Objetivo: O objetivo deste trabalho foi verificar a relação entre a satisfação conjugal e a depressão pós-parto e o impacto destas variáveis nos níveis de satisfação conjugal e depressão futuros, em uma amostra brasileira. Estudos revelam que o conflito conjugal é um antecedente importante no desenvolvimento da depressão e que a depressão pós-parto influencia significativamente a satisfação conjugal. Métodos: Este estudo longitudinal com 99 mulheres brasileiras utilizou análises de regressão múltipla para verificar a associação entre a satisfação conjugal e a depressão. A sintomatologia depressiva foi avaliada pelo instrumento Self-Reporting Questionnaire (SRQ-20). A satisfação conjugal foi verificada a partir de itens sobre a percepção de satisfação conjugal das participantes. Os dados foram coletados 4 meses e 2 anos após o parto. Os dados longitudinais possibilitaram a análise cronológica da interação entre as duas variáveis. Resultados e Conclusões: Os resultados indicam que o modelo teórico que estabelece a relação entre conflito conjugal e depressão é também apropriado para casais brasileiros, sugerindo a utilização potencial da terapia de casal no tratamento da depressão pós-parto no Brasil.
Background: The WHO recommends exclusive breast-feeding for babies up to 6 months of age. The association between maternal mental health and breast-feeding duration is contradictory. This is a case-control study to investigate this association. Methods: 153 families with 4-month-old babies from an urban area in southern Brazil were investigated: in 51 families, breast-feeding had being discontinued (cases); in 102, babies were being breast-fed (controls). Two researchers evaluated maternal and paternal mental health during home visits using semistructured interviews and scales. Results: Disorders were found in 59% of case mothers versus 48% of control mothers. Depression was the most prevalent disorder affecting both mothers and fathers. We did not identify a statistically significant association between maternal mental disorder at 4 months after delivery and early termination of breast-feeding. When the mother had mental problems during the first month after delivery, however, she was twice as likely to interrupt breast-feeding. Among the mothers with mental disorders during puerperium, 76% still had the problem 4 months postpartum. An association was observed between maternal and paternal mental health. Conclusions: Parental mental health does not seem to be associated with breast-feeding at 4 months in this culture setting where most mothers have good family and social support for breast-feeding. Maternal mental disorders during puerperium, however, may negatively affect the duration of breast-feeding.
ABSTRACT OBJECTIVE: To identify factors associated with the lack of active father involvement in infant care at four months of age. METHODS: Cross-sectional study involving families of 153 infants at four months of age, interviewed in their homes by two family therapists in the city of Porto Alegre (Southern Brazil), 1998-2000. In addition. Cross-sectional study involving families of 153 infants at four months of age, interviewed in their homes by two family therapists. In addition to father involvement in infant care, sociodemographic, parental mental health (using the Self Report Questionnaire-20 scale and Diagnostic and Statistical Manual of Mental Disorders-IV criteria assessment) and quality of couple relationship characteristics (using the Assessment of Relational Functioning from Diagnostic and Statistical Manual of Mental Disorders-IV) were analyzed. Poisson regression was employed to assess the association between lack of father involvement in child care and the variables selected. Prevalence ratio was used to estimate the magnitude of associations.
Introducao: O Projeto Viver Melhor na Escola e uma iniciativa do Servico de Psiquiatria da Infância e Adolescencia do Hospital de Clinicas de Porto Alegre (HCPA) e da UBS HCPA/Santa Cecilia, com a colaboracao da Faculdade de Educacao da Universidade Federal do Rio Grande do Sul (UFRGS) e do Instituto da Familia Porto Alegre para capacitar professores de escolas da area de atuacao da UBS HCPA/Sta Cecilia. Objetivos: Desenvolver acoes entre educadores, alunos e familiares integrando as areas biologica, psicossocial, pedagogica e a organizacao comunitaria para a solucao de conflitos e promocao de saude escolar. Conduzir o trabalho de modo a facilitar que os resultados sejam mantidos de forma auto-sustentavel. Metodologia ou Descricao da Experiencia: Em reunioes semanais, um grupo multidisciplinar integrantes de 4 equipes de Saude da Familia, psiquiatras da infância e adolescencia,terapeutas familiares e comunitarios, pediatras, nutricionistas, pedagogos e posteriormente professores das 6 escolas envolvidas, planejou encontros semestrais de capacitacao dos professores e acoes continuadas com a comunidade escolar. Destaca-se a adequacao das intervencoes de acordo com as necessidades e demandas de cada escola, incluindo acoes de inteligencia social e emocional, justica restaurativa, sexualidade, grupos de professores, terapia comunitaria com pais, diagnostico de dificuldades de aprendizagem e acoes pedagogicas de intervencao. Resultados: As escolas participantes passaram a reconhecer na UBS HCPA/Sta Cecilia e porta de entrada ao SUS. As diferentes intervencoes conseguiram aumentar o empoderamento dos professores. A abordagem de casos complexos fez necessaria uma bem sucedida integracao com o CRAS e em menor escala com Conselhos Tutelares e Judiciario. Ao fim de dois anos a coordenacao do projeto foi transferida para a equipe da UBS e o projeto foi incorporado no Programa Saude na Escola, garantindo sua continuidade. Os professores passaram a identificar, nos eventos que integravam as diferentes escolas, o potencial de fortalecerem-se com o apoio mutuo. Conclusao ou Hipoteses: Identificou-se a necessidade de pereseverar ao longo de dois anos para conseguir uma alianca solida com as escolas. Alem de realizar acoes de saude com alunos, e fundamental envolver os professores, dar atencao aos seus sofrimentos e ajuda-los a se empoderar em estrategias saudaveis de resolucao de conflitos. O maior desafio persiste na integracao dos pais e da comunidade com as escolas.
There is substantial research on the relationship between marital satisfaction and its effect on child development, with empirical evidence suggesting that marital conflict and dissatisfaction among the parents is predictive of poorer child outcomes. These findings are consistent with systems theory, which suggests that dynamics in one subsystem have an effect on other systems in the family. However, there is little known about how these variables apply to the Latino population. With Latinos now comprising the largest minority population, it is important to understand the effect of marital distress on child outcomes in Latino families. Data for the study come from a larger longitudinal study of 126 families living in Porto Alegre, Brazil. Each family had a child ranging in age from 3 to 5 years old. Results from multiple regression analyses indicated that mother's (but not fathers') reports of marital conflict were associated with behavioral child outcomes. Positive marital interactions were not predictive of behavioral outcomes. These results extend the current literature on the impact of marital conflict on child outcomes to the Brazilian culture.
This article describes the intensive care unit’s experience of a teaching hospital in Southern Brazil during the COVID-19 pandemic. Medical staff’s exhaustion and the impossibility of communication between patients and families motivated a creative larger intervention in the system. Physicians from other units of the hospital volunteered to become a communicating force, a bridge between the intensivists and the patients’ families to keep them informed about the patient’s medical status, and to assist in their evolving needs. The project developed in such a way that weekly online debriefing sessions involving the multidisciplinary teams became a source of enhanced mental health for everyone. A decrease in loneliness and an increase in meaningfulness, solidarity, humor, and continuous transdisciplinary learning were some of the positive results of this experience. They are evidence that even under the worst circumstances, human connectedness with the best intentions can help us thrive.