Evaluation of bonding between mother and child and mothers' mental health of children with mental illness.

OBJECTIVE: To verify and evaluate the mother-child bond and mental health of mothers of children with intellectual disabilities. METHODS: A total of 74 mothers of children aged up to 7 years participated. Data collection was made through interviews. Evaluation tools were Mother-Child Bonding Evaluation Protocol and Self-Report Questionnaire. We used statistical analysis χ² and Student-t tests. A 5%-level of rejection of the null hypothesis was set. RESULTS: There were no significant results between the average maternal ages, between bond and schooling, nor time of marriage and social status. The percentage of low social condition mothers with weak bond were 38.7% and in high condition, 68.8%. CONCLUSION: The occurrence of weak bond is associated with the Self-Report Questionnaire and socio-cultural conditions. That is, mothers with alteration in the Self-Report Questionnaire are more likely to develop mental disorders, weak bond with their children, the same occurring with the mothers in the most privileged social conditions.

Avaliação do vínculo mãe-filho e saúde mental de mães de crianças com deficiência intelectual / Evaluation of boding between mother and child and mothers' mental health of children with mental illness

OBJETIVO: Conhecer e avaliar o vínculo mãe-filho e a saúde mental de mães de crianças com deficiência intelectual. MÉTODOS: Participaram 74 mães de crianças de até 7 anos com deficiência intelectual. A coleta de dados foi realizada por meio de entrevistas. Os instrumentos utilizados foram o Protocolo de Avaliação do Vínculo Mãe-Filho e o Self-Report Questionnaire. Para estatística, foram utilizados os testes de χ² e t de Student. Fixou-se em 5% o nível de rejeição da hipótese de nulidade. RESULTADOS: Não houve diferença significativa entre as médias das idades maternas, entre vínculo e escolaridade e nem entre tempo de união e condição social. A porcentagem de mães com vínculo fraco na condição socioeconômica baixa foi de 38,7% e na condição socioeconômica alta de 68,8%. CONCLUSÃO: A ocorrência de fraco vínculo está associada ao Self-Report Questionnaire e às condições socioculturais. Ou seja, mães com alteração no Self-Report Questionnaire têm maior probabilidade de desenvolver distúrbios mentais e maior chance de apresentar fraco vínculo com o filho, o mesmo ocorrendo com as mães nas condições sociais mais privilegiadas.

OBJECTIVE: To verify and evaluate the mother-child bond and mental health of mothers of children with intellectual disabilities. METHODS: A total of 74 mothers of children aged up to 7 years participated. Data collection was made through interviews. Evaluation tools were Mother-Child Bonding Evaluation Protocol and Self-Report Questionnaire. We used statistical analysis χ² and Student-t tests. A 5%-level of rejection of the null hypothesis was set. RESULTS: There were no significant results between the average maternal ages, between bond and schooling, nor time of marriage and social status. The percentage of low social condition mothers with weak bond were 38.7% and in high condition, 68.8%. CONCLUSION: The occurrence of weak bond is associated with the Self-Report Questionnaire and socio-cultural conditions. That is, mothers with alteration in the Self-Report Questionnaire are more likely to develop mental disorders, weak bond with their children, the same occurring with the mothers in the most privileged social conditions.

[Multiprofessional care and mental health in pregnant women]. / Atuação multiprofissional e a saúde mental de gestantes.

OBJECTIVE: To identify non-psychotic affective disorders in pregnant women, to intervene by means of psychoprophylactic groups, and to evaluate possible alterations following intervention. METHODS: One-hundred and three pregnant women (71 adults and 32 adolescents) were seen at a community program in the Paraisópolis neighborhood in the city of Sao Paulo, southeastern Brazil. We used the following instruments: Self Reporting Questionnaire and Beck Depression Inventory. Ten weekly two-hour meetings were held, addressing the link between mother and fetus and subjects related to mother and child, and answering mother's doubts. We used the chi-squared test (chi2) to compare mental health before and after the intervention, with a significance level of p<0.05. RESULTS: Affective disorders were found in 45 pregnant women (43.7%) before the intervention and in 23 (22.3%) after the intervention. The impact of the intervention on affective disorders was statistically significant (p=0.001). Twenty-one women (20.4%) showed depression before the intervention, and 13 (12.6%) after the intervention, a non-significant difference (p=0.133). CONCLUSIONS: Multiprofessional care can prevent, detect, and treat affective disorders during pregnancy in both adults and adolescents.

Atuação multiprofissional e a saúde mental de gestantes / Multiprofessional care and mental health in pregnant women

OBJETIVO: Identificar os transtornos afetivos não psicóticos em gestantes, intervir com grupos psicoprofiláticos e avaliar as possíveis alterações após intervenção. MÉTODOS: Foram atendidas 103 gestantes (71 adultas e 32 adolescentes) em programa comunitário no bairro Paraisópolis, na capital do Estado de São Paulo. Utilizaram-se os instrumentos: Self Reporting Questionnaire e Beck Depression Inventory. Foram realizados 10 encontros semanais, de duas horas de duração com abordagem no vínculo mãe/feto, em temas relacionados à gestante e ao bebê e esclarecimentos de dúvidas das gestantes. Para comparação da saúde mental antes e após intervenção, usou-se o teste do qui-quadrado (chi2), aceitando-se como significante p<0,05. RESULTADOS: Transtornos afetivos foram observados em 45 (43,7 por cento) das gestantes antes da intervenção, e após, em 23 (22,3 por cento). O impacto da intervenção sobre os transtornos afetivos foi estatisticamente significante (p=0,001). Já para a presença de depressão, antes da intervenção 21 (20,4 por cento) gestantes apresentavam depressão, e após, 13 (12,6 por cento), entretanto sem diferenças estatísticas significantes (p=0,133). CONCLUSÕES: A atuação multiprofissional no grupo de gestantes, tanto em adultas como em adolescentes, previne, detecta e trata transtornos afetivos presentes no período gravídico.