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| Author(s): |
Claudia Mazzer Rodrigues
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2013-03-15 |
| Examining board members: |
Sonia Regina Loureiro;
Evely Boruchovitch;
Maria Beatriz Martins Linhares
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| Advisor: | Sonia Regina Loureiro |
| Abstract | |
Low birth weight has been recognized as an adverse condition to child development and may be considered as a biological risk condition, from the perspective of developmental psychopathology. The impact of this risk factor for behavioral outcomes in school-age children has been widely studied, however the findings about the assessment of children depression are still scarce. In this context, a prospective cohort study was proposed, with the general aim to compare and correlate behavioral and depression indicators in a cohort of school-age children, stratified into five groups of birth weight, according to the reference values of the World Health Organization (WHO), namely: very low birth weight (VLBW), low birth weight (LBW), insufficient birth weight (IBW), normal birth weight (NBW) and high birth weight (HBW). For this purpose, 665 children were evaluated, between the ages of 10-11 years old, of both sexes, from Ribeirão Preto, state of São Paulo, Brazil. Proceeded thus to the assessment of behavioral indicators, using the Strengths and Difficulties Questionnaire (SDQ) completed by parents, and the assessment of depression indicators, using the Childrens Depression Inventory (CDI) answered by children. Aiming to survey the childrens clinical conditions and the families sociodemographic characteristics, information from a supplementary questionnaire were used. Data were coded according to the instruments propositions and analyzed by non-parametric statistics (p0,05). In relation to behavioral indicators, the VLBW group had higher scores regarding hyperactivity compared to all other groups, and peer relationship problem compared to HBW group. For indicators of child depression, the VLBW group showed higher scores for child depression when compared to other groups. Regarding the association of behavioral indicators, reported by parents, to child depression indicators, reported by children, it was verified, in all groups, except in the VLBW, that children who had higher scores of depression indicators in self-assessment, also obtained higher scores to general behavioral difficulties in parents perception. It was considered that the depressive symptoms reported by children were identified by parents as the presence of behavioral difficulties with diverse manifestations. It was also observed, in all groups, that the sociodemographic variables related to less qualified occupation of father or householder, lower parental education and belong to disadvantaged economic classes showed the greatest number of associations to the presence of behavioral problems. The same was not observed for child depression. Therefore, it was noticed that there was a greater vulnerability in children exposed to the biological risk factor related to very low birth weight for behavioral difficulties, especially hyperactivity, and child depression. It is important to highlight the value of assessing indicators of child problems by different informants, with the goal to find results more consistent. Early identification of behavioral difficulties and depression indicators associated with birth weight may contribute for planning prevention and intervention programs, in order to promote childrens mental health. (AU) | |
| FAPESP's process: | 10/13780-6 - Behavioral and emotional aspects of a school children cohort differentiated by birth weight |
| Grantee: | Claudia Mazzer Rodrigues |
| Support Opportunities: | Scholarships in Brazil - Master |