Transtorno mental na infância : vivências familiares

• Autor(a) principal: Vicente, Jéssica Batistela
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Estadual de Maringá (RI-UEM)
• Texto Completo: http://repositorio.uem.br:8080/jspui/handle/1/2465
• topic: Saúde mental; Saúde da criança; Família; Relações familiares; Brasil.; Mental Health; Child Health; Family; Nursing; Family Relations; Brazil.; Ciências da Saúde; Enfermagem

Current study analyzed family experiences in the wake of mental disorder in childhood so that the family´s and the community´s feelings and reactions to the child´s disease could be evaluated by their stories and the social network and support could be assessed from the family´s perspective. The investigation comprised a descriptive and exploratory research with a qualitative approach. Participants were 14 caregivers of children with mental disorder at the Children?s Psychosocial Central Care (CAPS-i) Maringa-PR. The approach and selection of the participants was provided through the intermediation of CAPS-I employees and data collection with semi-structured interviews took place in the home of families, between January and April 2013. Interviews were recorded and data were complemented by a field log and then analyzed according to Bardin Content Analysis technique. The genograms and eco-maps were prepared to didactically represent information on the families´ configuration and social support. The project was approved by the Permanent Committee for Ethics in Research Involving Human Beings of the State University of Maringa (162.598/2012). Results revealed the difficulties faced by families who had a child with mental disorders. The discovery of the child's disease changed the family´s routine and adaptation was required due to a routine of specialized medical visits and participation in therapeutic groups, besides the daily care demanded by the child. Owing to such changes, caregivers reported desire to leave the job, lack of time for recreation and separation from friends and family. The main relationship issue was attributed to the aggressiveness shown by the child. Living with a child with mental disorders brought out certain feelings in caregivers, which included concern on child's behavior, fear in the face of the unknown triggered by the mental disorder, insecurity and sadness. The families required support sources to face and overcome these difficulties. It may be observed that the families´ social support networks were mainly formed by the CAPS-I caregivers and church members, coupled to the main source of social support represented by the extensive family. In some cases the affective bonds were weakened immediately after the appearance of the disease. The family did not understand and did not accept the child´s mental disorder. This led to separation and suffering since the caregivers expected that consanguineous bonds were synonyms to love and union. It may be concluded that mental disorder is seen as a stigmatizing factor. Providing information to the family is a primary condition to break this paradigm. The nurse is responsible to provide information, answer questions and mitigate the fears and anguish that interfere with the family´s adaptation process. The health professional should kno professional should know the needs of each family to seek subsidies to plan and implement a family-centered care.