Teresa Helena Schoen

Qualidade de vida de adolescentes modelos profissionais

Many adolescent girls leave their families to pursue a modeling career, dreaming of a glamorous future. The present cross-sectional case-control study analyzed the quality of life of 74 female adolescents, 37 of whom were models at agencies in the city of Sao Paulo (Brazil), using the World Health Organization Quality of Life -BREF questionnaire, which analyzes physical, psychological, social and environmental domains. The Brazil Criteria 2008 were used for the assessment of socioeconomic status and for pairing the control group. The group of models generally achieved higher mean scores than the non-model group, with the difference only significant on the psychological subscale. The results show that the teenage models had a similar quality of life to that of the non-models.

Tenho medo de quê

Instituição: Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil 1Doutora em Ciências pelo Departamento de Pediatria da Unifesp; Responsável pelo atendimento em Psicologia no Centro de Atendimento e Apoio ao Adolescente (CAAA) do Departamento de Pediatria da Unifesp, São Paulo, SP, Brasil 2Doutora em Medicina pelo Departamento de Pediatria da Unifesp; Chefe do Setor de Medicina do Adolescente do Departamento de Pediatria da Unifesp, São Paulo, SP, Brasil ABSTRACTOBJETIVO: Verificar si adolescentes de ambos sexos refieren el miedo como una emocion presente y cuales son las causas mas comunes de miedo. METODOS: Estudio descriptivo, prospectivo, de corte transversal, con determinacion de la muestra por conveniencia, que implico el analisis de cuestionarios aplicados a los adolescentes atendidos entre 2004 y 2006, en un ambulatorio de Medicina del Adolescente. Los adolescentes contestaron en la sala de espera el Youth Self Report (YSR) - instrumento de seleccion para problemas de comportamiento. Se analizaron las respuestas en el item 29 - «tengo miedo a animales, situaciones o lugares, no incluyendo la escuela. ?Cuales?» Se utilizo el test de chi-cuadrado para verificar la asociacion entre las franjas de edad (10-12 anos, 13-15 anos y 16-19 anos) y sexo con el item 29 del YSR. RESULTADOS: Se evaluaron 323 protocolos, 184 (57,0%) eran del sexo femenino. La emocion miedo fue predominante en el sexo femenino (p=0,009). Hubo una asociacion significante entre las respuestas al item 29 y la franja de edad, en la que los mayores senalaron mas la opcion «frecuentemente presente» que los menores (p=0,048). Los motivos de miedo fueron diversos, pero los animales predominaron. CONCLUSIONES: La emocion miedo estuvo mas asociada al sexo femenino y a la franja de edad de los individuos mayores. La educacion, la cultura y la preservacion de la especie pueden estar influenciando la presencia del miedo en las mujeres. Diferentemente de la literatura, los mayores relataron mas tener miedo, quiza debido a la mayor consciencia de esta emocion o por las expectativas de la franja de edad.

Bender Visual-Motor Gestalt Test in Adolescents: Relationship between Visual-Motor Development and the Tanner Stages:

Visual-motor skill is fundamental to human development and is an important component of psychological evaluations. The goal of the present study was to determine whether there is a correlation between visual-motor development, as measured by the Bender Visual-Motor Gestalt Test (Bender test), and sexual maturity in adolescents, based on the Tanner Stages in Adolescents. 134 adolescents from 10 to 15 years of age participated in the study. The Bender test and the Ravens Progressive Matrices Test were employed. The measures were administered individually and information on sexual maturity and the presence of developmental disorders was collected from medical charts. The results of the Bender test were not affected by gender, age, schooling, or changes stemming from puberty, but were significantly affected by having repeated a school year and by developmental disorders. An association was found with Ravens scores. The Bender test proved sensitive to developmental disorders in adolescence. No association was found between visual-motor development and sexual maturity in adolescents.

Survey of behavioral/emotional problems in an adolescent outpatient service

Este estudo teve como objetivo identificar os principais problemas comportamentais e emocionais percebidos por adolescentes que frequentam um ambulatorio de saude. Participaram 320 adolescentes que nao estavam em atendimento psicoterapico e que responderam, na sala de espera de um ambulatorio, o Youth Self Report. O principal problema relatado foi Ansiedade/Depressao. Os meninos obtiveram escores mais altos em Problemas Sociais e mais baixos em Comportamento Delinquente; as meninas apresentaram-se com menos problemas no agrupamento Problemas Somaticos e com mais problemas em Ansiedade/Depressao. Quanto a faixa etaria, observou-se que Problemas Sociais esteve associado ao inicio da adolescencia. Quanto a incidencia, menos de um quarto dos adolescentes apresentaram-se com problemas, sugerindo que a adolescencia nao e um periodo de turbulencia. Observou-se que alguns adolescentes necessitam de uma avaliacao mais detalhada, pois relataram comportamentos indicativos de transtornos mentais. Conclui-se a necessidade de profissionais de saude mental integrarem a equipe de saude que atende adolescentes.This studys objective was to identify the main behavioral and emotional problems perceived by adolescents attending an outpatient service. A total of 320 adolescents were included in the study. The respondents were not undergoing psychotherapy and self-applied the Youth Self Report in the ambulatorys waiting room. The main problem reported was Anxious/Depressed. Male adolescents obtained higher scores for Social Problems and lower scores for Delinquent Behavior, while females obtained lower scores for Somatic Complaints and higher scores for the Anxious/Depressed scale. Social Problems were associated with the initial phase of adolescence. In terms of incidence, less than one quarter of the adolescents presented problems, suggesting that adolescence is not a period of turbulence. Some adolescents require a more detailed evaluation because they reported behaviors indicative of mental disorders. We conclude that there is a need for mental health workers to integrate the health staff providing care to adolescents.

Levantamento de problemas comportamentais/emocionais em um ambulatório para adolescentes

Este estudo teve como objetivo identificar os principais problemas comportamentais e emocionais percebidos por adolescentes que frequentam um ambulatorio de saude. Participaram 320 adolescentes que nao estavam em atendimento psicoterapico e que responderam, na sala de espera de um ambulatorio, o Youth Self Report. O principal problema relatado foi Ansiedade/Depressao. Os meninos obtiveram escores mais altos em Problemas Sociais e mais baixos em Comportamento Delinquente; as meninas apresentaram-se com menos problemas no agrupamento Problemas Somaticos e com mais problemas em Ansiedade/Depressao. Quanto a faixa etaria, observou-se que Problemas Sociais esteve associado ao inicio da adolescencia. Quanto a incidencia, menos de um quarto dos adolescentes apresentaram-se com problemas, sugerindo que a adolescencia nao e um periodo de turbulencia. Observou-se que alguns adolescentes necessitam de uma avaliacao mais detalhada, pois relataram comportamentos indicativos de transtornos mentais. Conclui-se a necessidade de profissionais de saude mental integrarem a equipe de saude que atende adolescentes.This studys objective was to identify the main behavioral and emotional problems perceived by adolescents attending an outpatient service. A total of 320 adolescents were included in the study. The respondents were not undergoing psychotherapy and self-applied the Youth Self Report in the ambulatorys waiting room. The main problem reported was Anxious/Depressed. Male adolescents obtained higher scores for Social Problems and lower scores for Delinquent Behavior, while females obtained lower scores for Somatic Complaints and higher scores for the Anxious/Depressed scale. Social Problems were associated with the initial phase of adolescence. In terms of incidence, less than one quarter of the adolescents presented problems, suggesting that adolescence is not a period of turbulence. Some adolescents require a more detailed evaluation because they reported behaviors indicative of mental disorders. We conclude that there is a need for mental health workers to integrate the health staff providing care to adolescents.

What am I afraid of

Instituição: Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil 1Doutora em Ciências pelo Departamento de Pediatria da Unifesp; Responsável pelo atendimento em Psicologia no Centro de Atendimento e Apoio ao Adolescente (CAAA) do Departamento de Pediatria da Unifesp, São Paulo, SP, Brasil 2Doutora em Medicina pelo Departamento de Pediatria da Unifesp; Chefe do Setor de Medicina do Adolescente do Departamento de Pediatria da Unifesp, São Paulo, SP, Brasil ABSTRACTOBJETIVO: Verificar si adolescentes de ambos sexos refieren el miedo como una emocion presente y cuales son las causas mas comunes de miedo. METODOS: Estudio descriptivo, prospectivo, de corte transversal, con determinacion de la muestra por conveniencia, que implico el analisis de cuestionarios aplicados a los adolescentes atendidos entre 2004 y 2006, en un ambulatorio de Medicina del Adolescente. Los adolescentes contestaron en la sala de espera el Youth Self Report (YSR) - instrumento de seleccion para problemas de comportamiento. Se analizaron las respuestas en el item 29 - «tengo miedo a animales, situaciones o lugares, no incluyendo la escuela. ?Cuales?» Se utilizo el test de chi-cuadrado para verificar la asociacion entre las franjas de edad (10-12 anos, 13-15 anos y 16-19 anos) y sexo con el item 29 del YSR. RESULTADOS: Se evaluaron 323 protocolos, 184 (57,0%) eran del sexo femenino. La emocion miedo fue predominante en el sexo femenino (p=0,009). Hubo una asociacion significante entre las respuestas al item 29 y la franja de edad, en la que los mayores senalaron mas la opcion «frecuentemente presente» que los menores (p=0,048). Los motivos de miedo fueron diversos, pero los animales predominaron. CONCLUSIONES: La emocion miedo estuvo mas asociada al sexo femenino y a la franja de edad de los individuos mayores. La educacion, la cultura y la preservacion de la especie pueden estar influenciando la presencia del miedo en las mujeres. Diferentemente de la literatura, los mayores relataron mas tener miedo, quiza debido a la mayor consciencia de esta emocion o por las expectativas de la franja de edad.

Perceptual-Motor Maturity in Adolescence and the Tanner Stages: : a Study with Bender-Gradual Scoring System

Visual-motor skill forms an important psycho diagnostic component and is associated with psycho-neurological aspects. The Bender Visual-Motor Gestalt Test, widely used for the evaluation of this area, is meant for children up to 11 years. In adolescence, the changes associated with puberty generate nonlinear anthropometric development resulting in mild and temporary incoordination. This study investigated the relation between visual-motor development measured by the Bender test and pubertal changes according to the Tanner scale. In all 134 adolescents of both sexes, aged from 10 to 15, who kept routine medical appointments, participated. We used the Bender Visual-Motor Gestalt Test, Ravens Progressive Matrices Test, and medical chart data. The techniques were applied individually. Pubertal changes were associated with the Bender test results showing higher scores at the G3 stage, the period corresponding to a growth spurt, compared to the G5 stage (p = .007, ES = .187), the post-growth spurt period in boys. Age and gender did not influence the Bender test scores. According to the Raven test, the g intelligence factor, interfered significantly in the visual-motor performance (r = -57%, p < .001). Schooling, repetition of a school year, and developmental problems (p = .002, ES = .156; p = .002, ES = .623; p < .001, ES = .880, respectively) obtained similar results. The Bender Test was sensitive to schooling and maturational problems during adolescence. There was an association between visual-motor development and sexual maturity in male adolescents. Our results indicate the usefulness of the Bender Test at older ages than those used in the test standardization.

Psychological characteristics of caregivers of pediatric patients with chronic rheumatic disease in relation to treatment adherence

BackgroundAdherence to treatment for chronic diseases is lower in children than in adults, less extensively studied in children and is associated with multiple related factors. The aim of this study is to perform a descriptive analysis of psycho-cognitive aspects of primary caregivers of pediatric patients with chronic rheumatic diseases, as well as socioeconomic and clinical factors, family functioning and treatment satisfaction.MethodsPrimary caregivers of 90 patients were included. Pairs (caregiver plus patient) were grouped as presenting good adherence (n = 50) or poor adherence (n = 40) according to the Morisky Adherence Test. Psycho-cognitive aspects were evaluated by Adult Self-Report and Wechsler Adult Intelligence Scale tests. For statistical comparisons, quantitative variables with normal distribution were analyzed by Student’s t test, and those with non-Gaussian distribution with the Mann Whitney test. Categorical variables were analyzed by Chi square test. A multivariate logistic regression analysis was performed to estimate the contribution of the independent variables to adherence.ResultsCompared to caregivers in the good adherence group, caregivers in the poor adherence group were more likely to be classified as clinical on the scales for attention problems and externalizing problems, which include impulsiveness and aggressiveness. They also scored higher on the depressive problem scale. In addition, the average number of children per caregiver and the mean age of caregivers and patients were significantly higher in the poor adherence group, while the proportion of caregivers with higher education was lower. The poor adherence group also included a higher incidence of pediatric patients assuming sole responsibility for managing medications. Economic status, clinical factors, treatment satisfaction, family functioning and caregiver cognitive profile were not related to adherence, except for working memory index.ConclusionOlder patients, patients as the one solely responsible for medication management, and caregivers with externalizing problems, were observed to be the most strongly associated to poor adherence. Interventions aimed at adolescent patients are needed. Also, psychological programs and interventional studies to better determine caregivers’ behavioral/emotional status, and parent-child relationships are recommended.

Velocidade de leitura e desempenho escolar na última série do ensino fundamental

A velocidade de leitura, calculada pelo numero de palavras lidas por minuto, e um dos aspectos observados na fluencia dessa habilidade. Esta pesquisa caracterizou a velocidade de leitura no ultimo ano do ensino fundamental, segundo o texto e o desempenho academico, investigando possiveis correlacoes entre essas variaveis. Trinta e dois estudantes do 9° ano, agrupados pela media escolar, leram dois textos diferentes, oral e silenciosamente. A velocidade calculada variou de 96,05 palavras por minuto, na leitura oral inedita, a 219,41 palavras por minuto, na segunda leitura oral. O texto influenciou a velocidade da leitura oral, provavelmente pela frequencia ou numero de caracteres das palavras. A velocidade da leitura silenciosa mostrou-se mais alta que a observada na leitura oral. Houve correlacao entre velocidade de leitura e desempenho academico. Sao necessarios parâmetros brasileiros para avaliar a velocidade de leitura conforme as diferentes idades e ao niveis de escolaridade.

A qué tengo miedo

Instituição: Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil 1Doutora em Ciências pelo Departamento de Pediatria da Unifesp; Responsável pelo atendimento em Psicologia no Centro de Atendimento e Apoio ao Adolescente (CAAA) do Departamento de Pediatria da Unifesp, São Paulo, SP, Brasil 2Doutora em Medicina pelo Departamento de Pediatria da Unifesp; Chefe do Setor de Medicina do Adolescente do Departamento de Pediatria da Unifesp, São Paulo, SP, Brasil ABSTRACTOBJETIVO: Verificar si adolescentes de ambos sexos refieren el miedo como una emocion presente y cuales son las causas mas comunes de miedo. METODOS: Estudio descriptivo, prospectivo, de corte transversal, con determinacion de la muestra por conveniencia, que implico el analisis de cuestionarios aplicados a los adolescentes atendidos entre 2004 y 2006, en un ambulatorio de Medicina del Adolescente. Los adolescentes contestaron en la sala de espera el Youth Self Report (YSR) - instrumento de seleccion para problemas de comportamiento. Se analizaron las respuestas en el item 29 - «tengo miedo a animales, situaciones o lugares, no incluyendo la escuela. ?Cuales?» Se utilizo el test de chi-cuadrado para verificar la asociacion entre las franjas de edad (10-12 anos, 13-15 anos y 16-19 anos) y sexo con el item 29 del YSR. RESULTADOS: Se evaluaron 323 protocolos, 184 (57,0%) eran del sexo femenino. La emocion miedo fue predominante en el sexo femenino (p=0,009). Hubo una asociacion significante entre las respuestas al item 29 y la franja de edad, en la que los mayores senalaron mas la opcion «frecuentemente presente» que los menores (p=0,048). Los motivos de miedo fueron diversos, pero los animales predominaron. CONCLUSIONES: La emocion miedo estuvo mas asociada al sexo femenino y a la franja de edad de los individuos mayores. La educacion, la cultura y la preservacion de la especie pueden estar influenciando la presencia del miedo en las mujeres. Diferentemente de la literatura, los mayores relataron mas tener miedo, quiza debido a la mayor consciencia de esta emocion o por las expectativas de la franja de edad.