Depressão materna e concentração de cortisol de recém-nascidos em uma amostra brasileira

Lucci, Tania Kiehl; Otta, Emma; David, Vinicius Frayze; Chelini, Marie Odile Monier

doi:10.15448/1980-8623.2016.2.23655

Cited by 8 publications

(8 citation statements)

References 32 publications

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“…Thus, Field et al (2014) report that newborns from mothers at risk for depression present several dysfunctions due to maternal biochemical exchanges during pregnancy, possibly through hormonal transmissions. In a previous study, part of this same project, newborns of mothers at risk for postpartum depression showed a higher concentration of salivary cortisol two days after delivery as compared to newborns of mothers not at risk for depression with a moderate effect size, although the effect was marginally significant (Lucci et al, 2016). Infants' sex and weight showed a potential to influence the behavior of both the newborn and the mother.…”

Section: Discussionmentioning

confidence: 76%

Early mother-infant interaction after delivery: A naturalistic study

Lucci¹,

Defelipe²,

Andrade³

et al. 2019

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Although there is a vast literature on early mother-infant interaction, there are fewer studies that investigate mother-infant behaviors immediately after delivery in natural conditions. Our aim was to investigate early mother-infant interaction as a function of mothers' emotional states, infants' sex and weight, and hospital procedures. Newborns were filmed when placed naked on their mother's chests (N = 60). Maternal (caress) and infant behaviors (crying and calming down) were coded every 10 seconds using Interact software. Mothers reported their emotional state, 1-2 days after delivery, using a five-point Likert scale, and answered the Edinburgh Postnatal Scale at 4-16 weeks postpartum. Multiple Ordinal Regressions considered maternal emotional conditions (emotional state and postpartum depression), infant's sex and weight, and hospital procedures (childbirth type and skin-to-skin contact) as independent variables, and the frequency of maternal and infant behaviors as outcome variables. Infants from mothers feeling 'great' and not at risk for depression were less likely to cry as compared to their counterparts. Mothers were more likely to caress their sons than their daughters. Boys were more likely to cry and less likely to calm than girls. Newborn weight and skin-to-skin contact were positively associated with infants' calming down. Infants cried more after normal delivery than after instrumental delivery. Our results showed that mother-infant early interactions are influenced by multiple levels and suggest hormonal influences during pregnancy.

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Section: Discussionmentioning

confidence: 76%

Early mother-infant interaction after delivery: A naturalistic study

Lucci¹,

Defelipe²,

Andrade³

et al. 2019

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“…Despite the risks, maternal depression does not culminate deterministically in adverse developmental outcomes. Children have shown evidence of a positive development, including, for example, secure attachment to their depressed mothers (DeMulder & Radke-Yarrow, 1991), similar results over children of non-PPD mothers in language task (Moraes et al, 2013), and in cortisol levels (Lucci et al, 2016). Studies also indicate that depressive symptoms do not necessarily cause impairments in mother-infant interaction (Defelipe et al, 2017;Fonseca et al, 2010).…”

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confidence: 68%

Infant-direct speech and mother-infant attention in depressed and nondepressed mothers

Santos

Bussab

2020

Inter. Psicol.

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Postpartum depression (PPD) is associated with disturbances in many aspects of mother-infant interaction. We compared the content of the infant-directed speech (IDS), the expression of positive affection in the maternal voice and the attentional engagement in dyads of PPD and non-PPD mothers. Participants of this study were 80 mothers and their infants at 3-6 months. According to Edinburgh Postnatal Depression Scale (EPDS) 40 mothers were considered depressed. Mothers and their babies were videotaped during free play interactions. No significant differences were found among groups for the averages of all the categories. Two data sets representing optimal interactions styles were created based on the correlation coefficients. A linear regression analysis indicated that the mother`s years of education was a predictive factor for the occurrence of these interactive styles only for PPD mothers. PPD influenced mother-infant interaction when associated with maternal socio-demographic characteristics.

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“…A ansiedade é evidenciada como um fator que pode desencadear Depressão Pós-Parto (DPP) (Arrais, Araujo, & Schiavo, 2019), tal afirmação aborda a importância do acompanhamento e tratamento adequado no controle do transtorno. Caso ocorra negligência na assistência a gestantes e falha na orientação e apoio, aponta-se que 70% das gestantes que apresentam DPP podem permanecem em sofrimento psíquico no período após o nascimento do filho e primeiros anos de vida (Lucci, Otta, David, & Chelini, 2016).…”

Section: Introductionunclassified

Ansiedade e depressão no contexto da pandemia COVID-19 e a relação com os mecanismos de defesa das gestantes

Pechinim

Barbosa

Werneck

2021

RSD

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Introdução: O período gravídico é evidenciado por modificações, que incluem alterações físicas, psicológicas e sociais em gestantes. Objetivo: Verificar a ansiedade e a depressão no contexto da pandemia e a relação com os mecanismos de defesa das gestantes para que estratégias de enfrentamento com assistência profissional sejam elaboradas. Método: Estudo transversal com delineamento descritivo, abordagem quantitativa do tipo analítica, com correlação entre variáveis, desenvolvido em um Centro Especializado Materno Infantil (CEMI) e no setor de emergência obstétrica de um hospital, ambos no interior de São Paulo. Participaram do estudo 61 gestantes, sendo 30 do CEMI e 31 da emergência obstétrica, com idade igual ou maior a 18 anos. Os dados foram coletados por meio de dois questionários, sendo um com dados sociodemográficos e outro com questões abertas e fechadas sobre mecanismos de defesa positivos e negativos. Para avaliar os sintomas de ansiedade e depressão, foi utilizado a Escala Hospitalar de Ansiedade e Depressão, dados que foram analisados de forma descritiva e inferencial. Resultados: Constatou-se que 29,51% das gestantes apresentaram sintomas de ansiedade e 24,59% sintomas de depressão. Das gestantes que apresentaram depressão, 66,67% encontravam-se na emergência obstétrica. Verificou-se que 14,75% afirmaram que consumiram bebida alcoólica ou drogas ilícitas no período de pandemia COVID-19, 45,90% das gestantes não realizaram atividade física no período da pandemia e 49,18% tiveram dificuldade para dormir. Conclusão: Os resultados do estudo mostram que parte das gestantes apresentam uma situação de vulnerabilidade relacionada à saúde mental prejudicada e alterações na rotina acentuadas no atual período pandêmico.

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Depressão materna e concentração de cortisol de recém-nascidos em uma amostra brasileira

Cited by 8 publications

References 32 publications

Early mother-infant interaction after delivery: A naturalistic study

Early mother-infant interaction after delivery: A naturalistic study

Infant-direct speech and mother-infant attention in depressed and nondepressed mothers

Ansiedade e depressão no contexto da pandemia COVID-19 e a relação com os mecanismos de defesa das gestantes

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