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To evaluate the relationship between maternal cognitive performance and language and cognitive development of children between 24 and 36 months old of mothers who became pregnant in adolescence, in the city of Pelotas, Southern Brazil. This is a cross-sectional study nested in a cohort study with adolescent mothers who received prenatal care in the city’s public health system. To assess maternal cognitive performance, the Montreal Cognitive Assessment (MoCA) was used and Bayley Scales of Infant Development III (BSID-III) are used to assess children's language and cognition development. Data were analyzed using SPSS (Version 22.0) software. Pearson correlation, t-test, ANOVA and linear regression were performed. We evaluated 496 mother-child dyads. In the adjusted analysis, we found that children's language remained associated with maternal cognitive performance (p = .027, CI [0.0, 0.6]) and child’s gender (p < .001, CI [−7.2, −2.4]). Besides that children cognitive development remained associated with maternal cognitive performance (p = .008, CI [0.1, 0.6]) and child’s gender (p = .030, CI [−4.5, −0.2]). Our results suggest that poor maternal cognitive performance is associated with lower levels of children's language and cognitive development. The results contributing to early identification and intervention in children of mothers with poor cognitive performance at higher risk of negative developmental outcomes.

Introduction: The Better Early Childhood Program (PIM) is a public policy aimed at promoting the integral development of children. Knowing the characteristics of the population served by the program can help in choosing appropriate strategies that aim at more effective and less costly early interventions.Objective: To describe the sociodemographic characteristics and frequency of family stimulation directed at children aged 0 to 3 years, assisted by the PIM in Pelotas-RS.Materials and methods: variables were collected in the database of said program, where the cadastral data were inserted after application of a structured questionnaire carried out by trained visitors.Results: The sample consisted of 1077 families. The main caregiver of the child is the mother (89% n = 958), while the main economic provider is the father (48.8% n = 526). Most families (87.3% n = 940) receive up to two minimum wages. Regarding infant stimulation, most families never show figures or books (52.6% n = 567) and do not tell stories (57.8% n = 623) for the child.Conclusion: this study offers relevant results that can serve as a guide for new research related to this topic, as well as important data to be added in the elaboration of interventions and collaboration of public policies focused on early childhood. Introdução: O programa Primeira Infância Melhor (PIM) é uma política pública que visa promover o desenvolvimento integral de crianças. Conhecer as características da população atendida pelo programa pode auxiliar na escolha de estratégias adequadas que visem intervenções precoces mais eficazes e menos onerosas.Objetivo: Descrever as características sociodemográficas e frequência da estimulação familiar dirigida às crianças, entre zero e três anos, assistidas pelo PIM em Pelotas-RS.Materiais e métodos: as variáveis foram coletadas no banco de dados do referido programa, onde os dados cadastrais foram inseridos após aplicação de questionário estruturado realizado por visitadores treinados.Resultados: A amostra foi composta por 1077 famílias. O principal cuidador da criança é a mãe (89% n=958), enquanto o principal provedor econômico é o pai (48,8% n=526). A maioria das famílias (87,3% n=940) recebe até dois salários mínimos. Quanto à estimulação infantil a maioria das famílias nunca mostra figuras ou livros (52,6% n=567) e nem contam histórias (57,8% n=623) para a criança.Conclusão: este estudo oferece resultados relevantes que podem servir de norte para novas pesquisas referentes ao tema, assim como dados importantes a serem somados na elaboração de intervenções e colaboração de políticas públicas voltadas à primeira infância.

Objective: To evaluate the association between social anxiety disorder (SAD) and perceived maternal bonding styles among young women during pregnancy and 30 months after childbirth. Methods: A cohort of young women from the city of Pelotas, Brazil was followed up from pregnancy to 30 months postpartum. The Mini Neuropsychiatric Interview Plus was used to assess SAD and the Parental Bonding Instrument was administered to measure maternal bonding styles. Poisson regression with robust variance was used for multivariable analysis. Results: After adjusting for potential confounding factors, SAD prevalence was 6.39 times higher among young women who perceived their mothers as neglectful (prevalence ratio [PR] 6.39; 95% confidence interval [95%CI] 1.2-32.0), and 5.57 times higher in women who perceived their mothers as affectionless controlling (PR = 5.57; 95%CI 1.5-19.7) when compared with those who received optimal care. Conclusion: Maternal bonding style may have an influence on the development of SAD. Therefore, support and early prevention strategies should be offered to the family.

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2016-11-08T15:48:24Z No. of bitstreams: 1 Rochele Castelli.pdf: 1135312 bytes, checksum: 9575cc3f4de5a3d46b326b5164f0e7ff (MD5) Made available in DSpace on 2016-11-08T15:48:24Z (GMT). No. of bitstreams: 1 Rochele Castelli.pdf: 1135312 bytes, checksum: 9575cc3f4de5a3d46b326b5164f0e7ff (MD5) Previous issue date: 2015-02-26 Introduction: Social anxiety disorder is a common disease, which symptoms, including behavioral inhibition, seem to be associated with poor affective care and maternal over control and protection. In addition, it has been shown that children raised by mothers with mental disorders have a poor cognitive and verbal performance. Objectives: Assess the association between social anxiety disorder in young women and their perception of how their own mothers raised them, as well as its association with cognitive and verbal development in their children. Methods: We used data from a cohort study. Teenage mothers, (from 13 to 19 years old) receiving prenatal medical assistance in the national public health system in the urban area of Pelotas, were prospectively followed during their pregnancy and 30 months postpartum. Social anxiety disorder was assed using the Mini Neuropsychiatric Interview Plus (MINI Plus). We used the Portuguese version of the Parental Bonding Instrument (PBI), to measure women’s perception of bond quality with their own mothers, in terms of care and control. We assessed the children’s cognitive and verbal performances using the da Bayley Scales of Infant and Toddler Development- Third Edition at 30 months. Results: We found a significant association between the presence of social anxiety disorder in young women and bond perception with their mothers; prevalence of social anxiety disorder was higher in women who reported their mothers as neglectful (PR 6.39 95% CI 1.2-32.0), and between women who perceived their mother as affectionless controlling (PR 5.57 CI 95% 1.5-19.7) when compared to those who received optimal care. In addition, children of women with social anxiety disorder had a mean score 4.5 points lower in cognitive (IC 95% -7.8; -1.1 p = 0.008) and verbal scales (IC 95% -9.0; -0.5 p = 0.047). Conclusion: Our results suggest that maternal characteristics are important for their children development, and it seems that there is a transmission of internalized models between generations. The women’s bond perception with their mothers seemed to influence the presence of social anxiety disorder, and this affected their own children cognitive and verbal development. To understand the aspects related to the origin and consequences of common disorders, like social anxiety disorder, could help us develop better diagnostic strategies for early intervention and prevention. Introdução: O transtorno de ansiedade social é um transtorno comum e o surgimento de seus sintomas, como sua característica inibição comportamental, parecem estar relacionados tanto a percepção de falta de cuidado e afeto quanto a de excesso de proteção e controle dispensados pelas mães. Por sua vez, sabe-se que mães com transtornos psiquiátricos podem influenciar negativamente o desenvolvimento de seus filhos, afetando seu desempenho em diversas habilidades incluindo cognição e linguagem. Objetivo: Verificar se há associação entre presença de transtorno de ansiedade social em jovens mulheres e a percepção acerca da forma como foram cuidadas por suas mães, além de investigar se a presença do transtorno entre essas jovens tem impacto no desempenho cognitivo e na linguagem de seus filhos. Método: Este trabalho é um recorte de um estudo de coorte. A amostra foi composta por gestantes adolescentes, (com idades entre 13 e 19 anos) que realizaram seu pré natal através do sistema único de saúde e que residiam na zona urbana da cidade de Pelotas. Estas foram acompanhadas durante a gestação e 30 meses após o parto. A presença de transtorno de ansiedade social foi investigada através do Mini Neuropsychiatric Interview Plus (MINI Plus). Para medir percepção acerca da qualidade do vínculo entre mãe e filha em termos de cuidado e controle utilizamos a versão validada para o Português do Parental Bonding Instrument (PBI). Os desempenhos na cognição e linguagem das crianças foram avaliados através da Bayley Scales of Infant and Toddler Development (3ª ed) aos 30 meses. Resultados: Foi encontrada associação significativa entre a forma como as jovens percebiam o vínculo com suas mães e a presença de transtorno de ansiedade social. A chance de apresentar o transtorno foi mais alta entre as mulheres que percebiam sua mãe como negligente (RP 6.39 IC 95% 1.2-32.0) e como pouco afetiva e muito controladora (RP 5.57 IC 95% 1.5-19.7) quando comparadas aquelas cujo cuidado materno era considerado ideal. Também foi significativa a associação entre a presença do transtorno de ansiedade social entre as jovens e pior desempenho de seus filhos nas escalas cognitiva e de linguagem. Filhos de mães com o transtorno apresentaram 4.5 pontos a menos de média comparadas a filhos de mães sem o transtorno nas escalas cognitiva (IC 95% -7.8; -1.1 p = 0.008) e de linguagem (IC 95% -9.0; -0.5 p = 0.047). Conclusão: estes achados sugerem que as caracteristicas maternas são importantes para o desenvolvimento dos filhos e parece haver uma transmissão entre as gerações dos modelos 9 internalizados. A percepção acerca da vinculação dessas jovens com suas mães parece ter influencia na etiologia do transtorno de ansiedade social e, por sua vez, a presença do transtorno entre essas mulheres tem influencia no desempenho de habilidades como cognição e linguagem entre seus filhos. Compreender os aspectos relacionados à origem e às consequencias de transtornos comuns, como o transtorno de ansiedade social, podem resultar em melhores estratégias de diagnóstico e intervenção precoces e trabalhos de prevenção.

Made available in DSpace on 2016-03-22T17:26:57Z (GMT). No. of bitstreams: 1 rochele.pdf: 1180565 bytes, checksum: f3988e75aeed5868b70c4781b36d7964 (MD5) Previous issue date: 2011-02-24 Depression is a common mental disorder in pregnant women especially between adolescents. The violence is the important risk factors for the depression because violence can be negative consequences to both mother and baby. The aim of this study was to relate current physical violence and depression in adolescent pregnancy. We conducted a cross-sectional study with 497 pregnant adolescents that had received prenatal care by Brazilian National System of Public Heath in the city of Pelotas. We used Mini International Neuropsychiatric Interview (MINI) to assess the depression and the Abuse Screening Assesment (AAS) to assess the violence. The prevalence of depression in pregnancy was 17.5% and physical violence in the last year was 10.5%. The violence was associated with pregnancy depression after adjusted analysis. The adolescents who were exposed to violence had four times more likely to experience depression during pregnancy. Not being primiparous and the presence of a family with a psychiatric disorder were also associated with depression pregnancy. Thus, health professionals should be alert to mental health during pregnancy and make inquiries on issues including violence Depressão é um transtorno mental frequente entre gestantes, principalmente entre adolescentes. Entre os fatores de risco para a doença a violência merece destaque por trazer conseqüências negativas à mãe e ao bebê. O objetivo deste estudo foi verificar a existência de associação entre violência física atual e depressão gestacional em adolescentes. Foi realizado um estudo transversal com 497 gestantes adolescentes que realizaram seu pré natal pelo Sistema Único de Saúde na cidade de Pelotas-RS. A depressão foi avaliada com a Mini International Neuropsychiatric Interview (MINI) e violência com o Abuse Assesment Screening (AAS). A prevalência de depressão durante a gestação foi 17,5% e de violência física no último ano foi de 10,5%. Após análise multivariada ajustada, a violência foi associada com depressão aumentando em mais de quatro vezes o risco para o transtorno. Não ser primípara e ter algum familiar com problemas psiquiátricos também foram associados à depressão gestacional. Assim, os profissionais de saúde devem estar atentos à saúde mental na gestação e fazer inquéritos incluindo questões sobre violência

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2021-09-14T12:38:05Z No. of bitstreams: 1 Dissertação - Luiza Morrone Gastaud.pdf: 5167261 bytes, checksum: 0f8b1e0741092b2d0b79ac844eadb4e8 (MD5) Made available in DSpace on 2021-09-14T12:38:05Z (GMT). No. of bitstreams: 1 Dissertação - Luiza Morrone Gastaud.pdf: 5167261 bytes, checksum: 0f8b1e0741092b2d0b79ac844eadb4e8 (MD5) Previous issue date: 2021-04-16 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES Introduction: Since the emergence of television and other technologies such as tablets and smartphones, we have immersed ourselves in the digital age, which has an expressive impact on the routine of the most varied ages. Among these, child use and increasingly early introduction stand out. Thus, recommendations were made necessary by health agencies in order to guide rational and healthy use, considering the influence on child growth and development. This is an intense and significant process, which shapes and reflects in the future life and thus depends on the expected neuronal connections and differentiation and external stimuli. And it is at this point, especially in the initial phase of children's lives - where the recommendations for use are extremely restricted, that we need to assess the role of technologies that often end up reducing moments of playful and impulsive activities for proper development. Objective: To evaluate the association between screen time of children at 18 months of age and cognitive development. Method: Cross-sectional study linked to the cohort entitled “Maternal neuropsychiatric disorders in the pregnancy-puerperal cycle: early detection and intervention and its consequences in the family triad”, carried out in the city of Pelotas / RS. Children aged 18 months without neurological impairment were included. The evaluations were composed of a questionnaire with variables referring to the child and the mother and application of the Bayley Scale of Infant and Toddler Development test (BayleyIII). For data analysis, t test, ANOVA by the SPSS 22.0 program was used. The adjusted analysis was performed using linear regression. The larger study was approved by the Ethics Committee with filling out an informed consent form for all participants, as well as authorization for the participation of children. Results: The sample totaled 470 participants. The general average on the cognitive scale was 96.1 (± 14.0) points. Regarding screen time, it was found that 58.8% of children spent 1 hour or more for such activity. And children who had screen time less than 1 hour had an average cognitive score 2 points above those who spent more time in front of the media (-2.1 CI95% -3.6; -0.5). Conclusion: Exposure to screens can have important negative effects on children's cognitive development and, therefore, we seek to intervene and guide the real role of the media to parents and guardians. For these findings to be consolidated and the focus to spread, more studies are needed. Introdução: Desde o surgimento da televisão e demais tecnologias como tablets e smartphones, imergimos na era digital, a qual tem reflexo expressivo na rotina das mais variadas idades. Entre estas, destaca-se o uso infantil e introdução cada vez mais precoce. Assim, recomendações se fizeram necessárias por órgãos de saúde a fim de orientar o uso racional e saudável ponderando-se a influência no crescimento e desenvolvimento infantil. Este é um processo intenso e significativo, que molda e reflete na vida futura e assim depende das conexões e diferenciação neuronais esperadas e de estímulos externos. E é neste ponto, principalmente na fase inicial da vida das crianças - onde as recomendações de uso são extremamente restritas, que precisamos avaliar o papel das tecnologias que muitas vezes acabam reduzindo momentos de atividades lúdicas e impulsoras para o adequado desenvolvimento. Objetivo: Avaliar a associação entre tempo de tela de crianças aos 18 meses de idade e desenvolvimento cognitivo. Método: Estudo transversal vinculado à coorte intitulada “Transtornos neuropsiquiátricos maternos no ciclo gravídicopuerperal: detecção e intervenção precoce e suas consequências na tríade familiar”, realizada na cidade de Pelotas/RS. Foram incluídas crianças com 18 meses de idade sem impedimento neurológico. As avaliações foram compostas por questionário com variáveis referentes à criança e à mãe e aplicação do teste Bayley Scale of Infant and Toddler Development (Bayley-III). Para análise de dados, utilizou-se teste t, ANOVA pelo programa SPSS 22.0. Já a análise ajustada foi realizada através de regressão linear. O estudo maior foi aprovado pelo Comitê de Ética com preenchimento de termo de consentimento livre esclarecido a todos participantes, assim como autorização a participação dos filhos. Resultados: A amostra totalizou 470 participantes. A média geral na escala cognitiva foi 96,1 (±14,0) pontos. Em relação ao tempo de tela, constatou-se que 58,8% das crianças gastavam 1 hora ou mais para tal atividade. E crianças que apresentaram tempo de tela menor que 1 hora obtiveram escore cognitivo médio 2 pontos acima dos que gastavam mais tempo em frente às mídias (-2,1 IC95% -3,6; -0,5). Conclusão: A exposição às telas pode trazer efeitos negativos importantes ao desenvolvimento cognitivo infantil e assim busca-se intervir e orientar o real papel das mídias aos pais e responsáveis. Para que se consolidem tais achados e o enfoque se difunda, mais estudos são necessários.

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2020-08-03T11:29:38Z No. of bitstreams: 1 Jessica Trettim.pdf: 2786719 bytes, checksum: 4c4862269b08a060085f017643974ef5 (MD5) Made available in DSpace on 2020-08-03T11:29:38Z (GMT). No. of bitstreams: 1 Jessica Trettim.pdf: 2786719 bytes, checksum: 4c4862269b08a060085f017643974ef5 (MD5) Previous issue date: 2019-03-22 The pregnancy-puerperal cycle involves from emotional to physiological changes that may be risk factors for the development of psychiatric symptoms, including suicidal ideation and suicidal behavior. Cohort studies with mothers-children dyads provide several findings that may result in strategies for prevention and health promotion for families. Some maternal characteristics can influence the child's development of children. Therefore, studies on the influence of maternal mental disorders on child development are important to the main risks and losses caused by this relationship. Thus, this thesis aims to verify the prevalence and factors associated with suicidal ideation in pregnancy, as well as the incidence of suicidal behavior in this period and the influence of the suicide risk and maternal depression on child development. The paper 1 was composed of pregnant women with up to 24 weeks of pregnancy in a cohort of the city of Pelotas/RS. The second paper consisted of children between 24 and 36 months of age and their mothers, who were followed up since pregnancy. The suicide risk (characterized by suicidal ideation and behavior) and maternal depression were assessed by the Mini International Neuropsychiatric Interview Plus, and child development was assessed through the Bayley Scales of Infant and Toddler Development III in domains: language, cognitive, motor, socioemotional, and adaptive behavior. The data analysis was performed in the SPSS 21.0 program, with the appropriate statistical tests for each study objective. In the first paper, 973 pregnant women completed the diagnostic interview for the assessment of psychiatric symptoms, totaling 9.6% (n=93) women with current suicidal ideation. Pregnant women with a previous history of suicidal behavior were four times more likely to present current suicidal ideation (95% CI 2.1, 7.4). In addition, 1.3% (n=13) of the pregnant women reported a suicide attempt in the last month, and of these, 11 had a history of suicidal behavior. The results indicate that despite the presence of suicidal ideation in pregnancy, this period was associated with a low prevalence and incidence of suicide attempts, which could be considered as a protective factor for further attempts. In the second paper, after adjusting for confounding factors, the suicide risk and maternal depression remained associated with a worse socioemotional development of the child (p=0.044). Therefore, it is suggested that the public health system can invest in strategies of interventions aimed at maternal mental health, from gestation to the period of child development, promoting a better quality of life and mental health for mothers and a child healthier for your children. O ciclo gravídico-puerperal envolve uma série de alterações emocionais e fisiológicas que podem atuar como fatores de risco para o desenvolvimento de sintomas psiquiátricos, incluindo ideação e comportamento suicida. Estudos de acompanhamento de díades mãe-bebê possibilitam uma série de descobertas que podem resultar em estratégias de prevenção e promoção de saúde para as famílias. Sabe-se que algumas características maternas podem influenciar no desenvolvimento infantil dos filhos. Diante disso, estudos sobre a influência dos transtornos mentais maternos no desenvolvimento infantil tornam-se essenciais, a fim de esclarecer os principais riscos e prejuízos que isso pode ocasionar. Dessa forma, esta tese tem por objetivo geral verificar a prevalência e os fatores associados à ideação suicida durante a gestação, bem como a incidência de comportamento suicida nesse período e a influência do risco de suicídio e da depressão materna no desenvolvimento infantil. O artigo 1 foi composto por gestantes com até 24 semanas de gestação participantes de uma coorte da cidade de Pelotas/RS. Já o artigo 2 foi composto por crianças de 24 a 36 meses e suas mães, acompanhadas desde a gestação na adolescência. O risco de suicídio (caracterizado por ideias e comportamentos suicidas) e a depressão materna foram avaliados através dos módulos correspondentes da Mini Internacional Neuropsychiatric Interview Plus, e o desenvolvimento infantil através das escalas Bayley Scale of Infant and Toddler Development III em seus domínios: linguagem, cognitivo, motor, socioemocional e comportamento adaptativo. Os dados foram analisados no programa SPSS 21.0, com os testes estatísticos apropriados para cada objetivo do estudo. No primeiro artigo, 973 gestantes completaram a entrevista diagnóstica para avaliação de sintomas psiquiátricos, totalizando 9,6% mulheres com ideação suicida atual. As gestantes com história prévia de comportamento suicida tiveram uma probabilidade quatro vezes maior de apresentarem ideação suicida atual (IC95% 2,1; 7,4) quando comparadas às gestantes sem histórico de tentativa se suicídio. Além disso, 1,3% (n=13) das gestantes relataram tentativa de suicídio no último mês, e destas, 11 tinham histórico de comportamento suicida ao longo da vida. Os resultados indicam que, apesar da presença de ideação suicida na gestação, este período foi associado a uma baixa prevalência e incidência de tentativas de suicídio, podendo a gravidez ser considerada como um fator de proteção para novas tentativas. No segundo artigo, após ajuste para os fatores de confusão, o risco de suicídio e a depressão materna permaneceram associados a um pior desenvolvimento socioemocional da criança (p=0,044). Diante disso, sugere-se que o sistema público de saúde possa investir em estratégias de intervenções voltadas à saúde mental materna, desde a gestação até o período da primeira infância, promovendo uma melhor qualidade de vida e saúde mental para as mães e um desenvolvimento mais saudável para seus filhos.

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2018-08-29T12:21:59Z No. of bitstreams: 1 Rosiani Rossato Battisti.pdf: 2568354 bytes, checksum: 719bb0105d67a9791a2f5f67e4474b15 (MD5) Made available in DSpace on 2018-08-29T12:21:59Z (GMT). No. of bitstreams: 1 Rosiani Rossato Battisti.pdf: 2568354 bytes, checksum: 719bb0105d67a9791a2f5f67e4474b15 (MD5) Previous issue date: 2017-12-18 Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq Objective: To identify the association between the social support perceived by the mother and the motor development of the baby at 3 months of age. Methods: This is a cross-sectional study it´s a part of major project that is evaluating the maternal neuropsychiatric disorders in the gestational-puerperal cycle under the point of view of the early detection and intervention and their consequences in the familiar triad. Mothers characteristics, obstetric and health information of the baby were collected through a structured questionnaire. The instruments used were the Scale of the Medical Outcomes Study (MOS) to know the perception of the mother with the social support and AIMS (Alberta Infant Motor Scale) that evaluates the motor development of the baby. Results: A total of 203 mother-infant dyads were evaluated. Motor development was associated with maternal perception of social support in bivariate analysis in the domains of affective support (p = 0.04) and emotional support (p = 0.01) in the bivariate analysis, but did not maintain its association in the adjusted analysis . In the multivariate analysis, infants of lower socioeconomic classes (C, D or E) (p = 0.02); birthweight < 2,500 g (p

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2018-04-17T16:40:01Z No. of bitstreams: 1 Bárbara Borges Rubin_ok.pdf: 2368899 bytes, checksum: 497278bc48e1249b965937422adc4f01 (MD5) Made available in DSpace on 2018-04-17T16:40:01Z (GMT). No. of bitstreams: 1 Bárbara Borges Rubin_ok.pdf: 2368899 bytes, checksum: 497278bc48e1249b965937422adc4f01 (MD5) Previous issue date: 2017-12-14 Introduction: In general, child neurodevelopment can be determined by genetic, social and environmental factors that interact in complex ways. In addition, the development of the fetus is considered the most vulnerable period in this process. Risk behaviors during pregnancy are often observed in women who are not affectively bonding with the fetus, and there is evidence that the relationship of the pregnant woman with the fetus during pregnancy tends to remain stable after birth. It is known that early mother-infant bonding may influence the child's future social, cognitive and emotional development. Objective: To evaluate the relationship between maternal-fetal attachment and child development in children at three months of age. Method: This is a longitudinal study nested in a cohort of pregnant women in the city of Pelotas, Brazil, with pregnant that were evaluated at up to 24 weeks of pregnancy, 60 days after the first assessment and at 90 days postpartum with the children. A questionnaire that contains sociodemographic variables, questions related to the health of the pregnant, the relationship with the child’s father and data on the pregnancy were used; the Maternal-Fetal Attachment Scale to evaluate the quality of the relationship between the pregnant and the fetus; and the Bayley Scales of Infant Development III to assess child development. Results: The main result indicated that, at each increment of 1 point in the Maternal-Fetal Attachment, there was an increase of 0.03 (95% CI 0.0; 0.5) in the mean of the social-emotional scale and 0.02 (95% CI 0.0; 0.5) in the adaptive behavior scale score. Discussion: Our results suggest the influence of the early bond in the socioemotional and adaptive behavior domains, highlighting the importance of prenatal aspects in child development. Introdução: Em geral, o neurodesenvolvimento infantil pode ser determinado por fatores genéticos, sociais e ambientais que interagem de forma complexa entre si. Além disso, o desenvolvimento do feto é considerado o período mais vulnerável neste processo. Comportamentos de risco durante a gestação são frequentemente observados em mulheres que não estão vinculadas afetivamente com o feto e, ainda, há evidências de que a relação da gestante com feto durante a gravidez tende a manter-se estável após o nascimento. Sabe-se que a vinculação precoce mãe-bebê pode influenciar o futuro desenvolvimento social, cognitivo e emocional da criança. Objetivo: Avaliar a relação entre Apego Materno-Fetal e Desenvolvimento Infantil em bebês aos três meses de vida. Método: Trata-se de um estudo longitudinal aninhado a uma coorte de gestantes da cidade de Pelotas/RS, no qual as gestantes foram avaliadas com até 24 semanas de gestação, 60 dias após a primeira avaliação e aos 90 dias após o parto junto com os bebês. Foram utilizados um questionário contendo variáveis sociodemográficas, questões relacionadas à saúde da gestante, à relação com o pai do bebê e dados sobre a gestação; a Escala de Apego Materno-Fetal para avaliar a qualidade da relação da gestante com o feto; e as Bayley Scales of Infant Development para avaliar o desenvolvimento infantil. Resultados: O principal resultado indicou que, a cada incremento de 1 ponto na escala de Apego Materno-Fetal, houve um aumento de 0,03 (IC95% 0,0;0,5) pontos na média da escala socioemocional e 0,02 (IC95% 0,0;0,5) na pontuação da escala de comportamento adaptativo. Discussão: Nossos resultados sugerem a influência do vínculo precoce nos domínios socioemocional e comportamento adaptativo, ressaltando a importância dos aspectos pré-natais no desenvolvimento infantil.

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2020-07-31T14:02:27Z No. of bitstreams: 1 Edna Aparecida Lopes Bezerra Katakura.pdf: 2618562 bytes, checksum: e0025cb078c096f8cce79b75ef1fcf72 (MD5) Made available in DSpace on 2020-07-31T14:02:28Z (GMT). No. of bitstreams: 1 Edna Aparecida Lopes Bezerra Katakura.pdf: 2618562 bytes, checksum: e0025cb078c096f8cce79b75ef1fcf72 (MD5) Previous issue date: 2017-11-27 Anxiety disorders (AD) are prevalente after childbirth and are associated with negative outcomes for both mother and child. It is known that disorders affect functional and cognitive capacity, however, studies on perinatal AD and postpartum AD only provide information on occurence and risk factors related to the disorders. They do not compare psychiatric morbidity with maternal cognitive performance. Therefore, the objectives of this study were: to investigate the association between AD and cognitive performance in young mothers evaluated between 24 and 36 months after delivery; and to investigate the connection between perinatal ObsessiveCompulsive Disorder (OCD) in the evaluation between 24 and 36 months postpartum, with cognitive performance in young mothers. It is a cross-sectional study, nested in a cohort study of pregnant women who underwent prenatal care through the Unified Health System in the city of Pelotas, RS. The youths were closely observed at three different stages: the third trimester of pregnancy, between 30 and 60 days after delivery, and the last between 24 and 36 months after delivery. The AD were diagnosed using the Mini International Neuropsychiatric Interview (MINI-Plus) and cognition was tracked by the Montreal Cognitive Assessment (MoCA). The results show that low total MoCA scores were significantly associated with sociodemographic variables: marital status (p = 0.021), education (p

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2017-07-19T11:33:30Z No. of bitstreams: 1 Mariana Bonati de Matos (Versão final).pdf: 1740813 bytes, checksum: cc73e0907bfe29c17a9366143a307c3e (MD5) Made available in DSpace on 2017-07-19T11:33:30Z (GMT). No. of bitstreams: 1 Mariana Bonati de Matos (Versão final).pdf: 1740813 bytes, checksum: cc73e0907bfe29c17a9366143a307c3e (MD5) Previous issue date: 2016-07-07 The Obsessive Compulsive Disorder is considered an heterogeneous disorder about the symptoms and it can be divided into different dimensions. These symptoms can cause significant impact on the family dynamics. The family members tend to modify their routine by assisting or participating in the patient’s rituals and these behaviors have been identified as Family Accommodation. However, little know about the difference of family accommodation between the dimensions of Obsessive Compulsive Disorder. Therefore, the aims of this study are: to describe the relationship between family accommodation in relatives of OCD patients and your perceptions about the obsessions and compulsions of the patient; and to evaluate the association between family accommodation and the different dimensions of the OCD symptoms. It is a crosssectional study with patients and their family members diagnosed with OCD at a research clinic. The instruments used in this study were: the Mini International Neuropsychiatric Interview (MINI PLUS), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), the Dimensional Yale-Brown Obsessive-Compulsive Scale (DYBOCS) and the Family Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FAS-IR). In the frst article the obsessions perceived by family were associated with higher levels of family accommodation: contamination (p

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2016-12-21T18:53:02Z No. of bitstreams: 1 Dissertação RAFAELLE STARK STIGGER.pdf: 1619249 bytes, checksum: 264e56f11d9900512ecfe551a0ef165a (MD5) Made available in DSpace on 2016-12-21T18:53:02Z (GMT). No. of bitstreams: 1 Dissertação RAFAELLE STARK STIGGER.pdf: 1619249 bytes, checksum: 264e56f11d9900512ecfe551a0ef165a (MD5) Previous issue date: 2015-11-19 Aim: Analyze the knowledge about the harmful effects of alcohol and tobacco use during pregnancy in women assisted at the Ambulatory of the University Hospital São Francisco de Paula (HUSFP) of Universidade Católica de Pelotas. Method: Cross-sectional study with 304 pregnant women in prenatal care. It used the T-ace Scale to trace the harmful use of alcohol, Fagerstrom Test (FTND) to measure the addiction degree of pregnant women to nicotine, Beck Depression Inventory (BDI-II) to identify depressive symptoms and Beck Anxiety Inventory (BAI) to evaluate anxiety symptoms. Questions were held to verify the knowledge of pregnant women about the harms of alcohol and tobacco use. Results: Of all pregnant women interviewed, 12,2% used tobacco during pregnancy; 14,1% used alcohol after knowing they were pregnant; 21,5% had depressive symptoms and 29,1% had anxiety symptoms. Of the total sample, 98,4% and 90,7% believed that smoking and drinking, respectively harm women's health and 98,7% and 96% respectively believed that smoking and alcohol drinking during pregnancy impairs the child's health. Conclusion: It is important that information about harmful consequences of tobacco and alcohol during pregnancy is transmitted and emphasized by health professionals, because it is essential that every pregnant woman is aware about all the risks they are being exposed by making use of these substances. Objetivo: Analisar o conhecimento sobre os malefícios do uso de tabaco e álcool no período gestacional em mulheres atendidas no Ambulatório do Hospital Universitário São Francisco de Paula (HUSFP) da Universidade Católica de Pelotas. Método: Estudo transversal com 304 gestantes em atendimento pré natal. Foi utilizada a escala T-ACE para rastreamento do uso nocivo de álcool, Teste Fagerstrom (FTND) para medir o grau de dependência das gestantes à nicotina, Inventário de Depressão de Beck (BDI-II) para identificar sintomas depressivos e Inventário de Ansiedade de Beck (BAI) para avaliar sintomas de ansiedade. Foram realizadas perguntas para verificar o conhecimento das gestantes sobre os malefícios do uso de álcool e de tabaco. Resultados: Das gestantes entrevistadas, 12,2% fizeram uso de tabaco durante a gestação; 14,1% ingeriram bebida alcoólica depois de saberem que estavam grávidas; 21,5% apresentaram sintomas depressivos e 29,1% apresentaram sintomas ansiosos. Do total da amostra, 98,4% e 90,7% acreditavam que fumar e beber, respectivamente prejudica a saúde da mulher e 98,7% e 96%, respectivamente acreditavam que fumar e ingerir bebida alcoólica no período gestacional prejudica a saúde da criança. Conclusão: É importante que as informações sobre consequências danosas do fumo e do álcool no período gestacional sejam transmitidas e enfatizadas pelos profissionais de saúde, pois é essencial que cada gestante tenha conhecimento de todos os riscos a que está sendo exposta ao fazer uso destas substâncias.