Author(s):
Goes, Ana Rita, 1979-
Date: 2013
Persistent ID: http://hdl.handle.net/10451/9803
Origin: Repositório da Universidade de Lisboa
Subject(s): Teses de doutoramento - 2013
Description
Tese de doutoramento, Psicologia (Psicologia da Saúde), Universidade de Lisboa, Faculdade de Psicologia, 2013 The first years of a child’s life are recognized as a window of opportunity for the promotion
of child development and wellbeing. According to international estimates, a
considerable proportion of young children experience developmental and behavioral
problems. Despite the evidence demonstrating the effectiveness of parenting interventions
in treating and preventing childhood behavioral and developmental problems, these
interventions are not widely available and most families do not benefit from them.
The need to take a public health approach to childhood mental health, improving the
identification of families’ needs and the provision of interventions at the population
level, has been emphasized.
This work aimed to propose an approach to child development and behavior, following
the rational of public health. Our aims were as follows: to describe the problems and the
relative impact of specific parental behaviors; to explore the psychometric properties of
a developmental and behavioral screening tool, the role of parental perceptions to the
identification of families’ needs for intervention, and the suitability of an early detection
protocol; and to develop and evaluate a low-cost parenting-intervention based on written
materials. We recruited a community sample of parents of children aged 2 to 6 years
attending child care education.
Our findings isolated the effect of inconsistent discipline practices for children’s oppositional
behaviors and sleep difficulties, suggesting some continuity regarding the regulation
of children’s sleep and behavior. The Portuguese version of the Parents’ Evaluation
of Developmental Status (PEDS) revealed promising properties. Additionally, parental
concerns showed to be particularly suitable for the identification of families’
needs within a public health approach. Lastly, the program “From little tiny…” had a
modest impact on parental behaviors. Using a universal approach to child development
and behavior, combining screening and low intensity interventions, may help to complement
a full spectrum public health approach to childhood mental health.