Perceções dos psicólogos portugueses acerca da aceitabilidade de uma intervenção dirigida a crianças inibidas em idade pré-escolar

Maryse Guedes, Stephanie Alves, António J. Santos, Manuela Veríssimo, Andrea Chronis-Tuscano, Christina Danko, Kenneth H. Rubin

Resumo


Níveis elevados e estáveis de inibição comportamental em idade pré-escolar associam-se a um risco acrescido de desenvolver perturbações de ansiedade e dificuldades com os pares. O desenvolvimento de intervenções baseadas na evidência para prevenir estas trajetórias inadaptativas têm merecido um interesse crescente. Todavia, estas intervenções ainda não se encontram disponíveis na Europa. Este estudo teve como objetivo explorar as perceções de aceitabilidade dos psicólogos portugueses acerca do componente para crianças do Turtle Program, antes da sua disseminação em Portugal. Dezoito psicólogos foram distribuídos em três grupos focais. Cada grupo foi moderado por um investigador treinado, com base num guião semiestruturado. A análise temática revelou que os psicólogos portugueses reconheceram a necessidade de ultrapassar o enfoque no treino de competências sociais e de promover auto-perceções positivas nas crianças. Globalmente, os psicólogos percecionaram a estrutura, os conteúdos, as atividades e os materiais de intervenção como aceitáveis. Todavia, os participantes recomendaram modificações menores ao nível da articulação com o contexto pré-escolar, do foco na expressão emocional e interação social, da introdução de atividades e materiais criativos. Estes resultados são consistentes com a investigação existente com profissionais oriundos de culturas latinas que apenas sugerem adaptações na forma como as intervenções são apresentadas às crianças.

Palavras-chave


Inibição comportamental, Idade pré-escolar, Jogo supervisionado de promoção de competências sociais, Aceitabilidade da intervenção.

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Referências


Attili, G., Vermigli, P., & Schneider, B. H. (1997). Peer acceptance and friendship patterns among Italian children within a cross-cultural perspective. International Journal of Behavioral Development, 21, 277-288. Retrieved from http://dx.doi.org/10.1080/016502597384866

Barrera, M., Castro, F. G., Strycker, L. A., & Tooberg, D. J. (2013). Cultural adaptations of behavioral health interventions: A progress report. Journal of Clinical and Consulting Psychology, 81, 196-205. Retrieved from http://dx.doi.org/10.1037/a0027085

Barrett, P. M., Cooper, M., & Guarjado, J. G. (2014). Using the FRIENDS Programs to promote resilience in cross-cultural populations. In S. Prince-Embury & D. Saklofske (Eds.), Resilience interventions for youth in diverse populations (pp. 85-108). New York: Springer.

Barstead, M., Danko, C., Chronis-Tuscano, A., O’Brien, K., Coplan, R., & Rubin, K. H. (2018). Generalization of an early intervention for inhibited preschoolers to the classroom setting. Journal of Child and Family Studies, 27, 2943-2953. Retrieved from https://doi.org/10.1007/s10826-018-1142-0

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. Retrieved from http://dx.doi.org/10.1191/1478088706qp063oa

Bronfenbrenner, U., & Morris, P. A. (2006). The bioecological model of human development. In R. M. Lerner & W. Damon (Eds.), Handbook of child psychology: Theoretical models of human development (pp. 793-828). Hoboken, NJ: John Wiley & Sons Inc.

Caldas-Almeida, J., & Xavier, M. (2013). Epidemiological national study about mental health: First report. Lisboa: Faculdade de Ciências Médicas da Universidade de Lisboa.

Carter, S. L. (2008). A distributive model of treatment acceptability. Education and Training in Developmental Disabilities, 43, 411-420. Retrieved from http://www.jstor.org/stable/23879672

Casiglia, A. C., LoCoco, A., & Zappulla, C. (1998). Aspects of social reputation and peer relationships in Italian children: A cross-cultural perspective. Developmental Psychology, 34, 723-730. Retrieved from http://dx.doi.org/10.1037/0012-1649.34.4.723

Chase, T., & Peacock, G. G. (2017). An investigation of factors that influence acceptability of parent training. Journal of Child and Family Studies, 26, 1184-1195. Retrieved from http://dx.doi.org/10.1007/s10826-016-0644-x

Chen, X., & French, D. C. (2008). Children’s social competence in cultural context. Annual Review of Psychology, 59, 591-616. Retrieved from https://doi.org/10.1146/annurev.psych.59.103006.093606

Chen, X., French, D. C., & Schneider, B. H. (2006). Culture and peer relationships. In X. Chen, D. C. French, & B. H. Schneider (Eds.), Peer relationships in cultural context. New York: Cambridge University Press.

Chen, X., He, Y., De Oliveira, A. M., lo Coco, A., Zappulla, C., Kaspar, V., . . . deSousa, A. (2004). Loneliness and social adaptation in Brazilian, Canadian, Chinese and Italian children: A multi-national comparative study. Journal of Child Psychology and Psychiatry, 45, 1373-1384. Retrieved from https://doi.org/10.1111/j.1469-7610.2004.00329.x

Chronis-Tuscano, A., Danko, C., Rubin, K. H., Coplan, R. J., & Novick, D. (2018). Future directions for research on early intervention for young children at risk of social anxiety. Journal of Clinical Child and Adolescent Psychology, 47, 655-667. Retrieved from https://doi.org/10.1080/15374416.2018.1426006

Chronis-Tuscano, A., Degnan, K. A., Pine, D. S., Perez-Edgar, K., Henderson, H. A., Diaz, Y., . . . Fox, N. A. (2009). Stable early maternal report of behavioral inhibition predicts lifetime social anxiety disorder in adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 48, 928-935. Retrieved from https://doi.org/10.1097/CHI.0b013e3181ae09df

Chronis-Tuscano, A., Rubin, K. H., O’Brien, K. A., Coplan, R. J., Thomas, R., Dougherty, L. R., . . . Wimsatt, M. (2015). Preliminary evaluation of a multi-modal early intervention for inhibited preschoolers. Journal of Consulting and Clinical Psychology, 83, 534-540. Retrieved from https://doi.org/10.1037/a0039043

Comer, J. S., Hong, N., Poznanski, B., Silva, K., & Wilson, M. (2019). Evidence base update on the treatment of early childhood anxiety and related problems. Journal of Clinical Child and Adolescent Psychology, 48, 1-15. Retrieved from https://doi.org/10.1080/15374416.2018.1534208

Comissão Nacional de Promoção dos Direitos e Proteção de Crianças e Jovens. (2018). Annual evaluation report of the CPCJ activities. Lisboa: Author.

Coplan, R. J., Schneider, B. H., Matheson, A., & Graham, A. (2010). Play skills for shy children: Development of a social facilitated play early intervention program for extremely inhibited preschoolers. Infant Child and Development, 19, 223-237. Retrieved from https://doi.org/10.1002/icd.668

Correia, J., Santos, A. J., Freitas, M., Ribeiro, O., & Rubin, K. H. (2014). As relações de pares de jovens socialmente retraídos. Análise Psicológica, XXXII, 467-479. Retrieved from https://doi.org/10.14417/ap.870

Danko, C. M., O’Brien, K. A., Rubin, K. H., & Chronis-Tuscano, A. (2018). The Turtle Program: PCIT for young children displaying behavioral inhibition. In L. N. Niec (Ed.), Handbook of parent-child interaction therapy: Innovations and applications for research and practice (pp. 85-98). New York: Springer. Retrieved from https://link.springer.com/chapter/10.1007/978-3-319-97698-3_6

European Commission. (2012). The values of European. Brussels: Author.

Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215-237. Retrieved from https://doi.org/10.1080/15374410701820117

Fox, N., Henderson, H. A., Marshall, P. J., Nichols, K. E., & Ghera, M. M. (2005). Behavioral inhibition: Linking biology and behavior within a developmental framework. Annual Review of Psychology, 56, 235-262. Retrieved from https://doi.org/10.1146/annurev.psych.55.090902.141532

Freitas, M., Santos, A. J., Ribeiro, O., Daniel, J., & Rubin, K. H. (2019). Prosocial behavior and friendship quality as moderators of the association between anxious withdrawal and peer experiences in Portuguese young adolescents. Frontiers in Psychology, 9, 2783. Retrieved from https://doi.org/10.3389/fpsyg.2018.02783

Garza, Y., & Bratton, S. C. (2005). School-based child-centered play therapy with hispanic children: Outcomes and cultural consideration. International Journal of Play Therapy, 14, 51-80. Retrieved from https://doi.org/10.1037/h0088896

Guedes, M., Coelho, L., Santos, A. J., Veríssimo, M., Rubin, K. H., Danko, C., & Chronis-Tuscano, A. (2019). Perceptions of Portuguese psychologists about the acceptability of a parent intervention targeted at inhibited preschoolers. Evidence-Based Practice in Child and Adolescent Mental Health, 4, 1-17. Retrieved from https://doi.org/10.1080/23794925.2018.1555443

Greco, L. A., & Morris, T. L. (2001). Treating childhood shyness and related behavior: Empirically evaluated approaches to promote positive social interactions. Clinical Child and Family Psychology Review, 4, 299-318. Retrieved from https://link.springer.com/article/10.1023/A:1013543320648

Hallam, R. A., Fouts, H. N., Bargreen, K. N., & Perkins, K. (2016). Teacher-child interactions during mealtimes: Observations of toddlers in high subsidy child care settings. Early Childhood Education Journal, 44, 51-59. Retrieved from https://doi.org/10.1007/s10643-014-0678-x

Huberman, A. M., & Miles, M. B. (1994). Data management and analysis method. In N. Denzin & Y. Lincoln (Eds.), Handbook of qualitative research (pp. 428-444). Thousand Oaks, California: Sage Publications.

Huey, S. J., & Polo, A. J. (2010). Assessing the effects of evidence-based psychotherapies with ethnic minority youths. In J. R. Weisz & E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 451-465). New York: Guilford Press.

Kazdin, A. E. (1980). Acceptability of alternative treatments for deviant child behavior. Journal of Applied Behavior Analysis, 13, 259-273. Retrieved from https://doi.org/10.1901/jaba.1980.13-259

Krueger, R. A., & Casey, M. A. (2014). Focus groups: A practical guide for applied research (5th ed.). New York: Sage.

Lau, E. X., Rapee, R. M., & Coplan, R. J. (2017). Combining child social skills training with a parent early intervention program for inhibited preschool children. Journal of Anxiety Disorders, 51, 32-38. Retrieved from https://doi.org/10.1016/j.janxdis.2017.08.007

Lennox, D. B., & Miltenberger, R. G. (1990). On the conceptualization of treatment acceptability. Education and Training in Mental Retardation, 25, 211-224. Retrieved from https://www.jstor.org/stable/pdf/23878597.pdf?seq=1#page_scan_tab_contents

Li, Y., Coplan, R. J., Wang, Y., Yin, J., Zhu, J-J., Gao, Z., & Li, L. (2016). Preliminary evaluation of a social skills training and facilitated play early intervention programme for extremely shy young children in China. Infant and Child Development, 25, 565-574. Retrieved from https://doi.org/10.1002/icd.1959

Mejia, A., Calam, R., & Sanders, M. R. (2015). Examining the fit of evidence-based parenting programs in low resources settings: A survey of practitioners in Panama. Journal of Child and Family Studies, 24, 2262-2269. Retrieved from https://doi.org/10.1007/s10826-014-0028-z

Organisation for Economic Co-operation and Development [OECD] (2016). Society at a glance: OECD social indicators. Paris: Author.

Pereira, A. I., Marques, T., Russo, V., Barros, L., & Barrett, P. (2014). Effectiveness of the FRIENDS for Life in Portuguese schools: Study with a sample of highly anxious children. Psychology in the Schools, 51, 647-657. Retrieved from https://doi.org/10.1002/pits.21767

Pina, A., Holly, L. E., Zerr, A., & Rivera, D. (2014). A personalized and control systems approach to target anxiety in the contexts of cultural diversity. Journal of Clinical Child & Adolescent Psychology, 43, 442-453. Retrieved from https://doi.org/10.1080/15374416.2014.888667

Pina, A., Polo, A. J., & Huey, S. J. (2019). Evidence-based psychosocial interventions for ethnic minority youth: A 10-year update. Journal of Clinical Child & Adolescent Psychology, 48, 179-202. Retrieved from https://doi.org/10.1080/15374416.2019.1567350

Pina, A., Villalta, I. K., & Zerr, A. (2009). Exposure-based cognitive behavioral treatment of anxiety in youth: An emerging culturally-prescriptive framework. Behavioral Psychology/Psicologia Conductal, 25, 111-135.

Pincus, D. B., Eyberg, S. M., & Choate, M. L. (2005). Adapting parent-child interaction therapy for young children with separation anxiety disorders. Education and Treatment of Children, 28, 163-181. Retrieved from https://www.jstor.org/stable/42899839

Reimers, T. M., Wacker, D. P., & Koeppl, G. (1987). Acceptability if behavior interventions: A review of the literature. School Psychology Review, 26, 212-227. Retrieved from https://eric.ed.gov/?id=EJ356304

Rubin, K. H., Bowker, J. C., Barstead, M. G., & Coplan, R. J. (2018). Avoiding and withdrawing from the peer group. In W. M. Bukowski, B. Laursen, & K. H. Rubin (Eds.), Handbook of peer interactions, relationships and groups (2nd ed., pp. 322-346). New York: The Guilford Press.

Rubin, K. H., Coplan, R. J., & Bowker, J. C. (2009). Social withdrawal in childhood. Annual Review of Psychology, 60, 141-171. Retrieved from https://doi.org/10.1146/annurev.psych.60.110707.163642

Rubin, K. H., Oh, W., Menzer, M. M., & Ellison, K. (2011). Dyadic relationships from a cross-cultural perspective: Parent-child relationships and friendship. In X. Chen & K. H. Rubin (Eds.), Socioemotional development in cultural context (pp. 208-238). New York: The Guilford Press.

Santos, A. J., Monteiro, L., Sousa, T., Fernandes, C., Torres, N., & Vaughn, B. (2015). Low social engagement: Implications for children psychosocial adjustment in the preschool context. Psicologia: Reflexão e Crítica, 28, 186-193. Retrieved from https://doi.org/10.1590/1678-7153.201528120

Sette, S., Baumgartner, E., & Schneider, B. H. (2014). Shyness, child-teacher relationships and socio-emotional adjustment in a sample of Italia preschool-aged children. Infant and Child Development, 33, 323-332. Retrieved from https://doi.org/10.1002/icd.1859

Smith, K. A., Hastings, P. D., Henderson, H. A., & Rubin, K. H. (2019). Multidimensional emotion regulation moderates the relation between behavioral inhibition at age 2 and social reticence with unfamiliar peers at age 4. Journal of Abnormal Clinical Psychology, 47, 1239-1251. Retrieved from https://doi.org/10.1007/s10802-018-00509-y

Sonderegger, R., & Barrett, P. M. (2004). Assessment and treatment of ethnically diverse children and adolescents. In P. M. Barrett & T. H. Ollendick (Eds.), Handbook of interventions that work with children and adolescents (pp. 89-112). West Sussex, England: Wiley.

Vaughn, B., Santos, A. J., Monteiro, L., Shin, N., Daniel, J. R., Krzysik, L., & Pinto, A. (2016). Social engagement and adaptive functioning during early childhood: Identifying and distinguishing among subgroups differing with regard to social engagement. Developmental Psychology, 52, 1422-1434. Retrieved from http://dx.doi.org/10.1037/dev0000142

Wall, K., & Gouveia, R. (2014). Changing meanings of family in personal relationships. Current Sociology, 62, 352-373. Retrieved from https://doi.org/10.1177/0011392113518779

Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavioral Analysis, 11, 203-214. Retrieved from https://doi.org/10.1901/jaba.1978.11-203




DOI: https://doi.org/10.14417/ap.1525

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