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Universidade Federal de Minas Gerais (2019)

Desastres decorrentes de eventos climáticos extremos : impacto na saúde mental e acompanhamento prospectivo de sintomas em crianças e adolescentes

Sabrina de Sousa Magalhães

Titre : Desastres decorrentes de eventos climáticos extremos : impacto na saúde mental e acompanhamento prospectivo de sintomas em crianças e adolescentes

Auteur : Sabrina de Sousa Magalhães

Université de soutenance : Universidade Federal de Minas Gerais

Grade : Doutor em Medicina Molecular 2019

Résumé
Floods and drought are the most frequent extreme climate-related disasters. Evidence have been indicating those events will increase and intensify. These extreme climate-related events may affect individuals’ mental health, specially children and adolescents whom present a higher risk to develop psychological distress after any disaster. The present dissertation aimed to translate and transcultural adaptation of CRIES-8 to Brazilian Portuguese (study 1) ; to evaluate the psychometric properties of the Portuguese version of CRIES-8 (study 1) ; to describe mental health impact on youth exposed to the natural hazards of flood or drought (study 2) ; and to provide a prospective follow up of symptoms, after a time lapse of 15 months, approximately (study 2). Children and adolescents (6 to 18 years old) from four distinct condition and cities were recruited for the purpose of the study. Generally, the sample was splitted into four subgroups : i) Control without socio disadvantages (SD) ; ii) Control with SD ; iii) Flood group ; iv) Drought group. Protocol included evaluation of posttraumatic stress symptoms (PTSS) and general behavior problems. Study 1 validated CRIES for use in youth Brazilian population victim of some sort of traumatic event. The Portuguese version presented adequate indices of validity and reliability of its measures. The study 2 investigated the children’s mental health and found that behavioral problems presented a tendency to remission over time and did not significantly differentiate the groups, instead of PTSS. Flood youth group presented a general pattern of recovery and resilience, about PTSS, whereas the Drought youth group displayed a persistence and stability pattern of PTSS and an aggravation of PTSS. The screening for PTSS among children and adolescents who face traumatic events is of paramount importance to provide identification and intervention to children at risk of psychological distress. Furthermore, variables concerning socioeconomic status and resilience may influence the psychological answers, thus must be considered in the field.

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Page publiée le 13 décembre 2020