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Efic?cia do treinamento de reconhecimento de emo??es na qualidade da intera??o m?e-beb? em mulheres com depress?o p?s-partoRenner, Anelise Meurer 05 March 2018 (has links)
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Previous issue date: 2018-03-05 / Postpartum Depression (PPD) has a negative effect on newborns and their mothers,
and impairments to the mother-infant relationship seem to be harmful to the child?s
development. Despite the high prevalence of PPD in Brazil, there are no evaluation protocols
and interventions recognized by the country?s unified health service. In order to contribute to
an intervention adapted to Brazilian cultural issues and the reality of Brazilian mothers in the
postpartum period, two studies were carried out in this dissertation - a theoretical study and an
empirical study. The theoretical study aimed to describe two intervention protocols and the
respective materials necessary for their execution: a psychoeducation protocol and a training
protocol for facial expression recognition. The methodology applied the following steps: (1)
state of the art review, (2) preliminary proposal preparation, (3) specialized psychologists?
analysis, (4) pilot study. The study?s resulted in a psychoeducational protocol composed by
seven themed primers defining subjects to be addressed with the mothers, in addition to a
facial expression training protocol composed by six instruments. The empirical study?s
objective was to investigate the effectiveness of both interventions (the psychoeducation and
the facial expression training protocol) in the quality of mother-infant interaction. Preliminary
results are described in this study, The sample consisted of 14 dyads in which the mothers
were diagnosed with PPD by both the EPDS (cut-off point ?11) and SCID. Dyads were
assessed between four and twelve weeks postpartum and were randomized into three
conditions: psychoeducation, facial expression training, and waiting list. The results
suggested a significant effects of the training groups in maternal ability to recognize anger
faces, and a significant effect of the Psychoeducation group on mother-child interaction
(proximity and relaxation dimensions). Compared to the waiting list, the two intervention
groups produced positive effects, albeit only the Psychoeducation group had an effect on the
target primary outcome. Therefore, results suggest that psychoeducation was more effective in
increasing the quality of the mother-infant relationship when compared to the other two
groups. Further studies with a larger sample size and longer follow-up period are required to
investigate these effects further. / A Depress?o P?s-Parto (DPP) tem efeitos negativos na sa?de da m?e e do beb? e na
rela??o m?e-beb? e os preju?zos nesta rela??o parecem ser mediadores importantes dos
preju?zos no desenvolvimento infantil. Apesar da alta preval?ncia de DPP no Brasil, n?o
existem protocolos de avalia??o e interven??es reconhecidos pelo Servi?o ?nico de Sa?de.
Buscando contribuir com uma interven??o adaptada ?s quest?es culturais brasileiras e a
realidade das m?es no per?odo p?s-parto, foram realizados dois estudos nesta disserta??o,
sendo um estudo te?rico e um estudo emp?rico. O estudo te?rico visou descrever a elabora??o
de dois protocolos de interven??o e os respectivos materiais necess?rios para a execu??o
destes: um protocolo de psicoeduca??o e um protocolo de treinamento de reconhecimento de
express?es faciais. A metodologia utilizada seguiu os seguintes passos: (1) revis?o da
literatura, (2) elabora??o da proposta preliminar, (3) an?lise de psic?logas especialistas, (4)
estudo piloto. Os resultados deste estudo s?o um protocolo de psicoeduca??o com sete
cartilhas sobre as tem?ticas definidas para serem trabalhadas com as m?es, al?m de um
protocolo de treinamento de express?es faciais composto por seis instrumentos para a
execu??o deste. A partir desta constru??o, o estudo emp?rico teve como objetivo investigar a
efetividade das interven??es, tanto de psicoeduca??o quanto de treinamento de express?es
faciais no implemento da qualidade da rela??o m?e-beb?. A presente proposta apresenta os
dados preliminares do estudo. A amostra foi composta de 14 d?ades, tendo as m?es
diagn?stico de DPP pela EPDS (ponto de corte ?11) e pela SCID. As d?ades iniciaram a
avalia??o entre quatro e doze semanas ap?s o parto e foram randomizadas em tr?s condi??es:
psicoeduca??o, treinamento de express?es faciais e lista de espera. Os resultados apontam
efeitos positivos do aumento da acur?cia do reconhecimento de faces de raiva do grupo de
treinamento, e um efeito positivo nas dimens?es maternas de intera??o proximidade e
descontra??o no grupo de Psicoeduca??o. Em compara??o com a lista de espera, os dois
grupos de interven??o apresentaram efeitos positivos, ainda que apenas o grupo
Psicoeduca??o tenha apresentado efeitos significativos no desfecho prim?rio. Assim, os
resultados preliminares sugerem a psicoeduca??o como mais eficaz no aumento qualidade da
rela??o m?e-beb? ao comparada com os outros grupos de interven??o. S?o necess?rios futuros
estudos com um aumento do tamanho amostral e realiza??o de follow-ups com mais tempo
ap?s as sess?es para ser poss?vel confirmar os efeitos encontrados.
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Apego m??e-beb?? no sistema prisionalOliveira, Lesly Guimar??es Vicenzi de 23 June 2017 (has links)
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Previous issue date: 2017-06-23 / The doctoral thesis aimed at presenting the development of the mother-baby
attachment in prison anchored on the care provided by mothers, intertwined by their history
and the impact of the closer social relations, namely: other women inmates, visitors and
prison officers. Despite the growing increase in the Brazilian female prison population, there
is little research interested in the relation to the Mother-Baby Attachment within the Prison
System. Bolwby's theory of attachment was used as the theoretical foundation. To understand
the field of study, the realated literature was reviewed on: development and attachment of
young children; Mother-baby attachment in prison; and interventional proposals related to the
development of mother-child attachment. Four women imprisoned in the Federal Disctrict
(DF) Women's Penitentiary were followed up for a little more than a year, from their
pregnancy to the subsequent delivery of the babies from the prison environment. The
following were applied: Adult Attachment Scale-R (AAS-R); Maternal-Fetal Attachment
Scale (MFAS); Factorial scale of neuroticism (EFN); Perceived Maternal Parenting Self-
Efficacy (PMP SE); Edinburgh Postpartum Depression Scale (EPDS). Five semi-structured
interviews were carried out and a systematic checklist of baby development (Checklist) was
used, as well as the reading of court records and the field diary. The results showed that the
practice of child-care is anchored on rules passed down family generations, but in the Prison
System they have impacts: both positive when their rules cover in a certain way matters
related to mothering (orientations received) and the withdrawal of social vulnerability; As
well as negative in what affects the way in which the mother's monitoring of her baby is
exercised, which generates anxiety, insecurity and consequently the possibility of the
development of insecure attachment in the baby. It is proposed to know and ponder the
various interventions and results found in the area of maternal attachment and consequent
development of the child to implement interventions in the prison system. In addition to
making changes in the way to structure activities for women who live with their babies in jail
with a view to enabling them to stay with their babies in the longer term which may favor safe
attachment. / A tese teve por objetivo apresentar o desenvolvimento do apego m??e-beb?? no c??rcere,
a partir dos cuidados prestados por elas, entrela??ados por suas hist??rias e as intera????es sociais
de outras mulheres presas, visitantes e os (as) agentes carcer??rios (as). Apesar do crescente
aumento da popula????o carcer??ria feminina brasileira, existem poucas pesquisas que se
interessam pela rela????o de Apego M??e-Beb?? dentro do Sistema Prisional. Utilizou-se como
fundamenta????o a teoria do apego de Bolwby. Para compreens??o do campo de estudo, fez-se
revis??o da literatura sobre desenvolvimento e apego de crian??as pequenas e apego m??e-beb??
na pris??o. Participaram quatro di??des de m??es-beb??s custodiadas na Penitenci??ria Feminina
do DF, desde a gravidez at?? posterior sa??da do beb?? do ambiente prisional durante 12 meses.
Foram aplicadas: Escala de Vincula????o do Adulto (EVA); Escala de Apego Materno Fetal
(MFAS); Escala Fatorial de Neuroticismo (EFN); Avalia????o da Autoefic??cia Materna
Percebida (PMP S-E); Escala de Depress??o P??s-Parto de Edimburgo (EPDS). Foram
realizadas cinco entrevistas semiestruturadas, e utilizado um roteiro de observa????o sistem??tica
do desenvolvimento do beb?? (Checklist), bem como a leitura dos prontu??rios judiciais e o
di??rio de campo. Os resultados mostraram que o exerc??cio de cuidados est?? ancorado nas
regras passadas atrav??s das gera????es familiares, mas que no Sistema Prisional essas pr??ticas
possuem impactos: tanto positivo, quando suas regras amparam de certo modo quest??es
ligadas ?? maternagem (orienta????es recebidas); quanto negativo, no que impacta na forma
como ?? exercida a monitoria da m??e para com seu beb??, o que gera ansiedade, inseguran??a e
consequentemente a possibilidade do desenvolvimento do apego inseguro no beb??. Sugere-se
mudan??as na forma de estruturar atividades para mulheres que convivem com seu beb?? no
c??rcere, com vistas a possibilitar que ela possa cuidar melhor do beb?? para favorecer o apego
seguro e desenvolvimento afetivo, cognitivo e social da crian??a.
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Avalia??o do la?o m?e e beb?: elabora??o e constru??o de instrumento e estudos de evid?ncia de validadeOliveira, Adriana de 12 August 2016 (has links)
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Previous issue date: 2016-08-12 / Trata-se de uma pesquisa multi-m?todos e tem por objetivo geral estudar o estabelecimento da
rela??o m?e e beb? e construir um instrumento de verifica??o deste a partir da perspectiva
materna. A tese est? composta por 3 estudos, o primeiro buscou caracterizar o conte?do da
percep??o das m?es sobre a rela??o m?e e beb?, por meio de seis entrevistas em profundidade
com m?es de distintas escolaridades. Os conte?dos das entrevistas foram tratados pela An?lise
Lexical do software Alceste, verificando-se tr?s classes, 55% (classe 1), 26% (classe 2) e 19%
(classe 3) do corpus, que sugerem um foco de aten??o voltado aos cuidados b?sicos; podendo ser
a escolaridade materna um fator interveniente na maternagem e na din?mica da m?e com seu
beb?, influenciando tanto a narrativa de estilo do la?o quanto a forma do cuidado. No estudo 2 o
objetivo foi elaborar e construir um instrumento para avaliar a rela??o m?e e beb? a partir da
perspectiva materna. Partiu-se de fontes te?rico-emp?ricas com o prop?sito de identificar e
caracterizar o construto La?o M?e e Beb? nos aspectos din?mico-relacionais. Elaborou-se um
instrumento de 92 itens com alternativas dicot?micas administrado ? m?es de beb?s de at? 18
meses. Os resultados geraram um instrumento que contempla as principais manifesta??es do
desenvolvimento infantil em 4 per?odos de 0 a 18 meses. O estudo 3 buscou verificar por meio
da An?lise de Componentes Principais (PAF) a estrutura fatorial do instrumento e evidenciou-se
34 fatores sobre os processos de desenvolvimento infantil e a percep??o materna destes. Apesar
de os fatores gerados serem promissores, optou-se em manter as dimens?es te?ricas inicialmente
propostas que serviram de matriz para a organiza??o dos itens. A confiabilidade apresentou um
?ndice aceit?vel para o question?rio relativo ao beb? (KR-20 0,92) e para as quest?es pertinentes
a m?e (KR-20 0,71). Como conclus?o tem-se a possibilidade da sequ?ncia deste trabalho, com
vistas a ulteriores investiga??es, a fim de vir a ser efetivamente utilizado como um instrumental
para a interven??o precoce. / This is a multi-methods research, with the objective of studying the establishment of the
mother and baby relationship, and build a verification tool of it from the maternal perspective.
The thesis is composed by three studies: the first one aimed to characterize the content of the
mothers' perception about the relationship between mother and baby, through six interviews with
mothers of different educational attainment. The contents of the interviews were treated by
Lexical Analysis of the Alceste software, verifying three classes, 55% (Class 1), 26% (Class 2)
and 19% (class 3) of the corpus, suggesting a focus of attention on the basic care. The maternal
educational attainment may be an intervening factor in motherhood, and in the mother?s
dynamics with her baby, influencing both the bond narrative style as the form of care. In the
second study, the objective was to design and build an instrument to assess the mother and child
relationship from the maternal perspective. One started from theoretical and empirical sources in
order to identify and characterize the construct Mother and Baby Bond in dynamic-relational
aspects. One developed an instrument of 92 items with dichotomous alternatives given to mothers
of babies up to 18 months. The results generated an instrument that includes the main
manifestations of child development in four periods from zero to 18 months. The third study
sought to verify, through the Principal Component Analysis (PAF), the factor structure of the
instrument highlighting 34 factors about the child development processes, and their maternal
perception. Although the generated factors are promising, it was decided to maintain the
theoretical dimensions originally proposed that served as headquarters for the organization of
items. Reliability presented an acceptable index for the questionnaire concerning the baby (KR-
20 0.92) and the relevant issues to mother (KR-20 0.71). As conclusion, there is the possibility
of following this work, with a view to further researches, in order to come to be effectively used
as an instrument for early intervention.
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A experi?ncia de cantar para beb?s: um estudo fenomenol?gico com m?es / The experience of singing to infants: A phenomenological investigation with mothers / La experiencia de cantarle a los beb?s: um estudio fenomenol?gico con madresBrisola, Elizabeth Brown Vallim 14 February 2017 (has links)
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Previous issue date: 2017-02-14 / Research studies that address mothers singing focus on investigating how and why songs facilitate mother-infant communication considering, especially, the acoustical and sociocultural aspects involved. This qualitative and exploratory research study was developed based on Edmund Husserl?s phenomenology and guided by principles of Humanistic psychology, specifically Carl Roger?s Person Centered Approach. It aimed to apprehend the experience of 13 mothers who gave birth to their first child during the past 18 months, about the meaning of singing to their infants. The researcher spoke to each of the participants, all with a college education, during a dialogical encounter, and immediately afterwards wrote a comprehensive narrative to register her comprehension regarding that mother?s experience, based on her own impressions. A narrative-synthesis and a creative synthesis were constructed based on the narratives to enable a phenomenological process of analysis that presupposes three phases: description, comprehension and interpretation of the experience. The structural elements that emerged from the mothers' experience of singing to their infants are: (a) a means of communication hugging their infant with their song; (b) the establishment of an emotional bond with their infant; (c) a way to better know their infant as it develops; (d) a means of recognizing themselves as mothers; (e) a form of sharing personal values and family customs; (f) a creative way of expressing themselves, and (g) a possibility of personal growth. The meaning of this experience enables further reflections regarding human relationships from a psychological viewpoint and can stimulate dialogues with other areas of knowledge. / Las pesquisas que abordan el canto materno se preocupan en investigar c?mo y por qu? las canciones son facilitadoras de la comunicaci?n madre-beb?, dando atenci?n principalmente a los aspectos ac?sticos y socioculturales. Esta pesquisa, cualitativa y de naturaleza exploratoria, fue desarrollada con base en la fenomenolog?a de Edmund Husserl y en orientaciones te?ricas de la psicolog?a humanista, m?s espec?ficamente del Enfoque Centrado en la Persona, de Carl Rogers. Su foco fue aprender de la experiencia de 13 madres que tuvieron su primer hijo en los ?ltimos 18 meses sobre el sentido de cantarle a su beb?. La investigadora convers? com cada participante, mujeres universitarias, durante un encuentro dial?gico, y escribi?, de inmediato, una narrativa comprensiva para registrar su comprensi?n sobre la experiencia de aquella madre a partir de sus propias impresiones. Una s?ntesisnarrativa y una s?ntesis creativa fueron construidas a partir del conjunto de narrativas de manera que sea posible concluir el proceso de an?lisis fenomenol?gico que supone tres fases: descripci?n, comprensi?n e interpretaci?n de la experiencia. Los elementos estructurales que emergieron de las vivencias de las madres sobre cantarles a sus beb?s son: (a) un modo de comunicarse abrazando al beb? con sus sonidos; (b) la construcci?n de un v?nculo; (c) una forma de conocer mejor a su beb? a medida que ?ste se desarrolla; (d) un reconocimiento de s? misma como madre; (e) una manera de transmitir valores personales y costumbres familiares; (f) un modo creativo de expresarse; e (g) la posibilidad de crecimiento personal. El sentido de esta experiencia posibilita nuevas reflexiones sobre el tema de la relaci?n humana en t?rminos psicol?gicos y puede estimular interlocuciones con otras ?reas de conocimiento. / As pesquisas que abordam o cantar materno preocupam-se em investigar como e por que as can??es s?o facilitadoras da comunica??o m?e-beb?, dando aten??o principalmente aos aspectos ac?sticos e socioculturais. Esta pesquisa, qualitativa e de natureza explorat?ria, foi desenvolvida com base na fenomenologia de Edmund Husserl e em norteadores te?ricos da psicologia humanista, mais especificamente da Abordagem Centrada na Pessoa, de Carl Rogers. Objetivou apreender a experi?ncia de 13 m?es que tiveram seu primeiro filho nos ?ltimos 18 meses sobre o sentido de cantar para seu beb?. A pesquisadora conversou com cada uma das participantes, todas com forma??o universit?ria, durante um encontro dial?gico, e escreveu, em seguida, uma narrativa compreensiva para registrar sua compreens?o sobre a experi?ncia daquela m?e a partir de suas pr?prias impress?es. Uma narrativa-s?ntese e uma s?ntese criativa foram constru?das a partir do conjunto de narrativas de forma a possibilitar concluir o processo de an?lise fenomenol?gica que sup?e tr?s fases: descri??o, compreens?o e interpreta??o da experi?ncia. Os elementos estruturais que emergiram das viv?ncias das m?es sobre cantar para seu beb? s?o: (a) um modo de comunicar-se abra?ando o beb? com seus sons; (b) a constru??o de um v?nculo; (c) uma forma de conhecer melhor seu beb? ? medida que ele se desenvolve; (d) um meio de reconhecer a si mesma como m?e; (e) uma maneira de transmitir valores pessoais e costumes familiares; (f) um modo criativo de expressar-se; e (g) a possibilidade de crescimento pessoal. O sentido desta experi?ncia possibilita novas reflex?es sobre o tema do relacionamento humano em termos psicol?gicos e pode estimular interlocu??es com outras ?reas de conhecimento.
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