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Sebastião ASP, Rodrigues APCS, Pizeta FA, Loureiro SR. Intact Nuclear Families: Associations between Parental Styles and School Children’s Behavior. Psico-USF 2020. [DOI: 10.1590/1413-82712020250110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Regardless of family configurations, few studies address the concomitant assessment of mothers and fathers regarding their children’s behaviors and parenting practices. The objective was to compare and correlate the assessment of biological mothers and fathers of intact nuclear families on their parental practices and behavioral problems of their school-aged children. Fourth-two intact nuclear families answered to the following instruments: General Questionnaire, Parenting Style Inventory, Strengths and Difficulties Questionnaire and Raven Progressive Matrices Test - Special Scale. The quantitative analysis showed that mothers and fathers presented similar assessments regarding the behavior of their children, though mothers reported more positive practices than fathers. Negative parenting styles were positively correlated with child behavioral problems. These findings contribute to the planning of preventive strategies and interventions directed to families.
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Osório FL, Loureiro SR, Hallak JEC, Machado-de-Sousa JP, Ushirohira JM, Baes CVW, Apolinario TD, Donadon MF, Bolsoni LM, Guimarães T, Fracon VS, Silva-Rodrigues APC, Pizeta FA, Souza RM, Sanches RF, Dos Santos RG, Martin-Santos R, Crippa JAS. Clinical validity and intrarater and test-retest reliability of the Structured Clinical Interview for DSM-5 - Clinician Version (SCID-5-CV). Psychiatry Clin Neurosci 2019; 73:754-760. [PMID: 31490607 DOI: 10.1111/pcn.12931] [Citation(s) in RCA: 112] [Impact Index Per Article: 22.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 08/01/2019] [Accepted: 08/20/2019] [Indexed: 12/22/2022]
Abstract
AIM The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID-5-CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity and different reliability indicators (interrater test-retest, joint interview, face-to-face vs telephone application) of the SCID-5-CV in a large sample of 180 non-prototypical and psychiatric patients based on interviews conducted by raters with different levels of clinical experience. METHODS The SCID-5-CV was administered face-to-face and by telephone by 12 psychiatrists/psychologists who took turns as raters and observers. Clinical diagnoses were established according to DSM-5 criteria and the longitudinal, expert, all data (LEAD) procedure. We calculated the percentage of agreement, diagnostic sensitivity and specificity, and the level of agreement (kappa) for diagnostic categories and specific diagnoses. RESULTS The percentage of positive agreement between the interview and clinical diagnoses ranged between 73% and 97% and the diagnostic sensitivity/specificity were >0.70. In the joint interview, the levels of positive agreement were high (>75%) and kappa levels were >0.70 for most diagnoses. The values were less expressive, but still adequate, for interrater test-retest interviews. CONCLUSION The SCID-5-CV presented excellent reliability and high specificity as assessed with different methods. The clinical validity of the instrument was also confirmed, which supports its use in daily clinical practice. We highlight the adequacy of the instrument to be used via telephone and the need for careful use by professionals with little experience in psychiatric clinical practice.
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Affiliation(s)
- Flávia L Osório
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil.,National Institute For Science and Technology (INCT-TM, CNPq), Brasília, Brazil
| | - Sonia Regina Loureiro
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil.,National Institute For Science and Technology (INCT-TM, CNPq), Brasília, Brazil
| | - Jaime Eduardo C Hallak
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil.,National Institute For Science and Technology (INCT-TM, CNPq), Brasília, Brazil
| | - João Paulo Machado-de-Sousa
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil.,National Institute For Science and Technology (INCT-TM, CNPq), Brasília, Brazil
| | - Juliana M Ushirohira
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil.,Clinical Hospital of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | - Cristiane V W Baes
- Clinical Hospital of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | - Thiago D Apolinario
- Clinical Hospital of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | - Mariana F Donadon
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | - Livia M Bolsoni
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | - Thiago Guimarães
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | - Victor S Fracon
- Clinical Hospital of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | - Ana Paula Casagrande Silva-Rodrigues
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil.,Clinical Hospital of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | | | | | - Rafael Faria Sanches
- Clinical Hospital of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil
| | - Rafael G Dos Santos
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil.,National Institute For Science and Technology (INCT-TM, CNPq), Brasília, Brazil
| | - Rocio Martin-Santos
- National Institute For Science and Technology (INCT-TM, CNPq), Brasília, Brazil.,Hospital Clínic, Instituto de Investigaciones Biomedicas August Pi i Sunyer, Centro de Investigacion Biomedica en Red de Salud Mental, Barcelona, Spain.,University of Barcelona, Barcelona, Spain
| | - José Alexandre S Crippa
- Medical School of Ribeirão Preto, São Paulo University, Ribeirão Preto, Brazil.,National Institute For Science and Technology (INCT-TM, CNPq), Brasília, Brazil
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Pizeta FA, Silva APC, Loureiro SR. Resilience to Cumulative Stressors: A Prediction Study of Schoolchildren Living With Maternal Depression. Perspect Psychiatr Care 2017; 53:321-328. [PMID: 27461760 DOI: 10.1111/ppc.12183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Revised: 06/23/2016] [Accepted: 07/03/2016] [Indexed: 12/01/2022] Open
Abstract
PURPOSE To identify the predictive effect of multiple variables of risk and resilience on the behavior of school-age children living with maternal depression. DESIGN AND METHODS In a cross-sectional predictive study, the influence of maternal depression, cumulative stressors, and resilience on the behavior of children was analyzed. FINDINGS In the univariate analysis, maternal depression and cumulative stressors were considered as risks, and resilience as protection for the children. In the multivariate analysis, resilience was a predictor of fewer problems in the presence of maternal depression and risks. PRACTICE IMPLICATIONS The degree of resilience was an indicator for the relevance of developmental actions involving effective coping skills for cumulative stressors, including maternal depression.
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Affiliation(s)
- Fernanda Aguiar Pizeta
- School of Medicine in Ribeirão Preto, University of São Paulo, is Forense Psychologist in Justice Court of the State of São Paulo, and Professor in Psychology Course, Paulista University, Ribeirão Preto, São Paulo, Brazil
| | - Ana Paula Casagrande Silva
- School of Medicine in Ribeirão Preto, University of São Paulo, is Psychologist, Clinical Hospital of School of Medicine in Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Sonia Regina Loureiro
- Department of Neurosciences and Behavior Sciences, School of Medicine in Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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Abstract
Abstract Given the recognition of the influence of maternal depression on the family environment, this study aimed to compare and verify the possible associations between the sociodemographic profile, stressor events and social support perceived by women/mothers with recurrent depression (G1), compared to women/mothers without psychiatric disorders (G2). The participants were 100 women with biological school-age children. The women responded to the instruments: General Questionnaire, Structured Clinical Interview for DSM-IV, Adverse Events Scale, Chronic Adversity Scale and Semi-Structured Interview - Social Support. It was found that G1 presented significantly more stressor events and less perceived social support. In linear regression analysis, the depression was a significant condition for most of the stressful events, independent of the sociodemographic variables. However, schooling was the only condition that influenced the perceived social support. In mental health actions for women/mothers with depression, it is necessary to consider the coexistence of multiple stressor conditions and low perceived social support.
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Abstract
Resumo Há divergências na literatura quanto às diferenças entre os sexos na associação entre depressão materna e desenvolvimento infantil. Neste estudo, compararam-se diferenças entre os sexos relativas ao comportamento e desempenho escolar de crianças que conviviam com a depressão materna, correlacionando tais desfechos. Participaram 40 díades mãe-criança, tendo as mães diagnóstico de Transtorno Depressivo Recorrente. As crianças, de sete a 12 anos, foram divididas em grupos por sexo. Foi realizada aplicação de entrevista diagnóstica, do Questionário de Capacidades e Dificuldades e do Teste de Desempenho Escolar. As meninas apresentaram mais sintomas emocionais comparadas aos meninos. Constataram-se associações significativas entre comportamento e desempenho escolar apenas para as meninas, sinalizando maior vulnerabilidade destas meninas.
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Pizeta FA, Silva TBF, Cartafina MIB, Loureiro SR. Depressão materna e riscos para o comportamento e a saúde mental das crianças: uma revisão. Estud psicol (Natal) 2013. [DOI: 10.1590/s1413-294x2013000300003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A depressão materna tem sido considerada um fator de risco para a saúde mental das crianças. Objetivou-se identificar e analisar na literatura indexada artigos empíricos recentes (2005 a 2012), que abordaram as associações da depressão materna ao comportamento e à saúde mental de crianças, escolares. Procedeu-se a uma busca sistemática nas bases PubMed, PsycInfo e LILACS, por meio das palavras-chave "Maternal Depression or Depression" e "Risk Factors". Foram selecionados e analisados 68 artigos, 23 transversais e 45 longitudinais. Independentemente dos delineamentos adotados, a depressão materna mostrou-se associada à presença de dificuldades emocionais e comportamentais em geral, de manifestações depressivas e de ansiedade. Além da depressão materna, outras variáveis contextuais mostraram-se associadas às dificuldades das crianças. O reconhecimento da ação de múltiplas variáveis permitiu a verificação de indicadores diversos, o que pode favorecer o planejamento de intervenções.
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Pizeta FA, Loureiro SR. Adversidades e resiliência no contexto da depressão materna: estudos de casos comparativos. Estud psicol (Campinas) 2012. [DOI: 10.1590/s0103-166x2012000500009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A depressão materna, associada a outros estressores, configura cenários contextuais familiares que podem influenciar o desenvolvimento infantil. Neste trabalho, objetivou-se caracterizar e comparar, por meio do método de estudo de caso, condições favorecedoras de resiliência ou de adversidade para crianças em idade escolar que convivem com a depressão materna recorrente, focalizando os processos-chave da resiliência, analisados em cenários familiares diversos. Foram avaliadas seis duplas mãe-criança, sendo mães com depressão recorrente e episódios moderados ou graves, três crianças com dificuldades escolares e comportamentais e três crianças sem tais dificuldades. Foram aplicados entrevistas, questionário e testes psicológicos, integrando-se os dados em três cenários familiares associados à depressão materna. Para crianças sem dificuldades, foram identificadas como condições favorecedoras dos processos-chave da resiliência a organização da rotina familiar com a efetiva participação paterna, bem como a postura próativa materna no enfrentamento cotidiano de adversidades.
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