Problemas Comportamentais Graves E Uso De Serviços De Saúde Mental Em Crianças Brasileiras
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Introdução: problemas emocionais e comportamentais graves de crianças/adolescentes podem ser identificados por informantes através de instrumentos de rastreio, podendo aumentar suas chances de atendimento em serviços de saúde mental. Objetivos: verificar e comparar problemas emocionais e comportamentais graves em alunos do ensino fundamental em função do tipo escolar e correlacionar esses problemas com a utilização de serviços de saúde mental. Método: estudo transversal observacional com amostra de conveniência composta por 357 crianças e adolescentes entre 6 e 12 anos sem queixas de saúde mental, provenientes de escolas públicas e privadas. Instrumentos: Child Behavior Checklist for Ages 6-18 (CBCL/6-18) e questionário para uso de serviços de saúde mental. Para identificar os problemas emocionais e comportamentais graves foram utilizados os itens críticos das escalas de síndromes de problemas de comportamento e das escalas orientadas pelo DSM do CBCL/6-18. Resultados: foram identificados diferentes tipos de problemas emocionais e comportamentais graves com uso dos itens críticos, como agredir fisicamente outras pessoas (16,5%), falar que vai se matar (5,6%), ver coisas que não existem (3,9%), pôr fogo nas coisas (7,9%) e ouvir sons ou vozes que não existem (2,8%). A análise bivariada mostrou que, apesar da frequência desses graves problemas emocionais e comportamentais, o uso de serviços de saúde mental foi extremamente baixo (0,84%). Conclusão: os itens críticos do CBCL/6-18 auxiliam no rastreio de dificuldades emocionais e comportamentais graves que podem impactar negativamente a saúde mental de crianças/adolescentes. A falta de reconhecimento parental de problemas graves de saúde mental ainda demanda aprofundamento teórico e empírico.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico
Grant numbers Process Nº: 307730/2017-4
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