focusing on hope should be further explored.