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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.
  • Cavalcante, M C V; Universidade Federal do Maranhão. Hospital Universitário. São Luís. BR
  • Lamy, Z C; Universidade Federal do Maranhão. Departamento de Saúde Pública. São Luís. BR
  • França, A K T C; Universidade Federal do Maranhão. Departamento de Ciências Fisiológicas. São Luís. BR
  • Pereira, M U L; Universidade Federal do Maranhão. Departamento de Saúde Pública. São Luís. BR
  • Ferraro, A A; Universidade de São Paulo. Faculdade de Medicina. Departamento de Pediatria. São Paulo. BR
  • Barbieri, M A; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Puericultura e Pediatria. Ribeirão Preto. BR
  • Lamy-Filho, F; Universidade Federal do Maranhão. Departamento de Medicina III. São Luís. BR
Braz. j. med. biol. res ; 54(1): e10080, 2021. tab, graf
Article in English | LILACS, ColecionaSUS | ID: biblio-1142566
ABSTRACT
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.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Psychological Distress / Mother-Child Relations / Object Attachment Type of study: Prognostic study / Risk factors Limits: Adolescent / Adult / Child / Female / Humans Country/Region as subject: South America / Brazil Language: English Journal: Braz. j. med. biol. res Year: 2021 Type: Article Institution/Affiliation country: Universidade Federal do Maranhão/BR / Universidade de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Psychological Distress / Mother-Child Relations / Object Attachment Type of study: Prognostic study / Risk factors Limits: Adolescent / Adult / Child / Female / Humans Country/Region as subject: South America / Brazil Language: English Journal: Braz. j. med. biol. res Year: 2021 Type: Article Institution/Affiliation country: Universidade Federal do Maranhão/BR / Universidade de São Paulo/BR