Navegando por Palavras-chave "transtorno de déficit de atenção/hiperatividade"

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    A terapia cognitivo-comportamental em grupo no tratamento de transtorno de déficit de atenção/hiperatividade (TDAH)
    (Universidade Federal de São Paulo (UNIFESP), 2016-08-31) Scaramuzza, Luzia Flavia Coelho [UNIFESP]; Miranda, Monica Carolina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Cognitive-behavioral therapy (CBT) is one of the most extensively researched non-medicaments methods of treating patients with attention deficit hyperactivity disorder (ADHD). Latin America is short of scientifically sound CBT protocols to treat children and adolescents, although sorely needed for the public health service. The present study developed a group-CBT protocol to evaluate their effects in cognitive and behavioral domains and social skills. The group-CBT protocol developed consisted of 20 sessions based on six aspects: psychoeducation; parental training; organization and planning; problem solving; emotional regulation, and social skills. For the study reported in Article 1, the sample of 60 was divided in two groups of 30 children each, unimodal- medication (M10.08 ± 2.17) and multimodal - medication and CBT (M10.2 ± 1.86). All children were administered long-term methylphenidate 20 mg. Pre- and post-treatment tests covered sustained attention, working memory, social skills, behavioral scales and executive function questionnaire. There was no difference between treatment groups on cognitive and behavioral measurements. The multimodal group showed more improvement on social skills as seen in frequency indicators for empathy, assertiveness and self-control subscales and difficulty indicators for assertiveness and self-control subscales. Article 2 assessed use of the token technique over a 10-week treatment period. The behavior of the 25 multimodal group children (M10.11±1.79) was logged and problem behavior evaluated in 11 categories: inattention, impulsivity, hyperactivity, disorganization, disobeying rules or routines, poor self-care, verbal / physical aggression, intolerance of disappointment, compulsive behavior, anti-social behavior, lack of initiative. Over the 10 week period, there was a significant decline in seven categories: impulsivity, hyperactivity, disorganization, disobeying rules and routines, poor self-care, intolerance of disappointment, and antisocial behavior. The results showed that the group-CBT protocol may be used for children and adolescents with ADHD. Although evidence for effect of different treatments on cognitive measures and behavioral scales was lacking, the significant improvement found in day to day behavior showed that functional assessments are relevant for this type of study.