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Maternal Concepts and Expectations regarding a Preterm Infant

Published online by Cambridge University Press:  10 April 2014

Flávia Helena Pereira Padovani ,
Maria Beatriz Martins Linhares ,
Ingrid Duarte Pinto ,
Geraldo Duarte  and
Francisco Eulógio Martinez
Flávia Helena Pereira Padovani
Affiliation:
Universidade de São Paulo (Brazil)
Maria Beatriz Martins Linhares*
Affiliation:
Universidade de São Paulo (Brazil)
Ingrid Duarte Pinto
Affiliation:
Universidade de São Paulo (Brazil)
Geraldo Duarte
Affiliation:
Universidade de São Paulo (Brazil)
Francisco Eulógio Martinez
Affiliation:
Universidade de São Paulo (Brazil)
*
Correspondence concerning this article should be adressed to Profa. Dra. Maria Beatriz Martins Linhares Laboratório de Pesquisa em Prevenção de Problemas de Desenvolvimento e Comportamento da Criança, (salas 52 e 53), Faculdade de Medicina de Ribeirão Preto, USP, Campus Monte Alegre. Ribeirão Preto, São Paulo. E-mail: linhares@fmrp.usp.br
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Abstract

The objective of the present study was: (a) to identify the concerns, verbally expressed, of 50 mothers regarding their preterm infants (PT) and then compare their verbal expression with those of 25 mothers of full-term infants (FT); and (b) to correlate the mothers' verbal expressions with maternal and infant variables. The following instruments were used to compose and characterize the sample: Structure Clinical Interview for DSM III-R Non-Patient (SCID/NP), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and medical charts. Results showed that there was no difference between groups in term of mothers' expectations and conceptualizations; both groups exhibited predominantly positive expectations and concepts. In comparison with FT mothers, PT mothers verbally expressed more feelings and reactions predominantly negative or conflicting in relation to infant birth. Higher levels of maternal anxiety and depression in the PT Group were correlated with more verbal expressions about negative or conflicting emotions. In addition, lower birth weight, higher neonatal risk and longer length of stay in intensive care nursery of the infants were related with more negative or conflicting concepts by the mothers.

El objetivo de este estudio era: (a) identificar las preocupaciones, expresadas verbalmente, de 50 madres con respecto a sus niños prematuros (PT) y después comparar su expresión verbal con la de 25 madres de niños nacidos a término (FT); y (b) correlacionar las expresiones verbales de las madres con variables maternas e infantiles. Se emplearon los siguientes instrumentos para componer y describir la muestra: Entrevista Clínica Estructurada para DSM-III-R No-Pacientes (Structure Clinical Interview for DSM III-R Non-Patient; SCID/NP), Inventario de Ansiedad Estado-Rasgo (State-Trait Anxiety Inventory; STAI), Inventario de Depresión de Beck (Beck Depression Inventory; BDI), y registros médicos. Los resultados mostraron que no había diferencias entre los grupos en términos de las expectativas y conceptualizaciones de las madres; ambos grupos exhibieron predominantemente expectativas y conceptos positivos. En comparación con las madres FT, las madres PT expresaron verbalmente más sentimientos y reacciones predominantemente negativos o conflictivos con respecto al nacimiento del niño. Los niveles más altos de ansiedad y depresión maternales en el grupo PT correlacionaban con más expresiones verbales de emociones negativas o conflictivas. Además, el peso más bajo al nacer, mayor riesgo neonatal y una estancia más larga en la unidad de cuidados intensivos neonatales de los niños se relacionaban con mayor número de conceptos negativos o conflictivos de las madres.

Keywords

maternal expectationspreterm infantsexpectativas maternasniños prematuros
Type
Articles
Information
The Spanish Journal of Psychology , Volume 11 , Issue 2 , November 2008 , pp. 581 - 592
Copyright
Copyright © Cambridge University Press 2008

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