Sintomas depressivos e de ansiedade maternos e prejuízos na relação mãe/filho em uma coorte pré-natal: uma abordagem com modelagem de equações estruturais

Abstract

This study aimed to investigate the association between maternal depressive symptoms and anxiety and interference in the mother/child relationship, using structural equations modeling. Data were used from a prospective cohort study initiated during the prenatal period with 1,140 mothers in São Luís, Maranhão State, Brazil. Data were collected during prenatal care and when the children reached two years of age. Interference in the mother/child relationship was measured with the Postpartum Bonding Questionnaire - PBQ (N = 1,140). In the initial theoretical model, socioeconomic status determined the maternal demographic, psychosocial, and social support factors, which determined the outcome, i.e., the mother/child relationship. Adjustments were performed by structural equations modeling, using Mplus 7.0. The final model showed good fit (RMSEA = 0.047; CFI = 0.984; TLI = 0.981). Depressive symptoms in pregnancy and the postpartum were associated with higher PBQ scores, indicating interference in the mother/child relationship. The greatest effect was from depressive symptoms in pregnancy. Other factors associated with higher PBQ scores were lower social support, unfavorable socioeconomic status, and living without a partner, by indirect association. Anxiety symptoms and maternal age were not associated with the mother/child relationship. The results suggest that identifying and treating depression in pregnancy and postpartum can improve mother/child bonding in childhood.

Prenatal follow-up of high-risk pregnancy in the public service

“…Social and demographic characterization of the women in this study, in relation to age, marital status and schooling was similar to that found in other studies, with a predominance of pregnant women of favorable reproductive age, with partner and high school (11)(12)(13) . On the other hand, family income was above that found in other surveys (12)(13) .…”

Postpartum Depression: Epidemiological Clinical Profile of Patients Attended In a Reference Public Maternity in Salvador-BA

“…[1][2][3][7][8][9][10] The puerperal depressive disorders affect the motherchild binomial, causing serious changes in the psychosocial and family dynamics, with significant impairment in the structure of the psyche of the child. 7,[11][12][13][14] The figure that should be nurturing becomes the figure that neglects and does not provide the child with the demands that the age requires. In addition, these disorders cause weariness in the relationship of the puerpera with her relatives and with her partner, and increase the possibility of auto and heteroaggression.…”

Assistência de enfermagem a mulheres com ansiedade e depressão na gravidez: uma revisão integrativa

“…Essas mudanças têm desencadeado, muitas vezes, um processo de vulnerabilidade às mulheres grávidas podendo agravar à saúde mental e desenvolver transtornos mentais (Morais et al, 2017).…”