scholarly journals Avaliação das relações familiares durante a gravidez: quais instrumentos são utilizados?

2021 ◽  
Vol 2 (3) ◽  
pp. 209-224
Author(s):  
Révora Silvério De Mendonça ◽  
Ivania Vera ◽  
Renata Silva Lopes ◽  
Gizelda Vasconcelos Vieira De Alcântara ◽  
Ligia Maria Maia De Souza

O relacionamento familiar estruturado desempenha papel decisivo na prevenção e no tratamento de comorbidades, em especial no período gestacional. O objetivo deste estudo foi sistematizar o conhecimento produzido acerca dos instrumentos utilizados para avaliação das relações familiares de gestantes. Trata-se de revisão integrativa da literatura realizada nas bases de dados LILACS, SciELO, MEDLINE® e PubMed® publicados entre 1° de janeiro de 2009 a 16 de abril de 2019. Utilizaram-se os seguintes descritores controlados “family relations AND pregnant women AND surveys AND questionnaires”. Preencheram os critérios de inclusão 25 artigos. Destes, 64% foram classificados como estudos transversais. Dentre os instrumentos utilizados para avaliação das relações familiares de gestantes mais prevalentes estiveram o Autonomy and Relatedness Inventory, o Attachment Style Interview, The Pregnancy Experience Scale, o Family Relation Index e a Mini International Neuropsychiatric Interview. Em meio aos artigos selecionados, emergiram temáticas que apresentavam influência direta sobre as relações familiares, como violência por parceiro íntimo, promoção da saúde na gestação, depressão gestacional e binômio mãe e filho. Para cada objeto de estudo relacionado, foram utilizados questionários específicos e semiestruturados. Foram escassos os questionários específicos para o objetivo geral de avaliação das relações familiares durante o período gestacional. Torna-se imprescindível a adequação de questionários de fácil aplicação na prática clínica, que avaliem apropriadamente a qualidade das relações no período gestacional, adaptados à realidade brasileira.

2021 ◽  
Vol 6 (2) ◽  
pp. 19-25
Author(s):  
Murod Turgunov ◽  

Thecurrent article discusses the issues of ensuring the rights of the child in the Avesta, the sacred book of the Zoroastrians, analyzes the problems of modern family law, implementation of theprovisions of international legal instruments into national legislation regulating family relations in the historical and legal values.Furthermore, the author examines issues related to the definition of pregnancy, its termination, and the legal status of pregnant women based on the analysis of the relevant parts of the Avesta.On the basis of the study of the provisions of this holy book, the author compares the provisions of the modern criminal legislation of Uzbekistan with the provisions of this historical book on marriages, the definition of kinship, the legalstatus of children and adolescents


2019 ◽  
pp. 088626051988153 ◽  
Author(s):  
Katelyn M. Sileo ◽  
Trace S. Kershaw ◽  
Shantesica Gilliam ◽  
Erica Taylor ◽  
Apoorva Kommajosula ◽  
...  

Intimate partner violence (IPV) is a global threat to women’s health and may be elevated among those exposed to traumatic events in post-conflict settings, such as Liberia. The purpose of this study was to examine potential mediators between lifetime exposure to traumatic events (i.e., war-related trauma, community violence) with recent experiences of IPV among 183 young, pregnant women in Monrovia, Liberia. Hypothesized mediators included mental health (depression, posttraumatic stress symptoms), insecure attachment style (anxious and avoidant attachment), and attitudes indicative of norms of violence (attitudes justifying wife beating). We tested a parallel multiple mediation model using the PROCESS method with bias-corrected and accelerated bootstrapping to test confidence intervals (CI). Results show that 45% of the sample had experienced any physical, sexual, or emotional IPV in their lifetime, and 32% in the 2 months prior to the interview. Exposure to traumatic events was positively associated with recent IPV severity (β = .40, p < .01). Taken together, depression, anxious attachment style, and justification of wife beating significantly mediated the relationship between exposure to traumatic events and experience of IPV (β = .15, 95% CI = [0.03, 0.31]). Only anxious attachment style (β = .07, 95% CI = [0.03, 0.16]) and justification of wife beating (β = .05, 95% CI = [0.01, 0.16]) were identified as individual mediators. This study reinforces pregnancy as an important window for both violence and mental health screening and intervention for young Liberian women. Furthermore, it adds to our theoretical understanding of mechanisms in which long-term exposure to traumatic events may lead to elevated rates of IPV in Liberia, and points to the need for trauma-informed counseling and multilevel gender transformative public health approaches to address violence against women.


1970 ◽  
pp. 195-208
Author(s):  
Agata Matysiak-Błaszczyk ◽  
Barbara Jankowiak

The article analyzes the significanceof attachment relations for the ability to enter into close relations in the human life cycle. The secure attachment style which develops on the basis of the primordial relation between mother (or a guardian) and the child in the firststages of life is the cornerstone of future intimate relations and a resource which facilitates successful dealing with developmental tasks in interpersonal dependency relations. During the childhood, it contributes to the development of the relation of trust and dependence, during the adolescence to the growth of new extra-family relations and in adulthood to the co-creation with the partner of an intimate love relationship.


2015 ◽  
Vol 10 (2) ◽  
pp. 62 ◽  
Author(s):  
Helene Hanssen ◽  
Rita Sommerseth

<p>The Significance of Family relations to Informal Carers’ Needs in interaction with Health Services</p><p>This article is based on a study aiming to explore informal carers’ needs and experiences in their contact with health services. The study was accomplished in 2011 and consisted of two sub-studies: a survey addressing informal carers in general and a focus-group study, where the participants were informal carers to one or more family members. In this article, the qualitative data from both studies are emphasised: the open written statements in the questionnaires and the focus-group interviews. The results show a similarity in informal carers’ needs and experiences independent of the patients’ diagnoses. However, we find that the needs are related to the family relation between the informal carer and patient. Particularly, there is a difference between the needs of those who are informal carers to their partner and those who care for their own parent(s) or grown children. The value of informal carers’ support also is clearly pointed out in the results. Our findings highlight the importance of professional health workers paying attention to both the informal carer and the patient, individually as well as relationally.</p>


PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0239208
Author(s):  
Katrine Røhder ◽  
Mette Skovgaard Væver ◽  
Anne Kristine Aarestrup ◽  
Rikke Kart Jacobsen ◽  
Johanne Smith-Nielsen ◽  
...  

Author(s):  
O.F. Lysenko ◽  
◽  
M.V. Safonova ◽  

Statement of the problem. The article presents an analysis and discussion of the results of diagnostic assessment among pregnant women, allowing us to draw conclusions on indicators of psychological preparedness for motherhood. The purpose the article is to outline the necessary areas of work with women on the way to the formation of the maternal sphere in ontogenesis. Materials and Methods. The research methodology consists of the concept of the formation of the “maternal need-motivation sphere” by G.G. Filippova, the theory of E.V. Matveeva about psychological readiness for motherhood, as well as the analysis and synthesis of studies on motherhood, psychological readiness for motherhood, questions of perinatal psychology, theory of psychological readiness for activity. The study involved 156 married pregnant women aged 25 to 35 with higher or secondary specialized education, with a pregnancy period of no less than 24 weeks. The following psychodiagnostic methods were applied: the projective drawing test “I and my child” by G.G. Filippova, the modified Dembo-Rubinstein scale by G.G. Filippova, test of the relationship of pregnant I.V. Dobryakov’s test on relationships for pregnant women, and the authors’ questionnaire for pregnant women. Research results. The diagnostic results indicate that 79,3 % of women examined are conditionally ready for motherhood, 15 % are not ready, and only 5,7 % of respondents can be considered psychologically ready for motherhood. The last group of women is characterized by unconditional acceptance of a child, themselves as a mother, and the situation of motherhood in general. The correlation and factor analysis of the obtained data made it possible to distinguish four groups of the most informative indicators of psychological readiness for motherhood in pregnant women: the peculiarities of the current situation of the woman, the mother-and-child system, family relations and the social and domestic situation. There are also widely presented factors that make it difficult to form a psychological readiness for motherhood: unfavorable experience of relationships with their own parents, difficulties in establishing emotional contact, lack of knowledge and experience in caring for children. There is a need to work with these aspects before pregnancy. Conclusions are drawn on the importance of comprehensive psychological and pedagogical support of a woman on the way to the formation of the maternal sphere of her personality in relation to genesis, which contributes to the development of psychological preparedness for motherhood.


2019 ◽  
pp. 189-211
Author(s):  
Bogusław Lackoroński

The question if family relations can be deemed as a subject of a personal right effective erga omnes has been considered in Polish jurisprudence and judgments of different courts including the Supreme Court since 2010. In 2018 there was a breakthrough in this debate of great theoretical and practical significance. On March 27, 2018, the Supreme Court of Poland passed three resolutions in extended benches (7 judges) in which it was confirmed that family relations are recognized as a subject of a personal right and that their protection is effective erga omnes. The Supreme Court said also that pecuniary compensation for infringement of family relations which are subject to a personal right can be granted not only in case someone caused that a person – party to a family relation – is dead, but also that the person is seriously and permanently injured. The question of recognition family relation as a subject of a personal right and that their protection is effective erga omnes is very controversial in the jurisprudence of civil law. The controversies are discussed in this paper. The author of this paper does not consider the controversies as enough to question the general idea of recognition of family relations as a subject to a personal right (erga omnes). The author of this paper shares the general view of the Supreme Court (Civil Chamber) presented in the resolutions passed on March 27, 2018, provided to some minor critical remarks. However, it should be pointed out that on October 22, 2019, the Supreme Court (Extraordinary Control and Public Affairs Chamber) passed the resolution in an extended bench (7 judges) in which the admissibility of recognizing family relations as a subject to a personal right (erga omnes) has been questioned. It means that this question is to be resolved by the joint chambers of the Supreme Court.


2020 ◽  
Vol 4 (1) ◽  
pp. 18
Author(s):  
Lilik Rahmawati ◽  
Mutimmatul Faidah

This study aimed to explain the reality of survival mechanisms and adaptive strategies by traditional retailers in Surabaya in facing the existence of massive modern retail stores. This study used qualitative research with a phenomenological approach. The data collection method used observation and interview techniques. Data analyzed with Clark and Scott's survival mechanism theory and the adaptive strategy by Miles and Snow. The result of this research was in the aspect of defender strategy, traditional retailers did various strategies when prices went up, and instead of increased the prices they choosed to reduce the profits. The stores equipped with people daily needs to retain customers. Even though the stock was small, the items sold were complete. It was important to promote family relations with buyers. A striking aspect is the close family relation that was so different from modern retail stores. In the aspect of reactor strategy, the owners responded to the situation without having a long-term strategy design. Their store’s responses were reactive and short-term oriented in the form of selling goods by following the tastes of buyers and current trends. Meanwhile, in carrying out business performance in connection with the survival mechanism, Surabaya traditional retailers met the business assessment of the Islamic perspective namely on the aspects of material, mental, spiritual, and fraternal.


Author(s):  
Genesis Chorwe-Sungani ◽  
Jennifer Chipps

Background: Pregnancy is a period associated with major psychological and social changes in the life of a woman and can be associated with anxiety and depression.Aim: To describe demographic, clinical and risk profile of antenatal depression among pregnant women attending antenatal clinics in Blantyre district, Malawi.Setting: The study was conducted in eight antenatal clinics in Blantyre district, Malawi.Methods: A cross-sectional study of 480 randomly selected pregnant women attending antenatal clinics was conducted. Prevalence was determined using the Edinburgh Postnatal Depression Scale (EPDS) which was validated against a sub-sample using the Mini International Neuropsychiatric Interview. The risk factors of depression were assessed using the Pregnancy Risk Questionnaire. Data were analysed using descriptive statistics, Pearson chi-square test and binary logistic regression.Results: Prevalence of antenatal depression using the EPDS was 19% (95% CI 15.5% – 22.5%, n = 91) and was comparable to the Mini International Neuropsychiatric Interview (25.8% [95% CI = 17.5–34], n = 25). The key risk factors that predicted antenatal depression were: ‘being distressed by anxiety or depression for more than 2 weeks during this pregnancy’ (OR = 4.1 [2.1–7.9], p≤ 0.001); ‘feeling that a relationship with partner is not an emotionally supportive one’ (OR = 3.5 [1.4–8.4], p = 0.01); ‘having major stresses, changes or losses in the course of this pregnancy’ (OR = 3.2 [1.7–6.2], p = 0.01); ‘feeling that father was critical of her when growing up’ (OR = 3.2 [1.4–7.6], p = 0.01); and ‘having history of feeling miserable or depressed for ≥2 weeks before this pregnancy’ (OR = 2.4 [1.3–4.4], p = 0.01).Conclusion: This study confirmed the high-prevalence rate of depression in this group and illustrated that antenatal depression was associated with being distressed by anxiety or depression; support from partner; major stresses during pregnancy; and history of feeling miserable or depressed before pregnancy. This study also found a history of poor relationship between pregnant women and their fathers during childhood.


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