Psychopathological symptoms, strategies for problems' resolution and newborn's health during the perinatal period.

Main Article Content

Ana Paula Forte Camarneiro
João Manel Rosado de Miranda Justo

Abstract

Background: The perinatal period is a factor of vulnerability for women and men. Mechanisms of problems resolution are important for a healthy living during perinatality and for the health of baby. Goals: To understand the relationship between psychopathological symptoms (PPS) and problems’ resolution (PR) during pregnancy and postpartum, in women and men; to compare PPS and PR between pregnancy and postpartum in women and men; to analyze the differences in SPP on the one hand and on the other hand, according on the baby s health at birth. Methods: Longitudinal and prospective study. Sample of 134 women and men. Assessment in pregnancy, delivery and post-partum. Instruments: Socio-demographic and Clinical Questionnaire; BSI (Derogatis, 1993); IRP (Vaz-Serra, 1988). Results: Between PPS and PR the significant correlations are negative. Positive and significant correlations were found for PPS and PR between pre and postnatal periods in women and men. Exceptions were passive abandonment (PA-PR) in women and confronting and active resolution of problems (CARP-PR) in men. For women, during postnatal period, significant increases were found in: obsessions-compulsions, interpersonal sensitivity, hostility, paranoid ideation, psychoticism, symptoms general index, index of positive symptoms (IPS) and internal/external control of problems (IECP-PR). In the same period, men presented increases in IECP and ISP. The baby s health at birth was no different according to PPS and RP women and men in pregnancy, although the prenatal depression of men having babies with problems were higher, with marginal significance. Women having babies with health problems at birth presented averages significantly lower in solicitude for help (SFH-PR) at postpartum. The fathers showed a similar result, with marginal significance. Conclusions: During perinatal period, women present different and more complex pathways than men. A worsening of the psychological state is observed during the transition from pre to postnatal period because they have post-natal psychopathological higher symptoms in number and intensity. Women having babies with health problems at birth present difficulty in solicitude for help at postnatal period. In men a high consistency is observed between pre and postnatal data of psychological variables. Therefore, it is necessary to provide psychological support to women in this stage of life.

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How to Cite
Forte Camarneiro, A. P., & Rosado de Miranda Justo, J. M. (2019). Psychopathological symptoms, strategies for problems’ resolution and newborn’s health during the perinatal period. International Journal of Developmental and Educational Psychology. Revista INFAD De Psicología., 2(1), 31–40. https://doi.org/10.17060/ijodaep.2019.n1.v2.1385
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Articles
Author Biography

João Manel Rosado de Miranda Justo, Universidade de Lisboa

FPUL – Faculdade de Psicologia da Universidade de Lisboa

References

Almeida, C. P., Sá, E., Cunha, F. F., & Pires, E. P. (2012). Common mental disorders during pregnancy and babys development in the first year of life. Journal of reproductive and Infant Psychology, 30(4), 341-351. DOI: 10.1080/02646838.2012.736689.

Austin, M. P. (2010). Classification of mental health disorders in the perinatal period: future directions for DSM-V and ICD-11. Archives of Women Mental Health, 13(1), 41- 44. DOI:10.1007/s00737-009-0110-5

Canavarro, M. C. (1999). Inventário de sintomas psicopatológicos – B. S. I.. In M. R. Simões, M. M. Gonçalves, & L. S. Almeida (Eds.), Testes e Provas Psicológicas em Portugal (pp. 95-108). Vol. 2. Braga: APPORT.

Colman, L., & Colman, A. (1994). Gravidez - a experiência psicológica. Lisboa: Colibri.

El Marroun, H., Zou, R., Muetzel, L. R., Jaddoe, V. W., Verhulst, F. C., White, T., & Tiemeier, H. (2018). Prenatal exposure to maternal and paternal depressive symptoms and white matter

microstructure in children. Depression & Anxiety, 35, 321–329. DOI: 10.1002/da.22722.

Ford, E., Lee, S., Shakespeare, J., & Ayers, S. (2017). Diagnosis and management of perinatal depression and anxiety in general practice: a meta-synthesis of qualitative studies. British Journal of General Practice, 67(661), 538-546. DOI: 10.3399/bjgp17X691889.

Gerner, L. (2005). Exploring prenatal attachment: factors that facilitate paternal attachment during pregnancy. PhD Dissertation. California School of Professional Psychology. Fresno Campus.

Gourounti, K., Anagnostopoulos, F., & Lykeridou, K. (2013). Coping strategies as psychological risk factor for antenatal anxiety, worries, and depression among Greek women. Archives of Women Mental Health, 16, 353–361. DOI: 10.1007/s00737-013-0338-y.

Johnson, M.P., & Baker, S.R. (2004). Implications of coping repertoire as predictors of mens stress, anxiety and depression following pregnancy, childbirth and miscarriage: a longitudinal study. Journal of Psychosomatic Obstetrics and Gynecology, 25, 87-98.

Johnston, R.G., & Brown, A.E., (2013). Maternal trait personality and childbirth: The role of extraversion and neuroticism. Midwifery, 29, 1244–1250. DOI: 10.1016/j.midw.2012.08.005

Justo, J., Bacelar-Nicolau, H., & Dias, O. (1999). Evolução psicológica ao longo da gravidez e puerpério: um estudo transversal. Revista Portuguesa de Psicossomática, 1(1), Jan./Jun., 115-129.

Kao, C-H., & Long, A. (2004). First-time Taiwanese expectant fathers’ life experiences during the third trimester of pregnancy. Journal of Nursing Research, 12(1), 60-70.

Mateos, L.M.F., Cabaco, A.S., Gil, S.M., Lancho, M.C.P., & Díez, S.G. (2014). Hipervigilancia emocional en la mujer gestante: factores psicosociales. International Journal of Developmental and Educational Psychology. INFAD Revista de Psicología, 1(1), 229-242.

Newman, L., Judd, F., Olsson, C. A., Castle, D., Bousman, C., Sheehan, P., … Everall, I. (2016). Early origins of mental disorder – risk factors in the perinatal and infant period. BMC Psychiatry, 16, 270. DOI: 10.1186/s12888-016-0982-7.

O Conner, T.G., Monk, C., & Fitelson, E. M. (2014). Practitioner Review: maternal mood in pregnancy and child development – implications for child psychology and psychiatry. Journal of Child

Psychology and Psychiatry, 55(2), 99-111. DOI: 10.1111/jcpp.12153.

van der Knaap, N. J. F., Klumpers, F., El Marroun, H., Mous, S., Schubert, D., Jaddoe, V. … Fernández, G. (2018). Maternal depressive symptoms during pregnancy are associated with amygdala hyperresponsivity in children. European Child & Adolescent Psychiatry, 27(1), 57-64. DOI: 10.1007/s00787-017-1015-x.

Vaz-Serra, A. (1988). Um estudo sobre coping: o inventário de resolução de problemas. Psiquiatria Clínica, 9(4), 301-316.