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1.
Arch Womens Ment Health ; 19(4): 609-22, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-26867547

RESUMO

The emotional bond that a mother feels towards her baby is critical to social, emotional and cognitive development. Maternal health and wellbeing through pregnancy and antenatal bonding also play a key role in determining bonding postnatally, but the extent to which these relationships may be disrupted by poor mental health or substance use is unclear. This study aimed to examine the extent to which mother-fetal bonding, substance use and mental health through pregnancy predicted postnatal mother-infant bonding at 8 weeks. Participants were 372 women recruited from three metropolitan hospitals in Australia. Data was collected during trimesters one, two and three of pregnancy and 8 weeks postnatal using the Maternal Antenatal Attachment Scale (MAAS), Maternal Postnatal Attachment Scale (MPAS), the Edinburgh Antenatal and Postnatal Depression Scale (EPDS), the Depression and Anxiety Scales (DASS-21), frequency and quantity of substance use (caffeine, alcohol and tobacco) as well as a range of demographic and postnatal information. Higher antenatal bonding predicted higher postnatal bonding at all pregnancy time-points in a fully adjusted regression model. Maternal depressive symptoms in trimesters two and three and stress in trimester two were inversely related to poorer mother-infant bonding 8 weeks postnatally. This study extends previous work on the mother's felt bond to her developing child by drawing on a large sample of women and documenting the pattern of this bond at three time points in pregnancy and at 8 weeks postnatally. Utilising multiple antenatal waves allowed precision in isolating the relationships in pregnancy and at key intervention points. Investigating methods to enhance bonding and intervene in pregnancy is needed. It is also important to assess maternal mental health through pregnancy.


Assuntos
Saúde Mental , Relações Mãe-Filho , Apego ao Objeto , Transtornos Relacionados ao Uso de Substâncias , Adolescente , Adulto , Feminino , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Pesquisa Qualitativa , Análise de Regressão , Inquéritos e Questionários , Adulto Jovem
2.
Environ Sci Technol ; 40(3): 931-8, 2006 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-16509339

RESUMO

More than 40,000 km2 of former military land in the United States are contaminated with unexploded ordnance (UXO). Cleanup costs are estimated to total as much as 140 billion dollars. The amount of contaminated acreage and total costs are likely to increase as the U.S. Department of Defense (DOD) follows through on recently announced plans to close an additional 22 domestic military bases. The U.S. Environmental Protection Agency(EPA) and DOD disagree on how these sites should be characterized to assess their risks and plan for cleanup. As a result, much potentially valuable land remains idle while remediation decisions are pending. One of the sources of disagreement is how the locations of UXO should be characterized, given that the exact spatial distribution of UXO is unknown in advance of cleanup. In this paper, we propose and test a new model to represent the spatial distribution of UXO. Unlike existing DOD models, the new model accounts for the tendency of UXO to cluster, presumably around targets at which soldiers aimed during training. We fit the cluster model to geographic data on UXO locations at two former military installations and show that it describes key characteristics of the data more accuratelythan the existing DOD model. We discuss how the choice of a UXO spatial distribution model could affect important decisions about cleaning up and reusing UXO-affected property.


Assuntos
Monitoramento Ambiental/métodos , Explosões , Modelos Estatísticos , Eliminação de Resíduos , Medição de Risco , Estados Unidos , United States Environmental Protection Agency , Guerra
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