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A gravidez é um período de mudança na vida da mulher, na qual decorrem alterações físicas, psíquicas e sociais que podem ter consequências ao nível da sua saúde mental. Da mesma forma, a saúde mental materna influencia a forma como decorre a gravidez. A depressão durante a gravidez integra-se no grupo das doenças mentais perinatais. Estima-se que, em 2011, nove em cada 100 mulheres grávidas cumprissem os critérios para Perturbação Depressiva Major. Esta psicopatologia pode ter efeitos dramáticos tanto para a mulher, como para o seu filho, e apresenta-se com sintomas inespecíficos, alguns similares aos exibidos durante uma gravidez normal, sendo frequentemente desvalorizados.
O feto é particularmente suscetível às alterações do meio onde se desenvolve. A existência de sintomatologia depressiva provoca alterações na grávida que podem ter consequências no desenvolvimento fetal, nomeadamente no que se refere ao sistema nervoso central. Estas alterações relacionam-se com circuitos envolvidos na resposta emocional e comportamental, podendo acarretar riscos para o feto e, posteriormente, para a criança.
A presente dissertação tem como objetivo principal compreender as consequências da exposição a sintomatologia depressiva materna na descendência, particularmente no que se refere ao desenvolvimento neurológico, psicomotor, cognitivo e comportamental, aos padrões de sono e à ocorrência de cólicas do lactente.
Pregnancy is a period of change in women’s life, in which physical, psychological and social changes occur that might impact their mental health. Likewise, maternal mental health impacts the pregnancies’ course. Depression during pregnancy is part of a group of perinatal mental disorders. It is estimated that, in 2011, nine out of 100 pregnant women met the criteria for major depressive disorder. This psychopathology can have dramatic effects for both the woman and her child and present with nonspecific symptoms, some of which are similar to those exhibited during a normal pregnancy and are often devalued. The fetus is particularly susceptible to changes in the environment in which it develops. The existence of depressive symptomatology causes physiological changes in the pregnant woman that can have consequences in the fetal development, especially with regard to the central nervous system. These changes are related to neural circuits involved in the emotional and behavioral response, and may carry risks to the fetus. Thus, this dissertation aims to understand the consequences of maternal depressive symptomatology exposure in the offspring, particularly to neurological, psychomotor, cognitive and behavioral development, sleep patterns and the occurrence of infant colic.
Pregnancy is a period of change in women’s life, in which physical, psychological and social changes occur that might impact their mental health. Likewise, maternal mental health impacts the pregnancies’ course. Depression during pregnancy is part of a group of perinatal mental disorders. It is estimated that, in 2011, nine out of 100 pregnant women met the criteria for major depressive disorder. This psychopathology can have dramatic effects for both the woman and her child and present with nonspecific symptoms, some of which are similar to those exhibited during a normal pregnancy and are often devalued. The fetus is particularly susceptible to changes in the environment in which it develops. The existence of depressive symptomatology causes physiological changes in the pregnant woman that can have consequences in the fetal development, especially with regard to the central nervous system. These changes are related to neural circuits involved in the emotional and behavioral response, and may carry risks to the fetus. Thus, this dissertation aims to understand the consequences of maternal depressive symptomatology exposure in the offspring, particularly to neurological, psychomotor, cognitive and behavioral development, sleep patterns and the occurrence of infant colic.
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Keywords
Cólicas do Lactente Depressão Perinatal Desenvolvimento Psicomotor Sistema Neurológico Sono