ABSTRACT
INTRODUCTION: The study of Paternal-fetal attachment is a recent research area, which has become relevant due to its correlation with the postnatal paternal bond and its impact on the cognitive and socio-emotional de velopment of the child. OBJECTIVE: to characterize Paternal-fetal attachment, based on maternal pers pective, in puerperal women treated in a public hospital in the Metropolitan Region. SUBJECTS AND METHOD: A cross-sectional observational study was carried out. Hospitalized puerperal women were interviewed by applying a questionnaire with sociodemographic variables of both parents. In addi tion, the Paternal-fetal attachment Scale from the maternal perspective was applied, previously adap ted and validated. A descriptive and association analysis was performed to determine the behavior of the link indicator with respect to the sociodemographic variables. RESULTS: The mean Paternal-fetal attachment score from the maternal perspective was 41.5 (range 10-50), which is significantly higher in cases where parents live together, the couple's relationship is longer than two years, and in plan ned and controlled pregnancies before twelve weeks. There were no differences in the Paternal-fetal attachment score from the maternal perspective in relation to the number of children, nationality, or educational level. DISCUSSION: The Paternal-fetal attachment is mainly determined by characteristics of the parental relationship and not by the individual characteristics of the parents, therefore, the attachment must be seen from the triad.
Subject(s)
Fathers , Object Attachment , Child , Cross-Sectional Studies , Fathers/psychology , Female , Fetus , Humans , Male , Pregnancy , Prenatal CareABSTRACT
Resumen En la clínica psiquiátrica infanto juvenil se aconseja realizar evaluaciones en contexto del funcionamiento individual, familiar, escolar y relacional. Es así que, una formulación de diagnósticos clínicos que cuente con un método integrativo y de múltiples perspectivas de análisis, organizada además por medio de marcos de referencias, aportará a un mejor conocimiento del estado de salud del paciente y de la multifactorialidad causal habitual de los problemas mentales. Un modelo de formulación diagnóstica (FD) se puede constituir como un componente esencial en una evaluación psiquiátrica integral guiando al psiquiatra y al residente en formación en el análisis clínico inicial de su caso, conduciéndolos desde la obtención de la información clínica y el planteamiento diagnóstico global hasta la confección de un plan de intervención. El presente articulo da cuenta del análisis clínico de un caso de una adolescente consultante a un centro de salud mental cuyo equipo de atención está constituido por residentes de un programa de psiquiatría de niños adolescentes de primer año y sus supervisores. El equipo utiliza en el análisis del caso un modelo integrativo y multidimensional de formulación diagnóstica, basado en un análisis clínico de factores de riesgo ordenado temporalmente (modelo 7P), complementado con una perspectiva de modelos psicopatológicos y un modelo de funcionamiento individual. El conocimiento de cómo realizar una FD puede estimular el pensamiento reflexivo de los residentes de psiquiatría en su práctica clínica y puede constituirse como una herramienta útil para que los supervisores clínicos guíen su enseñanza.
In psychiatric clinical practice it is recommended to assess children and adolescents in the context of their individual, familial, academic and interpersonal functioning. Therefore, the formulation of clinical diagnoses using an integrative method with multiple analytical perspectives organized by frames of reference, will contribute to a better understanding of the patient's health status and the common multifactorial causation of mental health problems. A diagnostic formulation model can constitute an essential component of the integrative psychiatric assessment, guiding the psychiatrist and resident in training in the initial clinical analysis of their case, leading them from the gathering of clinical information and global diagnostic approach to the construction of an intervention plan. The present article demonstrates the clinical analysis of a case of an adolescent who presents to a mental health center, whose care team is composed of first year residents in a child and adolescent psychiatry program and their supervisors. In the analysis of the case, the team uses an integrative and multidimensional model of diagnostic formulation based on a clinical analysis of chronologically ordered risk factors (7P model), which is complemented from the perspective of psychopathological models and an individual functioning grid. Knowing how to conduct a diagnostic formulation can stimulate psychiatry residents to think reflexively in their clinical practice and can serve as a useful tool to guide clinical supervisors in their teaching.
