Browsing by Author "Muzard, Antonia"
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- ItemA Chilean survey of perinatal women and health care professionals? views towards perinatal apps(AME Publishing Company, 2023) Franco Vivanco, Pamela Verónica; Kelders, Saskia; Muzard, Antonia; Olhaberry Huber, MarciaBackground: Women around the globe are increasingly engaging with pregnancy and parenting apps, almost becoming a routine part of the maternity experience. However, little is known about what perinatal women and health care professionals feel about those apps in Latin American countries, where the digital transformation has been slower but where digital technologies could also bridge gaps in access to quality health care.Methods: This study aimed to assess views towards pregnancy and parenting apps in perinatal women and perinatal health care professionals in Chile through an online survey. In perinatal women, we explored app use, what they value in the apps they use, and what an "ideal app" would be for them. In health professionals, we explored opinions about women using perinatal apps and what they think a perfect app for their clients would be. Results: The survey was completed by 451 perinatal women and 54 perinatal health care professionals.Results show that perinatal women in Chile frequently use perinatal apps, and they and health care professionals show a positive attitude towards them. The most valued attributes are information and monitoring of body changes during pregnancy, information and monitoring of the baby's development (in the uterus and after birth), information and tips on how to stay healthy, and having the possibility to interact with other women.Conclusions: Perinatal apps are accepted by perinatal women and health care professionals in Chile. Some needs for an "ideal app" emerged. Participants mentioned the need to address mental health, including the mental health of their partner, and the need for support during the transition to parenthood.
- ItemApp-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial(2023) Franco Vivanco, Pamela Verónica; Olhaberry Huber, Marcia; Cuijpers, Pim; Kelders, Saskia; Muzard, AntoniaBackground: Chile has a high prevalence of postpartum depression and a significant treatment gap. Some barriers to postpartum depression care uncover the need for more easily accessible and lower-cost interventions. Chile's high utilization of digital technologies across all social strata and the increased use of pregnancy and parenting apps open the possibility of delivering interventions through mobile devices. Cognitive-behavioral internet-based interventions have proven to be effective in reducing symptoms of depression in high-income countries. However, in Chile, this is an underdeveloped field. This manuscript describes a randomized controlled trial protocol that will examine the feasibility and acceptability of a guided 8-week cognitive-behavioral app-based intervention for Chilean postpartum women with depressive symptoms. Method: A small-scale parallel 2-arms trial will be conducted. Postpartum women with minor or major depression will be randomized to the app-based intervention or waitlist. The primary outcomes are feasibility and acceptability variables, mainly; recruitment and eligibility rates, intervention and study adherence, and participants' intervention satisfaction, use, and engagement. Semi-structured interviews with a sub-sample will provide more information about the participants' experience with the intervention. Women's depression status will be assessed at pre-treatment, post-treatment, and 1-month follow-up. Other secondary outcomes will include participants' perceived social support, mother-infant bonding, and maternal satisfaction and self-efficacy. Discussion: This will be the first internet-based intervention aimed at reducing postpartum depression symptoms developed and studied in Chile. If the intervention and procedures prove feasible and acceptable, we plan to study its efficacy in a definitive controlled trial. If the intervention demonstrates to be effective, the aim is to implement it within the Chilean healthcare setting.
- ItemBeyond the outcomes: generic change indicators in a video-feedback intervention with a depressed mother and her baby: a single case study(SPR ITALIA, 2022) Sieverson, Catalina; Olhaberry, Marcia; Duarte, Javiera; Moran, Javier; Costa, Stefanella; Jose Leon, M.; Valenzuela, Sofia; Leyton, Fanny; Honorato, Carolina; Muzard, AntoniaChild and dyadic psychotherapy have been scarcely investigated from the psychotherapy process research perspective. Thus, content and mechanisms related to therapeutic change have been overlooked by research.
- ItemDepression and Antidepressants During Pregnancy: Craniofacial Defects Due to Stem/Progenitor Cell Deregulation Mediated by Serotonin(FRONTIERS MEDIA SA, 2021) Sanchez, Natalia; Juarez Balarezo, Jesus; Olhaberry, Marcia; González Oneto, Humberto; Muzard, Antonia; Mardonez, Maria Jesus; Franco, Pamela; Barrera, Felipe; Gaete, MarciaDepression is a common and debilitating mood disorder that increases in prevalence during pregnancy. Worldwide, 7 to 12% of pregnant women experience depression, in which the associated risk factors include socio-demographic, psychological, and socioecono
- ItemFamily dynamics. An exploration of parental sensitivity and depressive symptoms among mothers and fathers of toddlers(SPR ITALIA, 2021) Muzard, Antonia; Olhaberry, Marcia; Immel, Nina; Moran Kneer, JavierIn studies of maternal sensitivity, the influence of mothers' depressive symptomatology has been consistently highlighted. Additionally, the relevance of both maternal and paternal sensitive responses to children's development has been recognized. However, literature regarding the dynamics of the mother-father-tod-dler triad is scarce. This is particularly true when understanding how parental sensitivity may be bidirectionally shaped by both parents' (i.e., mothers' and fathers' depressive symptomatology) and children's characteristics (i.e., age). Hence, the present study aims to describe and analyse the associations between parental depression, paternal sensitivity and children's socioemotional difficulties and age with mothers' sensitive responses to highlight the appropriateness of considering fathers' depressive symptoms and sensitivity to better understand the impact of maternal depressive symptomatology on mothers' sensitivity. The participants included 80 Chilean mother-father-child triads in which all children were between 1 and 3 years of age and presented some degree of socioemotional difficulty. The results reveal no differences in maternal and paternal sensitivity or higher depressive symptomatology in mothers than in fathers. Additionally, while mothers' depression was significantly associated with their sensitivity, this was not the case for fathers. Paternal depressive symptomatology was associated with the mother's depression. Finally, paternal sensitivity emerged as a mediator between maternal depressive symptoms and sensitivity. This result calls attention to the use of paternal variables to understand how maternal depression impacts mothers' sensitivity and to thus develop appropriate interventions that expand the scope of such impacts from the dyad to the triad.
- ItemParental personality traits and emotion regulation: Its relationship with infants\' socioemotional development during the perinatal period(2023) Muzard, Antonia; Olhaberry Huber, Marcia; Nuñez, Catalina; Vaccarezza Schurmann, Stephanie; Franco, Pamela; Morán, Javier; Sieverson Raddatz, Catalina; León, María José; Apter, GiseleSocioemotional development is central throughout life, and it unfolds in an interpersonal context in which each significant caregiver has an impact, particularly during infancy. However, only a relatively small number of studies have investigated associations between mothers and fathers' personality and emotional characteristics with their infant's socioemotional development during the perinatal period. Therefore, the present article examines the relationship between maternal and paternal personality traits and emotion regulation difficulties during the prenatal period with offspring's socioemotional development. This was a non-experimental and longitudinal study that included a community sample of 55 mother-father-baby triads. Parental assessments were carried out between the second and third trimester of pregnancy, and baby's socio-emotional development was assessed during their 2nd month after birth. Results evidenced differences between maternal and paternal personality traits and emotion regulation difficulties during the perinatal period as well as distinct contributions on infant's socioemotional development.
- ItemThe impact of COVID-19 on experiences of pregnancy and/or early parenting in Chile(WILEY, 2021) Olhaberry, Marcia; Sieverson, Catalina; Franco, Pamela; Romero, Macarena; Tagle, Trinidad; Iribarren, Daniela; Honorato, Carolina; Muzard, AntoniaThe unprecedented COVID-19 pandemic has impacted families' mental health around the globe. In June 2020, 1163 parents of high (43%), middle (47%), and low socioeconomic status (SES) (10%) participated in an online survey developed to explore how daily life changes and restrictions that came with COVID-19 affected the experiences of pregnancy and/or parenting children under the age of 5 in Chile. The survey's design had an exploratory and descriptive scope, with a mix of qualitative and quantitative questions. With the aim of exploring differences before and after COVID-19, two time periods were established, and the 47-item questionnaire covered participants' sociodemographic information, support networks, health concerns, mood changes, self-regulation, adult and children's perceived well-being, parental competencies and parents' perceptions of the unborn baby and/or their children's needs. The results relative to retrospective reporting of pre-pandemic levels, showed an increase in children's crying and tantrums as well as in parental irritability and sadness. Additionally, decreases in the ability to calm down and sleep quality in both parents and children were identified. Finally, at a qualitative level, COVID-19 stands out both as an opportunity to get to know their children better and as a stressor related to parental burn-out and discomfort.