Guided Interaction Therapy in mother-infant dyads with maternal depressive symptoms in pregnancy: a pilot study
Main Article Content
Abstract
Perinatal depression is a high frequency mood disorder which negatively affects mother and baby, and requires an intervention addressing both members of the dyad. This paper evaluates the applicability and results of a pilot intervention to strengthen this bond and reduce depression in dyads with this problem. Three mother-child dyads, with maternal depressive symptoms and a brief psychotherapeutic intervention using the model of Guided Interactions were studied. The results showed a reduction in depressive symptoms and an increase in maternal sensitivity, child cooperativeness and relationship quality. The intervention turned out to be effective in the variables under study. Nevertheless, new applications over larger sample sizes are required to confirm these findings.
Article Details
Palabras clave
Perinatal depression, maternal sensitivity, guided interactions.
Section
Original Articles
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References
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O’Connor, T. & Zeanah, C. (2003). Attachment disorders: Assessment strategies and treatment approaches. Attachment & Human Development, 5(3), 223-244. doi:10.1080/14616730310001593974
Ogden, T. (2004). On Holding and Containing, being in dreaming. International Journal of Psychoanalysis, 85(6), 1349-1364. doi:10.1516/T41H-DGUX-9JY4-GQC7
Olhaberry, M., Escobar, M., San Cristóbal, P., Santelices, M., Farkas, Ch., Rojas, G. & Martínez, V. (2013). Intervenciones psicológicas perinatales en depresión materna y vínculo madre-bebé: una revisión sistemática. Terapia Psicológica, 31(2), 249-261. doi:10.4067/S0718-48082013000200011
Olhaberry, M. & Santelices M. P. (2013). Presencia del padre y calidad de la interacción madre-hijo(a): un estudio comparativo en familias chilenas nucleares y monoparentales. Universitas Psychologica, 12(3), 833-843. doi:10.11144/Javeriana.UPSY12-3.ppci
Pearson, R., Melotti, R., Heron, J., Joinson, J., Stein, A., Ramchandani, P. & Evans, A. (2012). Disruption to the development of maternal responsiveness? The impact of prenatal depression on mother–infant interactions. Infant, Behavior & Development, 35(4), 613–626. doi:10.1016/j.infbeh.2012.07.020
Rojas, G., Fritsch, R., Solis, J., Jadresic, E., Castillo, C., González, M., Guajardo, V., Lewis, G., Peters, T. & Araya, R. (2007). Treatment of postnatal depression in low-income mothers in primary-care clinics in Santiago, Chile: a randomized controlled trial. Lancet, 370(9599), 1629–1637. doi:10.1016/S0140-6736(07)61685-7
Santelices, M. P., Olhaberry, M., Araneda, M. E., Tapia, C. & Pérez-Salas, C. P. (2007). Estudio de la evolución de las representaciones y apego materno. Revista Argentina de Clínica Psicológica, 16(3), 219-229. Recuperado de http://www.redalyc.org/articulo.oa?id=281921790003
Suárez, N., Muñoz, M., Gómez, E. & Santelices, M. (2009). Terapia de Interacción Guiada: Una Nueva Modalidad de Intervención con Familias Multiproblemáticas y en Riesgo Social. Terapia Psicológica, 27(2), 203-213. doi:10.4067/S0718-48082009000200006
Vik, K. & Braten, S. (2009). Video interaction guidance inviting transcendence of postpartum depressed mothers' self-centered state and holding behavior. Infant Mental Health Journal, 30(3), 287–300. doi:10.1002/imhj.20215
Vik, K. & Hafting, M. (2006). Video interaction guidance offered to mothers with postnatal depression: experiences from a pilot study. Nordic Journal of Psychiatry, 60(3), 234-238. doi:10.1080/08039480600636593
Von Bergen, A. & De la Parra, G. (2002). OQ-45.2, Cuestionario para evaluación de resultados y evolución en psicoterapia: Adaptación, validación e indicaciones para su aplicación e interpretación. Terapia Psicológica, Sociedad Chilena de Psicología Clínica, 20(2), 161-176. Recuperado de http://goo.gl/UjTVzg
Wei, M., Russell, D. W., Mallinckrodt, B., & Vogel, D. L. (2007). The experiences in Close Relationship Scale (ECR)-Short Form: Reliability, validity, and factor structure. Journal of Personality Assessment, 88(2), 187-204. doi:10.1080/00223890701268041
Allen, J., Fonagy, P. y Bateman, (2008). Mentalizing in Clinical Practice. London: American Psychiatric Publishing, Inc.
Alvarado, R., Rojas, M., Monardes, J., Perucca, E., Neves, E., Olea, E., & Vera, A. (2000). Cuadros depresivos en el postparto en una cohorte de embarazadas: Construcción de un modelo causal. Revista Chilena de Neuro-Psiquiatría, 38(2), 84-93. doi:10.4067/S0717-92272000000200003
Beck, A., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561-571. doi:10.1001/archpsyc.1961.01710120031004
Biedermann, K., Martínez, V., Olhaberry, M. & Cruzat, C. (2009). Aportes de la Teoría del Apego al tratamiento de los trastornos de Alimentación: Implicancias Clínicas. Revista Argentina de Clínica Psicológica, 18, 217-226. Recuperado de http://www.cienciared.com.ar/ra/doc.php?n=1142
Cohn, J.F., Matias, R., Tronick, E. Z., Connell, D. & Lyons- Ruth, K (1986). Face-to-face interactions of depressed mothers and their infants. New Direction for Child and Adolescent Development, 34, 31-45. doi:10.1002/cd.23219863405
Cornish, A., McMahon, C., Ungerer, J., Barnett, B., Kowalenko, N., & Tennet, C. (2006). Maternal depression, the experience of parenting in the second postnatal year. Journal of Reproductive and Infant Psychology, 24(2), 121-132. doi:10.1080/02646830600644021
Crittenden, P. (2006). CARE-Index para Infantes (Nacimiento-15 meses) Manual de Codificación. Family Relations Institute, Miami USA.
DiCarlo, C., Onwujuba, Ch. & Baumgartner, J. (2013). Infant Comunicative Behavior and Maternal Responsiveness. New York: Springer, Science and Business Media.
Earls, M. (2010). Incorporating Recognition and Management of Perinatal and Postpartum Depression into Pediatric Practice. Pediatrics, 126(5), 1032-1039. doi:10.1542/peds.2010-2348
Evans, G., Vicuña, M. & Marín, R. (2003). Depresión posparto: Realidad en el sistema público de atención de salud. Servicio de obstetricia y ginecología. Revista Chilena Obstetricia Ginecológica, 68(6), 491-494. doi:10.4067/S0717-75262003000600006
Field, T., Diego, M., & Hernandez-Reif, M. (2006). Prenatal depression effects on the fetus and newborn: a review. Infant Behavior and Development, 29(3), 445–455. doi:10.1016/j.infbeh.2006.03.003
Field, T. (2011). Prenatal depression effects on development. Infant Behavior and Development, 34(1), 1-14. doi:10.1016/j.infbeh.2010.09.008
Fonagy, P. (1997). Attachment and theory of mind: Overlapping constructs?. Association for Child Psychology and Psychiatry Occasional papers, 14, 31–40. Recuperado de http://discovery.ucl.ac.uk/id/eprint/134186
Fonagy, P., Bateman, A. & Bateman, A. (2011). The widening scope of mentalizing: a discussion. Psychology ans Psychotherapy: Theory, Research and Practice, 84(1), 98-110. doi:10.1111/j.2044-8341.2010.02005.x
Gómez, E. & Muñoz, M. (2013). Manual para el modelo de video-feedback. oportunidades para el desarrollo de interacciones sensibles, eficaces y afectivas. Manuscrito inédito.
Halbreich, U. & Karkun, S. (2006). Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. Journal of Affective Disorders, 91(2-3), 97-111. doi:10.1016/j.jad.2005.12.051
Juffer, F., Bakermans-Kranenburg, M. J. & van Ijzendoorn M. H. (2008). Promoting positive parenting. An attachment-Based Intervention. New York: Psychology Press.
Lambert, M. J., Hansen, N. B., Umpress, V., Lunnen, K. & Okiishi, J. (1996). Administration and Scoring Manual for the OQ-45.2. American Professional Credentialing Services LLC. USA.
Main, M. (1995). Recent studies in attachment: Overview, with selected implications for clinical work. En S. Goldberg, R. Muir, & J. Kerr (Eds.), Attachment theory: Social, developmental, and clinical perspectives (pp. 407-474). New York: Analytic Press.
McDonough, S. (1993). Interaction guidance: Understanding and treating early infant-caregiver relationship disturbances. En C. H. Zeanah (Ed.), Handbook of Infant Mental Health (pp. 414-426). New York: The Guilford Press.
McDonough, S. C. (2004). Interaction Guidance: Promoting and nurturing the caregiving relationship. En A. Sameroff, S. C. McDonough, & K. L. Rosenblum, (Eds.) Treating parent-infant relationship problems: Strategies for intervention (pp. 79-96). New York: Guilford Press.
Ministerio de Salud de Chile (2013). Guía clínica AUGE depresión en personas de 15 años y más. Serie Guías Clínicas Minsal, 2013. Recuperado de http://web.minsal.cl/portal/url/item/7222754637c08646e04001011f014e64.pdf
Minkovitz, C., Strobino, D., Scharfstein, D., Hou, W., Miller, T., Mistry, C. & Swartz, K. (2005). Maternal Depressive Symptoms and Children's Receipt of Health Care in the First 3 Years of Life. Pediatrics, 115(2), 306-314, doi:10.1542/peds.2004-0341
Muzik, M. & Borovska, S. (2010). Perinatal depression: implications for child mental health. Mental Health in Family Medicine, 7(4), 239–247. Recuperado de http://www.mhfmjournal.com/mental-health/perinatal-depression-implications-for-child-mental-health.pdf
O’Connor, T. & Zeanah, C. (2003). Attachment disorders: Assessment strategies and treatment approaches. Attachment & Human Development, 5(3), 223-244. doi:10.1080/14616730310001593974
Ogden, T. (2004). On Holding and Containing, being in dreaming. International Journal of Psychoanalysis, 85(6), 1349-1364. doi:10.1516/T41H-DGUX-9JY4-GQC7
Olhaberry, M., Escobar, M., San Cristóbal, P., Santelices, M., Farkas, Ch., Rojas, G. & Martínez, V. (2013). Intervenciones psicológicas perinatales en depresión materna y vínculo madre-bebé: una revisión sistemática. Terapia Psicológica, 31(2), 249-261. doi:10.4067/S0718-48082013000200011
Olhaberry, M. & Santelices M. P. (2013). Presencia del padre y calidad de la interacción madre-hijo(a): un estudio comparativo en familias chilenas nucleares y monoparentales. Universitas Psychologica, 12(3), 833-843. doi:10.11144/Javeriana.UPSY12-3.ppci
Pearson, R., Melotti, R., Heron, J., Joinson, J., Stein, A., Ramchandani, P. & Evans, A. (2012). Disruption to the development of maternal responsiveness? The impact of prenatal depression on mother–infant interactions. Infant, Behavior & Development, 35(4), 613–626. doi:10.1016/j.infbeh.2012.07.020
Rojas, G., Fritsch, R., Solis, J., Jadresic, E., Castillo, C., González, M., Guajardo, V., Lewis, G., Peters, T. & Araya, R. (2007). Treatment of postnatal depression in low-income mothers in primary-care clinics in Santiago, Chile: a randomized controlled trial. Lancet, 370(9599), 1629–1637. doi:10.1016/S0140-6736(07)61685-7
Santelices, M. P., Olhaberry, M., Araneda, M. E., Tapia, C. & Pérez-Salas, C. P. (2007). Estudio de la evolución de las representaciones y apego materno. Revista Argentina de Clínica Psicológica, 16(3), 219-229. Recuperado de http://www.redalyc.org/articulo.oa?id=281921790003
Suárez, N., Muñoz, M., Gómez, E. & Santelices, M. (2009). Terapia de Interacción Guiada: Una Nueva Modalidad de Intervención con Familias Multiproblemáticas y en Riesgo Social. Terapia Psicológica, 27(2), 203-213. doi:10.4067/S0718-48082009000200006
Vik, K. & Braten, S. (2009). Video interaction guidance inviting transcendence of postpartum depressed mothers' self-centered state and holding behavior. Infant Mental Health Journal, 30(3), 287–300. doi:10.1002/imhj.20215
Vik, K. & Hafting, M. (2006). Video interaction guidance offered to mothers with postnatal depression: experiences from a pilot study. Nordic Journal of Psychiatry, 60(3), 234-238. doi:10.1080/08039480600636593
Von Bergen, A. & De la Parra, G. (2002). OQ-45.2, Cuestionario para evaluación de resultados y evolución en psicoterapia: Adaptación, validación e indicaciones para su aplicación e interpretación. Terapia Psicológica, Sociedad Chilena de Psicología Clínica, 20(2), 161-176. Recuperado de http://goo.gl/UjTVzg
Wei, M., Russell, D. W., Mallinckrodt, B., & Vogel, D. L. (2007). The experiences in Close Relationship Scale (ECR)-Short Form: Reliability, validity, and factor structure. Journal of Personality Assessment, 88(2), 187-204. doi:10.1080/00223890701268041