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1.
J Womens Health (Larchmt) ; 33(2): 187-197, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38011004

RESUMO

Background: Previous research shows that 61% of children younger than 6 months in low- and middle-income countries (LMICs) are not exclusively breastfed. Although data on the role of pre- and postnatal depression on breastfeeding exclusivity is mixed, fetomaternal attachment might foster breastfeeding exclusivity. Thus, we tested the potential mediating role of fetomaternal attachment and postnatal depression in the relationship between maternal prenatal depression and exclusive breastfeeding. Materials and Methods: Data were collected as part of a prospective, cross-cultural project, Evidence for Better Lives Study, which enrolled 1208 expectant mothers, in their third trimester of pregnancy across eight sites, from LMICs. Of the whole sample, 1185 women (mean age = 28.32, standard deviation [SD] = 5.77) completed Computer-Aided Personal Interviews on prenatal depressive symptoms, fetomaternal attachment, and socioeconomic status. A total of 1054 women provided follow-up data at 3-6 months after birth, about postnatal depressive symptoms, exclusive breastfeeding, and infant health indicators. Path analysis was used to assess parallel mediation. Results: In the whole sample, the effect of prenatal depression on breastfeeding exclusivity was completely mediated by postnatal depression, whereas fetomaternal attachment did not mediate the relationship. The full mediation effect was replicated individually in Pakistan and Sri Lanka. Conclusions: The study results indicate that prenatal depression symptoms contributed to the development of depressive symptoms after birth, negatively affecting the probability of exclusive breastfeeding. Future research should explore this in early prevention interventions, increasing the chances of healthy child development in LMICs. Considering the mixed results around the sites, it is important to better understand the relationship between maternal depression, fetomaternal attachment and breastfeeding behavior in each site's socio-cultural context.


Assuntos
Aleitamento Materno , Depressão Pós-Parto , Lactente , Gravidez , Criança , Feminino , Humanos , Adulto , Depressão Pós-Parto/epidemiologia , Estudos Prospectivos , Depressão/epidemiologia , Mães
2.
Front Psychol ; 10: 1859, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31551842

RESUMO

The Remote Associates Test (RAT) is a classical creativity test developed by Mednick and Mednick in 1967. RAT problems and their norms so far exist only in a few languages, including English, Dutch, Japanese and Italian. In this paper, we describe our process of constructing a set of Remote Associates Test problem in Romanian. 63 native speaking Romanian participants have solved this set. The set of items shows high internal consistency. Normative data pertaining to each problem is provided, together with a description of RAT problems peculiarities in Romanian.

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