Relações entre hospitalizações precoces e problemas de comunicação em crianças com Transtorno do Espectro do Autismo

• Autor(a) principal: Ribas, Ligia Tunes
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/11989
• topic: Hospitalização; Transtorno Autístico; Linguagem; Comunicação; Hospitalization; Autistic Disorder; Language; Communication; Speech; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

Diseases followed by children‟s hospitalization generate psychological effects both in patients and in family dynamics. Clinical and scientific interest on the impact of early hospitalization on the patient and his family is significant and grows in different areas of health. Autism spectrum disorder (ASD) studies indicate a considerable variety of behavioral changes, in which language is deeply related to social dynamics and repetitive behaviors. In these cases, children have severe impaired comprehension of verbal and non-verbal. Aim: describe and analyze the relationship between communication problems and early occurrence of hospitalization in a group of children with ASD. Method: Quantitative and qualitative research. This study included 32 subjects with ASD diagnoses, of both genders, majority male (78.1%, n = 25). Children age average was 52,6 months (4 years and 2 months). Data were collected at private practice and Instituto de Psiquiatria do Hospital das Clínicas de São Paulo. To collect data, a questionnaire was completed by parents or guardians, followed by authorization of free and consent term. Data analysis was performed through absolute and relative frequencies, measures of central tendency and dispersion. Quadratic term was applied to comparison between groups (hospitalization presence / absence) of children diagnosed with ASD, respecting independent variables. In variables whose expected values less or equal to five, the Test of Fisher was used. Clinical history, language functions and symbolic maturity datas were collected. This study was approved by PUCSP research ethics committee (Comittee Number. 446 233). Results: There is no statistically significant language differences between hospitalized and not hospitalized children. Conclusion: It is necessary to realize new studies through case studies and larger number of patients in order to explore the issue of illness in children and affective/social deprivation caused by hospitalization in early stages of life of children with ASD. Although statistically significant inferential data not found is possible to observe relevant data in descriptive analysis, related to functioning of language in hospitalized and non-hospitalized subjects. It is possible to realize that more elaborate functions were more frequent in non-hospitalized subjects