Paula João Pinho, Ana Luísa Pinto, & Virgínia Monteiro *
Consulta de Desenvolvimento – Serviço de Pediatria, Hospital S. Miguel – Oliveira de Azeméis, Portugal
Resumo: Os autores fazem, a propósito de um caso clínico, uma revisão sobre o Síndrome Fetal-Alcoólico (SFA), abordando não somente os achados clínicos que contribuem para o seu diagnóstico, mas também as características cognitivas e comportamentais e sua evolução sob os aspectos académicos, sociais e familiares. Com a descrição posterior do caso clínico de uma adolescente portadora desta patologia, pretendem ilustrar o que vem descrito na literatura e demonstrar também as dificuldades com que se deparam os profissionais ligados à área da saúde no diagnóstico e na implementação das orientações terapêuticas necessárias, as quais são frequentemente complexas, multidisciplinares e contínuas, visto esta doença apresentar um carácter crónico.
Palavras chave: Alcoolismo, Avaliação, Intervenção, Síndrome fetal-alcoólico.
Fetal-Alcoholic Syndrome: the psychologist s perspective
Abstract: In reference to a clinical case, the authors make a review on the Fetal-Alcoholic Syndrome (FAS), approaching not only the clinical findings that contribute for the diagnosis, but also the behaviour and cognitive characteristics and its evolution under the academic, social and familiar aspects. With posterior description of the clinical case of an adolescent with FAS, they intend to illustrate what comes described in literature and also demonstrate the difficulties that come across the health professionals in the diagnosis and implementation of the necessary therapeutical orientations, which are frequently complex, multidiscipline and continuous, as this syndrome presents a chronicle character.
Key words: Fetal-alcoholic syndrome, Alcoholism, Evaluation, Intervention.
]]>
Texto completo disponível apenas em PDF.
Full text only available in PDF format.
Referências
Achenbach, T.M. (1991). Child Behavior Checklist/4-18 Manual. Burlington: University of Vermont, Department of Psychiatry.
[ Links ]American Academy of Family Physicians (1991). Failure to recognize fetal alcohol syndrome – Tips from Other Journals. American Family Physician, Fev. Pesquisado a 1 de Fevereiro, 2005 em http://www.findarticles.com.
Bohman, M., Sigvardsson, S., & Cloninger, C.R. (1981). Maternal inheritance of alchol abuse: Cross-fostering analysis of adopted women. Archives of General Psychiatry, 38, 965-969.
]]> Carmichael-Olson, H., Morse, B.A., &Huffine, C. (1998). Development and psychopatoloy: Fetal alcohol syndrome and related conditions. Seminars in Clinical Neuropsychiatry, 3(4), 262-284.Clarren, S.K., & Smith, D.W. (1978). The fetal alcohol syndrome. New England Journal of Medicine. 298, 1063-1067.
Conners, C.K. (1990). Manual for conner’s rating scales. Toonto: Multi – Health Systems, Inc.
Conners, C.K. (1998). Rating Scales in attention deficit hyperactivity disorder: Use in assessment and treatment monitoring. Journal of Clinical Psychiatry, 59(7), 24-30.
Deming, L.M. (1999). Fetal alcohol syndrome. In Gale Encyclopedia of Medicine. Pesquisado a 1 de Fevereiro, 2005 em http://www.findarticles.com
Famy, C., Steissguth, A.P., & Unis, A.S. (1998). Mental illness in adults with fetal alcohol syndrome or fetal alcohol effects. American Journal of Psychiatry, 155(4), 552-554.
Gadow, K.D., & Sprafkin, J. (1998). Child Symptom Inventory – 4 Screening Manual. New York: Chekmate Plus: Stony Brook.
Jones, K.L., Smith, D.W., & Streissguth, P. (1973). Pattern of malformation in offspring of chronic alcoholic mothers. Lancet, 1, 1267-1271.
Kovacs, M., Devlin, B., Pollock, M., Richards, C., & Mukerji, P.A. (1997). Controlled family history study of childhood-onset depressive disorder. Archives of General Psychiatry, 54, 613-623.
Lemoine P., et al. (1968). Les enfants de parents alcooliques. Oeust Medicine, 21, 476.
]]> Lessa, L. (1995/2000). Síndroma fetal alcoólico – Do diagnóstico às estratégias preventivas. Pesquisado a 1 de Fevereiro, 2005 em http://www.cra-porto.pt.Mattson, S.N., & Riley, E.P. (1998). A review of the neurobehavioral deficits in children with fetal alcohol syndrome or prenatal exposure to alcoholism. Clinical and Experimental Research, 22, 279-295.
Mitchell, J., McCauley, E., Burke, P., Calderon, R., & Schloredt, K. (1989). Psychopathology in parents of depressed children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 28(3), 352-357.
O’Cannor, M.J. (1996). Attachment behaviour of infants prenatally exposed to alcohol: Mother Infant interaction. In Steinhausen & Spohr (Eds.), Alcohol, Pregnancy and the Developing Child. Cambridge: Cambridge University Press.
O’Connor, M.J. (2002). Psychiatric illness in a clinical sample of children with prenatal alcohol exposure. American Journal of Drug and Alcohol Abuse, Nov.. Pesquisado a 1 de Fevereiro de 2005 em http://www.findarticles.com
O’Connor, M.J., Sigman, M., & Kasari, C. (1992). Attachment behaviour of infants exposed to alcohol prenatally: Mediating effects of infant affect and mother-infant interaction. Development Psychopatology, 4, 243-256.
Puig-Antich, J., Goetz, D., Davies, M., Kaplan, T., Davies, S., Ostrow, L., Asnis, L., Twomey, J., Iyengar, S., & Ryan, N.D. (1989). A controlled family history of prepubertal major depressive disorder. Archives of General Psychiatry, 46, 406-408.
Raven, J.C., Court, J.H., & Raven, J. (1998). Manuel des progressive matrices couleur. Paris: Editions et Aplications Psychologiques.
Riley, E., Mattson, S., Sowell, E.R., Jerningan, T.L., Sobel, D.F., & Jones, K.L. (1995). Abnormalities of the corpus callosum in children prenatally exposed to alcohol. Alcoholism: Clinical and Experimental Research, 19, 1198-1202.
Roebuck, T.M., Mattson, S.N., & Riley, E.P. (1999). Behavioral and psychosocial profiles of alcohol exposed children. Alcoholism: Clinical and Experimental Research., 23(6), 10701076.
]]> Soares, J.C., & Mann, J.J. (1997). The anatomy of mood disorders – Review of structural neuroimaging studies. Biological Psychiatry, 41, 86-106.Steinhausen, H.C., & Spohr, H.L. (1998). Long-term ouutcome of children with fetal alcohol syndrome: Psychopathology, behaviour and intelligence. Alcoholism: Clinical and Experimental Research, 22(2), 334-338.
Stratton, K. Howe, C., & Battaglia, F. (1996). Fetal alcohol syndrome: Diagnoses, epidemiology, prevention and treatment. Washington, D.C.: National Academy Press.
Streissguth, A.P. (1997). Fetal alcohol syndrome: A guide for families and communities. Baltimore: Paul H. Brooks Publishing Company:
Streissguth, A.P., Aese J.K., Randels, S.P., La Due, R.A., & Smith, D.F. (1991). Fetal alcohol syndrome in adolescents and adults. Journal of American Medical Association, 265, 1961-1967.
Streissguth, A.P., Barr, H., Sampson, P.D., & Bookstein, F.L.(1994). Prenatal alcohol and offspring development: the firs 14 years. Drug and Alcohol Dependence, 36, 88-89.
Streissguth, A.P., Barr, H.M., Kogan, J., & Bookstein, F.L. (1996). Understanding the occurrence of secondary disabilities in clients with Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Effects (FAE): Final report to the center for disease control. Seattle: Fetal Alcohol Research Unit, University of Washington.
Stressguth, A., & Kanter, J. (1997). The challenge of Fetal Alcohol Syndrome: Overcoming secondary disabilities. Seatttle: Washington Press.
Wechesler, D. (1989). Wechesler preschool and primary scale of intelligence – Revised manual. New York: Psychological Corporation Harcourt Brace Javanovich, Inc.
Wechesler, D. (1991). Wechesler Intelligence Scale for Children – III Manual. New York: Psychological Corporation Harcourt Brace Javanovich, Inc.
]]> Wechesler, D. (1999). Manual da Escala de Inteligência de Wechsler para Niños Revisada. Madrid: TEA Ediciones, S.A.
* Contactar para E-mail: pjcsp@portugalmail.pt
Recebido em 7 de Abril de 2006 / Aceite em 6 de Setembro de 2006
]]>