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Orientador(es)
Resumo(s)
Para a maioria dos casais, a gravidez é um período de vivências positivas, embora
tal nem sempre aconteça, sendo a depressão um problema bastante comum durante a
mesma (Bowen, Bowen, Butt, Rahman, & Muhajarine, 2012; Evans, Heron, Francomb, Oke,
& Golding, 2001).
O presente estudo tem como objectivo contribuir para a avaliação do impacto de um
programa de intervenção psicoterapêutica, centrado na interacção de casal, em associação
com uma intervenção de orientação cognitiva-narrativa, na prevenção da depressão
gestacional e na vivência psicológica da gravidez. Pretende também perceber quais os
níveis de depressão baseline dos participantes, se existem diferenças entre homens e
mulheres e de que modo os elementos das díades vivenciam psicologicamente a gravidez.
No estudo participaram seis casais grávidos, divididos equitativamente em três
grupos: o grupo de controlo; o grupo experimental 1, que apenas beneficiou da intervenção
cognitiva-narrativa; e o grupo experimental 2, que foi sujeito à intervenção cognitivanarrativa,
em associação com a intervenção de casal baseada na vinculação.
A sintomatologia depressiva foi avaliada em dois momentos, na 20ª-23ª e na 32ª
semana de gestação, através do Beck Depression Inventory (BDI) e a vivência psicológica
da gravidez, através da Escala de Atitudes sobre a Gravidez e a Maternidade (EAGM) e a
Escala de Atitudes sobre a Gravidez e a Paternidade (EAGP), conforme se tratasse do
elemento feminino ou masculino da díade.
Os resultados permitem perceber que a adaptação à parentalidade é experienciada
de forma muito diversa, nomeadamente no que respeita ao desenvolvimento de
sintomatologia depressiva. Quanto à vivência psicológica da gravidez, os homens parecem
obter mais ganhos do que as mulheres ao beneficiar da intervenção, embora os resultados
por estas obtidos no pós-intervenção possam reflectir uma percepção mais realista da
transição para a parentalidade.
Pregnancy, for most couples, is a period of positive experiences, although this isn’t always the case, and depression is fairly common (Bowen, Bowen, Butt, Rahman, & Muhajarine, 2012; Evans, Heron, Francomb, Oke, & Golding, 2001). The study at hand has as an objective to contribute to the evaluation of the impact of a psychotherapeutic intervention program, focused on couple interaction, in association with a cognitive-narrative intervention orientation in the prevention of gestational depression and the psychological experience of pregnancy. Furthermore it is intended to understand the baseline depression levels of the participants, if any differences occur between men and women and in what form the elements of the dyads experience the pregnancy psychologically. Six pregnant couples took part in the study, and they were divided in the following manner: the control group; experimental group 1, that only benefited from cognitive-narrative intervention; and the experimental group 2, that was subject to cognitive-narrative intervention, in association with the attachment based couple intervention. The depressive symptomatology was evaluated twice, in the 20th-23rd and the 32nd week of gestation, by means of the Beck Depression Inventory (BDI) and the psychological experience of pregnancy, through the Escala de Atitudes sobre a Gravidez e a Maternidade (EAGM) and the Escala de Atitudes sobre a gravidez e a paternidade (EAGP), depending on whether it was with respect to the male or female element of the dyad. The results allow us to understand that adaptation to parenthood is experienced diversely, namely in terms of depressive symptomatology development. In terms of psychological experiences of pregnancy, men seem to obtain more from it than women as they benefit from the intervention,although the obtained results for the female category may reflect a more realistic perspective of the transition to parenthood.
Pregnancy, for most couples, is a period of positive experiences, although this isn’t always the case, and depression is fairly common (Bowen, Bowen, Butt, Rahman, & Muhajarine, 2012; Evans, Heron, Francomb, Oke, & Golding, 2001). The study at hand has as an objective to contribute to the evaluation of the impact of a psychotherapeutic intervention program, focused on couple interaction, in association with a cognitive-narrative intervention orientation in the prevention of gestational depression and the psychological experience of pregnancy. Furthermore it is intended to understand the baseline depression levels of the participants, if any differences occur between men and women and in what form the elements of the dyads experience the pregnancy psychologically. Six pregnant couples took part in the study, and they were divided in the following manner: the control group; experimental group 1, that only benefited from cognitive-narrative intervention; and the experimental group 2, that was subject to cognitive-narrative intervention, in association with the attachment based couple intervention. The depressive symptomatology was evaluated twice, in the 20th-23rd and the 32nd week of gestation, by means of the Beck Depression Inventory (BDI) and the psychological experience of pregnancy, through the Escala de Atitudes sobre a Gravidez e a Maternidade (EAGM) and the Escala de Atitudes sobre a gravidez e a paternidade (EAGP), depending on whether it was with respect to the male or female element of the dyad. The results allow us to understand that adaptation to parenthood is experienced diversely, namely in terms of depressive symptomatology development. In terms of psychological experiences of pregnancy, men seem to obtain more from it than women as they benefit from the intervention,although the obtained results for the female category may reflect a more realistic perspective of the transition to parenthood.
Descrição
Palavras-chave
Gravidez Depressão gestacional Vivência psicológica da gravidez Intervenção cognitivo narrativa Intervenção de casal baseada na vinculação Pregnancy Prenatal depression Psychological experience of pregnancy Cognitive-narrative intervention