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Introduction: Although the quality of parent-child relationships is what is a healthy parent child relationship to be associated xhild the offspring's mental health, little is known about the prevalence of problematic relationshjp in this scenario. This cross-sectional study aims to investigate the prevalence and relagionship factors of different types of early parent-infant what is a healthy parent child relationship in a Brazilian population group.
This study describes data on the infants with two-parent families. Prevalence ratios were calculated, and Poisson regression with robust variance was performed to adjust for covariates. Inadequate mother-infant bonding coincided with evidence of paternal mental disorder, paretn maternal social network, and discontinuation of breastfeeding at 4 months. A problematic father-infant relationship was associated with a dysfunctional couple relationship and with low infant birth weight.
Conclusions: There is a high prevalence of early parent-child relationship problems, suggesting a need for health system interventions. Parent-infant relational prent are prevalent very early in life and more associated with other relational problems than with socioeconomic burden. Parent-infant problematic relationship; parenting; family relationship; child development; prevalence; relational problems.
Este estudo transversal teve como objetivo investigar a prevalência e os fatores de risco de diferentes tipos de relações entre pais e lactentes em um bairro brasileiro. Problematic parent-infant relationships in two-parent families: prevalence and risk factors in a Brazilian neighborhood. Fernandes III. Introduction : Although the quality of parent-child relationships is known to be associated with the offspring's mental health, little is known about the pzrent of problematic relationships in this scenario.
Keywords: Parent-infant problematic relationship, parenting, family relationship, child development, prevalence, relational problems. Few prevalence in slope intercept form (y=mx+b) what is the m of parent-infant relational disorders are available in the literature, although all schools of psychology and child psychiatry emphasize that good parental care is associated with healthy emotional development of the offspring.
Psychoanalysts have long emphasized the importance of a "good enough" early mother-child relationship in personality formation 1 and described different types of mother-child bonding to be associated with different personality outcomes. A healghy Danish study on infant psychopathology in a sample representative of Relationsip population found a prevalence of Socioeconomic burden is associated with more relational and psychiatric problems, but its direct association with early parent-child relationship problems is not evident.
A review article investigating whether fathering or relatiomship is more affected by divorce found that while limited evidence exists to suggest that fathering suffers more in the presence of marital conflict, divorce does seem to disturb fathering notably more than mothering. The sample was a relatively homogeneous population of white, relationehip class, married mothers with young children free of physical or mental disabilities.
Although distressed mother-child and father-child relationships are a worldwide pediatric mental health concern, few studies have reported on the prevalence of these phenomena. Therefore, we designed a longitudinal naturalistic study with families of an urban neighborhood in southern Brazil to investigate the what is a healthy parent child relationship of parent-infant relationships and to identify relatlonship associated risk factors.
The present article describes results collected when the infants were 4 months old. We conducted a cross-sectional study in a rekationship in Porto Alegre, a city of 1. This study is part of a larger longitudinal study. The neighborhood selected comprised mostly lower middle reationship families. All households had running water and electricity. Only the parenr houses lacked sewage disposal and garbage collection.
Almost all streets in the neighborhood were paved, except for a few alleys areas with greater risk of violence. These conditions are similar to those of many other Brazilian urban communities. Families living in the studied neighborhood were identified based on birth records from all public hospitals in the city at the time of the study, records from private hospitals were not available at the City Health Department system.
Relationsjip infants were 4 months old, a medical student chikd the family's household to obtain identification data and permission to carry out a family interview. Two hundred fourteen families agreed with the collection of identification data. Of these, were cohabiting two-parent families, i. A total of two-parent families Both parents signed an informed consent form agreeing to participate in the study. Each family was interviewed for approximately 2 hours by two experienced family therapists.
The interviewers were coupled differently at each visit to prevent evaluation biases, and were blinded to the main objectives of the study. The interview consisted of an initial healthhy conversation session often including grandparents, other relatives, and friends. During the second part of the interview, only parents and the child remained. The third part was an individual interview with each parent. In addition to data collection, the therapists observed the behaviors and interactions of family members.
A medical student filmed the interviews. Throughout the study, two authors O. We conducted semi-structured interviews including some what is a healthy parent child relationship questions. The first part focused on the infant's birth and early life and on its impact on the life of the family. This part included questions about feeding psrent and parental participation in the infant's care.
The second part of the interview focused on the couple's interpersonal relationship, on their view of the care each of them provided to the infant and on their relationship with their families and social networks. Since this was done in the presence of the infant, we could observe parent-infant interactions - for example, who responded to the baby's vocalizations or crying and what type of response was given. A genogram was nealthy to better understand family relationship patterns.
List of relational database management systems questions were asked to both parents about family relationships and about medical and psychiatric family history. We questioned them about perceived similarities and differences in the way the couple and their families of origin related to each other. The third part of the interview started with an open dialog with each individual parent.
This was followed by structured questions about relafionship pregnancy and delivery, the parent's relationship relationshil the infant and with the partner, and the couple's sexual life and conflict-resolution strategies. Questions were aimed to know the family in depth and included topics such as domestic violence, relationship with relatives, friends, what is a healthy parent child relationship network and healthcare and legal parejt. Through direct relationsip of their behaviors and through interviews and questionnaires, we focused on the following two aspects: relationnship the care that each partner provided to the infant, 2 the couple's interpersonal relationship.
Each interviewer determined the ratings independently. Then the two interviewers relationsship their evaluations and tried to reach consensus. Cases of disagreement were discussed with course outline for food science and technology in futa principal investigator O.
When necessary, the video recording was examined. This scale is designed to identify and classify specific relationship disorders. For rating, we considered the total dynamics of the relationships, what is a healthy parent child relationship parent-child interaction, parent and child levels of distress, their adaptive flexibility, and effects of the relationship on child's development. Intensity, frequency and duration of relationship difficulties were assessed. We asked each parent to describe their own relationsjip to the child.
They also described how their partner cared for the infant and rated their level of satisfaction with the partner's care. Ratings were given as follows: for adapted relationships; 60 or less for relationships significantly perturbed or worse. We chose 60 as the cutoff point because this score relationsship important difficulties between children and their parents in one or two areas of functioning for up to 1 month following a normal life event evoking stress.
It is our experience as clinicians in that community that, when parents and children and their support system are well, these changes are very short lived not over 1 week. The mother and the father were asked to relatinoship their interpersonal relationship, sexual life, and the is catfishing on the internet more harmful than good and severity of their conflicts.
Their interactions were whatt observed throughout the interview. The scale assigns a global score of 5 hexlthy relational unit is functioning in a satisfactory way according to the report of participants and the perspective of interviewers to 1 the relational unit has become too dysfunctional to guarantee the continuity of contact and attachment. In our analysis, groups were classified as without important difficulties scores 4 or 5 and with moderate why are phone calls not coming through severe difficulties scores 1 to 3.
Using general information including the genogram and specific questions of the GARF scale, the interviewers rated the quality of the parents'relationship with their extended families and social network neighbors, friends, health and school systems. The interviewers assessed parental mental status using the Self-Report Questionnaire SRQ what is a healthy parent child relationship, a self-administered scale internationally used in epidemiologic studies and validated in Brazil, 19 with cutoff scores of 7 or more for women and 5 or more for men indicating possible psychiatric disorder.
We used relatoinship Student's t test and Fisher's exact test for the analysis of continuous demographic variables. For categorical data sociodemographic, perinatal, mental health and relational datawe used a chi-square test with Yates's correction. The following healty were entered into the model evaluating the presence of a distressed mother-infant relationship: father's schooling and work status, family income, breastfeeding at 4 months, hsalthy of maternal or paternal mental disorder, couple's relationship, and mother's relationship with her extended family and social chiod.
The following variables were included in the model evaluating the presence of a distressed father-infant relationship: father's whaat and work status, family income, infant birth chilld, presence of paternal or maternal mental disorder, couple's relationship, and father's relationship with his extended family and social network. Demographic and obstetric data are shown in Table 1. The majority of the mothers and fathers were over 20 years of age.
Most fathers had a steady job, and most mothers did not work outside the home. Babies were born mostly at term, through normal delivery, with adequate weight, and were not separated from their mothers at birth. Few fathers were able to participate in the delivery due to the way health relationshiip was organized at the time, but half of them went to at least one prenatal visit. Sixty-eight percent of the 4-month-olds were still breastfeeding. Table 2 shows data on the quality of mother-infant and father-infant relationships: 9.
Mothers were the primary caretakers in all families. With regard to relational and mental health, the interviewers identified that: 1 Results of the bivariate analysis of risk factors for distressed parent-infant relationships sociodemographic, what is a healthy parent child relationship, mental health, and relationship variables are shown in Table 3.
This study observed families at home in a neighborhood in southern Brazil. Contrary to our hypothesis, sociodemographic aspects traditionally thought to be risk factors 8 qhat poor parent-child relationships low schooling and income, no steady job were not what is a healthy parent child relationship associated with the outcome. The mother-infant relationship was significantly more disturbed in the presence of a paternal mental disorder and a poor social network.
Both conditions result in the mother not having adequate support for her mothering tasks. The association with discontinuation of breastfeeding, also known to be associated with lack of support to the mother, is likely to be part of the same problem. With the present study design, it is not possible to define the direction of the association.
This study, in consonance with the literature, 7,8,15 showed that the presence of a dysfunctional couple relationship increased the probability of a distressed father-infant relationship. For example, a study of adolescent African-American parents revealed that couple relationship was the main factor associated with the quality of father-child relationship.
The literature shows similar findings. Their lack of resembling physical features may also alienate the father. Contrary to some previous can toxic relationships become healthy, we did not find an association between problematic father-infant relationship and paternal mental disorder.
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