WJCR - Artigos em revistas internacionais
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- Collaborative development of a scoping review protocol to map instruments assessing the parent–infant relationship: An International Initiative from COST Action TREASUREPublication . Brandão, Sónia; Talmon, Anat; Gieysztor, Ewa; Souto, Patrícia; Soares, Andreia; Silva, Rosa; Gonçalves, Patrícia; Prata, Paula; Şensoy, Özlem; Akgül, Esra Ardahan; Pinar, Semra; Uriko, Kristiina; Sevgili, Seda Ardahan; Bulut, Elif; Shigdel, Rajesh; Gülaldı, Demet; Freitas, Otília; Onel, Aycin Ezgi; Dikmen-Yildiz, Pelin; Power, Carmen; Lochmannová, Alena; d'Orsi, Dora; Koç, Özlem; Sönmez, Tuğçe; Brandão, Tânia; Azevedo, Diana; Miloseva, Lence; Bolacali, Edanur Tar; Aksoy, Bahar; Markaj, Mirlinda; Sousa, Gilberta; Akik, Burcu Kömürcü; Carone, Nicola; Gencpinar, Pinar; Yıldırım, Ayça Demir; Koyu, Hazal Özdemir; Abreu, Wilson; Esencan, Tuğba Yılmaz; Santos, Margarida Reis; Santos, Mario; Can, Remziye; Zietlow, Anna-Lena; Caparros-Gonzalez, RafaelEarly relational health during the first 24 months of life is a key determinant of child development and wellbeing. During this postnatal period, the parent–infant relationship plays a central role in emotional regulation, bonding, and developmental trajectories. Although the broader early relational health framework encompasses the first 1,000 days of life, this scoping review focuses specifically on the postnatal phase, where parent–infant interactions are directly observable and measurable. However, existing assessment instruments vary widely in their conceptual focus, scope, and characteristics, and no comprehensive review has systematically mapped tools used to assess the parent–infant relationship during early infancy. In response to this gap, a transdisciplinary working group within the COST Action CA22114 – TREASURE collaboratively developed a scoping review protocol to systematically map instruments assessing the parent–infant relationship from birth to 24 months of age. This Brief Report describes the collaborative methodological process underpinning the protocol’s development. The process followed an iterative, consensus-driven approach involving multidisciplinary experts from multiple COST member countries. Through structured online meetings, the group clarified core constructs and established the age range using the Population–Concept–Context (PCC) framework. The JBI methodology for scoping reviews was adopted and aligned with PRISMA-ScR standards to ensure transparency and reproducibility. Progressive drafting, internal peer review, and iterative refinement led to the final protocol, which was registered on the Open Science Framework .The resulting protocol provides a replicable methodological framework for mapping instruments that assess the parent–infant relationship in the first two years of life. This Brief Report presents a framework for collaborative protocol development in international research networks, promoting shared knowledge generation in early relational health research and offering potential applicability to other COST initiatives.
- Examining the connection between perceived stress and post-traumatic stress in women who experienced a traumatic childbirthPublication . Brandão, Sónia; Silva, Rosa; Abreu, Wilson; Brandão, Tânia; Prata, Ana Paula; Riklikiene, Olga; Jarasiunaite-Fedosejeva, Gabija; Mesa, Ernesto González; İsbir, Gözde Gökçe; İnci, Figen; Kömürcü-Akik, Burcu; Uriko, Kristiina; Governo, Tatiana; Thomson, GillAim: This study aimed to: (1) explore post-traumatic stress disorder symptoms in relation to sociodemographic, obstetric, and childbirth trauma factors; (2) assess the association between perceived stress levels and post-traumatic stress disorder symptoms; and (3) analyze how the duration of perceived stress affects post-traumatic stress disorder. Design: A cross-sectional study. Methods: Data were collected via an online survey, including demographic and obstetric information, traumatic childbirth events, post-traumatic stress disorder symptoms, and perceived stress levels and duration in the postpartum period. The study was conducted with 202 women who self-identified as having experienced a traumatic childbirth. Results: Post-traumatic stress disorder scores did not differ significantly by most sociodemographic or obstetric factors, but cesarean delivery was linked to higher post-traumatic stress disorder scores compared to vaginal delivery with forceps or vacuum extraction, mediated by increased perceived stress. Perceived stress levels showed a significant positive association with all post-traumatic stress disorder dimensions. Stress duration significantly was related to total post-traumatic stress disorder scores, with longer stress being associated with greater severity of symptoms. Conclusion: Cesarean delivery and prolonged, elevated stress during childbirth are key risk factors for post-traumatic stress disorder symptoms, highlighting the need for targeted postpartum mental health interventions.
- Post-traumatic stress symptoms, rumination, and posttraumatic growth in women with a traumatic childbirth experiencePublication . Abreu, Wilson; Brandão, Sónia; Brandão, Tânia; Prata, Ana Paula; Silva, Rosa; Riklikiene, Olga; Jarasiunaite-Fedosejeva, Gabija; Mesa, Ernesto S. González; İsbir, Gözde Gökçe; Inci, Figen; Akik, Burku Komurcu; Uriko, Kristiina; Governo, Tatiana; Thompson, GillBackground: Rumination can either prolong distress or foster growth following traumatic experiences like childbirth. This study investigates the association between post-traumatic stress symptoms and post-traumatic growth in women who underwent traumatic childbirth, examining the potential mediating role of two types of rumination – intrusive and deliberate. Methods: A cross-sectional study in Northern Portugal from January 2020 to December 2021 surveyed 202 women with infants under 12 months, self-reporting traumatic childbirth experiences. Instruments included the City Birth Trauma Scale, Event-Related Rumination Inventory, and Post-traumatic Growth Inventory. Results: Women experienced various childbirth-related traumatic events, with most showing post-traumatic stress symptoms for over three months. Approximately 60% met post-traumatic stress disorder criteria. The results indicate that post-traumatic stress symptoms were positively correlated with post-traumatic growth, and both showed positive associations with intrusive rumination and deliberate rumination. Mediation analysis revealed deliberate rumination significantly
- Posttraumatic growth in women after a childbirth experience: The influence of individual characteristics and intrusive and deliberate ruminationPublication . Brandão, Tânia; Brandão, Sónia; Prata, Ana Paula; Silva, Rosa; Abreu, Wilson; Riklikiene, Olga; Jarašiūnaitė-Fedosejeva, Gabija; González-Mesa, Ernesto; Gökçe Isbir, Gözde; İnci, Figen; Kömürcü Akik, Burcu; Uriko, Kristiina; Thomson, GillThis study targets women who had a self-defined traumatic childbirth experience to (a) explore the differences between sociodemographic-, obstetric-, and trauma-related variables in relation to the rumination style; (b) determine differences between intrusive and deliberate rumination in relation to posttraumatic growth (PTG) dimensions, and (c) test whether intrusive rumination is associated with deliberate rumination, which in turn is associated with PTG dimensions. Method: A cross-sectional study design was employed using a web-based survey method for data collection. In total, 202 women who identified their childbirth experience as traumatic participated in this study. Results: Intrusive rumination and deliberate rumination were positively associated with all dimensions of PTG in women following the traumatic childbirth event. Deliberate rumination fully explained the relationship between intrusive rumination and PTG aspects of relating to others, new opportunities, and personal strength, and partially explained the relationship between intrusive rumination and PTG aspects of spiritual changes and appreciation of life. Conclusions: The results suggest that deliberate rumination can contribute to explain the occurrence of PTG. These findings could help develop psychosocial interventions to maximize opportunities for deliberate rumination for women with traumatic childbirth experiences.
