Browsing by Author "Alamo Anich, Nicolle Anette"
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- ItemLineamientos para una intervención social clínica hospitalaria en crisis sanitaria(Centro de Políticas Públicas UC, 2021) Muñoz Guzmán, Carolina Beatriz; González, Karla; Grau Rengifo, María Olaya; Farah Ojeda, Jorge; Miranda Sánchez, Paula; Alamo Anich, Nicolle Anette; Toro Consuagra, Ximena de; Cillero, Sofía; Cillero Bruñol, Miguel
- ItemOnline Intervention Targeting Postnatal Depression and Anxiety in Chilean First-Time Mothers: Feasibility Trial(Oxford Univ Press INC, 2023) Coo, Soledad; Garcia, Maria Ignacia; Perez, J. Carola; Aldoney, Daniela; Olhaberry Huber, Marcia; Fernandez, Olga; Alamo Anich, Nicolle Anette; Franco Vivanco, Pamela Veronica; Perez, Francisca; Fernández Sanz, Sofía Alejandra; Fisher, Jane; Rowe, HeatherObjective: Internet-based interventions may positively impact maternal symptoms of postnatal depression and anxiety. This study assessed the feasibility, acceptability, perceived usefulness, and preliminary effectiveness of an m-Health version of “What Were We Thinking?” (mWWWT).Methods: A mixed-methods with a 2-arm randomized parallel design was used. From a total of 477 women, 157 met the inclusion criteria. 128 first-time mothers of full-term infants, aged 4–10 weeks, who received health care at primary public health centers in Chile, were randomly assigned to the experimental (EG, n ¼ 65) or control (CG, n ¼ 63) groups; data of 104 of them (53 and 51, respectively) was analyzed. We used percentages and rates to measure feasibility outcomes and mixed analysis of variance (ANOVA) and latent class analyses (LCA) to assess preliminary effectiveness. Participants completed questionnaires on mental health, social support, and maternal self-efficacy upon recruitment and 3 months after completing the intervention. For the qualitative component, 12 women from the EG were interviewed.Results: Quantitative results show good feasibility outcomes, such as high recruitment (82%), low attrition (EG ¼ 12% and CG ¼ 17%), and high follow-up (EG ¼ 97% and CG ¼ 91%) rates. Qualitative results indicate high acceptability and perceived usefulness of m-WWWT. MixedANOVA did not show significant differences between the groups (all p >.05). However, multinomial regression analysis in LCA showed that women with low baseline symptoms of depression and anxiety benefit from the intervention (B ¼ 0.43, 95% confidence interval 1.09–2.16). Conclusion: m-WWWT is feasible to be implemented in Chile; future studies are needed to assess the intervention’s effectiveness.
- ItemSintomatología en niños que han vivido agresiones sexuales y en sus cuidadores(2023) Bravo-Evans, Abril; González-Araneda, Nicolás; Capella, Claudia; Meza Araneda, Camila; Núñez Hidalgo, Lucía; Olhaberry Huber, Marcia; Alamo Anich, Nicolle AnetteEl presente estudio tiene como objetivo caracterizar la sintomatología presentada por niños que han sido víctimas de agresiones sexuales y sus figuras cuidadoras, evaluando su asociación con variables sociodemográficas y de la agresión sexual, así como la relación entre ambas expresiones sintomatológicas. La muestra corresponde a 70 casos de niños/as entre cuatro a nueve años de edad, ingresados a programas de reparación de maltrato grave (PRM) de la Región Metropolitana. Se utilizaron instrumentos de sintomatología en niños/as (SDQ versión para padres) y adultos (OQ-30.2 y BDI de autorreporte), junto a una ficha de caracterización de casos completada por profesionales de PRM. Los resultados indican que el 72,9% de los/as niños/as presentan sintomatología de relevancia. En cuanto a sus figuras cuidadoras, 51,4% presenta sintomatología general (OQ-30.2) y el 51,5% presenta sintomatología depresiva (BDI). Existe una asociación positiva entre la sintomatología de los niños y sus figuras cuidadoras. Se discute la relevancia teórica y clínica de los hallazgos y la consideración de las figuras cuidadoras como víctimas indirectas de la agresión sexual.
- ItemThe adverse childhood experiences of caregivers of children who have been victims of sexual assault: their relationship with the parental alliance in child psychotherapy(2022) Gabriel-Vacher, Nicolás; Miranda González, Isadora Paz; Olhaberry Huber, Marcia Paola; Capella, Claudia; Morán-Kneer, Javier; Lucía Núñez; Alamo Anich, Nicolle Anette; Meza, CamilaThe role of caregivers for the treatment of sexually assaulted children has been widely discussed. Objective: to explore the influence of caregivers’ variables and the interaction between the therapeutic alliance with their children’s psychologists, in a sample of 58 children undergoing psychotherapy for sexual assault. Method: We explore the relationship between caregivers’ adverse childhood experiences (ACEs), post-traumatic symptomatology and initial therapeutic alliance using descriptive, correlational and moderation analyses. Results: 51.7% of caregivers reported ACEs. The greater the presence of ACEs, the lower the quality of the initial therapeutic alliance. Caregivers who experienced ACEs and reported fewer symptoms of post-traumatic stress presented a lower quality of therapeutic alliance. Discussion: The findings suggest that ACEs may provoke dissociative mechanisms in adults and that this appears to interfere with the emotional response to their child’s abusive experience and with the possibility of establishing a positive therapeutic alliance with the child’s therapist. This emphasizes the need that these adults have for therapeutic support as part of a comprehensive and specialized care model
- ItemThe therapeutic relationship in child psychotherapy: integrating the perspectives of children, parents and therapists(2021) Núñez Hidalgo, Lucía Beatriz; Midgley, Nick; Capella, Claudia; Alamo Anich, Nicolle Anette; Mortimer, Rose; Krause Jacob, MarianeThis study addresses the therapeutic relationship in child psychotherapy, through an exploration of the experience of the main actors engaged in child psychotherapy. Objectives: To describe and analyse the therapeutic relationship integrating the views of children, parents and therapists. Methods: This study employs a qualitative methodology, assuming a discovery-oriented approach which draws from grounded theory. Twelve psychotherapy triads participated, composed of children aged 6–10, their parents and psychotherapists. Semi-structured follow-up interviews were conducted (N=36), including a drawing in the case of the children. Results: A positive therapeutic relationship with children and parents was viewed as a gradually constructed process, based on a positive emotional encounter between participants. It was facilitated primarily by the therapist’s commitment and playful stance, the child and therapist mutual involvement, and the parent’s collaboration. These aspects entailed a trustful, validating and caring relationship, that shaped children and parents’ motivations towards therapy and facilitated change. Conclusions: From a multiple-perspective approach, therapy was conceived as a relational experience. The development of positive relationships required different and evolving dispositions from therapy main actors. Therapists’ genuine feelings and engagement in therapeutic activity seem central, underlining the importance of addressing relational aspects in child therapy research and training.