Persona: Rodríguez Muñoz, María de la Fe
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Rodríguez Muñoz
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Publicación Review of suicidal ideation during pregnancy: risk factors, prevalence, assessment instruments and consequences(Springer Open, 2022-05-24) Castelao Legazpi, Pilar Carolina; Rodríguez Muñoz, María de la Fe; Olivares Crespo, María Eugenia; Izquierdo Méndez, NuriaBackground: Pregnancy is a period when women are particularly vulnerable to suicidal ideation and a great opportunity for suicide risk prevention. Aims: This study aimed to establish a comprehensive understanding of suicidal ideation prevalence, risk factors, screening tools, consequences and management during pregnancy. Method: A literature search was performed in MEDLINE and PsycInfo databases from 2016 to 2021. A narrative synthesis of the literature and a critical overview of the current issues/questions to be addressed within the topic of suicidal ideation during pregnancy was performed. Results: The prevalence of suicidal ideation during pregnancy was between 2.73 and 18% internationally. The risk factors identifed were major depressive disorder, anxiety disorder, difculties with sleep, previous suicide attempts, high rumination, low incomes, being black, being young, low educational level, partner violence, having poor support, food insecurity, history of child abuse, high obstetric risk, multiparity, previous induced abortion and exposure to tobacco or human immunodefciency virus diagnosis. The screening tools used for suicidal ideation during pregnancy were item 10 of the Edinburgh Postpartum Depression Scale and item 9 of the Patient Health Questionnaire. Results showed that suicidal ideation during pregnancy is associated with poor cognitive development in children and low birth weight. No case management studies on suicidal ideation were found. Limitations: The main limitation of the available studies was the lack of articles with a high degree of methodological rigour on this subject. Conclusions: This narrative review is a state-of-the-art paper about suicidal ideation during pregnancy. Further research is needed, and researchers should carry out systematic reviews and meta-analyses, leading to Clinical Practice Guidelines in this area. This efort would improve our evidence-based practice in Perinatal Psychology and prevent associated suicidal behaviour.Publicación Psychological, Psychosocial and Obstetric Differences between Spanish and Immigrant Mothers: Retrospective Observational Study.(MDPI, 2022-09-18) Martínez Herreros, María Carmen; Rodríguez Muñoz, María de la Fe; Izquierdo Méndez, Nuria; Olivares Crespo, María EugeniaThis study analyzed the influence of psychological and psychosocial factors of pregnant women at an obstetric level. The possible differences between Spaniards and immigrants were studied. This was a retrospective observational study. The sample has been divided into two study cohorts, one consisting of Spanish pregnant women and one consisting of foreign pregnant women. Both completed the Revised Postpartum Depression Predictors Inventory and the Patient Health Questionnaire-9. A total of 15.9% of Spanish women and 23.2% of immigrants had depressive symptoms. Immigrants claim to have less support at the partner, family, and friendship levels than Spaniards. Moreover, 16.4% of Spaniards vs. 8.1% of immigrants had pregnancy complications; Cesarean section was performed in 16.2% of Spaniards vs. 7.9% of immigrants. A greater number of premature births were detected in immigrants than in Spaniards. Access to universal healthcare is a protective factor against socioeconomic and cultural conditions affecting the mental and obstetrical health of immigrants.Publicación Preventing perinatal depression in Spain: a pilot evaluation of Mamás y Bebés(Taylor and Francis Group, Routledge, 2019-11-15) Le, Huynh-Nhu; Rodríguez Muñoz, María de la Fe; Soto Balbuena, Cristina; Olivares Crespo, María Eugenia; Izquierdo Méndez, Nuria; Marcos Nájera, RosaObjective: This pilot study evaluated the feasibility, acceptability, and preliminary effectiveness of a cognitive-behavioural intervention to prevent perinatal depressive symptoms in pregnant women at high risk for perinatal depression in Spain. Background: Perinatal depression (PD) can negatively affect maternal and infant outcomes. Mamás y Bebés/The Mothers and Babies Course (MBC) is an evidence-based CBT intervention aimed at teaching women at high risk for depression mood regulation skills to prevent depression in the United States, including Spanishspeaking perinatal women in the United States. However, there is limited research on preventive interventions for PD in Spain. Method: Pregnant women screened for high risk for PD were recruited in their first trimester in an obstetrics clinic at two urban hospitals in Spain. In a non-experimental design, 30 women completed eight weekly group sessions of the MBC. The Patient Health Questionnaire was the main depression outcome at four time points: pre-intervention, post-intervention, and at 3 months and 6 months postpartum. Participants completed an evaluation questionnaire at the end of each session to assess the acceptability of the intervention. Results: The MBC was effective in reducing depressive symptoms from baseline to all three time points: post-intervention, 3 and 6 months postpartum. Attendance was high (76.7% attended all eight sessions). Mothers reported positive feedback from the participating in the MBC. Conclusion: This pilot study suggests that the intervention is feasible, acceptable, and provides promising evidence for reducing depressive symptoms in urban Spanish perinatal women. Larger and rigorous randomised trials are needed to confirm these findings.Publicación Depresión perinatal en mujeres gestantes fumadoras: prevalencia, características de la sintomatología depresiva y factores de riesgo(Sociedad Chilena de Obstetricia y Ginecología, 2024-08-26) Martín Agudiez, Nuria; Rodríguez Muñoz, María de la Fe; Izquierdo Méndez, Nuria; Olivares Crespo, María Eugenia; Soto Balbuena, CristinaIntroducción: El tabaquismo es un problema de salud pública. Existe una asociación entre el tabaquismo y el desarrollo de depresión perinatal. Objetivo: Estimar la prevalencia de la depresión prenatal y analizar los factores de riesgo que predicen el desarrollo de depresión prenatal en un grupo representativo de mujeres españolas gestantes fumadoras. Método: Se llevó a cabo un estudio transversal en una muestra de 1.524 de embarazadas en el primer trimestre de gestación. Se les administró el Cuestionario de salud del paciente (PHQ-9) y el Inventario revisado de predictores de depresión posparto (PDPI-R). Resultados: Se encontró una tasa de depresión antenatal en mujeres fumadoras del 25,6%. Se encontraron como predictores de depresión prenatal en fumadoras el estresor de enfermedad grave de un familiar y la falta de apoyo emocional de la pareja. Conclusiones: La falta de apoyo social y la carencia de estrategias adaptativas de afrontamiento del estrés es posible que hagan más proclive que la mujer continúe fumando en el embarazo y aumentan el riesgo de depresión perinatal.Publicación The Prevalence and Risk Factors for Antenatal Depression Among Pregnant Immigrant and Native Women in Spain(SAGE Publications, 2019-11-28) Marcos Nájera, Rosa; Rodríguez Muñoz, María de la Fe; Soto Balbuena, Cristina; Olivares Crespo, María Eugenia; Izquierdo Méndez, Nuria; Le, Huynh-Nhu; Escudero Gomis, AnaIntroduction: The aim was to examine the risk factors of anternatal depression among immigrant and native pregnant women in Spain. Method: A total of 1,524 pregnant women completed the Patient Health Questionnaire and the Postpartum Depression Predictors Inventory–Revised form. Results: The native group reported a lower prevalence (15.2%) compared with immigrant group (25.8%). For immigrants, primiparity, moving, and perceived lack instrumental support from friends or emotional support from partners and family members were significant risk factors. Discussion: The study identified risk factors that can be used for preventive interventions during pregnancy. Significance: Screening and interventions for depression during pregnancy should take migration status into account to maximize effective health care. Also, health providers should consider how migration status can result in different risk factors that affect depression during pregnancy.