Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 30
Filtrar
1.
Soc Sci Med ; 352: 117005, 2024 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-38824838

RESUMO

Divorce is often considered a major and stressful life transition. Given that divorcees are overrepresented in primary care and there is a association between individuals' physical health and psychological adjustment, potential post-divorce health problems are of concern. Yet, empirical evidence is lacking on the magnitude of the overall physical health risk after divorce, on possible differences across specific pathologies, and on factors that may increase or reduce this risk. The current meta-analysis addresses these issues. We identified 94 studies including u = 248 relevant effect sizes, based on N = 1,384,507 participants. Generally, compared to married individuals, divorcees showed significantly worse self-reported health (OR = 1.20, [1.08-1.33]), experienced more physical symptoms (OR = 1.34, [1.17-1.53]), and had a higher risk for diabetes (OR = 1.18 [1.05-1.33]), joint pathologies (OR = 1.24, [1.14-1.34]), cardiovascular (OR = 1.24, [1.09-1.41]) and cerebrovascular conditions (OR = 1.31, [1.14-1.51]), and sexually transmitted diseases (OR = 2.48, [1.32-4.64]). However, they had no increased risk of hypertension, hypercholesterolemia, cancer and cancer development, disabilities or limitations, or cognitive pathologies. Nor did divorcees significantly differ from married individuals when aggregating all pathologies to measure overall physical health problems (OR = 1.14, [0.85 to 1.54]). Yet, moderation analyses revealed that being female, unemployed, childless, or having a lower education constitutes a higher risk for overall physical health problems after divorce. The same applied to having a heavy alcohol consumption, lack of exercise, and being overweight. Our meta-analysis shows that divorcees are at heightened risk of certain pathologies, with sexually transmitted diseases as a particular post-divorce hazard. These findings call for more awareness among counsellors and physicians on divorcees' health conditions and the characteristics that make divorcees even more vulnerable to health problems.

2.
Fam Process ; 62(1): 74-93, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36054156

RESUMO

Preventive postdivorce interventions aim to help children cope with divorce and promote their adjustment. Nevertheless, questions remain regarding the concrete outcomes of these interventions and the intervention characteristics that influence them. This meta-analysis of 30 studies analyzes the efficacy of postdivorce interventions on children's symptomatology, personal resources, and adaptation to divorce. Likewise, it explores whether the intervention impacts the putative mediators from the family context and whether the characteristics of the studies themselves also influence the results. Using a data set of N = 4344 individuals, 258 effect sizes were calculated. Random effects analyses evidenced the impact of the interventions on specific variables instead of on children's global adjustment. There were no significant effects on children's mental health outcomes, and none of these effects were qualified by the moderators that were examined. Preventive postdivorce interventions had significant effects, specifically on children's divorce adjustment and self-esteem. The study of the moderators found that the interventions were generally homogeneous, and only one of the 20 moderators examined had a significant effect. Based on children's age, the interventions had an impact on family functioning only when they involved younger children, but this result should be interpreted with caution due to the small sample of studies. This meta-analysis provides evidence of the relevance of postdivorce interventions to critical variables as well as information about the role of the intervention characteristics in the effects and makes suggestions for future research on divorce interventions that encompass both practical and empirical developments.


Assuntos
Divórcio , Autoimagem , Humanos , Criança , Divórcio/psicologia
3.
Artigo em Inglês | MEDLINE | ID: mdl-35329168

RESUMO

Families going through conflictive divorce processes are at increased risk of developing mental health problems. The Egokitzen program is a group intervention for parents who have undergone a divorce process, funded by the public administration. Budgetary constraints cause funding institutions to be interested in the effectiveness and economic efficiency of these programs. Therefore, the objective of this research is to carry out an efficiency analysis of the Egokitzen program, implemented by family visitation centers in Spain, through a cost-benefit analysis, to determine whether the positive impact on symptomatology (measured using CBCL and SCL-90 instruments) is translated into a positive economic impact for society. A sample of 382 parents participated. Costs will be first identified and valued; secondly, benefits achieved with the program will be identified through a prevalence analysis and, finally, the cost-benefit comparative analysis will be carried out. Additionally, a sensitivity analysis will be performed. The results obtained in the analysis indicate that for every euro spent on this program, the public administration and society save 3.10 euros in future interventions through medical costs and productivity losses. The study has practical implications for public administration, organizations, and the family visitation centers that implement the program.


Assuntos
Divórcio , Análise Custo-Benefício , Humanos , Espanha
4.
J Pediatr Psychol ; 47(7): 850-857, 2022 07 19.
Artigo em Inglês | MEDLINE | ID: mdl-35238920

RESUMO

OBJECTIVE: Parental perception that one's child may be vulnerable to a threatening illness appears to be negatively associated with the child's socioemotional development. However, there are no studies that have analyzed the association of these dysfunctional parental perceptions on the emotional development of children who have not suffered a previous serious illness. The main objective of the present study was to study the relationship between parental perception of child vulnerability (PPCV) and children's socioemotional development, hypothesizing that PPCV is associated both directly and indirectly with children's socioemotional development through parental reflective functioning and parental competence. METHODS: The study involved 433 mothers and 113 fathers of infants between 0 and 3 years. RESULTS: PPCV was negatively associated with children's socioemotional development. Likewise, PPCV was indirectly and positively related to children's socioemotional development through the dimension of Interest and Curiosity of parental reflective functioning and parental competence. CONCLUSIONS: The literature has shown that parental dysfunctional perceptions about the health of their children can be negatively associated with children's socioemotional development. However, if these concerns are associated with increased interest and curiosity about the mental states of the child, this may actually promote the child's socioemotional development.


Assuntos
Mães , Pais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Mães/psicologia , Pais/psicologia , Percepção
5.
Infant Behav Dev ; 66: 101681, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34906877

RESUMO

Parental reflective functioning refers to the parents' ability to reflect on the internal mental states of their children, which will make them respond more sensitively to their children´s need. The relation between parental reflective functioning and child emotion regulation has been considered a key factor in early childhood parenting but further research is needed about this relationship throughout child's development. The aim of this paper was to analyze this interaction considering the early childhood development stages. Three hundred and eighty one mothers of babies between 0 and 26 months of age participated in the study. The PRFQ and ASQ:SE-2 questionnaires were administered to assess parental reflective functioning and child emotion regulation, respectively. Results showed that maternal RF and child emotion regulation do not follow a linear process according to the childhood development stages, and also that the maternal PM dimension generates a conditional effect in children's emotion regulation. These results highlight the importance of paying attention to specific early childhood developmental stages to understand how maternal reflective functioning influences child´s ability to calm and adjust to her/his environment.


Assuntos
Regulação Emocional , Mentalização , Criança , Pré-Escolar , Feminino , Humanos , Mães/psicologia , Poder Familiar/psicologia , Pais/psicologia
6.
Psicothema (Oviedo) ; 33(1): 95-102, feb. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-199558

RESUMO

BACKGROUND: There is much controversy about the impact of joint physical custody on child symptomatology in the context of high interparental conflict. In this study we analyzed child symptomatology with person-centered methodology, identifying differential profiles, considering post-divorce custody, parental symptomatology, and coparenting variables. We examined the association between these profiles and child symptomatology, as well as the mediating role of parenting in that association. METHOD: The participants were 303 divorced or separated Spanish parents with high interparental conflict. We used the study of latent profiles and the INDIRECT procedure in Mplus. We also controlled for the variables age and number of children, new partners, frequency of the relationship with the ex-partner, time elapsed since the divorce, and gender of the parent. RESULTS: From the parents' perspective, the profile characterized by low parental symptomatology and high coparenting, regardless of the type of custody, was related to children exhibiting less somatic, anxious, and depressive symptomatology, and aggressive behavior. The mediating role of parenting was also identified. CONCLUSIONS: Parental symptomatology, coparenting, and parenting are essential for understanding post-divorce child symptomatology and the study highlights importance of person-centered multidimensional models


ANTECEDENTES: existe una gran controversia acerca del impacto de la custodia física compartida en la sintomatología infantil en contexto de alto conflicto interparental. El presente estudio analizó la sintomatología infantil a través de una metodología centrada en la persona, identificando perfiles diferenciales al considerar las variables custodia postdivorcio, sintomatología parental y coparentalidad. Se analizó la asociación entre estos perfiles y la sintomatología infantil, así como el papel mediador de la parentalidad. MÉTODO: participaron 303 progenitores españoles divorciados o separados con alto conflicto interparental. Se empleó el estudio de perfiles latentes y el procedimiento INDIRECT Mplus, controlando las variables edad, número de hijos/as, nuevas parejas estables, frecuencia de relación entre progenitores, tiempo transcurrido desde el divorcio y género del/a progenitor/a. RESULTADOS: desde la perspectiva de los progenitores, el perfil caracterizado por baja sintomatología parental y alta coparentalidad, independientemente del tipo de custodia, se relacionó con menor sintomatología somática y ansioso-depresiva de hijos/as, y con menor comportamiento agresivo. Se confirmó el papel mediador de la parentalidad. CONCLUSIONES: se identifica la sintomatología parental, la coparentalidad y la parentalidad como variables fundamentales para comprender la sintomatología infantil postdivorcio, así como la relevancia de emplear modelos multidimensionales centrados en la persona


Assuntos
Humanos , Masculino , Feminino , Criança , Adulto , Custódia da Criança , Divórcio/psicologia , Conflito Familiar/psicologia , Assistência Centrada no Paciente/métodos , Psicoterapia Centrada na Pessoa/métodos , Poder Familiar/psicologia , Ansiedade/psicologia , Depressão/psicologia , Saúde Mental , Comportamento Infantil , Análise de Variância
7.
Psicothema ; 33(1): 95-102, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33453741

RESUMO

BACKGROUND: There is much controversy about the impact of joint physical custody on child symptomatology in the context of high interparental conflict. In this study we analyzed child symptomatology with person-centered methodology, identifying differential profiles, considering post-divorce custody, parental symptomatology, and coparenting variables. We examined the association between these profiles and child symptomatology, as well as the mediating role of parenting in that association. METHOD: The participants were 303 divorced or separated Spanish parents with high interparental conflict. We used the study of latent profiles and the INDIRECT procedure in Mplus. We also controlled for the variables age and number of children, new partners, frequency of the relationship with the ex-partner, time elapsed since the divorce, and gender of the parent. RESULTS: From the parents' perspective, the profile characterized by low parental symptomatology and high coparenting, regardless of the type of custody, was related to children exhibiting less somatic, anxious, and depressive symptomatology, and aggressive behavior. The mediating role of parenting was also identified. CONCLUSIONS: Parental symptomatology, coparenting, and parenting are essential for understanding post-divorce child symptomatology and the study highlights importance of person-centered multidimensional models.


Assuntos
Divórcio , Poder Familiar , Criança , Custódia da Criança , Conflito Familiar , Humanos , Relações Pais-Filho , Pais
8.
Eur J Psychol ; 17(2): 1-12, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-35136425

RESUMO

Older siblings are powerful socialization agents, playing a significant role in the sociocognitive, social, and emotional development of their younger siblings. However, there are few clues about the variables that explain younger sibling's adaptation. The objective of this pilot study was to identify the determinants of younger siblings' adaptation and to analyze the role played by personal, sibling, family and older siblings' variables using 50 dyads of siblings aged between 7 and 18 years. The variables considered were the sibling relationships and the maladaptation of older siblings, and individual (sex, number of siblings, extroversion, and agreeableness) and contextual variables (interparental conflict, daily stress) were controlled. Hierarchical multiple regressions provided evidence in favor of the model that analyzed the younger siblings' maladaptation to school, showing positive associations both with the older siblings' level of school maladaptation and with sibling conflict. In addition, the study highlighted the relevance of the trait of agreeableness and of family stress in the adaptation of younger siblings.

9.
Fam Process ; 60(2): 302-315, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-32588915

RESUMO

This study examined the multidimensional structure of the client and therapist versions of the self-report measure, System for Observing Family Therapy Alliances (SOFTA-s; Friedlander, Escudero, & Heatherington, Therapeutic alliances in couple and family therapy: An empirically informed guide to practice. Washington, DC: American Psychological Association, 2006) across three distinct therapeutic modalities (individual, family, group). Specifically, we investigated whether the originally theorized model of four first-order factors (Engagement in the Therapeutic Process, Emotional Connection with the Therapist, Safety within the Therapeutic System, and Shared Sense of Purpose within the Family) would be reflected in a second-order factor (Therapeutic Alliance). The sample included 105 therapists who worked with 858 clients (165 individuals, 233 families, and 43 groups) in several Spanish community agencies. To control for dependent data, we used multilevel modeling. Results of the multilevel confirmatory factor analyses showed adequate reliabilities, fit indices, and factor loadings across the three therapy contexts for both versions of the measure (client and therapist). Adequate measurement invariance was also found across respondents and therapy modalities. Taken together, these results support the structural validity of the SOFTA-s, a brief and flexible self-report alliance measure that can be used reliably in clinical practice as well as in studies of individual, family, and group therapy.


Este estudio examinó la estructura multidimensional de las versiones del paciente y del terapeuta de la herramienta de medición por autoinforme, "Sistema de Observación de Alianza Terapéutica en Intervención Familiar" (System for Observing Family Therapy Alliances, SOFTA-s; Friedlander, Escudero, & Heatherington, 2006) entre tres modalidades terapéuticas diferentes (individual, familiar, grupal). Específicamente, investigamos si el modelo teorizado originalmente de cuatro factores de primer orden (participación en el proceso terapéutico, conexión emocional con el terapeuta, seguridad dentro del sistema terapéutico y un objetivo en común dentro de la familia) se reflejaría en un factor de segundo orden (alianza terapéutica). La muestra consistió en 105 terapeutas que trabajaron con 858 pacientes (165 individuos, 233 familias y 43 grupos) en varios organismos de comunidades españolas. Para evaluar los datos dependientes, utilizamos el modelo multinivel. Los resultados de los análisis factoriales confirmatorios multinivel demostraron fiabilidades, índices de ajuste y cargas factoriales adecuadas entre los tres contextos de terapia para ambas versiones de la herramienta de medición (paciente y terapeuta). También se halló una invariancia de medición adecuada entre los encuestados y las modalidades de terapia. En conjunto, estos resultados respaldan la validez estructural del SOFTA-s, una herramienta de medición de la alianza breve y flexible por autoinforme que puede utilizarse de manera fiable en la práctica clínica, así como en estudios de la terapia individual, familiar y grupal. Este estudio examinó la estructura multidimensional de las versiones del paciente y del terapeuta de la herramienta de medición por autoinforme, "Sistema de Observación de Alianza Terapéutica en Intervención Familiar" (System for Observing Family Therapy Alliances, SOFTA-s; Friedlander, Escudero, & Heatherington, 2006) entre tres modalidades terapéuticas diferentes (individual, familiar, grupal). Específicamente, investigamos si el modelo teorizado originalmente de cuatro factores de primer orden (participación en el proceso terapéutico, conexión emocional con el terapeuta, seguridad dentro del sistema terapéutico y un objetivo en común dentro de la familia) se reflejaría en un factor de segundo orden (alianza terapéutica). La muestra consistió en 105 terapeutas que trabajaron con 858 pacientes (165 individuos, 233 familias y 43 grupos) en varios organismos de comunidades españolas. Para evaluar los datos dependientes, utilizamos el modelo multinivel. Los resultados de los análisis factoriales confirmatorios multinivel demostraron fiabilidades, índices de ajuste y cargas factoriales adecuadas entre los tres contextos de terapia para ambas versiones de la herramienta de medición (paciente y terapeuta). También se halló una invariancia de medición adecuada entre los encuestados y las modalidades de terapia. En conjunto, estos resultados respaldan la validez estructural del SOFTA-s, una herramienta de medición de la alianza breve y flexible por autoinforme que puede utilizarse de manera fiable en la práctica clínica, así como en estudios de la terapia individual, familiar y grupal.


Assuntos
Aliança Terapêutica , Terapia Familiar , Humanos , Percepção , Relações Profissional-Paciente , Psicoterapia
10.
Ansiedad estrés ; 26(1): 27-32, ene.-jun. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-192298

RESUMO

INTRODUCCIÓN Y OBJETIVOS: El objetivo es analizar el papel moderador de las relaciones fraternales en el impacto del funcionamiento familiar sobre el bienestar de los/as hijos/as, especialmente con alto estrés familiar. Método y materiales: Los participantes son 61 progenitores con 2 o más hijos/as menores de 18 años, comparando grupo clínico y de contraste. Las variables analizadas son: funcionamiento familiar, estrés, comunicación y satisfacción familiar, problemas de conducta, rendimiento académico y relación entre hermanos. RESULTADOS: Los resultados confirman que la relación fraternal amortigua el impacto del funcionamiento familiar en la adaptación de los/as hijos/as, especialmente del hijo/a mayor. Además, este efecto moderador es mayor en familias con alto nivel de estrés familiar. CONCLUSIÓN: Así, se subraya la importancia de fomentar la relación positiva entre hermanos/as como factor protector


INTRODUCTION AND OBJECTIVES: The main aim is to analyze the moderating role of sibling relationships on the impact of family functioning on children's wellbeing, especially with high levels of family stress. MATERIALS AND METHODS: In this study 61 parents with2 or more under-18 years-old children were assigned to either the clinical or comparative group. These variables are measured: family functioning, family stress, communication and satisfaction, behavior problems, academic performance and sibling relationship. RESULTS: The results confirm that sibling relationship moderates the impact of family functioning in the adaptation of the children, buffering this impact especially in the eldest son/daughter. Moreover, this moderating effect is greater in families with higher levels of family stress. CONCLUSIÓN: The relevance of fostering positive sibling relationships as a protective element is highlighted


Assuntos
Humanos , Estresse Psicológico/psicologia , Relações entre Irmãos , Satisfação Pessoal , Desempenho Acadêmico , Comunicação , Pais , Inquéritos e Questionários
11.
J Neurointerv Surg ; 12(12): 1180-1185, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32277038

RESUMO

BACKGROUND: The clinical consequences and factors related to the progression from a carotid near-occlusion (CNO) to a complete occlusion are not well established. Our aim is to describe the rate, predictive factors and clinical implications of the progression to complete carotid occlusion (PCCO) in a population of patients with symptomatic CNO. METHODS: We conducted a multicenter, nationwide, prospective study from January 2010 to May 2016. Patients with angiography-confirmed CNO were included. We collected information on demographic data, clinical manifestations, radiological and hemodynamic findings, and treatment modalities. A 24 month carotid-imaging follow-up of the CNO was performed. RESULTS: 141 patients were included in the study, and carotid-imaging follow-up was performed in 122 patients. PCCO occurred in 40 patients (32.8%), and was more frequent in medically-treated patients (34 out of 61; 55.7%) compared with patients treated with revascularization (6 out of 61; 9.8%) (p<0.001). 7 of the 40 patients with PCCO (17.5%) suffered ipsilateral symptoms. Factors independently related with PCCO in the multivariate analysis were: age ≥75 years (OR 2.93, 95% CI 1.05 to 8.13), revascularization (OR 0.07, 95% CI 0.02 to 0.20), and collateral circulation through the ipsilateral ophthalmic artery (OR 3.25, 95% CI 1.01 to 10.48). CONCLUSIONS: PCCO occurred within 24 months in more than half of the patients under medical treatment. Most episodes of PCCO were not associated with ipsilateral symptoms. Revascularization reduces the risk of PCCO.


Assuntos
Artérias Carótidas/diagnóstico por imagem , Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/terapia , Circulação Colateral/fisiologia , Progressão da Doença , Idoso , Doenças das Artérias Carótidas/diagnóstico por imagem , Doenças das Artérias Carótidas/epidemiologia , Doenças das Artérias Carótidas/terapia , Artéria Carótida Interna/diagnóstico por imagem , Estenose das Carótidas/epidemiologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Artéria Oftálmica/diagnóstico por imagem , Estudos Prospectivos
12.
Cultur Divers Ethnic Minor Psychol ; 26(3): 306-317, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31535880

RESUMO

OBJECTIVES: Transnational ties refer to the affective, communicative, and economic relationships that migrant families build between the societies of origin and destination. Investigations of such ties are very scarce. In the present study, focused on Latin American migrant women, transnational ties are considered a protective factor of family functioning, conditioned by premigratory variables. The working hypothesis is that increased frequency of reunited mothers' communication with and remittances to their children during the period of separation prior to the reunion will be linked to better communication, cohesion, flexibility, satisfaction, and family resources, according to the reunited mothers' perception. METHOD: The sample consisted of 81 mothers of Latin American reunited families. Most of them (61.7%) have 2 or 3 children and 75.3% have already reunited all of their children in Bizkaia. The frequency of communication between family members in the societies of origin and destination and the frequency of remittances were the transnational variables. To observe family functioning, we used the Circumplex Model. A mediation model was tested through structural equation modeling. RESULTS: The results of the study confirmed the mediator role of the transnational variables, especially the frequency of transnational communications, partially or fully moderating the impact of the premigratory variables, and positively associated with family functioning, in terms of greater cohesion, flexibility, communication, satisfaction, and perception of resources. CONCLUSIONS: This study has highlighted the role of these ties, which lead to more functional family dynamics. It is necessary to promote new forms of transnational communication that favor subsequent family reunification. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Relações Familiares/etnologia , Família/etnologia , Hispânico ou Latino/psicologia , Migrantes/psicologia , Adulto , Criança , Comunicação , Família/psicologia , Relações Familiares/psicologia , Feminino , Humanos , América Latina , Relações Pais-Filho/etnologia
14.
Nurs Res ; 68(4): E1-E10, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30939527

RESUMO

BACKGROUND: Although infertile couples are mentally healthy, dealing with infertility and assisted reproductive technology (ART) treatment is usually associated with psychological distress. It would therefore be useful to have short, multidimensional instruments to be able to identify people who present more intense emotional reactions and follow up their emotional distress throughout the ART. OBJECTIVES: The goals of the study were to analyze the psychometric adequacy of the original 90-item version of the Symptom Checklist (SCL-90) in a sample of Spanish women and their partners undergoing ART, as well as to develop and analyze two brief versions of the SCL-90, given the absence of adequate short versions for this population. METHODS: A cross-sectional design for patients and their partners in the process of ART through in vitro fertilization was used. The two brief scales were obtained, which took into account the levels of variance explained by the items and confirmatory factor analysis. RESULTS: Two brief instruments were developed. The first, with 45 items (SCL-45-I Infertility), includes nine subdimensions: Somatization, Interpersonal Sensitivity, Obsessive-Compulsive Disorder, Depression, Anxiety, Hostility, Paranoid Ideation, Phobic Anxiety, and Psychoticism. The second instrument contains nine items (SCL-9-I or Global Severity Index [GSI]), one item for each dimension. Both instruments were psychometrically adequate (SCL-45-I: χ/df = 7.24, RMSEA = .057, 95% CI [.056, .059], CFI = .97, NNFI = .97, SRMR = .049; SCL-9-I: χ/df = 9.66, RMSEA = .068, 95% CI [.061, .076], CFI = .97, NNFI = .96, SRMR = .035). Measurement invariance analysis by gender was conducted, and the instruments were shown to be suitable for both men and women. DISCUSSION: The suitability of the SCL-90-R for use in ART was verified, and two valid instruments-useful and easy to use for nurses, psychologists, and other care providers-were developed.


Assuntos
Infertilidade/psicologia , Técnicas de Reprodução Assistida/psicologia , Parceiros Sexuais/psicologia , Estresse Psicológico/diagnóstico , Inquéritos e Questionários , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Espanha , Adulto Jovem
15.
J Adv Nurs ; 75(2): 338-347, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30187521

RESUMO

AIM: To investigate the relationship between the quality of marital functioning and communication, individual psychological symptomatology, and pregnancy achievement in couples undergoing assisted reproduction. BACKGROUND: The results concerning marital functioning and the feasibility of pregnancy yield contradictory outcomes and the quality of the relationship of the couple undergoing assisted reproduction has not been analysed from systemic models. Our hypothesis is that when undergoing assisted reproduction treatment (ART), the couple's functioning and communication will be related to the pregnancy rate. DESIGN: This study employs a cross-sectional design with couples receiving ART. METHODS: Spanish heterosexual couples (N = 185) completed the self-report instruments. The data were collected from 2010 - 2015. All the couples completed at least one treatment process, or at least 1 year had gone by since beginning the treatment. RESULTS: The association between couple relationship quality and the individual psychological symptomatology experienced during the assisted reproduction process was confirmed in men and women. Although both members of the couple experienced an increase of symptomatology, only men's symptomatology was statistically significantly linked to pregnancy achievement. CONCLUSION: It is necessary to support the couple from the assisted reproduction centres, promoting cohesion, flexibility, and communication in the relationship. The intervention process should also be understood from a systemic perspective; that is, considering dyadic transactions as a systemic unit. Two aspects seem to be especially relevant for clinical nurses in ART: (a) the man's role is crucial for treatment success; (b) the woman's communication is crucial to the process.


Assuntos
Adaptação Psicológica , Comunicação , Fertilização , Casamento/psicologia , Gravidez/estatística & dados numéricos , Técnicas de Reprodução Assistida/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Espanha , Resultado do Tratamento
16.
PeerJ ; 6: e5980, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30533297

RESUMO

BACKGROUND: Postnatal bonding constitutes a major process during the postpartum period, and there is evidence that bonding difficulties have negative consequences for parents' mental health and the child's development. However, the conceptualization of postnatal bonding presents inconsistencies, as well as problems in having instruments that encompasses the father figure. The objective was to adapt the maternal postnatal attachment scale (MPAS) and the paternal postnatal attachment scale (PPAS) to Spanish, to evaluate its validity and reliability and to analyze the construct dimensionality of both questionnaires from a gender perspective. METHODS: Instrumental design. In 2016-2017, a sample of 571 mothers and 376 fathers, with children between 6 and 11 months of age, responded to the Spanish version of MPAS and PPAS, respectively. After a process of translation-back-translation of the instrument, we empirically analyzed the internal consistency (Cronbach alpha, composite reliability (CR)) construct and concurrent validity (with regard to postpartum depression and dyadic adjustment). Additionally, we studied the instrument's content validity, using the Delphi methodology; and the differential analysis in both samples (mothers and fathers), examining the invariance. RESULTS: A short version of 15 items was obtained, common for mothers and fathers. The results of the Delphi methodology showed a 100% inter-judge agreement, highlighting the absence of differences in the adequacy of the items as a function of the parents' gender. Confirmatory factor analysis showed a good fit of three original factors proposed by the authors. The global Cronbach alpha coefficients in the total sample were adequate (mothers, 0.70; fathers, 0.78); and Cronbach alpha of each dimension in the case of mothers was 0.50 (Quality of bonding), 0.55 (Absence of hostility), and 0.60 (Pleasure in interaction); in the case of fathers, it was respectively 0.54, 0.64, and 0.72. CR of each dimension were: quality of bonding, 0.74 in mothers and 0.80 in fathers; absence of hostility, 0.93 in mothers and 0.94 in fathers; pleasure in interaction, 0.83 in mothers and 0.90 in fathers. With regard to the analysis of group invariance, the results revealed empirical evidence of configural and metric invariance. Concurrent validity showed moderate negative correlations for postnatal depression (mothers, r = -0.41, p < 0.001; fathers, r = -0.38, p < 0.001), and positive correlations for dyadic adjustment (mothers, r = 0.39, p < 0.001; fathers, r = 0.44, p < 0.001). DISCUSSION: A new version of the instrument was generated, with good psychometric properties, adequate for use both with mothers and with fathers. This scale helps evaluate postnatal maternal and paternal bonding, allowing to study it from within the family system, a necessary step forward to advance perinatal mental health.

17.
PLoS One ; 13(8): e0202894, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30148877

RESUMO

INTRODUCTION: Parents' perception that their child may be vulnerable to serious life-threatening illnesses can have negative effects on how they exercise their parenting. No studies have yet been carried out on parent´s perception of their child's vulnerability, when the child has not suffered a severe illness. This study tries to analyze the relationship between parent´s perception of their children´s vulnerability and parental competence, and analyzes the mediating role of postnatal depression and parental stress. METHOD: The study was carried out on mothers and fathers of full-term infants who did not have any serious illnesses. A total of 965 people (385 fathers and 580 mothers) participated in the study. RESULTS: The results revealed an association between parental perception of their child's vulnerability and parent's perception of parental competence through depression and parental stress. However, this association was different for fathers and mothers. CONCLUSION: The variable of perception of child's vulnerability was a relevant factor to understand parental competence.


Assuntos
Doença Crônica , Depressão Pós-Parto/psicologia , Pai/psicologia , Mães/psicologia , Poder Familiar/psicologia , Percepção , Estresse Psicológico , Adulto , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Perfil de Impacto da Doença , Inquéritos e Questionários
18.
Span J Psychol ; 21: E29, 2018 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-30056807

RESUMO

The main goal of the study is to analyze the metric goodness of the Spanish version of the Adult Prosocialness Scale (Caprara, Steca, Zelli, & Capanna, 2005). Analysis of construct and concurrent validity in two similar samples of young adults, a Spanish sample (target of the adaptation) and an Italian sample (source language), revealed the adequacy of the Spanish version of instrument, with adequate fit of the model in the Spanish group, χ2(96) = 405.28, p = .001, RMSEA = .071, CFI = .94, GFI = .93, and the Italian group χ2(97) = 224.5, p = .001, RMSEA = .075, CFI = .91, GFI = .90. The results also replicated the adequacy of the instrument found in the Italian sample, as the configural and metric invariance was verified in both groups. Analyses of benevolent and power values related to prosociality and differences between genders supported the validity of the scale. In short, the present study confirms the adequacy and sensitivity of the instrument to study prosociality in young adults in a Spanish sample.


Assuntos
Psicometria/normas , Comportamento Social , Adulto , Altruísmo , Comportamento Cooperativo , Comparação Transcultural , Feminino , Comportamento de Ajuda , Humanos , Itália , Masculino , Psicometria/instrumentação , Reprodutibilidade dos Testes , Espanha , Adulto Jovem
19.
Cuad. psiquiatr. psicoter. niño adolesc ; (65): 67-72, ene.-jun. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-173915

RESUMO

La interacción entre el bebé y sus figuras de apego es un elemento clave para el desarrollo socioemocional de los/las menores. El objetivo principal del presente estudio fue analizar la relación entre la función reflexiva parental y la autorregulación socioemocional de bebés de 9 a 14 meses de edad de la CAV. La muestra estuvo compuesta por 108 padres y madres (14 hombres y 92 mujeres) de menores entre 9 y 14 meses de edad pertenecientes al consorcio de Haurreskolas del País Vasco. Los resultados muestran que la función reflexiva parental se asocia con una autorregulación socioemocional más ajustada de los/ las menores


The relationship that is established between the baby and their attachment figures is essential for the socioemotional development of the child. The main goal of this research was to analyze the relationship between the parental reflective functioning and socio-emotional self regulation of infants between 9 to 14 months old from CAV. The sample consisted of 108 parents (14 men and 92 women) of infants between 9 to 14 months old who were enrolled at the Haurreskolas Consortium from the Basque Country. The results showed that parental reflective functioning is related to the optimal socioemotional self regulation of infants


Assuntos
Humanos , Masculino , Feminino , Lactente , Poder Familiar/psicologia , Ajustamento Emocional , Teoria da Mente , Relações Pais-Filho , Desenvolvimento Infantil
20.
Span. j. psychol ; 21: e29.1-e29.10, 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-189112

RESUMO

The main goal of the study is to analyze the metric goodness of the Spanish version of the Adult Prosocialness Scale (Caprara, Steca, Zelli, & Capanna, 2005). Analysis of construct and concurrent validity in two similar samples of young adults, a Spanish sample (target of the adaptation) and an Italian sample (source language), revealed the adequacy of the Spanish version of instrument, with adequate fit of the model in the Spanish group, χ2(96) = 405.28, p = .001, RMSEA = .071, CFI = .94, GFI = .93, and the Italian group χ2(97) = 224.5, p = .001, RMSEA = .075, CFI = .91, GFI = .90. The results also replicated the adequacy of the instrument found in the Italian sample, as the configural and metric invariance was verified in both groups. Analyses of benevolent and power values related to prosociality and differences between genders supported the validity of the scale. In short, the present study confirms the adequacy and sensitivity of the instrument to study prosociality in young adults in a Spanish sample


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Psicometria/normas , Comportamento Social , Altruísmo , Comportamento Cooperativo , Comparação Transcultural , Comportamento de Ajuda , Itália , Psicometria/instrumentação , Reprodutibilidade dos Testes , Espanha
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...