Sintomas vocais, comportamento e habilidades sociais de crianças e adolescentes: autoavaliação e avaliação parental

• Ano de defesa: 2017
• Autor(a) principal: Krohling, Lívia Lima [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Voice; Dysphonia; Surveys and questionnaires; Validation study; Children; Adolescents; Voz; Disfonia; Inquéritos e questionários; Estudos de validação; Crianças; Adolescentes
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5019235; http://repositorio.unifesp.br/handle/11600/50577

Objectives: To verify the relationships between vocal symptoms, behavior and social skills in children and adolescents, regarding self-evaluation and parental evaluation. Methods: 748 individuals participated divided in 3 studies: 1 – Brazilian validation of the Questionnaire de Symptômes Vocaux translated as Questionário de Sintomas Vocais Pediátrico – QSV-P. The process of validation was done according to Scientific Advisory Committee of the Medical Outcomes Trust with psychometric measures of reliability, reproducibility and responsiveness of the instrument to treatment. 32 participants were recruited only for the cultural equivalence (16 children/adolescents and their parents), 367 children/adolescents, with and without vocal disorders, between 6 and 18 years and 349 parents answered the final version of the instrument. Among those, 272 participated from test-retest and 32 of the sensibility. Children and adolescents between 6 and 18 years answered the self-reported version and their parents/guardians answered the parental version of the QSV-P. 2 – Behavior and social skills of children and adolescents with and without vocal problems. 575 individuals participated, 347 parents/guardians of children and adolescents between 6 and 18 years answered the parental version of the Strengths and Difficulties Questionnaire (SDQ) and 228 children and adolescents between 6 and 18 years answered the self-reported version. 3 – Correlation between vocal symptoms, behavior and social skills and agreement parents and children. This study involved 696 subjects, 571 participated of the correlation between voice and behavior (343 parents/guardians e 228 children and adolescents), 696 participated of the agreement parents and children for vocal symptoms and 440 participated of the agreement for behavior and social skills. The participants answered the QSV-P and the SDQ, both in parental and self-reported versions. Results: 1. The QSV-P demonstrated reliability and reproducibility satisfactory for Brazilian population and responsiveness to treatment. The cutoff values are: Parental version 2,1 and self-reported version 7,6. 2. Children and adolescents with vocal disorders demonstrated higher scores in the following domains: hyperactivity, emotional problems, peer problems, conduct problems and in the internalizing, externalizing and total difficulties scales. Children with vocal problem had lower score for the prosocial scale during the self-evaluation. The parents/guardians of the vocal problem group related peer problems that were not perceived by their children. Parents/guardians of the vocal health group did not perceived alterations in hyperactivity, which were identified during the self-reported. 3. There is no correlation between vocal symptoms and social skills. There is a positive correlation between vocal symptoms and behavior, both internalizing as externalizing. Parents and children/adolescents presented a higher agreement for vocal symptoms and a lower concordance for behavior and social skills. Conclusions: The QSV-P was validated to Brazil, it is a good instrument both parental evaluation as self-evaluation. The presence of vocal symptoms in the pediatric population can be a risk factor to mental health because of the higher scores in the behavior scales, both internalizing as externalizing. There is a satisfactory correlation between parents/guardians and children/adolescents for vocal symptoms and an unsatisfactory correlation for behavior and social skills.