Clínica y SaludPub Date : 2023-07-01DOI: 10.5093/clysa2023a19
D. Santa-Cruz, S. Chamorro, R. Caparros-Gonzalez
{"title":"Optimism, Resilience, and Infertility-Specific Stress during Assisted Reproductive Technology","authors":"D. Santa-Cruz, S. Chamorro, R. Caparros-Gonzalez","doi":"10.5093/clysa2023a19","DOIUrl":"https://doi.org/10.5093/clysa2023a19","url":null,"abstract":"","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122817190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clínica y SaludPub Date : 2023-07-01DOI: 10.5093/clysa2023a17
Anđela Kuljanac, Maja Brekalo, S. N. Radoš
{"title":"Perfectionism, Intolerance of Uncertainty, and Fear of Childbirth in Pregnant and Non-pregnant Women","authors":"Anđela Kuljanac, Maja Brekalo, S. N. Radoš","doi":"10.5093/clysa2023a17","DOIUrl":"https://doi.org/10.5093/clysa2023a17","url":null,"abstract":"Background: Fear of childbirth (FOC) has adverse effect on delivery, maternal and infant health. This study aimed to examine the prevalence of FOC and to examine the role of perfectionism, intolerance of uncertainty, and preparedness for childbirth in explaining FOC in non-pregnant and pregnant women, as well as the role of mode of delivery in multiparous women. Method: In the cross-sectional study, 197 non-pregnant, 168 nulliparous and 124 multiparous pregnant women filled out questionnaires on FOC (W-DEQ), perfectionism (PNPS), intolerance of uncertainty (IUS), and a question on preparedness for childbirth. Results: More important determinants of FOC were personality traits (perfectionism and intolerance of uncertainty) in non-pregnant and nulliparous pregnant women, as opposed to previous childbirth experience (emergency caesarean section) in multiparous women. However, preparedness for childbirth was associated with FOC in all three sub-groups. Conclusion: Preparedness for childbirth should be the target in prenatal classes in order to alleviate FOC.","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133324532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clínica y SaludPub Date : 2023-07-01DOI: 10.5093/clysa2023a20
Blanca Riquelme-Gallego, S. Martínez-Vázquez, C. Amezcua-Prieto, J. M. Martínez-Galiano, Borja Romero-Gonzalez, M. Peralta-Ramírez, Ester Leno- Durán, R. Caparros-Gonzalez
{"title":"Differences in Psychological Symptoms in Pregnancy and Postpartum before and during COVID-19: A Cross-sectional Study","authors":"Blanca Riquelme-Gallego, S. Martínez-Vázquez, C. Amezcua-Prieto, J. M. Martínez-Galiano, Borja Romero-Gonzalez, M. Peralta-Ramírez, Ester Leno- Durán, R. Caparros-Gonzalez","doi":"10.5093/clysa2023a20","DOIUrl":"https://doi.org/10.5093/clysa2023a20","url":null,"abstract":"Rationale: Pregnant women are especially vulnerable to mental health problems, including stress, anxiety, and depression. This risk has been increased during the COVID-19 pandemic and differences in psychological symptoms in pregnancy and postpartum before and during COVID-19 exists. Mental health problems can have adverse effects on both the woman, and the neonate, including miscarriages, premature births, low birth weight, and higher rates of cesarean sections and instrument-assisted deliveries. Aim: To evaluate the prevalence of psychological symptoms of pregnant women before and during the COVID-19 pandemic. Method: A cross-sectional study was carried out to assess the psychological profile in a sample of pregnant women selected before the pandemic and a sample of women studied during the first wave of the pandemic. A total of 122 women were selected prior to the pandemic and 181 women during the COVID-19 outbreak. The Symptom Checklist-90 Revised (SCL-90-R) was used to assess depression and anxiety during pregnancy and in the postpartum period. Results: The prevalence of symptoms of depression and anxiety during pregnancy were higher in the sample of women studied during the pandemic (SCL-90-R: M = 54.6 vs. 42.6 and M = 62.6 vs. 51.7 respectively). In the postpartum the difference between both samples of women was even higher for depression and anxiety (SCL-90-R: M = 50.4 vs. 35.0 and M = 51.3 vs. 36.0 respectively). Being a pregnant woman at the COVID-19 outbreak was directly associated with a higher score of depression symptoms (aOR = 8.67, 95% CI [3.26, 23.02], p < .001). Anxiety during childbirth was more frequently reported by women before the pandemic (aOR = 5.13, 95% CI [2.53, 10.44], p < .001). The variable stage (before /during pandemic) was also associated with having a clinical SCL-90-R score above 70 (aOR = 7.61, 95% CI [2.7, 21.47], p < .001). Conclusion: During the pandemic, pregnancy and postpartum were associated with the presence of anxiety and depression. The main factor associated with postpartum depression was maternal age. These finding highlights the vulnerability of pregnant in front of the pandemic, in which psychological health and mental well-being are affected, not only during pregnancy, but also in the postpartum.","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124260690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clínica y SaludPub Date : 2023-07-01DOI: 10.5093/clysa2023a15
María F. Rodríguez-Muñoz, E. Motrico, Carmen Miguez, Covadonga Chaves, C. Suso‐Ribera, Almudena Duque, María García Salinas, R. Caparros-Gonzalez, Nuria Martin-Agudiez, Katina Kovacheva, Helena S. García-López, Patricia Vazquez-Batan, Cecilia Peñacoba, Jorge Osma
{"title":"Perinatal Depression in the Spanish Context: Consensus Report from the General Council of Psychology of Spain","authors":"María F. Rodríguez-Muñoz, E. Motrico, Carmen Miguez, Covadonga Chaves, C. Suso‐Ribera, Almudena Duque, María García Salinas, R. Caparros-Gonzalez, Nuria Martin-Agudiez, Katina Kovacheva, Helena S. García-López, Patricia Vazquez-Batan, Cecilia Peñacoba, Jorge Osma","doi":"10.5093/clysa2023a15","DOIUrl":"https://doi.org/10.5093/clysa2023a15","url":null,"abstract":"Background: Perinatal depression is a major public health problem, with an estimated prevalence of approximately 15% during the first postpartum year. Despite the high prevalence of postpartum depression, there is no consensus regarding assessment and treatment in the Spanish context. The General Council of Psychology of Spain convened a working group of experts in the field, including both academics and healthcare professionals, to review and propose recommendations based on evidence and best practices that could be applied in the Spanish context. Method: A literature search was completed in various databases (e.g., Medline, PsychInfo) including a combination of terms related to peripartum depression (PPD) assessment and diagnosis, prevention, treatment, and cost-effectiveness. A narrative synthesis of the literature has been conducted together with a critical overview of PPD with a special focus on the Spanish context. Results: In this consensus report, developing questions including prevalence and assessment tools, comparative effectiveness of preventive and treatment interventions, and cost-effectiveness of PPD management have been analyzed. Conclusions: The General Council of Psychology of Spain network advocates the establishment of compulsory screening protocols in all the autonomous regions. Also, it is necessary to promote the inclusion in maternal education of programs for the promotion of mental well-being and selective/indicated prevention carried out by a psychology professional with specialized training in the area. This consensus document also promotes the presence of a psychology professional with specialized training in the area.","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127478665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clínica y SaludPub Date : 2023-07-01DOI: 10.5093/clysa2023a18
C. Chaves, Ioana Mezei, Carlos Marchena, Almudena Duque
{"title":"Perinatal Mental Health during the COVID-19 Pandemic: A Longitudinal Study","authors":"C. Chaves, Ioana Mezei, Carlos Marchena, Almudena Duque","doi":"10.5093/clysa2023a18","DOIUrl":"https://doi.org/10.5093/clysa2023a18","url":null,"abstract":"Few studies have shown the psychological impact of the COVID-19 pandemic on new mothers’ health, but the long-term consequences of the crisis are yet unknown. This study aimed at evaluating the changes experienced in perinatal mental health 6 months after the start of the COVID-19 pandemic in Spain. Women (n = 176, average age = 33.80) were recruited during the pandemic. Participants completed the Edinburgh Postnatal Depression Scale, the Satisfaction With Life Scale and Positive, and the Negative Affect Schedule. Results showed a decrease in depressive symptoms, t(174) = 2.58, p = .01, d = 0.02, whereas anxiety symptoms remained high, t(174) = 1.31, p = .19. In terms of psychological well-being, the results showed a decrease in life satisfaction, t(175) = 2.58, p = .011, d = 0.16, and negative affect, t(175) = 3.15, p = .002, d = 0.26, and an increase in positive affect, t(175) = -4.45, p < .001, d = 0.35. This study is expected to shed light on the design of future interventions aimed at the prevention of symptoms and to enhance life satisfaction during the perinatal stage. La salud mental perinatal durante la pandemia de la COVID-19: un estudio longitudinal","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126217189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clínica y SaludPub Date : 2023-07-01DOI: 10.5093/clysa2023a7
Alexa Ferrara-Torres, José R. Álvarez-Carrillo, Mª Asunción Lara, D. Ibarra-Patrón, Mónica Manjarrez-García, Olga Gutiérrez-Hernández, Silvana Mendoza-Ruiz, Daniela Escobedo-Belloc
{"title":"Validity of the Maternal Antenatal Attachment Scale-Spanish Version for Mexican Pregnant Women","authors":"Alexa Ferrara-Torres, José R. Álvarez-Carrillo, Mª Asunción Lara, D. Ibarra-Patrón, Mónica Manjarrez-García, Olga Gutiérrez-Hernández, Silvana Mendoza-Ruiz, Daniela Escobedo-Belloc","doi":"10.5093/clysa2023a7","DOIUrl":"https://doi.org/10.5093/clysa2023a7","url":null,"abstract":"During pregnancy, parents experiment emotions, thoughts, and behaviors related to their unborn child as precursors of attachment in the caretaker-infant dyad. The Maternal Antenatal Attachment Scale (MAAS) is an instrument that has shown adequate psychometric properties to evaluate this construct in developed countries. The aim of this study was to assess the reliability and concurrent validity of the Maternal Antenatal Attachment Scale-Spanish version for Mexican women (MAAS-Spanish version). A sample of 142 women in their third trimester of pregnancy who received care in a tertiary hospital was selected. The full scale of the MAAS-Spanish version obtained a Cronbach alpha of .79. A significant negative correlation was found between the global MAAS-Spanish version score (r = -.23, p ≤ .01) and the Postpartum Depression Predictors Inventory-Revised and depressive symptoms (r = -.36 , p ≤ .01). The translated and adapted scale has adequate internal consistency and concurrent validity to measure this construct in this population.","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128293164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clínica y SaludPub Date : 2023-05-29DOI: 10.5093/clysa2023a11
M. F. Rodriguez-Muñoz
{"title":"Manual de psicología de la conducta suicida, de Susana Al-Halabí y Eduardo Fonseca-Pedrero (Coord.). Editorial Pirámide, 728 pp., año 2023","authors":"M. F. Rodriguez-Muñoz","doi":"10.5093/clysa2023a11","DOIUrl":"https://doi.org/10.5093/clysa2023a11","url":null,"abstract":"","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125302721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clínica y SaludPub Date : 2023-03-01DOI: 10.5093/clysa2023a4
H. M. Sampietro, E. Rojo, J. Gómez-Benito
{"title":"Recovery-oriented Care in Public Mental Health Policies in Spain: Opportunities and Barriers","authors":"H. M. Sampietro, E. Rojo, J. Gómez-Benito","doi":"10.5093/clysa2023a4","DOIUrl":"https://doi.org/10.5093/clysa2023a4","url":null,"abstract":"","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"131 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127037508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clínica y SaludPub Date : 2023-03-01DOI: 10.5093/clysa2023a1
Martim Santos, Ana Ferraz, A. Bernardo, A. M. Machado, Marta Evangelista, Inês Ribeiro, M. G. Pereira
{"title":"Family Functioning in a Portuguese Sample of Adults during COVID-19: Does Hope Matter?","authors":"Martim Santos, Ana Ferraz, A. Bernardo, A. M. Machado, Marta Evangelista, Inês Ribeiro, M. G. Pereira","doi":"10.5093/clysa2023a1","DOIUrl":"https://doi.org/10.5093/clysa2023a1","url":null,"abstract":"","PeriodicalId":261123,"journal":{"name":"Clínica y Salud","volume":"29 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116423453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}