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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/8033 |
| Date | 05 March 2018 |
| Creators | Renner, Anelise Meurer |
| Contributors | Arteche, Adriane Xavier |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Psicologia, PUCRS, Brasil, Escola de Ci?ncias da Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 2588426296948062698, 500 |
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