Thaís Helena Ferreira Santos

Comparação dos instrumentos Childhood Autism Rating Scale e Autism Behavior Checklist na identificação e caracterização de indivíduos com distúrbios do espectro autístico

PURPOSE: To compare the results obtained in the Autism Behavior Checklist with those obtained in the Childhood Autism Rating Scale to identify and characterize children with Autism Spectrum Disorders. METHODS: Participants were 28 children with psychiatric diagnosis within the autism spectrum that were enrolled in language therapy in a specialized service. These children were assessed according to the Autism Behavior Checklist and Childhood Autism Rating Scale criteria, based on information obtained with parents and therapists, respectively. Data were statistically analyzed regarding the agreement between responses. Results indicating high or moderate probability of autism in the Autism Behavior Checklist were considered concordant with the results indicating mild-to-moderate or severe autism in the Childhood Autism Rating Scale. Results indicating low probability of autism in the Autism Behavior Checklist and without autism in the Childhood Autism Rating Scale were also considered concordant. RESULTS: There was agreement on most of the responses. Cases in which there was disagreement between results obtained on both protocols corroborate literature data, showing that the instruments may not be sufficient, if applied alone, to define the diagnosis. CONCLUSION: The Childhood Autism Rating Scale may not effectively diagnose autistic children, while the Autism Behavior Checklist may result in over- diagnose, including within the autism spectrum children with other disorders. Therefore, the associated use of both protocols is recommended.

Functional Communication Profile - Revised: uma proposta de caracterização objetiva de crianças e adolescentes do espectro do autismo

PURPOSE: To objectively characterize the alterations of autistic children and adolescents as to their severity degree, according to the answers to the Functional Communication Profile - Revised (FCP-R). METHODS: Subjects were 50 children (mean age 7 years 11 months) with diagnosis within the autism spectrum that were assessed according to the FCP-R criteria. Answers were scored and classified according to severity, and the results were statistically analyzed. RESULTS: This group characterization evidenced results that agree with the literature, showing disorders mainly in the areas of language (expressive and receptive), behavior and pragmatics. Individuals without verbal communication also showed speech and fluency disorders. CONCLUSION: The FCP-R was sensitive to characterize the studied population, and even more efficient for individual assessment.

Fatores intervenientes na terapia fonoaudiológica de crianças autistas

Recent studies state that the incidence of autism spectrum disorders is 1% of the infantile population. It implies the need of urgent identification of efficient intervention proposals as well as of the factors that may intervene in these processes. The aim of this study is to describe three years of language therapy processes of three children diagnosed within the autism spectrum with different developmental characteristics and different responses to the therapeutic process. All the children were attending a specialized ambulatory program once a week. The language therapists were post-graduate students in the field and the therapeutic intervention started approximately six months prior to the beginning of the study. The children presented evidence of the diversity of the autism phenotype. Although it was not the purpose of this study, the reference to the three different features of the autism spectrum is clear. This way, the intervention processes received subtle adjustments to each childs specific needs and possibilities. All children had significant progress in their manifestations. The longitudinal individual analysis of therapeutic intervention processes allows the identification of associate process that might be determinant to the results and that demand consistent approaches.

Serving the Underserved: Language Intervention to Children with Disorders of the Autism Spectrum in Brazil

Language disorders are considered part of the symptoms of the autism spectrum disorders (ASD) since the first descriptions by Kanner. Providing language therapy services to children with ASD is a challenge in countries such as Brazil, where besides geographic and social-cultural diversity there is a lack of enough professionals with adequate training. Therefore university-related services have a fundamental role in filling this gap. This presentation will describe the various initiatives by such a service is Sao Paulo, one of the worlds largest metropolitan areas. This specialized service provides language assessment, diagnosis and weekly therapy to children with ASD since 1986. During this period ASDs complexity became clear and demanded the inclusion of other activities such as: multiprofessional colaboration; interdisciplinary research; out-reaching and mentoring of teachers with children and adolescents with ASD in their classes; systematic meetings with parents; use of tele-health resources to increase the number of services provided to this population; editing and distribution of brochures to improve the awareness about ASD and development of assessment tools adapted to the Brazilian reality. These initiatives were conducted whithin the context of scientific research, therefore providing elements to evidence-based-practice. Many of the researches were associated to 37 Master and Doctorate projetcs and were published in scientific journals (115 papers). Also, during this period many professionals had their specialized training and are now teaching in other universities. Today 80 children and adolescents attend to weekly language therapy sessions and 12 undergraduate, 8 graduate students, 3 post-doctorate and 2 researches comprise the team.

Adaptação para o português do teste de habilidades pragmáticas de Shulman

PURPOSE The purpose of this study was to apply the Test of Pragmatic Skills in Brazilian children with normal development. METHODS Participants of this study were 60 children 3:00 to 8:11 years old, equally divided between genders. The examiners had prior contact with the group of children and applied the TOPS - a traditional test that proposes four sets of simple activities, with the common material, applicable in a short period of time - according to the procedure proposed by the author. RESULTS The results showed a large variability in performance, illustrating that the linguistic and pragmatic skills develop according to the age. It was also observed that the subjects performed all the categories of communicative intentions required by Shulman, indicating that it is not the presence or absence of a specific intent that influences the score in this test, but the quality of the answers provided, which evolves with age. CONCLUSION Thus, we can conclude that the TOPS proved to be an important instrument that allows answers in informal conversation contexts, verifying that the test is effective in assessing the pragmatic skills of typically developing children and can be an important tool to be used in the assessment of communicative intentions in Brazilian children.Purpose The purpose of this study was to apply the Test of Pragmatic Skills in Brazilian children with normal development. Methods Participants of this study were 60 children 3:00 to 8:11 years old, equally divided between genders. The examiners had prior contact with the group of children and applied the TOPS - a traditional test that proposes four sets of simple activities, with the common material, applicable in a short period of time - according to the procedure proposed by the author. Results The results showed a large variability in performance, illustrating that the linguistic and pragmatic skills develop according to the age. It was also observed that the subjects performed all the categories of communicative intentions required by Shulman, indicating that it is not the presence or absence of a specific intent that influences the score in this test, but the quality of the answers provided, which evolves with age. Conclusion Thus, we can conclude that the TOPS proved to be an important instrument that allows answers in informal conversation contexts, verifying that the test is effective in assessing the pragmatic skills of typically developing children and can be an important tool to be used in the assessment of communicative intentions in Brazilian children.

Estudo longitudinal da terapia de linguagem de 142 crianças e adolescentes com distúrbios do espectro do autismo

The last 25 years produced important changes in the Speech Language intervention for children with Autism Spectrum Disorders in the whole world. They refer to diagnostic criteria, research methods and systematization of data about diagnostic and intervention processes. In this context, the first results about the use of a recording system used on a specialized service highlights the importance of including information about each intervention process on reliable and accessible systems. This procedure allows the association among several types of data and studies with large populations, something that is not usual in the field.