Open-access Diagnóstico e intervenção clínica comportamental infantil: uma breve revisão

Assessment and behavioral clinic intervention with children: a brief review

Resumo

Alguns transtornos da infância e da adolescência são discutidos, sob um enfoque comportamental, e com a utilização de critérios para diagnóstico do DSM-IV. São fornecidos dados da literatura acerca da manifestação, prevalência, etiologia e prognóstico dos seguintes transtornos: Autismo, Transtorno de Déficit de Atenção/Hiperatividade, Transtornos do Humor (Depressão Maior e Distimia), da Ansiedade (Fobia Específica e Transtorno de Ansiedade de Separação) e de Expulsão (Enurese e Encoprese). Estratégias de intervenção dentro do enfoque comportamental são também discutidas.

terapia comportamental; transtornos da infância e da adolescência; infância e adolescência


Abstract

Some childhood and adolescence disorders are discussed under a behavioral approach, and using DSM-IV diagnosis criteria. data from literature on diagnostic features, prevalence, etiology, and prognosis for the following disorders Provides: autistic disorder, attention- deficit/hyperactivity disorder, mood disorders (dysthymic disorder and major depressive disorder), anxiety disorders (specific phobia and separation anxiety disorder), and elimination disorders (enuresis and encopresis). Intervention strategies under a behavioral approach are also discussed.

behavior therapy; childhood and adolescence disorders; children and adolescents


ARTIGO

Diagnóstico e intervenção clínica comportamental infantil: uma breve revisão

Assessment and behavioral clinic intervention with children: a brief review

Maria Cristina O. S. MiyazakiI,1; Edwiges F.M. SilvaresII,2

IFaculdade de Medicina S.J.Rio Preto, AMERP

IIUniversidade de São Paulo

Endereço para correspondência

RESUMO

Alguns transtornos da infância e da adolescência são discutidos, sob um enfoque comportamental, e com a utilização de critérios para diagnóstico do DSM-IV. São fornecidos dados da literatura acerca da manifestação, prevalência, etiologia e prognóstico dos seguintes transtornos: Autismo, Transtorno de Déficit de Atenção/Hiperatividade, Transtornos do Humor (Depressão Maior e Distimia), da Ansiedade (Fobia Específica e Transtorno de Ansiedade de Separação) e de Expulsão (Enurese e Encoprese). Estratégias de intervenção dentro do enfoque comportamental são também discutidas.

Palavras-chave: terapia comportamental; transtornos da infância e da adolescência; infância e adolescência.

ABSTRACT

Some childhood and adolescence disorders are discussed under a behavioral approach, and using DSM-IV diagnosis criteria. data from literature on diagnostic features, prevalence, etiology, and prognosis for the following disorders Provides: autistic disorder, attention- deficit/hyperactivity disorder, mood disorders (dysthymic disorder and major depressive disorder), anxiety disorders (specific phobia and separation anxiety disorder), and elimination disorders (enuresis and encopresis). Intervention strategies under a behavioral approach are also discussed.

Keywords: behavior therapy; childhood and adolescence disorders; children and adolescents.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Referências Bibliográficas

Achenbach, T.M.(1991). Manualfor the Child B havior Checklist/4-18 and TRF profile. Burlington, VT:U Vt Dept.Psychiat.

Amaral, V. A.R. & Yoshida, G.O. (1993). A psicologia como profissão da área da saúde, a prática, a supervisão e a pesquisa: relato de uma experiência. Estudos de Psicologia, 10(3): 85-96.

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders- DSM-IV. Washington, D.C.:APA.

Azrin, N.H., Sneed, T.J. & Fax, R.M. (1973). Dry bed: a rapid method of eliminating bedwetting (enuresis) ofthe retarded. Behaviour Research & Therapy,11:427-434.

Azrin, N.H. & Fox, R.M.(1974). Toilet training in less than a day. New York: Pocket Books.

Barkley, R.A. (1977). A review of stimulant drug research with hyperactive children. Archives of General Psychiatry,36:20l-208.

Barkley, R.A.(l989). Attention deficithyperactivity disorder. In: E.J. MASH, E. J. & R.A. Barkley (eds.) Treatment of Childhood Disorders. New York: Guilford. Pp. 39-72.

Barkley, R. (1994). ADHD in the classroom. Strategies for teachers [vídeo]. New York:Guilford.

Barrios, B.A. & O'Donell, S.L.(1989). Fears and anxieties. In: E.J. Mash, & R.A.Barkley (ed.) Treatment of childhood disorders. New York:Guilford. pp.167-221.

Beck, A.T.(1967). Depression: causes and treatment. Philadelphia:University of Pennsylvania Press.

Beck, A.T., Rush, A.J., Shaw, B.F. & Emery, G. (1979).Terapia cognitiva da depressão. Trad. Vera Ribeiro. Rio de Janeiro:Zahar.

Bell-Dolan, D. (1995). Separation Anxiety Disorder. In: R.T. Ammerman & M. Hersen (ed.) Handbook ofChild Behavior Therapy in the Psychiatric Setting. NewYork:Wiley. pp.2l7-238.

Bowen, R.C., Offord, D.R. & Boyle, M.H. (1990). The prevalence of overanxious disorder and separation anxiety disorder. Results from the Ontario child health study. Journal ofthe American Academy of Child and Adolescent Psychiatry,29:753-758.

Dattilio, F. (1995). Formação em Terapia Cognitiva. Workshop, São Paulo.

Doleys, D.M.(1989). Functional enuresis and encopresis. In: C.G. Last & M. Hersen (ed.) Hand- book of child psychiatric diagnosis. New York:Wiley. pp.427-442.

Doleys, D.M. (1993). Enuresis y encopresis. In: T.H. Ollendick,T.H. & M. Hersen (ed.) Psicopatologia infantil. Barcelona: Martinez Roca. pp.338-365.

Domingos, N.A.M. (1993). Preparo para cirurgia: teste de programas psicológicos na redução de ansiedade de crianças e mães. Campinas, Dissertação (mestrado). PUCCAMP. 166p.

Emery, R.E., Fincham, F.D. & Cummings, E.M. (1992). Parenting in context: systemic thinking about parental conflict and its influence on children. Journal of Consulting and Clinical Psychology, 60(6):909-912.

Evans, l.M. (1995). More clinical science, please: hold the technology. Apresentado ao World Congress of Behavioural and Cognitive Therapies, Copenhagen, Dinamarca.

Fauber, R.L. & Long, N. (1991). Children incontext: the role of the family in child psychotherapy. Journal of Consulting and Clinical Psychology, 59 (6): 813-820.

Ferster, C.B. (1971). A functional analysis of depression. American Psychologist, 23 (10): 857- 870.

Garcia, J. & Rodriguez, J. (1991). Depressión en la adolescencia: presentación de un caso. In: F.X. Mendez & D.M. Antón (coord.) Modificacion de conducta con niños y adolescentes: libro de casos. Madrid: Pirámide. pp. 108-128.

Guilhardi, H.J. (1987). A formação do terapeuta comportamental: que formação? In: H.W. Lettner & B.P. Rangé. Manual de psicoterapia comportamental. São Paulo: Manole. pp.313-320.

Handen, B.L. (1995). Behavior therapy and pharmacological adjuncts. In: R.T. Ammerman & M. Hersen (ed.) Handbook of Child Behavior Therapy in the Psychiatric Setting. New York:Wiley. pp.109-132.

Hinshaw, S.P. & Erhardt, D. (1991). Attentiondeficit Hyperactivity Disorder. In: P.C. Kendall (ed.) Child & Adolescent Therapy: cognitive behavioral procedures. New York:Guilford. pp.98-128.

Hoza, B., Vallano, G. & Pelham Jr, W.E. (1995). Attention-Deficit/ Hyperactivity Disorder. In: R.T. Ammerman & M. Hersen. Handbook of Child Behavior Therapy in the Psychiatric Setting. New York:Wiley. pp.181-198

Johnson, V.M. & Werner, R.A. (1984). Um guia de aprendizagem progressiva para crianças retardadas. Trad. Ana Fátima R. Alves. São Paulo:Manole.

Kashani, J.H., Husain, A., Shekim, W.O., Hodges, K.H., Cytryn, L. & Mcknew, D.H. (1981). Current perspective son childhood depression: an overview. American Journal of Psychiatry, 138: 143-153.

Kazdin, A.E. (1989). Childhood depression.In: E.J. Mash & R.A Barkley (ed.) Treatment of Child-hood Disorders. New York:Guilford. pp.135-166.

Kazdin, A.E. (1991 ). Effectiveness of psychotherapy with children and adolescents. Journal of Consulting and Clinical Psychology, 59 (6): 785- 798.

Kazdin, A.E. (1994). Adversidad familiar, desvantajas socioeconomicas y estres en los padres: variables contextuales relacionadas con la terminación prematura de Ia terapia conductual infantil. Psicologia Conductual, 2 (1): 5-21.

Keefe, F.J., Kopel, S.A. & Gordon, S.B.(1980). Manual prático de avaliação comportamental. Trad. Paulo C. Geraldes. São Paulo:Manole.

Kendall, P.c. (1995). Cognitive Therapy with Children. Workshop, World Congress of Behavioural and Cognitive Therapy, Copenhagen, Dinamarca.

Kendall, P.C. & Braswell, L. (1993). Cognitive-behavioral therapy for impulsive children. 2nd ed. New York:Guilford.

Kendall, P.C. & Morris, R.J. (1991). Child Therapy: issues and recomendations. Journal of Consult- ing and Clinical Psychology,59(6):777-784.

Kendall, P.C., Chansky, T.E., Freidman, M., Kim, R., Kortlander, E., Sessa, F. & Siqueland, L. (1991). Treating anxiety disorders in children and adolescents. In: P.C. Kendall (ed.) Child and adolescent therapy: cognitive-behavioral procedures. New York:Guilford. pp.131-l64.

Kennedy, W.A. (1965). School phobia: rapid treatment of fifty cases. Journal of Abnormal Psychology,70:285-289.

Kovacs, M. (1989). Affective disorders in children and adolescents. American Psychologist, 44(2):209-215.

Kovacs, M. (1992). Children's Depression Inventory: Manual. New York:MHS.

Last, C.G. (1993). Trastornos por ansiedad. In: T.H. Ollendick & M. Hersen (ed.) Psicopatologia In- fantil. Barcelona:Martinez-Roca. pp.257-266

Lazarus, A.A. (1968). Learning theory and the treatment of depression. Behaviour Research & Therapy, 6: 83-89.

Lefkowitz, M.M. & Tesiny, E.P. (1985). Depression in children: prevalence and correlates. Journal of Consulting and Clinical Psychology,53:647-656

Lipp, M.E.N. (1981). Sexo para deficientes mentais: sexo e excepcional dependente e não- dependente. Campinas.Cortez/Autores Associados.

Lovaas, O.I. (1987). Behavioral treatment and normal education and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 35 (1):3-9.

Mash, EJ. (1989). Treatment of child and family disturbance: a behavioral systems perspective. In: E.J. Mash & R.A. Barkley (ed.) Treatment of Childhood Disorders. New York:Guilford. pp.3-36

Matson, J. (1989). Treating depression in children and adolescents. New York: Pergamon.

Mendez, F.X. & Macia, D. (1991). Tratamiento conductual de un caso de fobia escolar. In: F.X. Mendez & D.M. Antón (coord.) Modificación de conducta con niños y adolescentes: libro de casos. Madrid:Pirámide. pp.74-107.

Michelson, L. (1989). Flooding. In: A. S. Bellack & M. Hersen (ed.) Dictionary ofBehavior Therapy Techniques. New York:Pergamon. pp.126-131.

Miller, I.W. (1994). Major depression. In: C.G. Last & M. Hersen (ed.) Adult Behavior Therapy Casebook. New York:Plenum. pp.33-60.

Miyazaki, M.C.O.S. (1993). Enfoque psicossocial da doença crônica: depressão em pacientes pediátricos portadores de asma e suas mães. Campinas, Dissertação (mestrado). 186p.

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Mowrer, O.H. & Mowrer, W.M. (1938). Enuresis-a method for its study and and treatment. American Journal of Orthopsychiatry, 8:436-459.

Newson, C. & Rincover, A. (1989). Autism. In: E.J. Mash & R.S. Terdal (ed.) Treatment of Child hood Disorders. New York:Guilford. pp.286-346.

Ollendick, T.H. (1983). Reliability and validity of the Revised Fear Survey Schedule for Children (FSSC-R). Behaviour Research and Therapy,2I:685- 692.

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Referências bibliográficas

  • Achenbach, T.M.(1991). Manualfor the Child B havior Checklist/4-18 and TRF profile. Burlington, VT:U Vt Dept.Psychiat.
  • Amaral, V. A.R. & Yoshida, G.O. (1993). A psicologia como profissão da área da saúde, a prática, a supervisão e a pesquisa: relato de uma experiência. Estudos de Psicologia, 10(3): 85-96.
  • American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders- DSM-IV. Washington, D.C.:APA.
  • Azrin, N.H., Sneed, T.J. & Fax, R.M. (1973). Dry bed: a rapid method of eliminating bedwetting (enuresis) ofthe retarded. Behaviour Research & Therapy,11:427-434.
  • Azrin, N.H. & Fox, R.M.(1974). Toilet training in less than a day. New York: Pocket Books.
  • Barkley, R.A. (1977). A review of stimulant drug research with hyperactive children. Archives of General Psychiatry,36:20l-208.
  • Barkley, R.A.(l989). Attention deficithyperactivity disorder. In: E.J. MASH, E. J. & R.A. Barkley (eds.) Treatment of Childhood Disorders. New York: Guilford. Pp. 39-72.
  • Barkley, R. (1994). ADHD in the classroom. Strategies for teachers [vídeo]. New York:Guilford.
  • Barrios, B.A. & O'Donell, S.L.(1989). Fears and anxieties. In: E.J. Mash, & R.A.Barkley (ed.) Treatment of childhood disorders. New York:Guilford. pp.167-221.
  • Beck, A.T.(1967). Depression: causes and treatment. Philadelphia:University of Pennsylvania Press.
  • Beck, A.T., Rush, A.J., Shaw, B.F. & Emery, G. (1979).Terapia cognitiva da depressão. Trad. Vera Ribeiro. Rio de Janeiro:Zahar.
  • Bell-Dolan, D. (1995). Separation Anxiety Disorder. In: R.T. Ammerman & M. Hersen (ed.) Handbook ofChild Behavior Therapy in the Psychiatric Setting. NewYork:Wiley. pp.2l7-238.
  • Bowen, R.C., Offord, D.R. & Boyle, M.H. (1990). The prevalence of overanxious disorder and separation anxiety disorder. Results from the Ontario child health study. Journal ofthe American Academy of Child and Adolescent Psychiatry,29:753-758.
  • Dattilio, F. (1995). Formação em Terapia Cognitiva. Workshop, São Paulo.
  • Doleys, D.M.(1989). Functional enuresis and encopresis. In: C.G. Last & M. Hersen (ed.) Hand- book of child psychiatric diagnosis. New York:Wiley. pp.427-442.
  • Doleys, D.M. (1993). Enuresis y encopresis. In: T.H. Ollendick,T.H. & M. Hersen (ed.) Psicopatologia infantil. Barcelona: Martinez Roca. pp.338-365.
  • Domingos, N.A.M. (1993). Preparo para cirurgia: teste de programas psicológicos na redução de ansiedade de crianças e mães. Campinas, Dissertação (mestrado). PUCCAMP. 166p.
  • Emery, R.E., Fincham, F.D. & Cummings, E.M. (1992). Parenting in context: systemic thinking about parental conflict and its influence on children. Journal of Consulting and Clinical Psychology, 60(6):909-912.
  • Evans, l.M. (1995). More clinical science, please: hold the technology. Apresentado ao World Congress of Behavioural and Cognitive Therapies, Copenhagen, Dinamarca.
  • Fauber, R.L. & Long, N. (1991). Children incontext: the role of the family in child psychotherapy. Journal of Consulting and Clinical Psychology, 59 (6): 813-820.
  • Ferster, C.B. (1971). A functional analysis of depression. American Psychologist, 23 (10): 857- 870.
  • Garcia, J. & Rodriguez, J. (1991). Depressión en la adolescencia: presentación de un caso. In: F.X. Mendez & D.M. Antón (coord.) Modificacion de conducta con niños y adolescentes: libro de casos. Madrid: Pirámide. pp. 108-128.
  • Guilhardi, H.J. (1987). A formação do terapeuta comportamental: que formação? In: H.W. Lettner & B.P. Rangé. Manual de psicoterapia comportamental. São Paulo: Manole. pp.313-320.
  • Handen, B.L. (1995). Behavior therapy and pharmacological adjuncts. In: R.T. Ammerman & M. Hersen (ed.) Handbook of Child Behavior Therapy in the Psychiatric Setting. New York:Wiley. pp.109-132.
  • Hinshaw, S.P. & Erhardt, D. (1991). Attentiondeficit Hyperactivity Disorder. In: P.C. Kendall (ed.) Child & Adolescent Therapy: cognitive behavioral procedures. New York:Guilford. pp.98-128.
  • Hoza, B., Vallano, G. & Pelham Jr, W.E. (1995). Attention-Deficit/ Hyperactivity Disorder. In: R.T. Ammerman & M. Hersen. Handbook of Child Behavior Therapy in the Psychiatric Setting. New York:Wiley. pp.181-198
  • Johnson, V.M. & Werner, R.A. (1984). Um guia de aprendizagem progressiva para crianças retardadas. Trad. Ana Fátima R. Alves. São Paulo:Manole.
  • Kashani, J.H., Husain, A., Shekim, W.O., Hodges, K.H., Cytryn, L. & Mcknew, D.H. (1981). Current perspective son childhood depression: an overview. American Journal of Psychiatry, 138: 143-153.
  • Kazdin, A.E. (1989). Childhood depression.In: E.J. Mash & R.A Barkley (ed.) Treatment of Child-hood Disorders. New York:Guilford. pp.135-166.
  • Kazdin, A.E. (1991 ). Effectiveness of psychotherapy with children and adolescents. Journal of Consulting and Clinical Psychology, 59 (6): 785- 798.
  • Kazdin, A.E. (1994). Adversidad familiar, desvantajas socioeconomicas y estres en los padres: variables contextuales relacionadas con la terminación prematura de Ia terapia conductual infantil. Psicologia Conductual, 2 (1): 5-21.
  • Keefe, F.J., Kopel, S.A. & Gordon, S.B.(1980). Manual prático de avaliação comportamental. Trad. Paulo C. Geraldes. São Paulo:Manole.
  • Kendall, P.c. (1995). Cognitive Therapy with Children. Workshop, World Congress of Behavioural and Cognitive Therapy, Copenhagen, Dinamarca.
  • Kendall, P.C. & Braswell, L. (1993). Cognitive-behavioral therapy for impulsive children. 2nd ed. New York:Guilford.
  • Kendall, P.C. & Morris, R.J. (1991). Child Therapy: issues and recomendations. Journal of Consult- ing and Clinical Psychology,59(6):777-784.
  • Kendall, P.C., Chansky, T.E., Freidman, M., Kim, R., Kortlander, E., Sessa, F. & Siqueland, L. (1991). Treating anxiety disorders in children and adolescents. In: P.C. Kendall (ed.) Child and adolescent therapy: cognitive-behavioral procedures. New York:Guilford. pp.131-l64.
  • Kennedy, W.A. (1965). School phobia: rapid treatment of fifty cases. Journal of Abnormal Psychology,70:285-289.
  • Kovacs, M. (1989). Affective disorders in children and adolescents. American Psychologist, 44(2):209-215.
  • Kovacs, M. (1992). Children's Depression Inventory: Manual. New York:MHS.
  • Last, C.G. (1993). Trastornos por ansiedad. In: T.H. Ollendick & M. Hersen (ed.) Psicopatologia In- fantil. Barcelona:Martinez-Roca. pp.257-266
  • Lazarus, A.A. (1968). Learning theory and the treatment of depression. Behaviour Research & Therapy, 6: 83-89.
  • Lefkowitz, M.M. & Tesiny, E.P. (1985). Depression in children: prevalence and correlates. Journal of Consulting and Clinical Psychology,53:647-656
  • Lipp, M.E.N. (1981). Sexo para deficientes mentais: sexo e excepcional dependente e não- dependente. Campinas.Cortez/Autores Associados.
  • Lovaas, O.I. (1987). Behavioral treatment and normal education and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 35 (1):3-9.
  • Mash, EJ. (1989). Treatment of child and family disturbance: a behavioral systems perspective. In: E.J. Mash & R.A. Barkley (ed.) Treatment of Childhood Disorders. New York:Guilford. pp.3-36
  • Matson, J. (1989). Treating depression in children and adolescents. New York: Pergamon.
  • Mendez, F.X. & Macia, D. (1991). Tratamiento conductual de un caso de fobia escolar. In: F.X. Mendez & D.M. Antón (coord.) Modificación de conducta con niños y adolescentes: libro de casos. Madrid:Pirámide. pp.74-107.
  • Michelson, L. (1989). Flooding. In: A. S. Bellack & M. Hersen (ed.) Dictionary ofBehavior Therapy Techniques. New York:Pergamon. pp.126-131.
  • Miller, I.W. (1994). Major depression. In: C.G. Last & M. Hersen (ed.) Adult Behavior Therapy Casebook. New York:Plenum. pp.33-60.
  • Miyazaki, M.C.O.S. (1993). Enfoque psicossocial da doença crônica: depressão em pacientes pediátricos portadores de asma e suas mães. Campinas, Dissertação (mestrado). 186p.
  • Miyazaki, M.C.O.S. & Amaral, V.L.A.R. (1995). Instituições de saúde. In: B. Rangé (org.) Terapia Comportamental e Cognitivo-Comportamental. Pesquisa, Prática, aplicações e problemas Campinas, Psy II.
  • Mowrer, O.H. & Mowrer, W.M. (1938). Enuresis-a method for its study and and treatment. American Journal of Orthopsychiatry, 8:436-459.
  • Newson, C. & Rincover, A. (1989). Autism. In: E.J. Mash & R.S. Terdal (ed.) Treatment of Child hood Disorders. New York:Guilford. pp.286-346.
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  • Endereço para correspondência:
    Coronel Spinola de Castro, 3420 apto 81
    Centro
    CEP 15015-500
    São José do Rio Preto, SP.
  • 1
    Chefe do serviço de Psicologia da Faculdade de Medicina de S. 1. do Rio Preto.
  • 2
    Professora Doutora do Departamento de Psicologia Clínica da USP.
  • Datas de Publicação

    • Publicação nesta coleção
      20 Ago 2014
    • Data do Fascículo
      Abr 1997
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