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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Publicación Manual de psicología de la conducta suicida, de Susana Al-Halabí y Eduardo Fonseca-Pedrero (Coord.). Editorial Pirámide, 728 pp., año 2023.(Colegio Oficial de la Psicología de Madrid y la Fundación del Colegio Oficial de la Psicología de Madrid, 2023-07) Rodríguez Muñoz, María de la FePublicación Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD(Elsevier, 2024-02-01) Nakić Radoš, Sandra; Kömürcü Akik, Burcu; Žutić, Maja; Rodríguez Muñoz, María de la Fe; Uriko, Kristiina; Motrico, Emma; Moreno Peral, Patricia; Apter, Gisèle; Lambregtse van den Berg, Mijke; https://orcid.org/0000-0002-8330-8427; https://orcid.org/0000-0001-6051-4941; https://orcid.org/0000-0001-9197-1096; https://orcid.org/0000-0003-0644-4473; https://orcid.org/0000-0002-0720-567X; https://orcid.org/0000-0003-4130-9090; https://orcid.org/0000-0001-5185-1479; https://orcid.org/0000-0003-1764-5940Background Peripartum depression (PPD) is a major depression disorder (MDD) episode with onset during pregnancy or within four weeks after childbirth, as defined in DSM-5. However, research suggests that PPD may be a distinct diagnosis. The goal of this study was to summarize the similarities and differences between PPD and MDD by synthesizing the current research on PPD diagnosis concerning different clinical features and give directions for improving diagnosis of PPD in clinical practice. Methods To lay the groundwork for this narrative review, several databases were searched using general search phrases on PPD and its components of clinical diagnosis. Results When compared to MDD, peripartum depression exhibits several distinct characteristics. PPD manifests with a variety of symptoms, i.e., more anxiety, psychomotor symptoms, obsessive thoughts, impaired concentration, fatigue and loss of energy, but less sad mood and suicidal ideation, compared to MDD. Although PPD and MDD prevalence rates are comparable, there are greater cross-cultural variances for PPD. Additionally, PPD has some distinct risk factors and mechanisms such as distinct ovarian tissue expression, premenstrual syndrome, unintended pregnancy, and obstetric complications. Conclusion There is a need for more in-depth research comparing MDD with depression during pregnancy and the entire postpartum year. The diagnostic criteria should be modified, particularly with (i) addition of specific symptoms (i.e., anxiety), (ii) onset specifier extending to the first year following childbirth, (iii) and change the peripartum onset specifier to either “pregnancy onset” or “postpartum onset”. Diagnostic criteria for PPD are further discussed.Publicación Hygiene-based measures for the prevention of cytomegalovirus infection in pregnant women: a systematic review(Springer Nature, 2024-02-29) Rodríguez Muñoz, María de la Fe; Martín Martín, Clara; Kovacheva, Katina; Olivares, Maria Eugenia; Izquierdo Méndez, Nuria; Pérez Romero, Pilar; García Ríos, Estéfani; https://orcid.org/0000-0001-5107-4331; https://orcid.org/0000-0002-3508-8407; https://orcid.org/0000-0003-3026-7905; https://orcid.org/0000-0001-9028-055XBackground Human Cytomegalovirus (HCMV) is the most frequent congenital infection worldwide causing important sequelae. However, no vaccine or antiviral treatments are currently available, thus interventions are restricted to behavioral measures. The aim of this systematic review was to assess evidence from available intervention studies using hygiene-based measures to prevent HCMV infection during pregnancy. Methods Studies published from 1972 to 2023 were searched in Medline, PsycInfo, and Clinical Trials (PROSPERO, CRD42022344840) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Methodological quality was assessed by two authors, using ROBE-2 and MINORS. Results After reviewing 6 selected articles, the outcome analysis suggested that implementation of hygiene-based interventions during pregnancy prevent, to some extent, the acquisition of congenital HCMV. Conclusions However, these conclusions are based on limited and low-quality evidence available from few studies using this type of intervention in clinical practice. Thus, it would be necessary to perform effective and homogeneous intervention studies using hygiene-based measures, evaluated in high-quality randomized controlled trials (RCTs).Publicación Psychometric Properties of the Online Version of the General Anxiety Disorder-7 (GAD-7): A Longitudinal Study in Pregnant and Postpartum Spanish Women(Colegio Oficial de Psicólogos del Principado de Asturias, 2024) Gómez Gómez, Irene; Domínguez Salas, Sara; Rodríguez Muñoz, María de la Fe; Rodríguez Domínguez, Carmen; Gómez Baya, Diego; Motrico, EmmaBackground: The use of online questionnaires to assess common mental disorders such as perinatal anxiety has spread due to the proliferation of Internet-based psychological interventions and research. This study analyses the validity and reliability of the online version of the Generalized Anxiety Disorder-7 (GAD-7) in a sample of pregnant and postpartum Spanish women. Method: A total of 3082 pregnant (n = 1260) and postpartum (n = 1822) women were recruited via the Internet and underwent three follow-up evaluations during a six-month period. Results: A one-factor solution was assigned by Exploratory Factor Analysis and confirmed by Confirmatory Factor Analysis for both pregnant (CFI = 0.998; RMSEA = 0.035) and postpartum (CFI = 0.998; RMSEA = 0.038) women. The one-factor model showed strict invariance across groups. Validity was confirmed by assessing correlations between GAD-7, the Edinburgh Postnatal Depression Scale, and the 10-item Posttraumatic Stress Disorder checklist at three time points. The reliability coefficient was .92 for the two groups. Conclusions: This study shows that the Spanish online GAD-7 version has good psychometric properties and can be used to assess anxiety symptoms during the perinatal period.Publicación Suicidal behavior and the perinatal period: taboo and misunderstanding.(Consejo General de la Psicología de España, 2021) Al-Halabí, Susana; García Haro, Juan; Rodríguez Muñoz, María de la Fe; Fonseca Pedrero, Eduardo; https://orcid.org/0000-0003-1162-2115; https://orcid.org/0000-0001-7453-5225Suicide is the leading cause of death for women during the perinatal period, which commences in pregnancy and finishes one year after delivery. Empirical evidence from previous studies shows that pregnant women have greater suicidal ideation than their comparison group in the general population. However, there is a tendency for these problems to be neither prevented nor adequately recognized. Nevertheless, if the dissonances and dilemmas associated with motherhood, as well as mental health problems, are not prevented or adequately addressed, they can affect the well-being of women, their children, and other family members. Risk and protective factors for suicidal behavior in this group of women are discussed, as well as general principles of action. The need for the implementation of prevention strategies is highlighted.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.Publicación The relationship between healthcare experience and perinatal depression during COVID-19 pandemic(Colegio Oficial de la Psicología de Madrid y la Fundación del Colegio Oficial de la Psicología de Madrid, 2022-11) Kovacheva, Katina; Rodríguez Muñoz, María de la Fe; Gómez Baya, Diego; Domínguez Salas, Sara; Motrico, EmmaBackground: The prevalence of peripartum depression (PPD) has increased substantially since the start of the COVID-19 pandemic. To reduce the probability of contagion, hospitals had to adapt their care protocols, including the care of women in the perinatal period. Method: A cross-sectional study was used in a total sample of 3,356 women, 1,402 in the prenatal period and 1,954 in the postnatal period. They completed the Edinburgh Postnatal Depression Scale to assess depressive symptoms and the Spanish version of the Coronavirus Perinatal Experiences to assess health experience. Results: The results showed that feeling very well supported by a health professional was associated with a lower risk of PPD. On the other hand, believing it very important to have access to a mental health professional and being concerned about changes in infant care due to COVID-19 were associated with a higher risk of PPD. Conclusion: The results showed the relationship between health experience and the risk of depressive symptoms, highlighting the importance of considering the psychological aspects in the development of measures and protocols for perinatal care.Publicación Relationship between social support and perinatal depression during the COVID-19 pandemic(Taylor and Francis Group, Routledge, 2023-07-06) Kovacheva, Katina; Rodríguez Muñoz, María de la Fe; Gómez Baya, Diego; Domínguez Salas, Sara; Motrico, EmmaAims/Background This research aimed to identify the sources of social support and its relationship with perinatal depression (PPD) during the coronavirus (COVID-19) pandemic. Design/Methods We carried out a cross-sectional study with a sample of 3,356 women during perinatal period living in Spain. We used five items from the Spanish version of the Coronavirus Perinatal Experiences – Impact Survey to assess the impact of COVID-19 on social support and, the Edinburgh Postnatal Depression Scale was used to assess depressive symptomatology. Results The results obtained identified a possible relationship between seeking in-person support (OR = 0.51; 0.67, during pregnancy and after delivery respectively) and degree of feeling social support (OR = 0.77; 0.77) during the COVID-19 pandemic with a lower prevalence of depression. Otherwise, requiring the help of a mental health professional (OR = 2.92; 2.41) and weeks of confinement (OR = 1.03; 1.01) appeared to be associated with a higher prevalence of depression. During pregnancy, a possible association was found between the degree of concern about future changes in support and involvement of family and friends (OR = 1.75) with a higher prevalence of depression. On the other hand, in the postpartum period, there seems to be a relationship between seeking social support through social media (OR = 1.32) with a higher prevalence of depression and receiving support from friends (OR = 0.70) and health professionals (OR = 0.53) with a lower prevalence of depression. Conclusion These results highlighted the importance of protecting perinatal mental health during the COVID-19 pandemic by protecting and developing social support networks.Publicación Perinatal depression in the spanish context: Consensus report from the general council of psychology of Spain(Colegio Oficial de la Psicología de Madrid y la Fundación del Colegio Oficial de la Psicología de Madrid, 2023-07) Rodríguez Muñoz, María de la Fe; Motrico, Emma; Míguez, M. Carmen; Chaves, Covadonga; Suso Ribera, Carlos; Duque, Almudena; García Salinas, María; https://orcid.org/0000-0002-0720-567X; https://orcid.org/0000-0001-8749-088X; https://orcid.org/0000-0002-8750-6826; https://orcid.org/0000-0002-2655-1017; https://orcid.org/0000-0002-2223-6079Background: Perinatal depression is a major public health problem, with an estimated prevalence of approximately 15% during the first postpartum year. Despite the high prevalence of postpartum depression, there is no consensus regarding assessment and treatment in the Spanish context. The General Council of Psychology of Spain convened a working group of experts in the field, including both academics and healthcare professionals, to review and propose recommendations based on evidence and best practices that could be applied in the Spanish context. Method: A literature search was completed in various databases (e.g., Medline, PsychInfo) including a combination of terms related to peripartum depression (PPD) assessment and diagnosis, prevention, treatment, and cost-effectiveness. A narrative synthesis of the literature has been conducted together with a critical overview of PPD with a special focus on the Spanish context. Results: In this consensus report, developing questions including prevalence and assessment tools, comparative effectiveness of preventive and treatment interventions, and cost-effectiveness of PPD management have been analyzed. Conclusions: The General Council of Psychology of Spain network advocates the establishment of compulsory screening protocols in all the autonomous regions. Also, it is necessary to promote the inclusion in maternal education of programs for the promotion of mental well-being and selective/indicated prevention carried out by a psychology professional with specialized training in the area. This consensus document also promotes the presence of a psychology professional with specialized training in the area.Publicación 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, SandraBackground: 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.
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