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Psychological distress and mother-child relationship: influence of life context on a population sample (BRISA) through the use of directed acyclic graphs (DAG).
Cavalcante, M C V; Lamy, Z C; França, A K T C; Pereira, M U L; Ferraro, A A; Barbieri, M A; Lamy-Filho, F.
Afiliación
  • Cavalcante MCV; Hospital Universitário, Universidade Federal do Maranhão, São Luís, MA, Brasil.
  • Lamy ZC; Departamento de Saúde Pública, Universidade Federal do Maranhão, São Luís, MA, Brasil.
  • França AKTC; Departamento de Ciências Fisiológicas, Universidade Federal do Maranhão, São Luís, MA, Brasil.
  • Pereira MUL; Departamento de Saúde Pública, Universidade Federal do Maranhão, São Luís, MA, Brasil.
  • Ferraro AA; Departamento de Saúde Coletiva, Universidade Estadual de Campinas, Campinas, SP, Brasil.
  • Barbieri MA; Departamento de Pediatria, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
  • Lamy-Filho F; Departamento de Puericultura e Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Braz J Med Biol Res ; 54(1): e10080, 2020.
Article en En | MEDLINE | ID: mdl-33295535
This study aimed to investigate the association between maternal psychological distress and impairment in mother-child relationship in a sample from a Northeast capital city in Brazil with a low Human Development Index, using directed acyclic graphs (DAG). A total of 3,215 women were evaluated for the presence of psychological distress through the Self Reporting Questionnaire instrument and for the mother-child relationship by the first factor of Postpartum Bonding Questionnaire, considered the most appropriate in the literature. Demographic and socioeconomic variables were used to construct a theoretical model and, after this, multivariate logistic regression was performed using variables suggested by Directed Acyclic Graphs (DAG). Psychological distress was present in 22.7% of the women and 12.6% of them presented impaired mother-child relationships. After adjustment, the variable 'maternal mental distress' remained associated with impaired mother-child relationship (RR=3.03), and among the explanatory variables only 'primary school level' (RR=1.48) was associated as a risk factor to this outcome. The results indicated that, in this population, women with psychological distress and lower schooling are more likely to present impaired mother-child relationships.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Distrés Psicológico / Relaciones Madre-Hijo / Apego a Objetos Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Braz J Med Biol Res Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Distrés Psicológico / Relaciones Madre-Hijo / Apego a Objetos Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Braz J Med Biol Res Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil