Depressão materna e psicopatologia infantil. Resultados de dois estudos realizados em São Paulo, Brasil

• Ano de defesa: 2016
• Autor(a) principal: Hoffmann, Elis Viviane [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Depression; Maternal depression; Pediatric psychopahology; Depressão; Depressão materna; Saúde mental materna; Psicopatologia infantil; Intervenção
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3639674; http://repositorio.unifesp.br/handle/11600/46613

Introduction: Depressive disorders are well established as a public health problem. Belonging to the female gender is a risk factor for the disorder, which worsens during the reproductive age. Maternal depression is strongly associated with negative effects on child development and the emergence of mental and behavioral problems in children. Disorders and psychiatric symptoms in these children may persist during adolescence and adulthood, and may be transmitted to future generations. Objective: This thesis describes how maternal depression may play an important role in children's mental health and assesses how a brief psychotherapeutic treatment and the improvement of depression in mothers can influence the course of childhood psychopathology. Method: There are two studies: (1) Follow-up study with 126 children working on a street context, with and without psychiatric problems, participating in a psychosocial project, with a prospective evaluation of mental health, assessed by questionnaire capabilities and difficulties ("Strengths and Difficulties questionnaire" - SDQ). (2) Clinical Randomized trial with 60 dyads, in order to investigate how the effectiveness of a psychotherapeutic brief treatment of mothers with depression as measured by the Hamilton Rating Scale for Depression (HRSD-17), is associated with the reduction of psychiatric symptoms their children, assessed using the Inventory of Child Behaviors ( "Children behavior checklist" -CBCL). Results: The first study shows that the improvement in mental health problems in children on the street, two years after insertion in psychosocial project, is strongly associated with lower levels of depressive and anxiety symptoms in mothers. The second study found that brief treatment and the subsequent improvement of maternal depression are strongly associated with the reduction of psychiatric symptoms in children. This correlation was positive for both mothers remitted depression frame, and for mothers who showed a good response to treatment, measured by a significant decrease in depressive symptoms.Conclusion: This study showed that the improvement of maternal depression resulted in a positive effect on mental health children, even when children do not undergo any treatment. These findings reinforce the importance of identifying and treating depressed mothers in primary care services, which may consequently result in the improvement of psychiatric symptoms in children. The treatment of maternal depression can prevent worsening of psychopathological condition in childhood, the extent of these disorders in adolescence and adulthood, minimizing the risks of a transgenerational process of mental disorders.