Persona:
Rodríguez Muñoz, María de la Fe

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0000-0002-1908-0405
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Rodríguez Muñoz
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María de la Fe
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2019 - 201922020 - 202425
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Tiene archivos: true × search.filters.applied.f.itemFacultad: Facultad de Psicología ×

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Mostrando 1 - 10 de 27
  • Miniatura
    Publicación
    Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis.
    (Elsevier, 2023-03-15) Motrico, Emma; Bina, Rena; Kassianos, Angelos P.; Mateus, Vera; Ozteki, Deniz; Rodríguez Muñoz, María de la Fe; Moreno Peral, Patricia; Conejo Cerón, Sonia; Le, Huynh-Nhu
    Background: To date, dozens of systematic reviews (SRs) and meta-analyses (MAs) summarize the effectiveness of preventive interventions for perinatal depression. However, the results are inconclusive, making an urgent need to step up to higher levels of evidence synthesis. Aims: To summarize and compare the evidence from the SR&MA examining the effectiveness of all types of interventions for preventing perinatal depression. Method: PubMed, PsycINFO, Cochrane Database of Systematic Reviews and OpenGrey were searched from inception to December 2022. We selected SR&MA of randomized controlled trials (RCTs) that compared all types of preventive interventions for perinatal depression with control groups whose outcome was the reduction of depressive symptoms and/or incidence of new cases of perinatal depression (PROSPERO: CRD42020173125). Results: A total of 19 SRs and MAs evaluated 152 unique RCTs that included 83,408 women from 26 countries and five continents. The median effect size for any intervention was SMD = 0.29 (95% CI: 0.20 to 0.38). Exercise/physical activity-based, psychological, and any type of intervention showed median effect sizes of 0.43, 0.28 and 0.36, respectively. The degree of overlap among RCTs was slight. According to AMSTAR-2, 79% of them were rated as low or critically low-quality. The strength of evidence, according to GRADE, was poorly reported and, in most cases, was low. Conclusions: Exercise/physical activity-based and psychological interventions have a small-to-medium effect on reducing perinatal depressive symptoms. There is insufficient evidence to conclude that dietary supplements and pharmacological interventions are effective in preventing perinatal depression. There is a need for high-quality SR&MA of RCTs, mainly focusing on universal preventive interventions
  • Miniatura
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    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, Rosa
    Objective: 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.
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    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, Cristina
    Introducción: 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.
  • Miniatura
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    Effectiveness of the third wave cognitive behavior therapy for peripartum depression treatment-A systematic review
    (Elsevier, 2023-11-04) Rodríguez Muñoz, María de la Fe; Nakić Radoš, Sandra; Uka, Ana; Marques, M.; Maia, B.R.; Matos, M.; Branquinho, Mariana; Aydın, R.; Mahmoodi, V.; Chrzan-Dętkoś, Magdalena; Walczak-Kozłowska, Tamara; Liakea, Iliana; https://orcid.org/0000-0002-8330-8427; https://orcid.org/0000-0002-9039-8504; https://orcid.org/0000-0001-7320-7107; https://orcid.org/0000-0001-9719-5710; https://orcid.org/0000-0002-7297-8003; https://orcid.org/0000-0002-9781-7281; https://orcid.org/0000-0002-4625-2647
    Introduction To investigate the effectiveness of third-wave cognitive behavior therapies in the treatment of peripartum depression. Method A systematic review of the effectiveness of psychological interventions in treating peripartum depression focus on the Third Wave has been conducted. The electronic databases MEDLINE, PsycINFO, Web of Science and Clinical Trials were searched, using a combination of different search terms. Data were independently extracted by two authors and a synthesis of the results was offered. Methodological quality was assessed by three authors, using ROBE-2 and MINORS. Search date was conducted in February 2022 and the search was re-run in November 2022 for new entries. Findings Six papers were included and reported, focused on, the effectiveness of Third Wave approach interventions in reducing depressive symptoms. Papers included the following intervention approaches: Behavioral intervention (n = 2), Mindfulness (n = 2), Dialectical Behavior Therapy (n = 1) and Acceptance and Commitment Therapy (n = 1). All six papers were consistent in that interventions lead to a decrease in depression symptoms. However, risk of bias evaluation showed that all were critical low, but one paper was high quality. Conclusion and implications for practice and research Systematic review showed that third-wave approaches are promising in effectiveness to reduce depression symptoms in peripartum women. However, more high-quality studies with follow-up are needed.
  • Miniatura
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    A Cross-Cultural Analysis of the Prevalence and Risk Factors for Prenatal Depression in Spain and Mexico
    (612, 2020-10-24) Marcos Nájera, Rosa; Rodríguez Muñoz, María de la Fe; Lara, Asunción; Navarrete, Laura; Le, Huynh-Nhu
    The prevalence and risk factors associated with prenatal depression among Spanish-speaking women in Spain and Mexico are examined and compared through a cross-cultural study. The study utilizes secondary data from 563 participants who received prenatal care in Madrid (N = 283) and in Mexico City (N = 280), assessed with the PHQ-9 and the PDPI-R. Spanish women reported a lower prevalence of depressive symptoms (10.0%) than Mexican women (20.3%). Regression analyses showed that previous prenatal anxiety and lack of family emotional support were common risk factors to the two countries. Within each country, significant risk factors included: (a) previous depression history (b = 0.224; p\ 0.001) in Spain; and (b) unplanned pregnancy (b = - 0.116; p\ 0.027), lack of emotional support from others (b = 0.129; p\ 0.032), marital dissatisfaction (b = 0.186; p\0.009), and life stress due to financial problems (b = 0.117; p \0.026), and life stress due to marital problems (b = 0.114; p\ 0.040) in Mexico. Health professionals can tailor interventions to their particular risk factors to reduce the adverse effects on mothers and infants.
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    Understanding Healthcare Professionals' Knowledge on Perinatal Depression among Women in a Tertiary Hospital in Ghana: A Qualitative Study.
    (MDPI, 2022-11-30) Asare, Sandra Fremah; Rodríguez Muñoz, María de la Fe
    Health conditions affecting women in the perinatal period still account for a major contribution to disease burden in Sub-Saharan Africa, yet there is a dearth of empirical research to understanding health professionals’ perspective on their experiences and how they care for perinatal women in depression. We used a qualitative exploratory descriptive approach through a faceto face-interview to explore the knowledge of 11 health professionals of Komfo Anokye Teaching Hospital, Kumasi- Ghana. Interviews were taped recorded and transcribed verbatim. The study adopted Haase’s modification of Colaizzi’s method for the analysis. Four main themes emerged: ineffective communication (Referral lapses among care providers, long waiting time, lack of confidentiality), workload (Inefficient staff to meet perinatal women’s need, no screening tools and time constraints), Reaction to patients symptoms (Identifying patient’s symptoms, assessment through patient’s centeredness and Education and counselling). Our results emerged that time constraints, stigmatization and lack of awareness delayed the care and management of perinatal depression among healthcare professionals in the hospital setting. There is the need to improve healthcare professionals’ knowledge on perinatal depression and it is imperative for the hospital administrators to invest in continuous training and professional development for healthcare professionals.
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    El tratamiento psicológico del insomnio durante la infancia: Una revisión paraguas.
    (Grupo de Investigación Análisis, Intervención y Terapia Aplicada con Niños y Adolescentes, Universidad Miguel Hernández, 2023-01) Kovacheva, Katina; Rodríguez Muñoz, María de la Fe
    El insomnio es un problema muy frecuente en niños y adolescentes y está relacionado con numerosos resultados negativos. La evidencia sobre las intervenciones psicológicas efectivas en el tratamiento del insomnio infantil ha ido en aumento, pero carece de una síntesis exhaustiva de los hallazgos. Por ello, realizamos una revisión sistemática de revisiones sistemáticas y meta-análisis sobre la efectividad de las intervenciones psicológicas en el tratamiento del insomnio infantil. Se realizaron búsquedas en la base de datos PsycINFO, hasta julio de 2022, mediante una combinación de palabras clave. Los datos fueron extraídos de forma independiente por las dos autoras y se presentó una síntesis de los resultados. La calidad metodológica fue evaluada de forma independiente por las dos autoras, utilizando AMSTAR-2. Se incluyeron cuatro artículos que informaron, en general, sobre la efectividad de las intervenciones psicológicas para disminuir los síntomas de insomnio durante la infancia y adolescencia, tanto a corto como a largo plazo. Las revisiones incluidas fueron calificadas con una calidad metodológica baja, lo que debilita la evidencia de los resultados reportados. Se encontró que actualmente la Terapia Cognitivo Conductual es la intervención psicológica más basada en la evidencia y la más efectiva, independientemente del formato de tratamiento. Se necesitan realizar más ensayos clínicos aleatorios de alta calidad
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    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, Ana
    Introduction: 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.
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    Good Practices in Perinatal Mental Health for Women during Wars and Migrations: A Narrative Synthesis from the COST Action Riseup-PPD in the Context of the War in Ukraine
    (Colegio Oficial de la Psicología de Madrid y la Fundación del Colegio Oficial de la Psicología de Madrid, 2022-11) Magdalena Chrzan-Dętkoś; Rodríguez Muñoz, María de la Fe; Krupelnytska, Liudmyla; Morozova Larina, Olha; García López, Helena; Vavilova, Alyona; Murawaska, Natalia; Nakiš Radoš, Sandra
    Background: Since February 24th, 2022, the beginning of Russia’s aggression against Ukraine, more than 80,000 women were expected to give birth. Therefore, understanding the impact of war on the perinatal health of women is an important requisite to improve perinatal care. This narrative synthesis has two main purposes: on one hand, it aims to summarize the current evidence available based on perinatal health outcomes and care among perinatal women; on the other, it attempts to identify the gaps still present in research in relation to perinatal care. Method: A literature search was completed in diverse databases (e.g., Medline, PsychInfo). Results: Emergent matters related to practice and research in perinatal refugee women have been discussed. Conclusions: In the face of the war in Ukraine, we need to build up further research to provide an evidence-based foundation for preventing and treating the psychological consequences of pregnant women exposed directly to war and those who have been forced into a refugee status during this vulnerable period. Also, it is essential to support not only women transitioning to motherhood, but also supporting midwives and nurses in their work.
  • Miniatura
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    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 Eugenia
    This 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.