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1.
Addict Behav ; 124: 107109, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34547644

RESUMEN

Social media use is on the rise among young adults (YA) and evidence suggests a positive association between social media addiction (SMA) and the psychological symptoms of depression and anxiety globally. However, the contribution of attachment and its transgenerational influence on YAs' SMA and psychological symptoms have not been widely explored. Thus, we examined how parental reports of attachment (anxiety and avoidance) can directly and through YAs' attachment predict YAs' SMA, depression and anxiety symptoms. A sample of 375 YAs (MAge = 21.22) and their parents completed the Emotions in Close Relationships-Revised Questionnaire (Fraley et al., 2000), and the Brief Symptom Inventory (Deragotis, 1992). The SMA Scale (Sahin, 2018) was responded to by only YAs. We tested the pattern of associations in a path model. Parental attachment anxiety predicted YAs' attachment anxiety and only paternal attachment avoidance predicted YAs' attachment avoidance. YAs' attachment anxiety and avoidance predicted their depression and anxiety. However, YAs' attachment anxiety uniquely predicted their SMA. Both parents' attachment anxiety indirectly predicted the link between YAs' attachment anxiety and depression, but only paternal attachment avoidance indirectly predicted the association between YAs' attachment avoidance and depression. Furthermore, paternal attachment avoidance indirectly predicted the association between YAs' attachment avoidance and anxiety symptoms. Maternal attachment anxiety indirectly predicted SMA via YAs' attachment anxiety. While parental anxiety and paternal avoidance may impact YAs' symptoms, YAs' and maternal attachment anxiety can shape SMA. The findings about the differential role of attachment in YAs' psychological symptoms and SMA can facilitate further research and interventions.


Asunto(s)
Depresión , Trastorno de Adicción a Internet , Adulto , Ansiedad , Trastornos de Ansiedad , Depresión/epidemiología , Emociones , Humanos , Apego a Objetos , Adulto Joven
2.
Vínculo ; 18(2): 1-10, jul.-dez. 2021. ilus
Artículo en Portugués | LILACS, Index Psicología - Revistas | ID: biblio-1341798

RESUMEN

As transformações que a maternidade provoca na mulher, sejam elas psíquicas ou biológicas, pode ser uma vivência marcante e impactante para a gestação. Segundo Melanie Klein, o psiquismo é um funcionamento dinâmico o qual se inicia com o nascimento e finda-se com a morte do indivíduo. Na Psicologia Hospitalar a escuta e o apoio emocional a essas mães são fundamentais para abrandar os sofrimentos e as angústias do pré ou pós-parto. O presente trabalho faz parte das atividades desenvolvidas no estágio obrigatório de Psicologia e Saúde. Pretendeu-se caracterizar o desenvolvimento da afetividade entre mães e seus bebês nos primeiros momentos pós-parto, o pensar e o sentir dessas puérperas, suas perspectivas e possíveis prevenções contraceptivas. O trabalho foi desenvolvido na maternidade da Santa Casa de Misericórdia de Paranaíba-Mato Grosso do Sul. Utilizou-se como instrumentos observação clínica, escuta e roteiro de entrevista semidirigido. As participantes foram 23 mulheres entre puérperas e gestantes. O estudo buscou identificar os laços de afetividade e a qualidade vincular no período perinatal. Os resultados principais sugerem que o acolhimento familiar no período puerperal tem uma incidência de vínculo simbiótico alimentado pela influência da família nos cuidados com a mãe e o bebê. Constata-se ainda que a baixa escolaridade e a falta de acesso a informações sobre contraceptivos contribuem para uma prole numerosa, apontando a necessidade de promover maior acesso as informações dos serviços de saúde da mulher oferecidos pela política pública da cidade.


The changes that motherhood makes in women whatever they are psychic or biological, can be a remarkable and impacting experience for gestation. According to Melanie Klein, the psyche is a dynamic functioning that begins with the birth and ends with the death of the individual. In Hospital Psychology the listening and emotional support to these mothers are the key to slow the sufferings and the anxieties of the pre or postpartum. The present work is part of the activities developed in the obligatory stage of Psychology and Health. It was intended to characterize the development of the affectivity between mothers and their babies in the first moments postpartum, the thinking and the feelings of this puerperal, their perspectives and possible contraceptive preventions. The study was carried out in the maternity ward Santa Casa de Misericórdia of Paranaíba - Mato Grosso do Sul. Clinical observation, listening and semi-guided interviews were used as instruments. The participants were 23 women between puerperal and pregnant women. The study sought to identify the ties of affectivity and quality linked in the puerperal period. The main results suggest that family care in the puerperal period has an incidence of symbiotic relationship fueled by the influence of the family in the care of the mother and the baby. Low schooling and lack of access to information on contraception contribute to a larger number of offspring, pointing to the need to promote greater access to information on women's health services offered by the city's public policy.


Las transformaciones que la maternidad provoca en la mujer ya sean psíquicas o biológicas, puede ser una vivencia marcante e impactante para la gestación. Según Melanie Klein, el psiquismo es un funcionamiento dinámico que se inicia con el nacimiento y se termina con la muerte del individuo. En la Psicología Hospitalaria la escucha y el apoyo emocional a esas madres son fundamentales para ralentizar los sufrimientos y las angustias del pre o post-parto. El presente trabajo forma parte de las actividades desarrolladas en el estadio obligatorio de Psicología y Salud. Se pretendió caracterizar el desarrollo de la afectividad entre madres y sus bebés en los primeros momentos posparto, el pensar y el sentir de esas puérperas, sus perspectivas y posibles prevenciones contraceptivas. El trabajo fue desarrollado en la maternidad de un hospital en la costa este de Mato Grosso del Sur. Se utilizó como instrumentos observación clínica, escucha y guión de entrevista semidirigido. Las participantes fueron 23 mujeres entre puérperas y gestantes. El estudio buscó identificar los lazos de afectividad y la calidad vinculante en el período perinatal. Los resultados principales sugieren que la acogida familiar en el período puerperal tiene una incidencia de vinculo simbiótico alimentado por la influencia de la família en los cuidados con la madre y el bebe. Se constata además que la baja escolaridad y la falta acceso a informaciones sobre contracepción y contribuye a una prole más numerosa, apuntando a la necesidad de promover un acceso mayor a las informaciones de los servicios de salud de la mujer ofrecidos por la política pública de la ciudad.


Asunto(s)
Humanos , Femenino , Embarazo , Periodo Posparto , Acogimiento , Relaciones Madre-Hijo , Madres , Apego a Objetos
3.
Artículo en Inglés | MEDLINE | ID: mdl-34769779

RESUMEN

Child attachment undergoes major changes during middle childhood. Maternal reflective functioning (RF) is hypothesized to be an important correlate of a child's attachment security during this period; however, the child's gender role in this association has not been examined yet. In the present study, we used 64 mother-child (6-11 years old) dyads from a community sample to analyze the association between maternal RF and child attachment security and whether this link is moderated by gender. Maternal RF was assessed on the Parent Development Interview Revised (PDI-R2) and child attachment classifications were examined by the Child Attachment Interview (CAI). Results revealed the positive and statistically significant association between maternal RF and child attachment security in the whole sample. Further evaluations of this link in the groups of girls and boys separately indicated its significance for girls only. Finally, moderation analysis demonstrated the relation between child attachment security and maternal RF to be moderated by gender. These findings provide a new knowledge on gender role in attachment security in relation to maternal RF as well as suggest possible differentiation in the correlates on the pathway of secure attachment between girls and boys during middle childhood.


Asunto(s)
Familia , Apego a Objetos , Niño , Femenino , Humanos , Masculino , Relaciones Madre-Hijo
4.
Actas Esp Psiquiatr ; 49(6): 269-281, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34734642

RESUMEN

Attachment patterns and early-life adversities are relevant to understand the role of psychosocial factors in the vulnerability and the development of psychosis. The first aim of the study was to test whether a dimensional attachment instrument, the CAMIR (from French; Cartes: Modèles Individuels de Relation), may differentiate attachment styles by comparing a group of psychotic patients with a non-clinical sample. Also, we hypothesised that attachment dimensions would predict Social Functioning (SF) within the clinical group.


Asunto(s)
Trastornos Psicóticos , Esquizofrenia , Humanos , Apego a Objetos , Interacción Social
5.
Dev Psychol ; 57(4): 548-556, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34594056

RESUMEN

The role of early child care experiences on the development of the mother-child attachment relationship has been studied extensively. However, no prospective studies of early child care have addressed how these experiences might be reflected in the content of attachment representations during adolescence and beyond. The goal of this study was to estimate relatively precise associations between child care quality, child care quantity, and type of care in the first 54 months of life and the content of adolescents' attachment representations around age 18 years (N = 857; 51% female; 78% White, non-Hispanic; M income-to-needs ratio = 4.13), leveraging data from the longitudinal NICHD Study of Early Child Care and Youth Development (SECCYD). We identified a small positive association between the observed quality of early child care (but not quantity or type of care) and secure attachment states of mind as measured by the Adult Attachment Interview (but not the Attachment Script Assessment) at age 18 years that was robust to demographic covariates and observations of maternal and paternal sensitivity during childhood. We observed no significant interactions among child care variables. Associations between early child care experiences and indicators of adolescent attachment were likewise not moderated by maternal sensitivity from infancy to mid-adolescence or by maternal reports of child temperament in early childhood.


Asunto(s)
Cuidado del Niño , National Institute of Child Health and Human Development (U.S.) , Adolescente , Adulto , Niño , Desarrollo Infantil , Preescolar , Femenino , Humanos , Masculino , Relaciones Madre-Hijo , Apego a Objetos , Estados Unidos
6.
Span J Psychol ; 24: e47, 2021 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-34629123

RESUMEN

The aim of the present study was to validate the Spanish Postpartum Bonding Questionnaire (PBQ) against external criteria of bonding disorder, as well as to establish its test-retest reliability. One hundred fifty-six postpartum women consecutively recruited from a perinatal mental health outpatient unit completed the PBQ at 4-6 weeks postpartum. Four weeks later, all mothers completed again the PBQ and were interviewed using the Birmingham Interview for Maternal Mental Health to establish the presence of a bonding disorder. Receiver operating characteristic curve analysis revealed an area under the curve (AUC) value for the PBQ total score of 0.93, 95% CI [0.88, 0.98], with the optimal cut-off of 13 for detecting bonding disorders (sensitivity: 92%, specificity: 87%). Optimal cut-off scores for each scale were also obtained. The test-retest reliability coefficients were moderate to good. Our data confirm the validity of PBQ for detecting bonding disorders in Spanish population.


Asunto(s)
Depresión Posparto , Madres , Depresión Posparto/diagnóstico , Femenino , Humanos , Relaciones Madre-Hijo , Apego a Objetos , Periodo Posparto , Embarazo , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
7.
Psychiatr Danub ; 33(Suppl 4): 738-744, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34718311

RESUMEN

BACKGROUND: The purpose of this study was to examine the relationship between the important indicators that define mental health functioning during the first pregnancy: the level of depression, anxiety and fear of childbirth in the context of nulliparas' intimate partner attachment style type and older generation's emotional support. SUBJECTS AND METHODS: A group of 325 nulliparas in the third trimester of pregnancy were enrolled at the Childbirth preparation program of the University Medical Centre Ljubljana's Division of Gynaecology and Obstetrics. The following instruments were applied: Experiences in Close Relationships-Revised, The Edinburgh Depression Scale, two aspects of anxiety - Zung Anxiety Scale and a questionnaire regarding fear of childbirth. Attachment anxiety and avoidance scales were recoded into four categories of a prototypical attachment style: secure, fearful, preoccupied and dismissive. Two-way ANOVA and the chi-square test were used for the statistical analysis. RESULTS: All indicators of mental health functioning of our sample of nulliparas differed significantly regarding their partner attachment style. Nulliparas with a fearful, but also with a preoccupied type of attachment, showed less optimal mental health indicators compared to those with a secure/dismissive type of attachment. A significant interactive effect of partner attachment and emotional support from the older generation was found on the level of depression. Partner attachment styles and emotional support from the older generation were found to be statistically dependent. CONCLUSIONS: In our sample a secure attachment seems to represent a protective buffer for the level of depression, even when a lower emotional support of the older generation was included. Screening and intervening on intimate attachment style as a protective factor for antenatal depression and different forms of anxiety is proposed.


Asunto(s)
Depresión , Trastorno Depresivo , Ansiedad , Depresión/epidemiología , Trastorno Depresivo/epidemiología , Femenino , Humanos , Relaciones Interpersonales , Apego a Objetos , Embarazo
8.
Clin Psychol Rev ; 90: 102096, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34717158

RESUMEN

The formation of intense emotional attachments to objects, difficulty parting with possessions, and the extreme accumulation of clutter are key features of Hoarding Disorder (HD). Although substantial literature implicates processes such as dysfunctional beliefs and maladaptive emotional cycles in HD, little is known about the vulnerability factors that lead to their development and hoarding symptomatology. The current review sought to systematically collate and integrate findings from studies investigating the relationship between hoarding symptoms and three proposed vulnerability factors: i) interpersonal attachment, ii) early family environment, and iii) traumatic or adverse life events. A comprehensive search of the databases PsycInfo, PubMed, and Scopus identified a total of 39 studies for inclusion. The results presented a complex pattern that supported the presence of relationships between insecure attachment, cold and controlling family experiences, and exposure to adverse life events with increased hoarding severity. However, the specificity of these factors to HD over other clinical groups remains unclear and findings are limited by the heterogenous and small number of studies. We conclude by discussing the clinical implications and limitations of these findings and propose new directions for future research.


Asunto(s)
Trastorno de Acumulación , Acaparamiento , Emociones , Humanos , Relaciones Interpersonales , Apego a Objetos
9.
Nutrients ; 13(10)2021 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-34684573

RESUMEN

Increasing evidence suggests that attachment plays an important role in obesity. However, few studies examined this relationship in preschool children. This study aimed to systematically examine the empirical, peer-reviewed evidence regarding the relationship between attachment quality and obesity in the preschool years. Using established guidelines, relevant peer-reviewed literature published between 2000 and July 2021 was searched through EBSCO. This yielded a total of 1124 records for review. Established inclusion criteria comprised: empirical studies published in peer-review journals; include at least one anthropometric measure and/or food consumption measure. Exclusion criteria comprised: attachment measures not following Bowlby-Ainsworth conceptualization of the construct; children in institutionalized settings; context of severe mental illness, documented substance use disorders, or eating disorders; include only a measure of the psychological aspects of eating; intervention programs. After exclusions, eight studies with a total of 9225 participants met the inclusion criteria. Results support the role of attachment in weight-related outcomes, suggesting that considering attachment in the risk of obesity could contribute to the elaboration of effective prevention and intervention programs. Limitations included the small number of studies, predominately cross-sectional designs, the diversity of methodologies, most samples not including fathers, and lack of evidence about the developmental mechanisms underlying the association between attachment and obesity. More evidence is needed to determine how attachment and obesity are linked, and the potential underlying mechanisms accounting for this relationship.


Asunto(s)
Obesidad/psicología , Apego a Objetos , Peso Corporal , Cuidadores , Preescolar , Conducta Alimentaria , Humanos
10.
J Dev Behav Pediatr ; 42(7): 532-539, 2021 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-34518496

RESUMEN

OBJECTIVE: To evaluate how sociodemographic characteristics and various aspects of parent well-being, family functioning, parent-child relationship, and child characteristics are related to psychological functioning in children aged 9 to 12 years during the COVID-19 lockdown. METHOD: Participants included 144 children aged 9 to 12 years and their parents who lived in the province of Quebec, Canada, during the COVID-19 mandatory lockdown. Parents and children were administered a phone-based survey in which various child, parent, parent-child, and family characteristics were assessed. RESULTS: Results showed that higher internalizing problems in children were related to greater depressive symptoms in parents, lower attachment security to parents, and greater aversion to aloneness in children. Results on externalizing behavior problems showed that more problems were associated with more family dysfunction and chaos and lower attachment security to parents. Finally, results on children's anxiety toward COVID-19 showed that more anxiety was associated with greater parental anxiety toward COVID-19 and more child aversion to aloneness. CONCLUSION: Our findings showed that even during an unusual and stressful context such as a pandemic, proximal variables such as the attachment relationship that have been known to be closely associated with adaptation are significantly related to child psychological functioning. Such observations are important because they highlight factors that may accentuate child vulnerability in times of a pandemic and shed light on potential intervention targets.


Asunto(s)
Síntomas Conductuales/psicología , COVID-19 , Conducta Infantil/psicología , Relaciones Padres-Hijo , Padres/psicología , Funcionamiento Psicosocial , COVID-19/prevención & control , Niño , Femenino , Humanos , Masculino , Apego a Objetos , Quebec
11.
BMC Psychol ; 9(1): 140, 2021 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-34521473

RESUMEN

BACKGROUND: Attachment insecurity is a prominent risk factor for the development and course of psychiatric and psychosomatic disorders. The Experiences in Close Relationships - Revised (ECR-R) questionnaire is a widely used self-report to assess attachment related anxiety and avoidance. However, its length has the potential to restrict its use in large, multi-instrument studies. The aim of this study was to develop and evaluate a brief version of the ECR-R, and provide norm values for the German population. METHODS: A screening version of the original ECR-R was developed through principal components analysis of datasets from several previous studies. In a representative sample of 2428 randomly selected individuals from the German population, we compared fit indices of different models by means of confirmatory factor analyses (CFA). We investigated the convergent validity of the screening version in an independent convenience sample of 557 participants. Correlations between the short and the full scale were investigated in a re-analysis of the original German ECR-R evaluation sample. RESULTS: CFA indicated a satisfactory model fit for an eight-item version (ECR-RD8). The ECR-RD8 demonstrated adequate reliability. The subscales correlated as expected with another self-report measure of attachment in an independent sample. Individuals with higher levels of attachment anxiety, but especially higher levels of attachment avoidance were significantly more likely to not be in a relationship, across all age groups. Correlations between the short and the full scale were high. CONCLUSIONS: The ECR-RD8 appears to be a reliable, valid, and economic questionnaire for assessing attachment insecurity. In addition, the reported population-based norm values will help to contextualize future research findings.


Asunto(s)
Relaciones Interpersonales , Apego a Objetos , Humanos , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
13.
BMJ Open ; 11(9): e043989, 2021 09 14.
Artículo en Inglés | MEDLINE | ID: mdl-34521654

RESUMEN

INTRODUCTION: Babies born preterm often have challenges in feeding, temperature control and breathing difficulty and are prone to infection during the neonatal period. These usually necessitate admission to the neonatal intensive care unit (NICU). Admission to NICU disrupts the mother-baby bonding. OBJECTIVE: This study explored the lived experiences of mothers with preterm babies admitted to NICU in a low-resource setting. STUDY DESIGN: This was a qualitative study where 16 participants took part in indepth interviews and 35 in focus group discussions. We included mothers who delivered and were caring for preterm babies at the NICU of Mulago National Referral Hospital. STUDY SETTING: Data were collected from a public hospital, which works as a district and national referral hospital located in the capital of Uganda. PARTICIPANTS: Fifty-one mothers with preterm babies in the NICU were sampled and recruited after informed consent. Data were analysed using manual thematic analysis. RESULTS: There were six themes on the experiences of mothers of preterm babies in NICU: constant worry and uncertainty about the survival of their babies, baby feeding challenges, worries of discharge, communication gaps between mothers and nurses, community acceptability and disdain for preterm babies, and financial challenges. CONCLUSIONS AND RECOMMENDATIONS: Mothers of preterm babies admitted to NICU in a low-resource setting still need a lot of support other than the medical care given to their babies. Support groups in the hospital and community are recommended to help in dealing with these challenges.


Asunto(s)
Unidades de Cuidado Intensivo Neonatal , Madres , Femenino , Grupos Focales , Humanos , Lactante , Recién Nacido , Apego a Objetos , Investigación Cualitativa
14.
Psychoanal Rev ; 108(3): 277-289, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34468221

RESUMEN

In this paper, the author attempts to arrive at a comprehensive outline of Winnicott's developmental theory. This theory encompasses the infant's emergence from total dependence and subject/object merging to what the author refers to as relative independence and relative subject/object separation (in Winnicott's words, "separation that is a not a separation but a form of union" [1971a, p. 98]). This conceptualization is based mainly on an amalgam of Winnicott's two well-known papers, on transitional objects and phenomena (1953) and on the use of an object (1969). The author also refers to André Green's notions of the importance of the negative and of the "dead mother" in reference to Winnicott's work. To demonstrate the clinical implications of the paper, the author discusses in detail the case of Rosemary Dinnage, as described by both Winnicott and Green and as reported directly by herself.


Asunto(s)
Rosmarinus , Humanos , Lactante , Madres , Apego a Objetos , Teoría Psicoanalítica
15.
Psychoanal Rev ; 108(3): 337-361, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34468226

RESUMEN

The author discusses Winnicott's theory (1949/1975) of the psyche-soma and Fairbairn's (1944) theory of internal object relations, bringing them together to enrich our perspective of one's somatization. By focusing on how the patient takes care, attends, experiences, and feels toward the symptom, the analyst can better understand the patient's early object-relations. This allows analyst and patient to rethink the symptom in terms of the patient's early traumas and one's capacity to mourn the loss of the love-object. Fairbairn's conceptualizations of the "rejecting," "alluring," and "addictive" object-relations are combined with Winnicott's understanding of the split between psyche and soma, following the ill-adaptation of the mother to the baby's earliest emotional needs.


Asunto(s)
Síntomas sin Explicación Médica , Apego a Objetos , Formación de Concepto , Humanos , Amor , Teoría Psicoanalítica
16.
Infant Ment Health J ; 42(5): 655-671, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34505721

RESUMEN

The mother's bond to her baby starts to develop during pregnancy, and it is related to the baby's attachment. We study how the mother's prenatal expectations of her unborn baby, the mother's adult relationships, and postnatal psycho-social factors (stress, depression, and anxiety) are related to the risk of bonding disturbance. The study comprised 1398 mothers and their unborn babies assessed both during pregnancy and when the babies were 3 months old (47.7% girls). The mother's risk of bonding disturbance was investigated using Brockington's Postpartum Bonding Questionnaire. According to the results, 71 (5.1%) of all the mothers in the study had a risk of a bonding disturbance. In a final adjusted logistic regression model, the most important risk factors were the mother's inability to form positive expectations about relationships with the baby during the third trimester of pregnancy (AOR = 7.78, p ≤ .001), maternal postnatal stress (AOR = 4.95, p ≤ .001) and maternal postnatal depression (AOR = 3.46, p ≤ .01). The results challenge healthcare professionals to screen pregnant mothers to identify at-risk groups for post-partum bonding disturbances. Intervention programs to prevent the development of bonding disturbances, and thus their possible serious consequences for children's development, should be considered.


Asunto(s)
Motivación , Factores Sociales , Adulto , Niño , Femenino , Humanos , Lactante , Masculino , Relaciones Madre-Hijo , Apego a Objetos , Embarazo , Factores de Riesgo
17.
Arch Psychiatr Nurs ; 35(5): 465-471, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34561060

RESUMEN

AIM: To determine the relationship of health practices with depression and maternal-fetal attachment in adolescent pregnant women. METHODS: This prospective study was conducted on 316 adolescent pregnant women with medical records at the health centers in Tehran, Iran. The participants were selected through the complete enumeration. Data were collected using the socio-demographic and obstetrics questionnaire, the Health Practices Questionnaire-II (HPQ-II), the Edinburgh Postnatal Depression Scale (EPDS), and the Cranley's Maternal-Fetal Attachment Scale (MFAS). The data were analyzed with the Pearson correlation test, the independent t-test, one-way ANOVA, and the general linear model. RESULTS: The mean scores of health practices, depression, and maternal-fetal attachment were 135.3 (SD 9.1, range 34-170), 10.1 (SD 5.4, range 0-30), and 91.6 (SD 8.6, range 24-120), respectively. The results of Pearson correlation test showed that health practices had a significant relationship with depression (r = -0.29) and maternal-fetal attachment (r = 0.37). Results of general linear model showed that an increase in the health practices score led to a significant decrease in depression score during pregnancy [ß = -0.10; 95% CI: -0.17 to -0.04] and a significant increase in maternal-fetal attachment score [ß = 0.30; 95% CI: 0.19 to 0.40]. CONCLUSION: There is significant relationship between health practices and depression, as well as maternal-fetal attachment in adolescent pregnant women. Therefore, intervention to improve one of them may improve the other one(s).


Asunto(s)
Depresión , Mujeres Embarazadas , Adolescente , Femenino , Humanos , Irán , Relaciones Materno-Fetales , Apego a Objetos , Embarazo , Estudios Prospectivos
18.
Nutrients ; 13(9)2021 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-34579003

RESUMEN

Despite growing interest in intuitive eating-a non-dieting approach to eating that is based on feeding the body in accordance with physiological and satiety cues-research on its determinants is scarce. The present study aimed to examine the associations between dimensions of adult attachment (i.e., anxiety and avoidance) and intuitive eating, and the mediating role of self-compassion in these relationships. The sample comprised 201 French-Canadian young adult women (M = 25.1, SD = 4.6). Participants completed self-report questionnaires through an online survey. Results of the structural equation model demonstrated that attachment-related anxiety and avoidance were negatively associated with intuitive eating, and these relationships were at least partially mediated by self-compassion. Findings suggest that women who have high levels of attachment anxiety or avoidance engage in less intuitive eating partly because they are less self-compassionate. Results highlight the importance of self-compassion in facilitating adaptive eating behaviors in adult women, especially if they have an insecure attachment style to romantic partners.


Asunto(s)
Ansiedad/psicología , Empatía , Conducta Alimentaria/psicología , Apego a Objetos , Autoimagen , Adulto , Reacción de Prevención , Canadá , Femenino , Humanos , Intuición , Análisis de Clases Latentes , Encuestas y Cuestionarios , Adulto Joven
19.
CMAJ Open ; 9(3): E834-E840, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34465580

RESUMEN

BACKGROUND: Skin-to-skin contact between mother and infant immediately after birth is recommended regardless of delivery method; however, it is less common after cesarean delivery. We aimed to describe and compare women's experiences of cesarean birth with and without skin-to-skin contact at an urban tertiary care hospital. METHODS: In this hermeneutic phenomenologic study, we used semistructured telephone interviews from 2015 to 2018 to interview a convenience sample of women who delivered at term by scheduled skin-to-skin cesarean birth at an urban tertiary care hospital in Toronto, Ontario. Women were invited to participate if they had had a previous planned or unplanned cesarean birth and a scheduled skin-to-skin cesarean birth between 2013 and 2017. Participants were excluded if they had antenatally diagnosed conditions, they delivered before 37 weeks, they had general anesthesia, their condition was unstable at the time of surgery, a skin-to-skin cesarean birth was not possible or they declined skin-to-skin cesarean birth. Interviews were recorded, transcribed and analyzed by means of thematic analysis. RESULTS: Ten women were interviewed 1-19 months postpartum. Four central themes emerged: support for skin-to-skin cesarean birth (women feeling supported by their families and health care providers); control (participants experiencing greater control during their skin-to-skin cesarean birth); connection with the infant, which enabled women to be active participants in their delivery, enhanced bonding and intimacy, facilitated breastfeeding and bolstered confidence during early parenthood; and logistic considerations, with participants recognizing that skin-to-skin cesarean birth required additional resources. INTERPRETATION: These findings refine what is known about skin-to-skin cesarean birth and provide a critical perspective, that of mothers. They support the transformation of traditional operating room dynamics to a more patient-centred environment.


Asunto(s)
Lactancia Materna , Conducta Materna/psicología , Relaciones Madre-Hijo/psicología , Apego a Objetos , Periodo Posparto/psicología , Lactancia Materna/métodos , Lactancia Materna/psicología , Cesárea/métodos , Cesárea/estadística & datos numéricos , Femenino , Humanos , Recién Nacido , Ontario , Planificación de Atención al Paciente , Atención Dirigida al Paciente/métodos , Embarazo , Investigación Cualitativa , Tacto
20.
PLoS One ; 16(9): e0257888, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34591898

RESUMEN

Parents play a primary and crucial role in emotional socialisation processes in children where individuals learn the expression, understanding and regulation of emotions. Parenting practices and dimensions of the parent-child relationship have been associated with social and emotional processes in children. As criticism involves negative emotional reactions and emotion regulation, the parent-child relationship is likely to influence an individual's perception and response to criticism. Hence, the present study investigated the relationship of parental bonding and the perception and response to criticism in three different countries-Singapore, Italy and USA. Adult participants (n = 444) completed the Parental Bonding Inventory (PBI) and measures of criticism. Parental care, overprotection and country were found to be significant predictors of a tendency to perceive criticism as destructive. Higher levels of parental care predicted a lower tendency to perceive criticism as destructive while higher levels of parental overprotection predicted a higher tendency to perceive criticism as destructive. US American participants were found to have a significantly higher tendency to perceive criticism as destructive compared to Italian and Singaporean participants. The findings align with past research on the role of the parent-child relationship in the socio-emotional development of children as well as providing insight into a specific aspect in social interaction; perception and response to criticism, being affected. Future studies can look to investigate this relationship further in different countries in light of cultural variation in parenting styles and emotion experience, expression and regulation.


Asunto(s)
Apego a Objetos , Relaciones Padres-Hijo , Responsabilidad Parental/psicología , Padres/psicología , Adulto , Comparación Transcultural , Regulación Emocional , Femenino , Humanos , Italia , Masculino , Percepción , Singapur , Estados Unidos , Adulto Joven
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