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Awad Sirhan, Natalia

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Awad Sirhan

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End date: 2025 Ɨ

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    Cultural adaptation of an intervention to prevent postnatal depression and anxiety in Chilean new mothers
    (2019) Coo, Soledad; GarcĆ­a, MarĆ­a 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.
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    Factores asociados al estrƩs prenatal y la ansiedad en gestantes durante el COVID-19 en EspaƱa
    (2022) Awad Sirhan, Natalia; SimĆ³-Teufel,Sandra; Molina-MuƱoz, Yerko; Cajiao-Nieto,Juanita; Izquierdo-Puchol, MarĆ­a Teresa
    Objetivo: Describir los niveles de estrĆ©s prenatal y ansiedad estado en mujeres gestantes residentes en EspaƱa durante el confinamiento generado por la primera ola de COVID-19, y su asociaciĆ³n con los factores obstĆ©tricos, percepciĆ³n de la atenciĆ³n sanitaria y preocupaciĆ³n provocada por la situaciĆ³n sociosanitaria. MĆ©todo: Estudio cuantitativo, observacional, correlacional y de corte transversal. La poblaciĆ³n de estudio fueron mujeres gestantes confinadas, reclutadas a travĆ©s de muestreo no probabilĆ­stico por conveniencia y de bola de nieve. Se difundiĆ³ un enlace web de acceso a un cuestionario online diseƱado para la investigaciĆ³n, que recogĆ­a variables sociodemogrĆ”ficas, obstĆ©tricas,sobre la percepciĆ³n de la atenciĆ³n sanitaria recibida durante la pandemia y preocupaciones asociadas al COVID-19. Se incluyĆ³ tambiĆ©n el Cuestionario de Preocupaciones Prenatales (PDQ) y el Inventario de Ansiedad Estado (STAI-S). Resultados: Basados en las respuestas de 695 mujeres gestantes, los resultados indican que durante la primera ola de la pandemia se observĆ³ un nivel medio de estrĆ©s prenatal de 16,98 (DS = 25,20) y un nivel elevado de ansiedad (M = 25,20/DS = 11,07). Factores de riesgo determinante del estrĆ©s prenatal y ansiedad fueron el nivel de preocupaciĆ³n asociada al COVID-19 y tener antecedentes de salud mental. Un factor de riesgo especĆ­fico para la ansiedad fue tener mĆ”s de un hijo/a y un factor protector fue percibir accesibilidad y disponibilidad de la atenciĆ³n sanitaria.
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    Factores asociados al estrƩs prenatal y la ansiedad en gestantes durante el COVID-19 en EspaƱa
    (2021) SimĆ³-Teufel, Sandra; Molina-Munoz, Yerko; Cajiao-Nieto, Juanita; Izquierdo-Puchol, MarĆ­a Teresa; Awad Sirhan, Natalia
    Objetivo: Describir los niveles de estrĆ©s prenatal y ansiedad estado en mujeres gestantes residentes en EspanaĖœ durante el confinamiento generado por la primera ola de COVID-19, y su asociaciĆ³n con los factores obstĆ©tricos, percepciĆ³n de la atenciĆ³n sanitaria y preocupaciĆ³n provocada por la situaciĆ³n sociosanitaria. MĆ©todo: Estudio cuantitativo, observacional, correlacional y de corte transversal. La poblaciĆ³n de estudio fueron mujeres gestantes confinadas, reclutadas a travĆ©s de muestreo no probabilĆ­stico por conveniencia y de bola de nieve. Se difundiĆ³ un enlace web de acceso a un cuestionario online disenado Ėœ para la investigaciĆ³n, que recogĆ­a variables sociodemogrĆ”ficas, obstĆ©tricas, sobre la percepciĆ³n de la atenciĆ³n sanitaria recibida durante la pandemia y preocupaciones asociadas al COVID-19. Se incluyĆ³ tambiĆ©n el Cuestionario de Preocupaciones Prenatales (PDQ) y el Inventario de Ansiedad Estado (STAI-S). Resultados: Basados en las respuestas de 695 mujeres gestantes, los resultados indican que durante la primera ola de la pandemia se observĆ³ un nivel medio de estrĆ©s prenatal de 16,98 (DS = 25,20) y un nivel elevado de ansiedad (M = 25,20/DS = 11,07). Factores de riesgo determinante del estrĆ©s prenatal y ansiedad fueron el nivel de preocupaciĆ³n asociada al COVID-19 y tener antecedentes de salud mental. Un factor de riesgo especĆ­fico para la ansiedad fue tener mĆ”s de un hijo/a y un factor protector fue percibir accesibilidad y disponibilidad de la atenciĆ³n sanitaria.
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    Control del pensamiento, esfuerzo cognitivo y lenguaje fisionĆ³mico-organĆ­smico: tres manifestaciones expresivas del lenguaje interior en la experiencia humana
    (2018) Fossa, Pablo; Ramos, FabiƔn; Molina, Yerko; Puerta, Sofƭa de la; Cornejo, Carlos; Awad Sirhan, Natalia
    El presente artĆ­culo reporta los resultados de un estudio cuantitativo exploratorio, cuyo objetivo fue identificar formas de lenguaje interior y sus manifestaciones expresivas en la gestualidad. Los participantes, 50 estudiantes universitarios, fueron sometidos individualmente a dos eventos de elicitaciĆ³n de lenguaje interior: una mĆŗsica instrumental y un cuento. Luego de cada estĆ­mulo, se les solicitĆ³ reflexionar en silencio los contenidos elicitados por cada uno, para posteriormente participar en una entrevista cualitativa videoasistida. Las categorĆ­as gestuales fueron codificadas y analizadas a travĆ©s de un anĆ”lisis estadĆ­stico descriptivo, correlaciones de Pearson y anĆ”lisis de componentes principales. Los resultados evidencian tres formas de lenguaje interior asociados a diferentes movimientos expresivos no verbales. En primer lugar, aparece un lenguaje interno al servicio del control del pensamiento, asociado a movimientos no verbales de control y bĆŗsqueda voluntaria del pensamiento. En segundo lugar, un lenguaje interior de esfuerzo cognitivo, que implica gestos iterativos que manifiestan procesamiento de informaciĆ³n. Finalmente, se observa un lenguaje interno fisionĆ³mico-organĆ­smico, asociado a expresiones no verbales que manifiestan una interioridad cargada de sentido. Estos hallazgos contribuyen a la comprensiĆ³n de la formaciĆ³n de sĆ­mbolos, con la descripciĆ³n de sus formas internas y externas, entendiendo la experiencia humana como Ćŗnica, total y holista.
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    Pregnancy-Specific Stress during the First Lockdown of the COVID-19 Pandemic: Assessing Face-to-Face versus Online Recruitment
    (2022) SimĆ³, Sandra; CajiaĆ³, Juanita; Awad Sirhan, Natalia; Caparros-GonzĆ”lez, Rafael
    The study aims to assess pregnancy-specific stress among pregnant women in Spain during the first lockdown of the COVID-19 pandemic. Two samples of pregnant women from the south of Spain (Andalusia) were assessed using the Prenatal Distress Questionnaire (PDQ) and a sociodemographic and obstetric questionnaire. Group 1 (N = 155) was recruited face-to-face, whereas Group 2 (N = 78) was recruited online. Pregnancy-specific stress levels were significantly different in both groups. The face-to-face group (Group 1) had higher pregnancy-specific stress levels than the online group (Group 2). The online sample over-represents young adult pregnant women with high education levels and a high number of previous miscarriages. The face-to-face study seems more accessible to racially and ethnically diverse groups. The main concern among both groups was the risk of having a sick neonate. Research during the COVID-19 pandemic can benefit from using online resources to collect data to screen and identify perinatal mental health problems in a crisis environment. Nevertheless, researchers should be aware of the potential limitations this strategy can have, for example, certain groups of people may have limited access to the internet
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    Cross-national risk factors for childbirth-related PTSD: Findings from the INTERSECT study
    (2025) Handelzalts, Jonathan E.; Ayers, Susan; Webb, Rebecca; Constantinou, Georgina; Lucas, Grace; Grollman, Christopher; Ohayon, Shay; Awad Sirhan, Natalia; Baird, Kathleen; Baldisserotto, MĆ”rcia; Batool, Ramish; Batool, Shahida; Caparros-Gonzalez, Rafael A.; Chorwe-Sungani, Genesis; Christoforou, Andri; Coo, Soledad; Costa, Raquel; Dikmen-Yildiz, Pelin; ĎurƭčekovĆ”, Barbora; DuÅ”ovĆ”, Bohdana; Enea, Violeta; Garthus-Niegel, Susan; Grundstrƶm, Hanna; Gureje, Oye; Hadjigeorgiou, Eleni; Marie Haga, Silje; Horsch, Antje; Ionio, Chiara; JaraÅ”iÅ«naitė-Fedosejeva, Gabija; Jomeen, Julie; Kazmierczak, Maria; Lalor, Joan; Milosavljevic, Maja; Nagle, Ursula; Nakić RadoÅ”, Sandra; Nieminen, Katri; Damilola Oladeji, Bibilola; OsĆ³rio, Flavia; Pawlicka, Paulina; Peled, Yoav
    Background: Childbirth-related post-traumatic stress disorder (CB-PTSD) is an underrecognized condition with consequences for mothers and infants. This study aimed to determine risk factors for CB-PTSD symptoms across countries within a stress-diathesis framework, focusing on antenatal, birth-related, and postpartum predictors. Methods: The INTERSECT cross-sectional survey (April 2021-January 2024) included 11,302 women at 6-12 weeks postpartum. The study was carried out across maternity services in 31 countries. Outcomes were CB-PTSD diagnosis, symptom severity, and perceived traumatic birth, assessed with the City Birth Trauma Scale. Multiple risk factors were assessed, including preexisting vulnerability, pregnancy, birth, and infant related factors. All models were adjusted for country-level variation as a random effect. Results: Models explained substantial variance across all outcomes (conditional R2 = 0.53-0.58). Negative birth experience was the strongest predictor (e.g. odds ratio [OR] = 0.82, 95% confidence interval [CI] = 0.80-0.84 for diagnosis). Ongoing maternal complications predicted both CB-PTSD diagnosis and symptoms (e.g. OR = 1.61, 95% CI = 1.41-1.84), and major infant complications were associated with CB-PTSD diagnosis (OR = 1.63, 95% CI = 1.29-2.07). Reports of perceived danger to self or infant (criterion A) were linked to higher CB-PTSD symptoms and traumatic birth ratings (e.g., Ī² =0.25, 95% CI = 0.21-0.29). Other predictors reached significance but showed small effects. Conclusions: Findings support a stress-diathesis framework, showing that while pre-existing vulnerabilities contribute, birth-related stressors exert the strongest influence. Trauma-informed maternity care should prioritize these factors, with attention to women's appraisals of birth.

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