SANDRA SCIVOLETTO
Projetos de Pesquisa
Unidades Organizacionais
LIM/21 - Laboratório de Neuroimagem em Psiquiatria, Hospital das Clínicas, Faculdade de Medicina
7 resultados
Resultados de Busca
Agora exibindo 1 - 7 de 7
bookPart Transtorno de conduta(2015) SCIVOLETTO, Sandra; BOARATI, Miguel Angelo; MEDEIROS FILHO, Mauro Victor debookPart Transtorno opositivo desafiador(2015) MEDEIROS FILHO, Mauro Victor de; MARMORATO, Paulo Germano; SCIVOLETTO, Sandra- 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.
- Methylphenidate use in children with attention deficit hyperactivity disorder(2015) MACHADO, Felipe Salles Neves; CAETANO, Sheila Cavalcante; HOUNIE, Ana Gabriela; SCIVOLETTO, Sandra; MUSZKAT, Mauro; GATTÁS, Ivete Gianfaldoni; CASELLA, Erasmo Barbante; ANDRADE, Ênio Roberto de; POLANCZYK, Guilherme Vanoni; ROSÁRIO, Maria Conceição doA Brazilian Health Technology Assessment Bulletin (BRATS) article regarding scientific evidence of the efficacy and safety of methylphenidate for treating attention deficit hyperactivity disorder (ADHD) has caused much controversy about its methods. Considering the relevance of BRATS for public health in Brazil, we critically reviewed this article by remaking the BRATS search and discussing its methods and results. Two questions were answered: did BRATS include all references available in the literature? Do the conclusions reflect the reviewed articles? The results indicate that BRATS did not include all the references from the literature on this subject and also that the proposed conclusions are different from the results of the articles chosen by the BRATS authors themselves. The articles selected by the BRATS authors showed that using methylphenidate is safe and effective. However, the BRATS final conclusion does not reflect the aforementioned and should not be used to support decisions on the use of methylphenidate.
- 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.
bookPart Transtornos da infância e da adolescência(2015) SCIVOLETTO, Sandra; MORIYAMA, Tais; BOARATI, Miguel Angelo- Auditory-perceptual analysis of voice in abused children and adolescents(2015) STIVANIN, Luciene; SANTOS, Fernanda Pontes dos; OLIVEIRA, Christian Cesar Candido de; SANTOS, Bernardo dos; RIBEIRO, Simone Tozzini; SCIVOLETTO, SandraIntroduction: Abused children and adolescents are exposed to factors that can trigger vocal changes. Objective: This study aimed to analyze the prevalence of vocal changes in abused children and adolescents, through auditory-perceptual analysis of voice and the study of the association between vocal changes, communication disorders, psychiatric disorders, and global functioning. Methods: This was an observational and transversal study of 136 children and adolescents (mean age 10.2 years, 78 male) who were assessed by a multidisciplinary team specializing in abused populations. Speech evaluation was performed (involving the aspects of oral and written communication, as well as auditory-perceptual analysis of voice, through the GRBASI scale). Psychiatric diagnosis was performed in accordance with the DSM-IV diagnostic criteria and by applying the K-SADS; global functioning was evaluated by means of the C-GAS scale. Results: The prevalence of vocal change was 67.6%; of the patients with vocal changes, 92.3% had other communication disorders. Voice changes were associated with a loss of seven points in global functioning, and there was no association between vocal changes and psychiatric diagnosis. Conclusion: The prevalence of vocal change was greater than that observed in the general population, with significant associations with communication disorders and global functioning. The results demonstrate that the situations these children experience can intensify the triggering of abusive vocal behaviors and consequently, of vocal changes.