PIAFEX-SD: Programa de Intervenção em Autorregulação e Funções Executivas para a Síndrome de Down
In recent years, research has highlighted that deficits in executive functions (EF) constitute one of the main characteristics of the cognitive functioning of individuals with Down Syndrome (DS). Difficulties are identified in the initiation of activities, construction of plans and strategies, up...
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| Định dạng: | doctoralThesis |
| Ngôn ngữ: | pt_BR |
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Brasil
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| Truy cập trực tuyến: | https://repositorio.ufrn.br/jspui/handle/123456789/26762 |
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| Tóm tắt: | In recent years, research has highlighted that deficits in executive functions (EF) constitute one
of the main characteristics of the cognitive functioning of individuals with Down Syndrome
(DS). Difficulties are identified in the initiation of activities, construction of plans and
strategies, updating and monitoring of these, maintenance of focus and persistence, cognitive
flexibility, among other aspects. Such damages negatively impact the lives of these individuals
and point to the need for the elaboration of intervention programs that seek to stimulate the
development of EF in this clinical subgroup, since these functions are considered fundamental
for the accomplishment of several activities of our daily life, especially for learning and school
success. In this sense, the present research had as objective to adapt an intervention program of
the EF to the clinical group of the DS. In order to achieve this objective, two studies were
carried out, the study I: I) Investigation of aspects of the Neuropsychological Phenotype of
school children with DS; and study II) PIAFEX-DS: Intervention Program in Self-Regulation
and Executive Functions for DS. Thirty-one children diagnosed with DS, aged 7 to 12 years, of
both sexes, as well as their respective parents or guardians participated in the study. These were
assessed through specific neuropsychological scales and measures. The results of this study
contributed to the understanding of aspects of the neuropsychological phenotype of DS, aspects
that were taken into account in the adaptation of the intervention in study II, such as the
pronounced deficits in working memory, the level of development lowered in the different
subdomains of the adaptive behavior, the observed mental ages and the presence or absence of
ADHD symptoms in these children and the impact of this for their results. In relation to study
II, initially, a detailed analysis of the modules and activities that PIAFEX composite was
performed, aiming to select them and adapt them to the neuropsychological phenotype of DS.
After the adaptation, the program was sent to specialists judges in the DS, with the objective of evaluating it, as well as making possible its improvement and/or reformulation. After the
synthesis of the judges' evaluation, the program was piloted with a group of three children with
DS, in order to verify their suitability for this clinical group. At the end of this process, the
program was reviewed and the last modifications were made. This research made possible the
availability to the population with DS of an unprecedented intervention program aimed at the
stimulation of EF. Such a study may serve as a basis for subsequent interventions and
instrumentalize the work, in the future, of several professionals who work with these
individuals, either in a clinical context or in a school context. |
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