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1.
Artigo em Inglês | MEDLINE | ID: mdl-35329297

RESUMO

The couple's relationship and mother and father's depressive symptoms during the transition to parenthood were associated with the toddler's emotional and behavioral problems. This study aimed to analyze how the couple's positive and negative interactions and mother and father's depressive symptoms during the transition to parenthood impact toddlers' emotional and behavioral problems. A sample of 95 mothers and fathers (N = 190) were recruited and individually completed questionnaires to assess couples' positive and negative interactions and depressive symptoms during the first trimester of pregnancy and at 3 and 30 months postpartum, and they completed the Child Behavior Checklist 1.5-5 at 30 months postpartum. The path analyses revealed that the couple's postnatal negative interaction partially mediates the impact of the mother's prenatal depressive symptoms on the toddler's internalizing problems at 30 months postpartum. The father's postnatal depressive symptoms and the couple's concurrent positive interaction mediated the impact of the couple's prenatal positive interaction on the toddler's externalizing problems at 30 months postpartum. The screening of the couple's negative interaction and depressive symptoms during pregnancy and the postnatal period can help to identify mothers, fathers, and toddlers at risk for mental health problems.


Assuntos
Depressão Pós-Parto , Comportamento Problema , Pré-Escolar , Depressão/psicologia , Depressão Pós-Parto/diagnóstico , Emoções , Feminino , Humanos , Mães/psicologia , Gravidez
2.
J Hum Lact ; 37(4): 784-794, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-33571030

RESUMO

BACKGROUND: Exclusive breastfeeding has a wide range of benefits for maternal health. However, the benefit of exclusive breastfeeding for maternal mental health needs to be further explored. RESEARCH AIM: To determine the moderating role of exclusive breastfeeding at 3 months on the association between prenatal and postpartum depression. METHODS: This study had a prospective, longitudinal, and comparative design with two groups and three assessment waves. The sample comprised 334 participants (70 depressed and 264 non-depressed) recruited at public health services in northern Portugal. Participants completed a measure of depression symptoms between the second and the third trimester of pregnancy and between 3 and 6 months, and a measure of breastfeeding status at 3 months. RESULTS: Exclusive breastfeeding at 3 months moderated the association between prenatal and postpartum depression. Participants with prenatal depression who were exclusively breastfeeding at 3 months showed fewer symptoms of depression and lower rates of depression between 3 and 6 months postpartum, compared to participants with prenatal depression who were not exclusively breastfeeding. Participants without prenatal depression who were exclusively breastfeeding at 3 months showed similar depression symptoms and similar rates of depression between 3 and 6 months postpartum, compared to participants without prenatal depression who were not exclusively breastfeeding. CONCLUSION: Exclusive breastfeeding has a potential protective influence on postpartum depression among women with prenatal depression. Public health policies targeting women with prenatal depression should be implemented and include practices to promote and support exclusive breastfeeding in order to enhance women's exclusive breastfeeding and mental health.


Assuntos
Aleitamento Materno , Depressão Pós-Parto , Feminino , Humanos , Saúde Mental , Período Pós-Parto , Gravidez , Estudos Prospectivos
3.
Early Hum Dev ; 153: 105290, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33316587

RESUMO

BACKGROUND: Temperament characteristics are key elements for infants' development. The Infant Behavior Questionnaire - Revised (IBQ-R) is one of the most used measures to assess temperament in infants aged between 3 and 12 months. Its reliability and factor structure have not yet been examined in infants younger than 3 months. AIMS: To analyze the reliability of the IBQ-R at 2 weeks and the IBQ-R factor structure from 2 weeks to 12 months of life. METHOD: A longitudinal repeated measures design was used. Three hundred mothers completed the IBQ-R when their infants were 2 weeks, and 3, 6 and 12 months. RESULTS: At 2 weeks the proportion of "non-applicable" responses was higher in duration of orienting, high intensity pleasure, approach and smiling and laughter scales. The Cronbach's alpha for the IBQ-R dimensions ranged between 0.62 and 0.63 and the McDonald's omega ranged between 0.67 and 0.80, all dimensions exhibited a mean-scale correlation above 0.15, and more than half of the scales revealed a scale-dimension correlation higher than 0.30. The same factor structure was found at 2 weeks, and at 3, 6, and 12 months: surgency/extraversion, p < 0.001, negative affectivity, p < 0.001, and orienting regulation, p = 0.007. CONCLUSIONS: The IBQ-R may be applied in the first weeks of life and its factor structure remains stable when applied across different ages throughout infancy.


Assuntos
Comportamento do Lactente , Temperamento , Feminino , Humanos , Lactente , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
4.
Front Psychol ; 12: 751330, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35111098

RESUMO

The Baby Care Scale (BCS) was designed to assess the involvement of father in infant care during pregnancy and the postpartum period. This study aimed to examine the psychometric characteristics of the BCS - antenatal (BCS-AN) and BCS - postnatal (BCS-PN) versions. A sample of 100 primiparous fathers completed the BCS-AN and/or the BCS-PN and self-reported the measures of anxiety and depressive symptoms and of father-infant emotional involvement during pregnancy and the postpartum period, respectively. Good internal consistency was found for both the BCS-AN and the BCS-PN. A two-factor model was found for both versions of the instrument: (1) household tasks and (2) infant care tasks. The BCS-AN and BCS-PN subscales revealed good internal consistency. Higher scores on the BCS-AN predicted higher scores on the BCS-PN. Significant associations were found among the BCS (BCS-AN and BCS-PN), depressive and anxiety symptoms, and father-infant emotional involvement, revealing good criterion validity. This study suggested that both the BCS-AN and the BCS-PN are reliable multidimensional self-report measures that assess the involvement of father in infant care during pregnancy and the postpartum period.

5.
Artigo em Inglês | MEDLINE | ID: mdl-33158085

RESUMO

This study analyzed the possible interaction effects between tobacco consumption and anxiety or depression during pregnancy on maternal and neonatal health. We recruited a sample of 807 pregnant Spanish women from public healthcare services. Women completed a questionnaire on sociodemographic variables, health status and tobacco consumption (continuous, quitting or no consumption) in the first and third trimester of pregnancy and at 2 months postpartum, and self-reported measures of anxiety and depression in the first trimester. Abstinence of tobacco consumption was verified through biochemical measurements. Interaction effects between tobacco consumption and anxiety were found for delivery (p < 0.001), neonatal health complications (p = 0.026) and gestational age at birth (p = 0.029). Interaction effects between tobacco consumption and depression were found for pregnancy (p = 0.032), delivery complications (p < 0.001) and weeks of gestation at birth (p = 0.031). This study suggests that there are different kinds of interaction effects between tobacco consumption and anxiety or depression. Smokers with high anxiety presented more delivery complications compared to quitters and non-smokers with high anxiety. There is a cumulative effect of anxiety on the effects of tobacco consumption on maternal health. The results highlighted the beneficial impact of quitting smoking during pregnancy to reduce the risk of suffering anxiety, depression and health complications.


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Complicações na Gravidez/epidemiologia , Uso de Tabaco/epidemiologia , Transtornos de Ansiedade/epidemiologia , Feminino , Humanos , Saúde do Lactente , Gravidez
6.
J Reprod Infant Psychol ; 38(3): 281-296, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-31392897

RESUMO

BACKGROUND: Depression symptoms may negatively affect the achievement of developmental tasks within the transition to parenthood, increasing the risk of paternal adjustment problems and negative paternal attitudes. OBJECTIVE: This study analysed the effect of men's depression symptoms on paternal adjustment and paternal attitudes trajectories from the second trimester of pregnancy to six months postpartum. METHODS: A sample of 127 men completed measures of depression symptoms and paternal adjustment and paternal attitudes at the second trimester of pregnancy and at six months postpartum. RESULTS: From the second trimester of pregnancy to six months postpartum, men with more depression symptoms revealed a decrease on positive attitudes towards sex (while men with fewer depression symptoms revealed an increase), a steeper decrease in the satisfaction with marital relationship (than men with fewer depression symptoms), and a decrease in positive attitudes towards pregnancy and the baby (while men with fewer depression symptoms revealed an increase). CONCLUSION: Depression symptoms early in pregnancy may represent a risk factor to increased paternal adjustment problems and negative paternal attitudes during the transition to parenthood.


Assuntos
Atitude , Depressão/psicologia , Pai/psicologia , Pais/psicologia , Assistência Perinatal , Adulto , Feminino , Humanos , Masculino , Portugal , Gravidez
7.
Int J Public Health ; 64(9): 1355-1365, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31628523

RESUMO

OBJECTIVES: This study aimed to analyse depression and anxiety symptoms changes from the first to the third trimester of pregnancy in non-smokers versus quitters versus continuous smokers, and the contribution of depression and anxiety symptoms to continued tobacco consumption during pregnancy. METHODS: The sample comprises 850 Spanish pregnant women (595 non-smokers, 123 quitters, and 132 continuous smokers), assessed at the first and the third trimester of pregnancy with a questionnaire concerning socio-demographic, obstetric, and tobacco consumption information, and measures of depression and anxiety. RESULTS: Continuous smokers during pregnancy showed more depression and anxiety symptoms than both non-smokers and quitters and no changes from the first trimester to the third trimester of pregnancy, while both non-smokers and quitters revealed a decrease in depression and anxiety symptoms. More anxiety symptoms at the first trimester (OR 1.03) and depression symptoms at the third trimester (OR 1.14) were associated with continued smoking during pregnancy. CONCLUSIONS: Anxiety and depression symptoms need to be considered to screening for women at risk of smoking during pregnancy. Future prenatal smoking cessation interventions must take into account these variables.


Assuntos
Transtornos de Ansiedade/psicologia , Transtorno Depressivo/psicologia , Gestantes/psicologia , Abandono do Hábito de Fumar/psicologia , Fumar Tabaco/psicologia , Adulto , Feminino , Humanos , Gravidez , Complicações na Gravidez , Abandono do Hábito de Fumar/estatística & dados numéricos , Espanha , Inquéritos e Questionários , Adulto Jovem
8.
Infant Ment Health J ; 40(6): 850-861, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31402479

RESUMO

Coparenting is based on parents' representations of themselves as coparents. Attachment theory can be a useful framework to understand the way that different coparenting representations are developed during the transition to parenthood. This study aimed to analyze the association between men's attachment and coparenting representations at the first trimester of pregnancy and from the first trimester of pregnancy to 6 months' postpartum. A sample of 86 men was recruited and completed self-report measures of attachment and coparenting representations at the first and third trimester of pregnancy and at 1 and 6 months' postpartum. At the first trimester of pregnancy, higher attachment avoidance was associated with higher lack of coparenting support. From the first trimester of pregnancy to 6 months' postpartum, higher attachment avoidance was associated with (a) a steeper increase on lack of coparenting support, (b) an increase on coparenting conflict (while low attachment avoidance was associated with a decrease), and (c) a lower decrease on coparenting disagreement. This study may contribute to coparenting research by showing new evidence on attachment theory as a useful framework to understand how different coparenting representations are developed in men during the transition to parenthood.


La crianza compartida se basa en las representaciones que cada progenitor tiene de sí como responsable en conjunto de la crianza. La teoría de la afectividad puede ser un marco útil para comprender la manera como diferentes representaciones de la crianza compartida se desarrollan durante la transición a ser padres. Este estudio se propuso como meta analizar la asociación entre la afectividad de los hombres y las representaciones de la crianza compartida durante el primer trimestre del embarazo y a partir del primer trimestre del embarazo a los seis meses después del parto. Se reclutó un grupo muestra de 86 hombres quienes completaron medidas de auto-reporte sobre la afectividad y las representaciones de la crianza compartida al primer y tercer trimestre del embarazo, y al mes y seis meses después del parto. Al primer trimestre del embarazo, un más alto sentido de evitar la afectividad se asoció con una mayor falta de apoyo a la crianza compartida. Del primer trimestre del embarazo a los seis meses posteriores al parto, el más alto sentido de evitar la afectividad se asoció con (1) un más profundo aumento en la falta de apoyo a la crianza compartida, (2) un aumento en el conflicto de crianza compartida (mientras que el bajo nivel del sentido de evitar la afectividad se asoció con una baja), y (3) una más baja disminución en el desacuerdo de la crianza compartida. Este estudio pudiera contribuir a la investigación sobre la crianza compartida al mostrar nueva evidencia sobre la teoría de la afectividad como un marco útil para comprender cuán diferentemente se desarrollan las representaciones de crianza compartida en los hombres durante la transición a la paternidad.


Le coparentage est basé sur les représentations des parents d'eux-mêmes en tant que coparents. La théorie de l'attachement peut être une structure utile pour comprendre la manière dont différentes représentations de coparentages se développent durant la transition au parentage. Cette étude s'est donné pour but d'analyser l'association entre l'attachement des hommes et les représentations de coparentage durant le premier trimestre de la grossesse et du premier trimestre de la grossesse à six mois après la naissance. Un échantillon de 86 hommes a été recruté et a rempli des mesures auto-rapportées d'attachement et des représentations de coparentage au premier et au troisième trimestre de la naissance, et à un an et six mois après la naissance. Au premier trimestre de la grossesse le fait d'éviter l'attachement était lié à un manque de soutien de coparentage plus élevé. Du premier trimestre de la grossesse à six mois postpartum, le fait d'éviter l'attachement était lié à (1) une plus forte augmentation du manque de soutien de coparentage, (2) une augmentation du conflit de coparentage (alors qu'un faible fait d'éviter l'attachement était lié à une décroissance), et (3) une baisse du désaccord de coparentage. Cette étude contribue aux recherches sur le coparentage en montrant de nouvelles preuve de la théorie de l'attachement en tant que structure utile pour comprendre comment des représentations différentes de coparentage se développent chez les hommes durant la transition au parentage.


Assuntos
Aprendizagem da Esquiva , Pai/psicologia , Apego ao Objeto , Poder Familiar/psicologia , Adulto , Feminino , Humanos , Masculino , Período Pós-Parto/psicologia , Gravidez , Primeiro Trimestre da Gravidez , Autorrelato
9.
Midwifery ; 66: 49-55, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30121478

RESUMO

BACKGROUND: The Breastfeeding Self-Efficacy Scale-Short Form is a reliable instrument to measure mother's confidence in her ability to breastfeed. The Breastfeeding Self-Efficacy Scale-Short Form has traditionally been used postnatally, but evidence suggests that it can be used antenatally to identify mothers at-risk of requiring additional support to improve breastfeeding outcomes. OBJECTIVE: The aim of this study was to examine the psychometric characteristics of an antenatal version of the Breastfeeding Self-Efficacy Scale-Short Form, among pregnant Portuguese women. DESIGN: Methodological prospective study to examine the psychometric characteristics of the antenatal Portuguese version of the Breastfeeding Self-Efficacy Scale-Short Form. SETTINGS: Two public hospital units in the Northern Portugal. PARTICIPANTS: The sample was comprised of 373 pregnant women recruited at 30-34 gestational weeks. METHODS: The original English version of the antenatal Breastfeeding Self-Efficacy Scale-Short Form was translated into Portuguese and the Portuguese antenatal version of the scale was tested in a sample of 373 pregnant women. To examine the psychometric characteristics of the Portuguese antenatal version of the scale, the maternal demographic variables and the depressive and anxiety symptomatology of the participants were examined. The predictive validity of the Portuguese antenatal version of the scale was studied according to infant feeding method at one, three, and six months postpartum. RESULTS: The Cronbach's alpha coefficient was 0.92. The antenatal version of the Breastfeeding Self-Efficacy Scale-Short Form scores were found to be associated with women's parity, educational level, occupational status, time they intend to breastfeed, and previous breastfeeding experience. Also, the antenatal version of the Breastfeeding Self-Efficacy Scale-Short Form scores significantly predicted exclusive breastfeeding at 1 month postpartum. CONCLUSIONS: Results provided evidence that the antenatal Portuguese version of the Breastfeeding Self-Efficacy Scale-Short Form is a valid and reliable measure to assess breastfeeding self-efficacy in pregnant women. The antenatal version of the Breastfeeding Self-Efficacy Scale-Short Form could be a useful tool to assist Portuguese health professionals during routine prenatal care appointments to screen women with lower antenatal breastfeeding self-efficacy and, consequently, those that could be at risk for not initiating or early breastfeeding cessation.


Assuntos
Aleitamento Materno/psicologia , Gestantes/psicologia , Psicometria/normas , Autoeficácia , Adolescente , Adulto , Feminino , Hospitais Públicos/organização & administração , Hospitais Públicos/estatística & dados numéricos , Humanos , Intenção , Estudos Longitudinais , Portugal , Gravidez , Estudos Prospectivos , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Tradução
10.
J Affect Disord ; 238: 204-212, 2018 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-29886200

RESUMO

BACKGROUND: The association between the couple relationship and the mothers' and fathers' psychological adjustment to the transition to parenthood has been examined in the literature. However, the direction of effects between these variables has not been extensively explored. This study aimed to assess the direction of effects between mothers' and fathers' positive and negative interactions and anxiety and depression symptoms trajectories over the transition to parenthood. METHODS: A sample of 129 couples (N = 258) completed self-report measures of positive and negative interactions, anxiety and depression symptoms at each trimester of pregnancy, at childbirth, and at 3- and 30-months postpartum. Dyadic growth curve models were performed using multilevel modeling. RESULTS: Whereas anxiety and depression showed no moderation effect on positive and negative interactions over time, negative interaction moderated depression from 3- to 30-months postpartum. Mothers and fathers with high negative interaction scores experienced a steeper increase in depression from 3- to 30-months postpartum. Additionally, gender moderated the effect of positive interaction on anxiety from 3- to 30-months postpartum. Fathers with low positive interaction scores experienced an increase in anxiety, whereas fathers with high positive interaction scores and mothers with high or low positive interaction scores did not experience changes in anxiety from 3- to 30-months postpartum. LIMITATIONS: Despite the longitudinal aspect of the models, a possible causal relationship need to be taken with caution. CONCLUSIONS: Our results suggest that mothers' and fathers' positive and negative interactions affect their anxiety and depression symptoms trajectories: negative interaction raises mothers' and fathers' depression symptoms and positive interaction prevents the increase of fathers' anxiety symptoms over the postpartum period.


Assuntos
Depressão Pós-Parto/psicologia , Cuidado do Lactente/psicologia , Poder Familiar/psicologia , Parto/psicologia , Complicações na Gravidez/psicologia , Adaptação Psicológica , Adulto , Depressão/psicologia , Características da Família , Pai/psicologia , Feminino , Humanos , Recém-Nascido , Masculino , Mães/psicologia , Período Pós-Parto/psicologia , Gravidez , Autorrelato , Adulto Jovem
11.
J. pediatr. (Rio J.) ; 94(2): 146-154, Mar.-Apr. 2018. tab
Artigo em Inglês | LILACS | ID: biblio-894117

RESUMO

Abstract Objectives This study proposed a version of the Children's Sleep Habits Questionnaire for infants under 12 months (CSHQ-I). Methods The sample was comprised of 299 infants, aged between 2 weeks and 12 months. Results Exploratory factor analysis revealed four subscales: Bedtime Resistance, Sleep Anxiety, Positive Sleep Habits, and Daytime Sleepiness. The CSHQ-I total scale presented good test-retest reliability and internal consistency. The CSHQ-I also showed good concurrent validity, with significant associations found between the CSHQ-I total scale and subscales and a measure of infant sleep-wake behaviors. Conclusions The present study suggested the CSHQ-I as a reliable instrument to assess sleep problems in infants during the first year of life.


Resumo Objetivos Este estudo propôs uma versão do Questionário de Hábitos de Sono das Crianças para bebés com menos de 12 meses (CSHQ-I). Métodos Amostra composta de 299 bebés, entre duas semanas e 12 meses. Resultados A análise fatorial exploratória revelou quatros subescalas: resistência a ir para a cama, ansiedade do sono, hábitos de sono positivos e sonolência diurna. A escala completa do CSHQ-I apresentou boa confiabilidade teste-reteste e consistência interna. O CSHQ-I também mostrou boa validade concorrente, com associações significativas encontradas entre a escala completa e subescalas do CSHQ-I e uma medida de comportamentos de sono-vigília dos bebés. Conclusões O presente estudo sugeriu o CSHQ-I como um instrumento confiável para avaliar os problemas de sono em bebés durante o primeiro ano de vida.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Ratos , Sono/fisiologia , Inquéritos e Questionários , Psicometria , Transtornos do Sono-Vigília/diagnóstico , Fatores Socioeconômicos , Reprodutibilidade dos Testes , Estudos Longitudinais , Idade Materna
12.
J Pediatr (Rio J) ; 94(2): 146-154, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-28842258

RESUMO

OBJECTIVES: This study proposed a version of the Children's Sleep Habits Questionnaire for infants under 12 months (CSHQ-I). METHODS: The sample was comprised of 299 infants, aged between 2 weeks and 12 months. RESULTS: Exploratory factor analysis revealed four subscales: Bedtime Resistance, Sleep Anxiety, Positive Sleep Habits, and Daytime Sleepiness. The CSHQ-I total scale presented good test-retest reliability and internal consistency. The CSHQ-I also showed good concurrent validity, with significant associations found between the CSHQ-I total scale and subscales and a measure of infant sleep-wake behaviors. CONCLUSIONS: The present study suggested the CSHQ-I as a reliable instrument to assess sleep problems in infants during the first year of life.


Assuntos
Hábitos , Sono/fisiologia , Inquéritos e Questionários , Feminino , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino , Idade Materna , Psicometria , Reprodutibilidade dos Testes , Transtornos do Sono-Vigília/diagnóstico , Fatores Socioeconômicos
13.
J. pediatr. (Rio J.) ; 93(5): 452-459, Sept.-Oct. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-894048

RESUMO

Abstract Objective: Maternal depression and anxiety have been found to negatively affect fetal and neonatal growth. However, the independent effects of maternal depression and anxiety on fetal-neonatal growth outcomes and trajectories remain unclear. This study aimed to analyze simultaneously the effects of maternal prenatal depression and anxiety on (1) neonatal growth outcomes, and (2), on fetal-neonatal growth trajectories, from the 2nd trimester of pregnancy to childbirth. Methods: A sample of 172 women was recruited and completed self-reported measures of depression and anxiety during the 2nd and 3rd trimesters of pregnancy, and at childbirth. Fetal and neonatal biometrical data were collected from clinical reports at the same assessment moments. Results: Neonates of prenatally anxious mothers showed lower weight (p = 0.006), length (p = 0.025), and ponderal index (p = 0.049) at birth than neonates of prenatally non-anxious mothers. Moreover, fetuses-neonates of high-anxiety mothers showed a lower increase of weight from the 2nd trimester of pregnancy to childbirth than fetuses-neonates of low-anxiety mothers (p < 0.001). Considering maternal depression and anxiety simultaneously, only the effect of maternal anxiety was found on these markers of fetal-neonatal growth outcomes and trajectories. Conclusion: This study demonstrates the independent longitudinal effect of maternal anxiety on major markers of fetal-neonatal growth outcomes and trajectories, simultaneously considering the effect of maternal depression and anxiety.


Resumo Objetivo: Foi constatado que a depressão e ansiedade materna afetam negativamente o crescimento fetal e neonatal. Contudo, o efeito independente da depressão e ansiedade materna sobre os resultados e as trajetórias de crescimento fetal e neonatal continua incerto. Este estudo visou a analisar simultaneamente o efeito da depressão e ansiedade materna pré-natal (1) sobre os resultados de crescimento neonatal e (2) sobre as trajetórias do crescimento fetal-neonatal a partir do 2° trimestre de gravidez até o parto. Métodos: Uma amostra de 172 mulheres foi recrutada e elas relataram graus de depressão e ansiedade no 2° e 3° trimestre de gravidez e parto. Os dados biométricos fetais e neonatais foram coletados dos prontuários clínicos nas mesmas ondas de avaliação. Resultados: Os neonatos de mães ansiosas no período pré-natal mostraram menor peso (p = 0,006), comprimento (p = 0,025) e índice ponderal (p = 0,049) no nascimento do que os neonatos de mães não ansiosas no período pré-natal. Além disso, os neonatos de mães muito ansiosas mostraram um menor aumento de peso do 2° trimestre de gravidez até o parto que os fetos-neonatos de mães pouco ansiosas (p < 0,001). Considerando simultaneamente a depressão e a ansiedade maternal, apenas o efeito da ansiedade materna foi constatado nesses marcadores de resultados e trajetórias de crescimento fetal-neonatal. Conclusão: Este estudo demonstra o efeito longitudinal independente da ansiedade materna sobre os principais marcadores de resultados e trajetórias de crescimento fetal-neonatal, considerando simultaneamente o efeito da depressão e ansiedade materna.


Assuntos
Masculino , Feminino , Gravidez , Recém-Nascido , Adolescente , Adulto , Adulto Jovem , Ansiedade/complicações , Complicações na Gravidez/psicologia , Efeitos Tardios da Exposição Pré-Natal , Depressão/complicações , Retardo do Crescimento Fetal/psicologia , Segundo Trimestre da Gravidez , Fatores Socioeconômicos , Resultado da Gravidez
14.
Infant Behav Dev ; 49: 62-69, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28735066

RESUMO

This study assessed infant sleep-wake behavior at two weeks, three and six months as function of feeding method at three months (exclusively breastfed, partially breastfed, and exclusively formula fed infants). Mothers of 163 first-born, full-term, normal birth weight, healthy infants completed socio-demographic, depression, anxiety, and infant sleep-wake behavior measures. No effects were found for sleep arrangements, depression or anxiety, on feeding methods and sleep-wake behavior at three months. At two weeks exclusively breastfed infants at three months spent more hours sleeping and less hours awake during the 24-h period than partially breastfed infants. At three months, exclusively breastfed infants had a shorter of the longest sleep period at night than exclusively formula fed infants. At six months, exclusively breastfed infants at three months spent more hours awake at night than partially breastfed infants, awake more at night than exclusively formula fed infants, and had a shorter sleep period at night than partially breastfed and exclusively formula fed infants. This study showed differences in sleep-wake behaviors at two weeks, three and six months, when exclusively breastfed infants are compared with partially breastfed and exclusively formula fed infants at three months, while no effects were found for sleep arrangements, depression or anxiety.


Assuntos
Aleitamento Materno/métodos , Comportamento do Lactente/fisiologia , Relações Mãe-Filho , Sono/fisiologia , Ritmo Circadiano/fisiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Nascimento a Termo , Vigília/fisiologia
15.
J Pediatr (Rio J) ; 93(5): 452-459, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28219626

RESUMO

OBJECTIVE: Maternal depression and anxiety have been found to negatively affect fetal and neonatal growth. However, the independent effects of maternal depression and anxiety on fetal-neonatal growth outcomes and trajectories remain unclear. This study aimed to analyze simultaneously the effects of maternal prenatal depression and anxiety on (1) neonatal growth outcomes, and (2), on fetal-neonatal growth trajectories, from the 2nd trimester of pregnancy to childbirth. METHODS: A sample of 172 women was recruited and completed self-reported measures of depression and anxiety during the 2nd and 3rd trimesters of pregnancy, and at childbirth. Fetal and neonatal biometrical data were collected from clinical reports at the same assessment moments. RESULTS: Neonates of prenatally anxious mothers showed lower weight (p=0.006), length (p=0.025), and ponderal index (p=0.049) at birth than neonates of prenatally non-anxious mothers. Moreover, fetuses-neonates of high-anxiety mothers showed a lower increase of weight from the 2nd trimester of pregnancy to childbirth than fetuses-neonates of low-anxiety mothers (p<0.001). Considering maternal depression and anxiety simultaneously, only the effect of maternal anxiety was found on these markers of fetal-neonatal growth outcomes and trajectories. CONCLUSION: This study demonstrates the independent longitudinal effect of maternal anxiety on major markers of fetal-neonatal growth outcomes and trajectories, simultaneously considering the effect of maternal depression and anxiety.


Assuntos
Ansiedade/complicações , Depressão/complicações , Retardo do Crescimento Fetal/psicologia , Complicações na Gravidez/psicologia , Efeitos Tardios da Exposição Pré-Natal , Adolescente , Adulto , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez , Resultado da Gravidez , Segundo Trimestre da Gravidez , Fatores Socioeconômicos , Adulto Jovem
16.
Assessment ; 24(6): 820-830, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26658790

RESUMO

The Paternal Adjustment and Paternal Attitudes Questionnaire (PAPA) was designed to assess paternal adjustment and paternal attitudes during the transition to parenthood. This study aimed to examine the psychometric characteristics of the Portuguese versions of the PAPA-Antenatal (PAPA-AN) and -Postnatal (PAPA-PN) versions. A nonclinical sample of 128 fathers was recruited in the obstetrics outpatient unit, and they completed both versions of the PAPA and self-report measures of depressive and anxiety symptoms during pregnancy and the postpartum period, respectively. Good internal consistency for both PAPA-AN and PAPA-PN was found. A three-factor model was found for both versions of the instrument. Longitudinal confirmatory factor analysis revealed a good model fit. The PAPA-AN and PAPA-PN subscales revealed good internal consistency. Significant associations were found between PAPA (PAPA-AN and PAPA-PN) and depressive and anxiety symptoms, suggesting good criterion validity. Both versions also showed good clinical validity, with optimal cutoffs found. The present study suggested that the Portuguese versions of the PAPA are reliable multidimensional self-report measures of paternal adjustment and paternal attitudes that could be used to identify fathers with adjustment problems and negative attitudes during the transition to parenthood.


Assuntos
Adaptação Psicológica , Atitude , Pai/psicologia , Pais/psicologia , Testes Psicológicos/normas , Adolescente , Adulto , Ansiedade/psicologia , Depressão/psicologia , Análise Fatorial , Feminino , Humanos , Acontecimentos que Mudam a Vida , Masculino , Pessoa de Meia-Idade , Portugal , Gravidez , Psicometria , Reprodutibilidade dos Testes , Autorrelato , Adulto Jovem
17.
Biol Psychol ; 123: 294-301, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27984086

RESUMO

This study analyzed the mediating role of fetal heart rate variability (FHR) on prenatal depression and neonatal neurobehavioral maturity. A sample of 104 pregnant women was recruited and divided into two groups according to their Edinburgh Postnatal Depression Scale (EPDS) scores (depressed/non-depressed). FHR variability in response to speech stimuli was assessed at term (between 37 and 39 weeks gestation). The neonates were then assessed on the Neonatal Behavioral Assessment Scale (NBAS) during the first 5days after birth. The fetuses of non-depressed pregnant women showed higher HR variability than the fetuses of depressed pregnant women in response to speech stimuli, and later as neonates they performed more optimally on the NBAS (on autonomic stability and total scores). FHR variability mediated the relationship between the mother's prenatal depression and the neonatés NBAS performance. Prenatal depression effects on neonatal behavior may be partially explained by its adverse effects on fetal neurobehavioral maturity.


Assuntos
Desenvolvimento Infantil , Depressão/psicologia , Frequência Cardíaca Fetal , Complicações na Gravidez/psicologia , Efeitos Tardios da Exposição Pré-Natal/psicologia , Adulto , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Mães/psicologia , Gravidez , Terceiro Trimestre da Gravidez/psicologia , Adulto Jovem
18.
Infant Behav Dev ; 44: 169-78, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27448323

RESUMO

Although infant sleep-wake behavior presents several developmental changes during the first six months, literature lacks on reference values and few studies have explored the role of individual change and stability on infant sleep-wake behavior during the first six months. This study aimed (1) to describe infant sleep-wake behaviors during the 24-h period, day and night, at two weeks, three, and six months, (2) and to explore developmental changes and the role of individual change and stability on infant sleep-wake behaviors from two weeks to six months. Ninety-four primiparous mothers completed measures on infant sleep-wake behaviors at two weeks, three and six months. Significant developmental changes were found on infant sleep-wake behaviors from two weeks to six months. Two-week-old infants sleep 13.3h, spend 8.7h awake, awake 6.1 times, have 0.4h of latency to sleep, and 3.2h of longest sleep period. Three-month-old infants sleep 13.0h, spend 9.2h awake, awake 5.5 times, have 0.4h of latency to sleep, and 5.2h of longest sleep period. Six-month-old infants sleep 12.2h, spend 10.0h awake, awake 5.2 times, have 0.4h of latency to sleep, and 5.6h of longest sleep period. Significant individual change and stability were also found on infant sleep-wake behaviors from two weeks to six months. Despite significant developmental and individual changes, individual stability explains a significant amount of the variance on infant sleep-wake behaviors over the first six months of life.


Assuntos
Desenvolvimento Infantil/fisiologia , Comportamento do Lactente/fisiologia , Sono/fisiologia , Vigília/fisiologia , Ritmo Circadiano/fisiologia , Feminino , Humanos , Lactente , Cuidado do Lactente , Recém-Nascido , Masculino , Mães
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