COVID‐19 pandemic has had a great impact worldwide, specially affecting mental health and has undoubtedly taken part in human behaviour modification, increasing global health burden and with stress, anxiety and depression being the main contributors to this load. Because of the importance of this issue, the objective of this study was the creation of an explanatory model for the causal relationship of the main psychological variables: stress, anxiety and depression in the COVID‐19 pandemic context. A cross‐sectional study was carried out with a sample of 709 volunteers, sociodemographic variables and psychological symptoms were measured through a virtual DASS‐21 questionnaire, during the COVID‐19 pandemic, dated from November 2 to 6, 2020. A structural equation model using the weighted least squares means and the adjusted variance was employed for the creation and adjustment of the explanatory relational model. The results showed the presence of stress, anxiety and depression symptoms among the general population. The model showed an adequate fit (CFI = 0.94; TLI = 0.94; RMSEA = 0.06; P = 0.000) and was able to explain more than 80% of depressive symptoms ( R 2 = 0.86) and more than 70% of anxiety symptoms ( R 2 = 0.72), in addition to showing a unidirectional causal relationship of long‐term stress on anxiety, and anxiety on depressive symptoms, showing a linked behaviour of the same, in the adjusted model. It was also outlined that this model was characterized by being expressed mainly in women, with lower quality of sleep and at a younger age.
La autoeficacia de la lactancia materna es uno de los indicadores asociados a la salud mental de la puérpera y a la mantención de la lactancia materna exclusiva. Objetivo: Evaluar las propiedades psicométricas de un instrumento para medir la autoeficacia para amamantar al segundo día postparto en población chilena. Sujetos y Método: Se tomó una muestra por conveniencia de 320 puérperas que voluntariamente participaron en una entrevista al segundo día postparto. La confiabilidad se evaluó por medio del coeficiente alfa de Cronbach. Para valorar su estructura factorial, se realizó un análisis factorial exploratorio. Resultados: Los resultados indican que el instrumento final, que posee dos factores “Pensamientos Intrapersonales” compuesto por seis reactivos y “Técnicas de Amamantamiento” compuesto por ocho reactivos, cuya consistencia interna por factor y total de la escala fue: F1 = 0,90, F2 = 0,91 y Total = 0,94.Conclusión: La escala de autoeficacia de la lactancia materna mostró buenas características psicométricas en puérperas chilenas de segundo día.
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