ResumenLa depresión perinatal constituye un trastorno de alta prevalencia con repercusiones negativas en la madre y en el bebé. A partir de estos antecedentes se revisa la literatura existente sobre intervenciones psicológicas focalizadas en reducir la depresión y/o favorecer un vínculo madre-infante positivo desde el embarazo hasta los dos años del niño/a. Se consideran 27 estudios publicados entre los años 1996 y 2012, que incluyen grupos experimental y control. Los resultados muestran que un mayor número de intervenciones se focalizan en la depresión perinatal como variable, distinguiendo entre intervenciones en el embarazo y postparto. Un menor número de estudios se dirige a la calidad del vínculo madre-infante y a ambas variables. Las intervenciones reportadas como exitosas, incluyen intervenciones grupales e individuales dirigidas a favorecer la sensibilidad materna y técnicas corporales. Palabras clave: Intervenciones perinatales, depresión materna, vínculo madre-bebé.
AbstractPerinatal depression constitutes a high prevalence disorder, with negative repercussions in the mother and the baby. From these precedents, this article reviews different psychological interventions developed to reduce depression and/or to promote a mother-infant bond-quality, from pregnancy to children's second year of life. There are considered 27 studies published between 1996 and 2012, with inclusion of experimental and control groups. Results show that most of the interventions are focused in perinatal depression as a variable, differentiating between interventions during pregnancy and at postpartum. A minor number of studies focused on the mother-baby bond quality and to modify both variables in a simultaneous way. Interventions that were reported to be successful considered group and individual interventions focused on promoting maternal sensitivity and corporal techniques.
There are many risk factors that make the transition to parenthood difficult, even in the best of circumstances. One such risk factor is the experience of parental childhood trauma, which has the potential to affect the parent/child relationship, both in terms of attachment style parental reflective functioning. This study aims to expand on the line of research concerned with the effects that trauma has once that child transitions into adulthood and into parenthood by looking at the role that the experience of trauma and adult attachment has in relation to parental reflective functioning. This study assessed mothers (N = 125) by using the CTQ (childhood experience of trauma), ECR (adult attachment), and the PRFQ (parental RF). Our study found that in the presence of physical neglect, insecure attachment had a particularly deleterious effect on maternal reflective functioning. This relationship was not as strong in the absence of physical neglect.
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