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Browsing by Author "Coo, Soledad"

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Adapting to Adversity: Effects of COVID-19 on Parenting in Chile
(2022) Perez Ewert, J. Carola; Aldoney, Daniela; Vivanco-Carlevari, Anastassia; Coo, Soledad; Guzmán, Eugenio J.; Silva, Jaime R.
The pandemic outbreak in March 2020 and its associated sanitary regulations and restrictions triggered an abrupt and significant change for society in general and for families’ organization in particular. In Chile, the Santiago Metropolitan District was under a strict lockdown that involved the closure of the entire educational system. From a systemic-family stress perspective, the impact of these changes might have consequences not only for each individual family member, but for the parental dynamic and, consequently, for children’s well-being. This paper presents the results of a followup study showing changes in self-reported parental depression and the perceived home organization of mothers and fathers assessed at three different moments: before the pandemic, at the initial outbreak, and after 1 month of strict lockdown. Relevant moderators were explored using linear mixed models to understand the within-subject changes in mothers’ and fathers’ self-reports across the different assessment times. Financial strain, personality traits of self-criticism and dependency, previous parent– child quality interaction, recent major stressful events, and number of children are highlighted as relevant factors that moderate changes in home chaos and parental mental health perception. Significant risks and protective factors are described for fathers and mothers. The use of pre-pandemic measures as baseline levels enabled the identification of personal and family characteristics that were related to better outcomes. The results help increase our understanding of the sanitary regulations’ impacts on the family system and identify vulnerability indicators that should be considered.
An explanatory model of parental sensitivity in the mother–father–infant triad
(2022) Olhaberry, Marcia Paola; León, María José; Coo, Soledad; Barrientos, Mauricio; Pérez, J.Carola
Quality of early family interactions has been associated with child development, bonding, and mental health. Childhood adversity, stress, and depression impact parenting, affecting the quality of the interaction within the mother-father-child triad. The aim of the present study was to analyze the influence of parents’ adverse childhood experiences, depressive symptoms, and parental stress, on their sensitive response toward their tooddler and quality of traidic interactions. A correlational cross-sectional method was used. The sample included 80 mother–father–child triads, of toddlers with social–emotional difficulties. Parents early adverse experiences, parental stress, and depressive symptoms were assessed through self-report measures. Observational measures on parental sensitivity and triadic interaction were used. For mothers and fathers, adverse childhood experiences were associated with depressive symptoms in adulthood. Sensitivity toward their child and stress were positively associated among both parents. Symptoms of depression in mothers were associated with lower sensitivity toward their child, but in fathers, their sensitive response was influenced by the level of parental stress in the mother. In both parents, greater sensitivity in the dyadic interaction with the child was associated with a higher quality of the triadic interactions, in the triad as a whole, and in the regulation and involvement of the child.
Cuidados del desarrollo en recién nacidos prematuros: fundamentos y características principales
(2021) Coo, Soledad; Barra C., Lisseth; Marín P., Alejandra
Los recién nacidos prematuros (RNP), en especial los extremos, requieren ser atendidos en las dis tintas unidades existentes en los servicios de neonatología. Además de procurar la sobrevida de estos niños, poco a poco estos servicios han ido incorporando intervenciones para promover su desarrollo. Esta revisión aporta una síntesis actualizada de los cuidados neonatales centrados en el desarrollo (CCD). En su primera parte describe los fundamentos teóricos de tipo neurobiológicos que explican cómo el denominado “estrés neonatal” puede afectar el curso de desarrollo de un niño nacido pre maturo. Posteriormente, se revisa la Teoría Sinactiva, que es uno de los modelos teóricos que con tribuye a entender las características de los CCD. Respecto de estos últimos, se describen y abordan sus evidencias y desafíos para la implementación desde una mirada crítica, destacando sus fortalezas y debilidades. Este artículo contribuye a destacar la importancia de seguir avanzando en la mejora de la calidad de la atención que reciben los RNP para promover la resiliencia y/o el mejor potencial de desarrollo posible en estos niños, además de relevar el rol de los padres en el cuidado neonatal
Cultural adaptation of an intervention to prevent postnatal depression and anxiety in Chilean new mothers
(2019) Coo, Soledad; García, María Ignacia; Rowe, Heather; Fisher, Jane; Awad Sirhan, Natalia
Objective: The aim of this study was to culturally adapt What Were We Thinking (WWWT), an Australian psychoeducational intervention to prevent symptoms of depression and anxiety among firsttime mothers, to be used in the Chilean primary health system. Background: Mental health symptoms are common in first-time mothers. Despite the availability of effective screening and referral in the Chilean primary health system, very few women access treatment due to diverse barriers. This highlights the importance of using a preventive approach. The evidence that culturallyadapted, evidence-based preventive programmes can reduce maternal mental health problems supports the development of this study. Methods: WWWT materials were translated into Spanish. Cultural Adaptation and field testing were conducted following the Cultural Adaptation Model. Results: Modifications to the intervention included adding an explicit infant mental health approach, a simplification of written information, and changes in the number and duration of the sessions. The adapted version of WWWT was considered understandable and relevant for local perinatal mental health specialists, new mothers and their partners. Conclusion: The Spanish version of WWWTis a culturally sensitive intervention, its potential for effective use in the Chilean context warrants further investigation. Limitations and implications for future studies are discussed.
Cultural Adaptation of the Spanish Version of the Perceptions of Play Scale
(2019) Coo, Soledad; Aldoney, Daniela; Mira, Andrea; López, Mauricio
Objective Play is crucial for healthy child development; yet, the time dedicated to free play during the pre-school years has decreased in both school and home environments. Parental beliefs influence the activities in which children engage in daily life; therefore, exploring these beliefs is a first step to understand possible reasons for the decreased frequency of free play. Instruments developed for this purpose are scarce and, to date, none of them is available in Spanish. We adapted and assessed the psychometric properties of the Perceptions of Play Scale (PPS) and developed the Spanish version of the instrument (i.e., PPS-S). Method We followed Beaton and colleagues’ Guidelines for the cross-cultural adaptation of self-report measures, which describes two stages, namely translation and adaptation of the instrument, and assessment of its psychometric properties. During the first stage, a panel of 5 experts developed the preliminary version of the PPS-S. This version of the scale was piloted in a sample of 28 early childhood educators and parents of preschool children, whose feedback informed the development of the final version of the instrument. During the second stage, 452 parents of pre-school children completed the PPS-S to assess its psychometric properties. Results An Exploratory Factor analysis showed high to excellent reliabilities for the three PPS-S subscales and the complete questionnaire. The PPS-S is a valuable, culturally sensitive tool for exploring parental beliefs about three aspects of play (i.e., frequency, playful character, and academic contribution) and could contribute to studies to promote this activity in Chilean children.
Desarrollo, antecedentes biológicos y características sociodemográficas en preescolares con y sin antecedentes de prematuridad
(2023) Barra, Lisseth; Coo, Soledad
El parto prematuro es la principal causa de mortalidad y morbilidad infantil en Chile. Sin embargo, existe poca información sobre las características particulares de los nacidos prematuros en etapa preescolar. Objetivo: Describir las características sociodemográficas, antecedentes biológicos y del desarrollo de los niños preescolares chilenos nacidos a término y pretérmino. Sujetos y Método: Análisis secundario de las bases de datos de la Encuesta Longitudinal de Primera Infancia (ELPI), año 2010. Se seleccionaron niños entre 2 y 4 años de edad con información sobre la edad gestacional al nacer. Se excluyeron los recién nacidos postérmino. La muestra incluyó a 8.571 niños, de los cuales el 9,78% eran prematuros. Se consideraron variables relacionadas con características sociodemográficas, factores de riesgo biológicos y desarrollo psicomotor. Se realizó un análisis descriptivo y de asociación (Chi-cuadrado) para establecer si las diferencias entre los grupos comparados eran significativas. Resultados: No se observaron diferencias en cuanto a la proporción de sexo, área geográfica de residencia y pronóstico de salud. La mayoría de los niños residían en el área metropolitana y central del país, y recibían atención en el sistema público de salud. Los prematuros residen, en mayor proporción, en áreas urbanas y tienen mayores factores de riesgo biológico. Además, los nacidos prematuros tienen puntajes promedio más bajos que los nacidos a término en todas las áreas de desarrollo. Conclusiones: La información presentada plantea la necesidad de analizar la interacción de la prematuridad. con el riesgo social en el desarrollo de los prematuros de diferentes edades gestacionales.
Development and preliminary evaluation of a group intervention targeting maternal mental health and mother-infant interactions: a combined qualitative and case series report
(2018) Coo, Soledad; Somerville, Susanne; Matacz, Rochelle; Byrne, Shannon
OBJECTIVE AND BACKGROUND: The purpose of this study was to investigate the outcomes of an Emotional Wellbeing Group intervention developed to treat maternal depression and anxiety while concurrently supporting positive development of the mother-infant relationship. METHOD: Five women diagnosed with depressive and/or anxiety disorders and their infants completed the Emotional Wellbeing Group. The participants completed pre- and post- intervention assessments which included self-report measures of mood and the motherhood experience, and a video-taped, unstructured play session between mothers and their infants. RESULTS: Four of the participants reported a clinically significant decrease in their symptoms of anxiety. All mothers reported more positive perceptions of their infants and their experience of motherhood, and showed enhanced maternal sensitivity and responsiveness towards their infants. Depression levels were not shown to improve consistently. CONCLUSION: This study provides initial positive evidence to support future research directions and clinical efforts to develop interventions that target both the treatment of perinatal depression and anxiety and the quality of mother-infant interactions. Clinical insights for mental health professionals working with mothers and infants are presented.
Efectos del riesgo social, biomédico y del sexo en el crecimiento longitudinal del lenguaje receptivo de infantes chilenos con y sin antecedentes de prematuridad.
(Universidad del Desarrollo. Facultad de Psicología, 2024) Barra Cabello, Lisseth Andrea; Coo, Soledad
Introducción: La prematuridad y otros factores de riesgo biomédico y social, se asocian con déficits en todas las áreas del desarrollo infantil. La interacción entre las características de los individuos y el contexto, pueden analizarse tomando como referencia teórica el Modelo Bioecológico. Objetivo: El objetivo general de este estudio fue analizar los patrones longitudinales del desarrollo del lenguaje receptivo de la población de infantes chilenos/as con y sin antecedentes de prematuridad, entre los 2 y 11 años, examinando la influencia del nivel de prematuridad, el sexo y la interacción entre el riesgo social y biomédico como predictores del desarrollo. Metodología: Se realizó un análisis secundario de la Encuesta Longitudinal de la Primera Infancia (ELPI) seleccionando la cohorte de infantes ingresados en el año 2010 con edad entre los 2 y 4 años. Primero, se realizó un análisis descriptivo de variables sociodemográficas, biomédicas y desarrollo psicomotor de los infantes en general, y comparando los grupos de niños/as nacidos a término v/s nacidos prematuros. A continuación, se llevó a cabo un análisis de correspondencias múltiples para, a partir de otras variables, generar las variables riesgo social y riesgo biomédico. Estas nuevas variables, junto con la variable sexo, se utilizaron como variables independientes para realizar un análisis longitudinal (usando un modelo lineal mixto) respecto de la influencia de estos factores en el desarrollo del lenguaje receptivo de infantes con y sin antecedentes de prematuridad. Resultados: En el capítulo 3 se muestra el detalle del análisis descriptivo realizado. En el capítulo 4 se muestran los resultados del análisis longitudinal donde se encontró que los infantes de sexo masculino nacidos a término inician con -2,81 puntos menos que mujeres nacidas a término, pero tienen una tasa de cambio de 0,38 puntos más que las mujeres (B = 0,38; p <.0001). Además, se encontró una interacción significativa entre las variables prematuridad (subgrupo moderados-tardíos) y sexo (B= 3,25; p <.01); donde se observó que infantes prematuros moderados-tardíos de sexo masculino muestran un mayor puntaje en el lenguaje receptivo respecto de los infantes de sexo masculino nacidos a término y los muy-extremo prematuros en la medición inicial. Conclusiones: Sólo se comprobó la hipótesis de que, en el caso de los infantes prematuros sin condiciones neurológicas y sin riesgo biomédico y social, a partir de los 2 años comienzan a mostrar trayectorias que no difieren de las de niños nacidos a término. Mientras que otros hallazgos deben continuar investigándose.
Evaluación de las propiedades psicométricas de la Escala de Ansiedad Perinatal en una muestra de madres en Chile.
(2022) Coo, Soledad; Medina, Franco; García, María Ignacia; Pérez Ewert, J. Carola
Antecedentes y objetivo: Las dificultades de salud mental materna durante el periodo perinatal son prevalentes y tienen graves consecuencias para las madres y sus bebés. Las iniciativas de pesquisa temprana se han centrado en la sintomatología depresiva y han puesto menor atención a los síntomas de ansiedad, pese a su alta prevalencia. Uno de los factores que contribuye a la escasez de protocolos para la pesquisa de sintomatología ansiosa es la falta de instrumentos validados para tal fin. El objetivo de esta investigación fue evaluar la estructura factorial, validez concurrente y confiabilidad de la Escala de Ansiedad Perinatal, desarrollada para facilitar la pesquisa de sintomatología ansiosa en mujeres embarazadas y puérperas. Participantes y métodos: Las participantes fueron 265 mujeres, 138 de las cuales fueron evaluadas durante el tercer trimestre de gestación y 127, a los 3 meses postparto. La estructura factorial del instrumento fue analizada mediante un Análisis Factorial Exploratorio, el número de factores se definió con el test MAP de Velicer. Resultados: Se obtuvo una solución de cuatro factores con algunas diferencias en relación a la escala original. Se observó una alta consistencia interna para las subescalas del instrumento y para el puntaje global, además de una adecuada validez concurrente y confiabilidad test-retest. Conclusiones: Se concluye que la versión en español de la Escala de Ansiedad Perinatal posee características psicométricas adecuadas para su uso en Chile. Futuros estudios son requeridos para evaluar la validez de este instrumento en otros contextos latinoamericanos.
Examining the association between subjective childbirth experience and maternal mental health at six months postpartum
(2021) Coo, Soledad; García, María Ignacia; Mira, Andrea
Problem Childbirth experience can have long-lasting effects on maternal wellbeing. Background Positive childbirth experiences may strengthen maternal self-confidence, in contrast, negativeexperiences may promote a sense of failure or distrust. Aim To examine the contribution of maternal hospital childbirth experience on mental health at 6 months postpartum in a community-based, Chilean sample. An additional aim is to examine which childbirth-related aspects contribute to the global birth experience. Methods One hundred and forty-eight women completed self-report measures of mental health during the third trimester of pregnancy and 3 and 6 months postpartum. At 3months after childbirth, subjective childbirth experience was assessed. Logistic regression analysis examined the contribution of childbirth experience to maternal mental health. Findings Negative subjective experience of childbirth contributes to maternal depression and anxiety up to 6 months after childbirth, controlling for mental health during pregnancy and at 3 months postpartum. Quality of care from health professionals made the largest, statistically significant contribution to the global perception of childbirth. Discussion and Conclusions Subjective experience of childbirth is a modifiable risk factor for the development of postpartum maternal depression and anxiety. Health providers in direct contact with childbearing women may promote maternal emotional wellbeing through sensitive and respectful care.
“How it is said”: Analyses of WhatsApp communications in a postpartum depression preventive intervention
(2024) Fernández, Olga; Pérez, J. Carola; Alamo, Nicole; Fernández, Sofía; Franco, Pamela; Coo, Soledad; García Valdés, María Ignacia; Aravena, Marcela
Introduction: “m-What Were We Thinking” (m-WWWT) is an m-health, intervention oriented to prevent symptoms of postpartum depression and anxiety in first-time mothers. Mothers receive psychoeducation and socioemotional support through written communication via text-messaging (i.e., WhatsApp) with the program counsellor. Although the use of m-health interventions targeting mental health has increased, the form/style of communication through text messages between participants and program counsellors has been understudied. Objective: The aim was to describe the formal structure of the communication (Basic Forms) and the communicational intentions (Communicative Intentions) used in the messages sent by the counsellor and to determine if these are related to the post-intervention outcomes. Methods: 438 text messages sent by the counsellor to 53 first-time mothers (M = 25.32 years, SD = 4.23) who participated in the m-WWWT intervention were analyzed. The Therapeutic Activity Coding System was used to capture the communication as a “Communicative Action”. Results: The study highlighted the counsellor's frequent use of the “assertion” communicative form (82%) and attuned communicative intentions (52%) and explored (39%) in her messages. The attractors of communication were “assert to attune” and “assert to explore”, indicating an empathetic and informative communication style. With respect to their relationship with the intervention outcome, only “assert to explore” messages were positively related to maternal self-efficacy increases. The number of messages was not associated with participants’ characteristics at baseline, except for educational level. Discussion: Our results show the relevance of combining the delivery of information with a communication style that allows the counsellor to connect with the specific needs and emotional tone of the participants.
Interactions between mothers and their moderate preterm babies during hospitalization
(2022) Mira, Andrea; Coo, Soledad; Bastías Lemp, Rodolfo; González, Ricardo
Moderately preterm infants are physiologically immature, their brains must mature and adapt to the extrauterine environment, which can affect their neurological development. Interaction with their caregivers is crucial for their development, however, these may show mental health problems such as depressive symptoms and parental stress. Objective: to evaluate how depressive symptomatology and stress perception of mothers of moderately preterm infants during hospitalization may affect dyad interaction. Patients and Method: 85 dyads participated. During the second and third weeks of hospitalization, mothers answered a sociodemographic questionnaire, the parental stress scale, and the Edinburgh postnatal depression scale. Mother-infant interaction was assessed and coded with the Hospitalized other-Infant Bonding Observation Scale. Results: mothers of moderately preterm infants hospitalized in a neonatology unit may present significant depressive symptomatology which correlate with the stress experienced by the mother. Parental stress and being small for gestational age showed a negative association with dyad interactions. Conclusions: Having a moderately preterm baby can impact the mental health of mothers and this, at the same time, is related to the interactions they have with their children. Likewise, variables related to the babies were detected that can also decrease the interactions and contact between the dyad.
Is maternal depression related to mother and adolescent reports of family functioning?
(2018) Pérez, J. Carola; Coo, Soledad; Irarrázaval, Matías
While adolescent-parent disagreements about family functioning are common, they may also be indicative of family members' health problems and may compromise adolescent adjustment. This study examines the association between maternal depressive symptoms and family functioning perceptions, considering both the adolescents' and their mothers' points of view. A sample of 943 Chilean dyads of adolescents (69% female, Mage = 14.43 years old) and their mothers (Mage = 43.20 years) reported their perceptions of family cohesion and adaptability. Mothers also reported their depressive symptoms. Results indicated that mothers perceived their family as more cohesive and more adaptable than their children. There was a negative association between maternal and adolescent reports of family cohesion and maternal depressive symptoms. In the mother' reports, this association depended on adolescent's age. In the case of adolescents' reports, this association depended on adolescent's gender. Finally, maternal depressive symptoms were a significant predictor of mother-adolescent agreement about family cohesion.
Is maternal depression related to mother and adolescent reports of family functioning?
(2018) Pérez, Carola; Coo, Soledad; Irarrázaval, Matías
While adolescent-parent disagreements about family functioning are common, they may also be indicative of family members' health problems and may compromise adolescent adjustment. This study examines the association between maternal depressive symptoms and family functioning perceptions, considering both the adolescents' and their mothers' points of view. A sample of 943 Chilean dyads of adolescents (69% female, Mage = 14.43 years old) and their mothers (Mage = 43.20 years) reported their perceptions of family cohesion and adaptability. Mothers also reported their depressive symptoms. Results indicated that mothers perceived their family as more cohesive and more adaptable than their children. There was a negative association between maternal and adolescent reports of family cohesion and maternal depressive symptoms. In the mother' reports, this association depended on adolescent's age. In the case of adolescents' reports, this association depended on adolescent's gender. Finally, maternal depressive symptoms were a significant predictor of mother-adolescent agreement about family cohesion.
Mecanismos neuroendocrinos a la base de la asociación entre salud mental materna y lactancia
(2023) García Valdés, María Ignacia; Coo, Soledad; Valdes, Verónica; Ceric Garrido, Francisco
La lactancia materna es fundamental para la salud del infante y se ve influida por diversos factores, entre ellos la salud mental materna. En particular, las madres que tienen síntomas depresivos tienen mayor riesgo de presentar dificultades de lactancia y de interrumpir tempranamente la lactancia exclusiva y la lactancia en general. Por otra parte, la lactancia materna actúa como un factor protector de la salud mental materna en algunas circunstancias, en tanto las dificultades de lactancia tienen un impacto negativo en la salud mental de la mujer. La presente revisión describe algunos de los mecanismos fisiológicos que subyacen al establecimiento y la mantención de la lactancia, asociados a la prolactina, la oxitocina, la dopamina y la serotonina, así como a la experiencia de la lactancia y la presencia de dificultades en esta área, y como estas interactúan con las dificultades emocionales de la madre. Se ofrece un modelo integrativo que considera aspectos hormonales y fisiológicos para comprender la asociación compleja y bidireccional entre el establecimiento de una lactancia exitosa y la salud mental materna.
Mothers, fathers and educators’ beliefs about play in Chilean preschool children
(2022) Aldoney, Daniela; Coo, Soledad; Mira, Andrea; Valdivia, María Josefina
Robust data exist on the relation between play and children’s positive development. Yet, the time children devote to play has decreased in the last decades. Guided by the premise that adults’ beliefs about play are related to the way in which adults promote it, we asked 380 mothers, 89 fathers, and 83 early childhood educators in Santiago, Chile, about their beliefs about play and its relation to academic learning. Results showed similarities and differences in the value given to free and structured play and electronic activities by the three groups of participants. Participants differed in the academic value of play by socioeconomic status but agreed on the value of play in children’s academic skills. Fathers valued electronic activities more than mothers and early childhood educators. Data from this study may inform interventions and curriculum to foster play as an essential tool for child development in Chile.
Mother’s mental health and the interaction with her moderate preterm baby in the NICU
(2022) Mira, Andrea; Coo, Soledad; Bastías, Rodolfo
Introduction: Moderate preterm infants, born between 320/7 and 336/7 weeks, represent a significant number of preterm-born infants; however, they remain a poorly studied group despite their vulnerability. The objective of this correlational study is to describe the impact of having a moderate preterm infant hospitalised in the NICU on the mothers’ mental health and how this relates to the interaction between the dyad. Method: During the hospitalisation period, 85 moderate preterm mother-infant dyads participated in this study. The participants provided self-reports of depression, parental stress, and skin to skin and breastfeeding practices. Also, mother-infant interaction was assessed in the NICU with an observational scale. Results: Mothers evidenced high levels of stress and depressive symptoms during the hospitalization. The stress experienced by these women was significant, although weakly, associated with the interaction with their babies; and mothers of small for gestational age babies showed difficulties in this area. Conclusions: The results of this study could represent a contribution to a better understanding of the relation between the characteristics of moderate preterm babies, maternal emotional wellbeing, and the quality of mother-infant interactions in NICU settings.
Online Intervention Targeting Postnatal Depression and Anxiety in Chilean First-Time Mothers: Feasibility Trial
(2024) Coo, Soledad; García Valdés, María Ignacia; Pérez, J. Carola; Aldoney, Daniela; Olhaberry, Marcia; Fernández, Olga; Alamo, Nicolle; Franco, Pamela; Pérez, Francisca; Fernández, Sofía; Fisher, Jane; Rowe, Heather
Objective: 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?” (m WWWT). 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 f irst-time mothers of full-term infants, aged 4–10weeks, who received health care at primary public health centers in Chile, were randomly assigned to the experimental (EG, n¼65) or control (CG, n¼63) 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 pre liminary effectiveness. Participants completed questionnaires on mental health, social support, and maternal self-efficacy upon recruitment and 3months 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 CG¼17%), and high follow-up (EG ¼ 97% and CG¼91%) rates. Qualitative results indicate high acceptability and perceived usefulness of m-WWWT. Mixed ANOVA did not show significant differences between the groups (all p >.05). However, multinomial regression analysis in LCA showed that womenwithlow baseline symptoms of depression and anxiety benefit from the intervention (B¼0.43, 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.
Online intervention to prevent postnatal depression and anxiety in Chilean new mothers: Protocol for a feasibility trial
(2022) Pérez Ewert, J. Carola; Aldoney, Daniela; García, María I.; Olhaberry, Marcia; Fernández, Olga; Alamo, Nicolle; Franco, Pamela; Pérez, Francisca; Fisher, Jane; Rowe, Heather; Coo, Soledad
Symptoms of postpartum depression and anxiety in new mothers are prevalent and negatively impact maternal emotional wellbeing and infant development. Barriers to accessing treatment prevent women from receiving mental health care, a situation that has worsened due to the COVID-19 pandemic. mHealth interventions hold the potential to support women during the transition to parenthood despite these barriers and to promote the use of preventive interventions. This study uses a mixed methods design to assess the feasibility and preliminary effectiveness of a psychoeducational, guided mHealth intervention to prevent postpartum mental health difficulties in women who receive care in primary health centers in Chile. The study will contribute to evidence-based research on the effectiveness of mHealth interventions for new mothers from an under-studied cultural background. The findings will also enable the development of a larger randomized controlled trial to assess the effectiveness of the intervention, which, if effective, could significantly contribute to the emotional wellbeing of women and their families.
Prematuridad y sensibilidad materna: Impacto en el desarrollo de infantes de pretérmino moderado a los 12 meses de edad corregida
(Universidad del Desarrollo. Facultad de Psicología, 2021-08) Mira Olivos, Andrea; Coo, Soledad
Los infantes prematuros moderados son un grupo vulnerable y pueden presentar problemas en su neurodesarrollo. Tanto el hecho de nacer prematuros como las interacciones con sus cuidadores puedan impactar las trayectorias de su desarrollo. Esta investigación tiene como objetivo explorar la relación entre las características de los infantes de pretérmino moderado y la sensibilidad materna en su desarrollo a los 12 meses de edad corregida. Este estudio corresponde a una investigación cuantitativa de tipo longitudinal no experimental con un alcance correlacional. La población objetivo de este estudio fueron diadas constituidas por las madres y sus recién nacidos de pretérmino moderado hospitalizados en un servicio de neonatología. Se evaluaron variables relacionadas con los bebés, el estado emocional madres y la interacción entre ambos. Dentro de los resultados podemos mencionar que la sintomatología depresiva y el estrés parental pueden afectar la interacción de la diada durante la hospitalización. Se observó una relación entre la sensibilidad del cuidador y el desarrollo de los bebés prematuros moderados a los 12 meses y un efecto moderador de la Sensibilidad Materna sobre el desarrollo de las áreas de Comunicación, Resolución de Problemas y Socio Individual. Tanto el retraimiento social como el ser pequeño para la edad gestacional se identificaron como factores de vulnerabilidad para los bebés prematuros moderados. Cómo conclusión los bebés prematuros moderados y sus madres son una población vulnerable y requieren apoyo para favorecer la salud mental de la madres, interacciones sensibles y el desarrollo de los bebés.

Browsing by Author "Coo, Soledad"

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