Relación entre niveles de depresión, inteligencia emocional percibida y percepción de cuidados parentales en embarazadas. / Relationship between depression levels, perceived emotional intelligence and perception of parental care in pregnancy.

La depresión en el embarazo es un problema creciente atribuible a la variabilidad biológica y a aspectos psicosociales como la percepción de vinculación parental y las habilidades emocionales autopercibidas, no obstante estas últimas presentan poca evidencia empírica, siendo variables aún poco exploradas. El objetivo de esta investigación fue determinar la relación entre la depresión, inteligencia emocional percibida y percepción de cuidados parentales en embarazadas. Los resultados indican que la percepción de una alta atención emocional, baja claridad emocional y baja regulación emocional, además de la percepción de las embarazadas de haber sido sobreprotegida por su padre, evidencian correlaciones con la depresión en el embarazo. Esto permite proponer la hipótesis vinculada a que la inteligencia emocional percibida como la reconstrucción de las experiencias vinculares tempranas podrían actuar como factores protectores, tendientes a disminuir la depresión en el embarazo, no obstante esto habría que corroborarlo con nuevos estudios en muestras mayores y con análisis más complejos. Depression in pregnancy is attributable to biological variability and psychosocial aspects such as perception of parental bonding and emotional skills self-perceived growing problem, however the latter have little empirical evidence, being variables still little explored. The objective of this research was to determine the relationship between depression, perceived emotional intelligence and perception of parental care in pregnant women. The results indicate that the perception of high emotional care, low emotional clarity and low emotional regulation, plus the perception of pregnant women have been overprotected by her father, show correlations with depression in pregnancy. This allows proposing linked to the perceived emotional intelligence as the reconstruction of early attachment experiences could act as protectors, aimed at reducing depression in pregnancy factors hypothesis, however this should be corroborated with further studies in larger samples and analysis more complex

Violencia familiar

Este libro reúne los pensamientos, las ideas, las propuestas y las experiencias en torno al tema de la violencia familiar de 20 autores sistémicos de habla hispana, entre ellos, algunos de los más reconocidos y destacados por sus contribuciones al paradigma en la posmodernidad. El contenido del texto, con los aportes de cada uno, ha sido cuidadosamente dispuesto por las editoras académicas, en una estructura que busca proporcionar a la complejidad del tema, un armonioso conjunto de los diferentes aspectos del fenómeno de la violencia

Design of a regression model to predict the presence of depression during pregnancy based on emotional intelligence, parental care, anxiety and stress

Background: Emotion regulation involves the modulation of emotional experiences to facilitate goal attainment. Conversely, emotional difficulties are a pattern of emotional experiences and expressions that interfere with goal-directed behavior. Objectives: Design a new model to predict the presence of depression in women during pregnancy. Methods: Non-experimental, cross-sectional, explanatory study of depression in women during pregnancy (logistic regression) considering the variables emotional intelligence, parental care, anxiety and stress. The sample consisted of 273 pregnant women-mothers between 14 and 38 weeks pregnant, aged between 18 and 38 years, for a mean of 25.67 years (SD= 5.8). Results: The regression model is valid and significant in predicting the probability of occurrence of depression, explaining 82.4% of the variance of DV (Presence of depression) by the variables age, clarity and repair of depression dimensions. emotional intelligence, the maternal and paternal overprotection dimensions, and paternal care of the parental style variables; stress, work and single marital status. There is a 95.2% probability of success in the depression result when each of the model variables is incorporated. Conclusions: The best predictors of depression in pregnancy would be, on the one hand, higher levels or values of the variables and indicators age, reparation, maternal overprotection, paternal care, and stress, and on the other hand, low scores in the dimensions and values of clarity variables, and paternal overprotection; added to whether the woman works and is single. This combination of variables would be the individual and contextual conditions that influence said appearance

Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITS

Introducción: El Trastorno de Estrés Postraumático (TEPT) posparto tiene una prevalencia del 3–4% en mujeres, incrementando al 15-19% en presencia de riesgos durante la gestación o parto, y alcanzando un 39% en caso de fallecimiento neonatal. Las complicaciones perinatales pueden desencadenar una amenaza real o interpretada sobre la vida materna o neonatal, lo cual puede suscitar intensas respuestas emocionales equivalentes a un estresor traumático según los criterios de TEPT. Se identifican cuatro grupos sintomáticos: reexperimentación, evitación, cogniciones y estado de ánimo negativos y síntomas de hiperactivación. A pesar de su alta comorbilidad con depresión y ansiedad, el TEPT posparto permanece subdiagnosticado en contextos maternales. La Escala de Trastorno de Estrés Postraumático en el Postparto, originalmente diseñada en inglés en Inglaterra, está en proceso de traducción y validación global. Objetivo: Validar la adaptación al castellano de The City Birth Trauma Scale. Método: Estudio cuantitativo, no experimental, transversal y descriptivo-correlacional en una muestra de 677 mujeres argentinas con hijos menores de 12 meses. Resultados: El análisis factorial exploratorio reveló dos dimensiones que explican el 49.56% de la varianza total. El análisis factorial confirmatorio respaldó esta estructura bifactorial. La escala demostró una alta consistencia interna (α total = .903), siendo α = .872 para "Síntomas relacionados con el parto" y α = .886 para "Síntomas generales". La validez de constructo de City BiTS se evidenció a través de asociaciones moderadas con las subescalas de DASS-21 y una correlación negativa con BIEPS-A. Conclusión: La adaptación al castellano de The City Birth Trauma Scale se confirma como un instrumento confiable y válido, alineado con hallazgos de la investigación original y validaciones subsiguientes, articulando el TEPT posparto en dos categorías sintomáticas: las relacionadas al parto y las generales.Background: Postpartum post-traumatic stress disorder (PTSD) has a prevalence of 3-4% in women, rising to 15-19% in the presence of risks during pregnancy or childbirth, and reaching 39% in the case of neonatal death. Perinatal complications can trigger a real or perceived threat to maternal or neonatal life, which can evoke intense emotional reactions equivalent to a traumatic stressor according to PTSD criteria. Four symptom clusters have been identified: re-experiencing, avoidance, negative cognitions and mood, and hyperarousal symptoms. Despite its high comorbidity with depression and anxiety, postpartum PTSD remains underdiagnosed in maternal settings. The Postpartum Posttraumatic Stress Disorder Scale, originally developed in England, is in the process of translation and global validation. Objective: To validate the Spanish adaptation of the City Birth Trauma Scale. Methods: Quantitative, nonexperimental, cross-sectional, descriptive-correlational study in a sample of 677 Argentine women with children under 12 months of age. Results: Exploratory factor analysis revealed two dimensions that explained 49.56% of the total variance. Confirmatory factor analysis supported the two-factor structure. The scale showed high internal consistency (total α = .903), with α = .872 for 'birth-related symptoms' and α = .886 for 'general symptoms'. Construct validity of the City BiTS was demonstrated by moderate associations with the DASS-21 subscales and a negative correlation with the BIEPS-A. Conclusions: The Spanish adaptation of the City Birth Trauma Scale is confirmed as a reliable and valid instrument, consistent with original research findings and subsequent validations, articulating postpartum PTSD in two symptom categories: birth-related and general

Organisational models supported by technology for the management of diabetic disease and its complications in a diabetic clinic setting: study protocol for a randomised controlled trial targeting type 2 diabetes individuals with non-ideal glycaemic values (Telemechron study)

Introduction: Type 2 diabetes mellitus (T2DM) is a non-communicable disease representing one of the most serious public health challenges of the twenty-first century. Its incidence continues to rise in both developed and developing countries, causing the death of 1.5 million people every year. The use of technology (e.g. smartphone application-App) in the health field has progressively increased as it has been proved to be effective in helping individuals manage their long-term diseases. Therefore, it has the potential to reduce the use of health service and its related costs. The objective of this study is to evaluate the impact of using a digital platform called "TreC Diabete" embedded into a novel organisational asset targeting poorly controlled T2DM individuals in the Autonomous Province of Trento (PAT), Italy. Methods: This trial was designed as a multi-centre, open-label, randomised, superiority study with two parallel groups and a 1:1 allocation ratio. Individuals regularly attending outpatient diabetes clinics, providing informed consent, are randomised to be prescribed TreC Diabete platform as part of their personalised care plan. Healthcare staff members will remotely assess the data shared by the participants through the App by using a dedicated online medical dashboard. The primary end-point is the evaluation of the Hb1Ac level at 12-month post-randomisation. Data will be analysed on an intention-to-treat (ITT) basis. Discussion: This trial is the first conducted in the PAT area for the use of an App specifically designed for individuals with poorly controlled T2DM. If the effects of introducing this specific App within a new organisational asset are positive, the digital platform will represent a possible way for people diagnosed with T2DM to better manage their health in the future. Results will be disseminated through conferences and peer-reviewed journals once the study is completed. Trial registration: ClinicalTrials.gov NCT05629221. Registered on November 29, 2022, prior start of inclusion

Italian Guidelines for the Management of Sporadic Primary Hyperparathyroidism

Aim This guideline (GL) is aimed at providing a clinical practice reference for the management of sporadic primary hyperparathyroidism (PHPT) in adults. PHPT management in pregnancy was not considered. Methods This GL has been developed following the methods described in the Manual of the Italian National Guideline System. For each question, the panel appointed by Associazione Medici Endocrinology (AME) and Societ & agrave; Italiana dell'Osteoporosi, del Metabolismo Minerale e delle Malattie dello Scheletro (SIOMMMS) identified potentially relevant outcomes, which were then rated for their impact on therapeutic choices. Only outcomes classified as "critical" and "important" were considered in the systematic review of evidence. Those classified as "critical" were considered for the clinical practice recommendations. Results The present GL provides recommendations about the roles of pharmacological and surgical treatment for the clinical management of sporadic PHPT. Parathyroidectomy is recommended in comparison to surveillance or pharmacologic treatment in any adult (outside of pregnancy) or elderly subject diagnosed with sporadic PHPT who is symptomatic or meets any of the following criteria: center dot Serum calcium levels >1 mg/dL above the upper limit of normal range. center dot Urinary calcium levels >4 mg/kg/day. center dot Osteoporosis disclosed by DXA examination and/or any fragility fracture. center dot Renal function impairment (eGFR <60 mL/min). center dot Clinic or silent nephrolithiasis. center dot Age <= 50 years. Monitoring and treatment of any comorbidity or complication of PHPT at bone, kidney, or cardiovascular level are suggested for patients who do not meet the criteria for surgery or are not operated on for any reason. Sixteen indications for good clinical practice are provided in addition to the recommendations. Conclusion The present GL is directed to endocrinologists and surgeons - working in hospitals, territorial services or private practice - and to general practitioners and patients. The recommendations should also consider the patient's preferences and the available resources and expertise