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    Item type:Publication,
    Perinatal Anxiety and Mother–Infant Health in Chile
    (Springer Nature Switzerland, 2024) ;
    Ana Flavia Bennett
    ;
    María Ignacia García
      2
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    Fathers’ Involvement: Mothers’ Perceived Benefits of Promoting Paternal Involvement Through a WhatsApp-Based Preventive Intervention for Postpartum Depression
    (University of Toronto Press Inc. (UTPress), 2024-12-04)
    Olga Fernández
    ;
    ;
    Sofia Fernández
    ;
    ;
    María Ignacia García
    <jats:sec><jats:title>Introduction:</jats:title><jats:p> Despite the social and cultural changes of the recent decades, the tasks associated with childcare continue to be assumed mainly by women, increasing stress and, in some cases, negatively affecting maternal mental health. The “m-What were we thinking” (m-WWWT) intervention seeks to reduce the risk of developing postpartum depression and anxiety symptoms in women by increasing self-efficacy in caring for a newborn and perceived social support, with a special focus on the partner's role. The objective of this study was to describe the mothers’ perception of how this intervention facilitated the father's parenting involvement. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Sixty-four text messages from 25 first-time mothers participating in the m-WWWT program were analyzed using the Grounded Theory open and axial coding criteria. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> There are four subjective themes linked to fathers and parenthood. The first refers to the loss of the previous balance and increased stress with the arrival of the first child; the second, to the importance of watching the intervention videos together; the third, to the possibility of communicating regarding what is happening; and the fourth, to the shared conceptualization of parenting among the couples. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> These findings suggest that m-WWWT positively influences paternal involvement in the postpartum period, which is a relevant factor to promote maternal and infant well-being. </jats:p></jats:sec>
      6
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    Item type:Publication,
    Scopus© Citations 2  10
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    Item type:Publication,
    Online Intervention Targeting Postnatal Depression and Anxiety in Chilean First-Time Mothers: Feasibility Trial
    <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Objective</jats:title> <jats:p>Internet-based interventions may positively impact maternal symptoms of postnatal depression and anxiety. This study assessed the feasibility, acceptability, perceived usefulness, and preliminary effectiveness of an m-Health version of “What Were We Thinking?” (m-WWWT).</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>A mixed-methods with a 2-arm randomized parallel design was used. From a total of 477 women, 157 met the inclusion criteria. 128 first-time mothers of full-term infants, aged 4–10 weeks, who received health care at primary public health centers in Chile, were randomly assigned to the experimental (EG, n = 65) or control (CG, n = 63) groups; data of 104 of them (53 and 51, respectively) was analyzed. We used percentages and rates to measure feasibility outcomes and mixed analysis of variance (ANOVA) and latent class analyses (LCA) to assess preliminary effectiveness. Participants completed questionnaires on mental health, social support, and maternal self-efficacy upon recruitment and 3 months after completing the intervention. For the qualitative component, 12 women from the EG were interviewed.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Quantitative results show good feasibility outcomes, such as high recruitment (82%), low attrition (EG = 12% and CG = 17%), and high follow-up (EG = 97% and CG = 91%) rates. Qualitative results indicate high acceptability and perceived usefulness of m-WWWT. Mixed ANOVA did not show significant differences between the groups (all p &amp;gt;.05). However, multinomial regression analysis in LCA showed that women with low baseline symptoms of depression and anxiety benefit from the intervention (B = 0.43, 95% confidence interval 1.09–2.16).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>m-WWWT is feasible to be implemented in Chile; future studies are needed to assess the intervention’s effectiveness.</jats:p> </jats:sec>
    Scopus© Citations 5  2
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    Salud mental materna y efectos en el recién nacido durante la pandemia por COVID-19
    (2023) ;
    María Ignacia García
    ;
    Marcia Olhaberry
    <jats:p>Una de las principales consecuencias de la crisis sanitaria por COVID-19 ha sido el deterioro de la salud mental de la población, con variaciones en distintos grupos. En este escenario, la evidencia reporta un mayor riesgo de sintomatología ansiosa y depresiva durante el período perinatal, así como un impacto negativo en el recién nacido. Objetivo: Examinar las diferencias en la salud mental, variables obstétricas y del recién nacido. y experiencia de parto en los sistemas de salud público y privado, en mujeres primíparas chilenas, pre-pandemia y durante la pandemia. Sujetos y Método: Estudio cuantitativo comparando 2 cohortes. La primera incluyó madres con bebés nacidos antes de la pandemia por COVID-19 (N=81) y la segunda, madres con partos durante la pandemia (N = 71). Se evaluaron en ambos grupos antecedentes sociodemográficos y obstétricos, depresión, ansiedad y estrés a partir de cuestionarios de autorreporte. Las diferencias entre grupos fueron evaluadas con ANCOVA, pruebas t y prueba de chi cuadrado. Resultados: Las mujeres con partos durante la pandemia reportaron mayor sintomatología depresiva y sus bebés presentaron menor edad gestacional y, levemente, menor talla que los bebés nacidos antes del COVID-19. Sin embargo, este grupo mantuvo la lactancia exclusiva por más tiempo. No se observaron diferencias en la experiencia de parto entre los grupos, pero sí en relación con el carácter público o privado del hospital donde se atendieron las madres. Conclusiones: La pandemia afectó negativamente la salud mental de las madres, lo que plantea desafíos importantes para la promoción del bienestar emocional de las madres y sus bebés.</jats:p>
    Scopus© Citations 5  1
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    Fathering in the Chilean context: Wellbeing and father involvement pre and post the COVID-19 pandemic
    (2022) ;
    María Ignacia García
    ;
    Carolina Panesso
    <jats:p>We examined father involvement in two groups of two-parent Chilean families with children aged from 2 to 7 years, one prior to the pandemic (N = 115) and the second during the pandemic (N = 103). We first presented a description of fathering in the Chilean context and then examined potential predictors of fathers’ cognitive and affective involvement. Data showed that during the pandemic fathers reported significantly higher levels of depressive symptoms compared to before the pandemic. However, levels of cognitive and affective involvement did not vary across studies. Parental stress predicted cognitive and affective involvement in pre-pandemic fathers. Number of children and educational level were related only to cognitive involvement. The implications of these findings for intervention and future research are discussed.</jats:p>
    Scopus© Citations 1  1  2
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    Scopus© Citations 6  5
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    Scopus© Citations 18  5
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      21  1Scopus© Citations 6
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    Treatment adherence during childhood in individuals with phenylketonuria: Early signs of treatment discontinuation
    (2017)
    María Ignacia García
    ;
    Gabriela Araya
    ;
    ;
    Susan E. Waisbren
    ;
    Alicia de la Parra
      15  1Scopus© Citations 24