RESUMO
The present study aimed to investigate whether a mother's anxiety, depression, prenatal perception of childbirth, and experience with delivery, assessed from pregnancy to three months postpartum, were associated with her perception of her infant's negative affectivity (NA). The participant sample was composed of 76 primiparous mothers and their healthy babies (58% boys, 42% girls). During pregnancy, mothers independently filled out the State-Trait Anxiety Inventory (STAI), the Edinburgh Postnatal Depression Scale (EPDS), and the Wijma Delivery Expectancy/Experience Questionnaires (W-DEQ) version A. One month after giving birth, the mothers filled out the W-DEQ version B. Finally, three months after giving birth, they completed the EPDS, the STAI, and the four Infant Behaviour Questionnaire (IBQ-R) scales of NA. Linear regression analyses showed that perinatal FoB, trait anxiety, and depression were associated with a maternal perception of higher infant NA. Studies on perinatal parental health and child outcomes should include assessments of the relation between anxiety during pregnancy and postpartum depression in order to prevent any negative impacts on the temperaments of children.
Assuntos
Ansiedade , Depressão , Criança , Medo , Feminino , Humanos , Lactente , Masculino , Mães , Percepção , GravidezRESUMO
OBJECTIVE: Our study aimed to investigate the effects of a reflective parenting home visiting program in first time-mothers at risk for depression, anxiety, and parenting stress, from three to 12 months after their child's birth. STUDY DESIGN: The sample was composed by 77 first-time mothers and their healthy babies (53% boys and 47% girls). Mothers filled out the Edinburgh Postnatal Depression Scale, the State-Trait Anxiety Inventory, and the Parenting Stress Index-SF at 3, 6 and 12 months of the child. Thirty-six mothers were assigned to the experimental group and received the reflective parenting home-visiting program, the other 36 constituted the control group. RESULTS: Analyses showed a significant higher reduction in the level of depression, anxiety and parenting stress among mothers belonging to the experimental group, compared to the control group. CONCLUSION: Our findings confirm the benefits of reflective parenting home visiting programs and underline the need to constantly evaluate the levels of depression, anxiety and parenting stress throughout the perinatal period to target effective prevention programs to foster early mother-child attachment bond.
RESUMO
La alta frecuencia de los trastornos depresivos en el mundo y las altas tasas reportadas durante el pre y postparto, alertan sobre la necesidad de profundizar en la comprensión de la depresión materna perinatal y sus repercusiones psicológicas en la madre y el niño/a. Se describen y analizan sus características, los factores protectores y de riesgo, los principales efectos en el vínculo madre-bebé, el desarrollo infantil y la identidad materna a partir de una revisión de la literatura existente. Se reflexiona también sobre las implicancias clínicas de este trastorno, las alternativas de tratamiento y los desafíos actuales para su abordaje psicoterapéutico integral, considerando los distintos aspectos de la matriz relacional de la díada madre-hijo/a en interacción...
The high frequency of the Depressive Disorder in the world and the high reported rates during the prenatal and postpartum period warm about the necessity of studying the perinatal maternal depression, and its psychological impact on the mother and her child. It is described and analyzed their features, risk and protective factors, the main effects on the mother-baby bond and the child development and maternal identity, based on a literature review. It also reflects about the clinical implications of the disorder, the alternatives of existing treatment, and the current challenges for an integral psychotherapeutic approach, considering different aspects of the relational matrix of the interacting dyad...