SANDRA SCIVOLETTO
Projetos de Pesquisa
Unidades Organizacionais
LIM/21 - Laboratório de Neuroimagem em Psiquiatria, Hospital das Clínicas, Faculdade de Medicina
4 resultados
Resultados de Busca
Agora exibindo 1 - 4 de 4
- Community-based global health program for maltreated children and adolescents in Brazil: the equilibrium program(2015) MARQUES, Andrea Horvath; OLIVEIRA, Paula Approbato; SCOMPARINI, Luciana Burim; SILVA, Uiara Maria Rego e; SILVA, Angelica Cristine; DORETTO, Victoria; MEDEIROS FILHO, Mauro Victor de; SCIVOLETTO, SandraThe maltreatment of children and adolescents is a global public health problem that affects high- and low-middle income countries (""LMICs""). In the United States, around 1.2 million children suffer from abuse, while in LMICs, such as Brazil, these rates are much higher (an estimated 28 million children). Exposition to early environmental stress has been associated with suboptimal physical and brain development, persistent cognitive impairment, and behavioral problems. Studies have reported that children exposed to maltreatment are at high risk of behavioral problems, learning disabilities, communication and psychiatric disorders, and general clinical conditions, such as obesity and systemic inflammation later in life. The aim of this paper is to describe The Equilibrium Program (""TEP""), a community-based global health program implemented in Sao Paulo, Brazil to serve traumatized and neglected children and adolescents. We will describe and discuss TEP's implementation, highlighting its innovation aspects, research projects developed within the program as well as its population profile. Finally, we will discuss TEP's social impact, challenges, and limitations. The program's goal is to promote the social and family reintegration of maltreated children and adolescents through an interdisciplinary intervention program that provides multi-dimensional bio-psycho-social treatment integrated with the diverse services needed to meet the unique demands of this population. The program's cost effectiveness is being evaluated to support the development of more effective treatments and to expand similar programs in other areas of Brazil. Policy makers should encourage early evidence-based interventions for disadvantaged children to promote healthier psychosocial environments and provide them opportunities to become healthy and productive adults. This approach has already shown itself to be a cost-effective strategy to prevent disease and promote health.
- The importance of multidisciplinary evaluation for differentiating between mental retardation and antisocial behavior in sex offenders: a case study(2011) OLIVEIRA, Paula Approbato de; OLIVEIRA, Christian Cesar Candido de; ROCCA, Cristiana Castanho de Almeida; COSTA, Ana Paula Gonzaga; SCIVOLETTO, Sandra
- Executive dysfunction and low academic attainment in adolescent substance abusers with a history of maltreatment(2015) CUNHA, Paulo Jannuzzi; OLIVEIRA, Paula Approbato de; CORTEZZI, Mariana; BUSATTO, Geraldo F.; SCIVOLETTO, SandraOBJECTIVE: Substance abuse and maltreatment are highly associated with Executive Cognitive Function impairments, but very little is known about how symptoms of a condition known as Dysexecutive Syndrome may impact on real-life activities, especially in adolescents. This study investigated the presence of Executive Cognitive Function deficits in maltreated substance-abusing adolescents relative to healthy control subjects and analyzed the association between executive performance and educational attainment. METHOD: The sample consisted of 15 maltreated adolescent substance abusers and 15 non-maltreated healthy adolescents (controls). They were assessed by the Frontal Assessment Battery, composed of six subtests: Conceptualization, Mental flexibility, Motor programming, Sensitivity to interference, Inhibitory control, and Environmental autonomy. RESULTS: Maltreated adolescents did not differ from controls in sociodemographic variables such as age, ethnicity, and handedness. However, they performed significantly and importantly below controls in almost all domains of Executive Cognitive Function, including abstract abilities, cognitive flexibility, motor planning, and sensitivity to interference. Maltreated adolescents also completed fewer years of formal education vs. controls. The Frontal Assessment Battery total score correlated with educational attainment throughout the sample (r = 0.511; p < 0.01). CONCLUSION: Substance-abusing adolescents with a history of maltreatment performed more poorly vs. controls on a variety of measurements of executive functioning, and the results of the Frontal Assessment Battery were associated with educational attainment. Our results evidence a negative impact of dysexecutive symptoms on educational attainment in adolescents. Strategies focusing on neuropsychological rehabilitation may be relevant to help substance-abusing and maltreated adolescents to perform better at school and perhaps in life.
- Intellectual deficits in Brazilian victimized children and adolescents: A psychosocial problem?(2012) OLIVEIRA, Paula Approbato de; SCARPARI, Giovanna Kliemann; SANTOS, Bernardo dos; SCIVOLETTO, Sandra