Persona:
Rodríguez Muñoz, María de la Fe

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mfrodriguez@psi.uned.es
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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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2012 - 201932020 - 202627
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Mostrando 1 - 10 de 30
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    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, Emma
    Background: 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.
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    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, Emma
    Aims/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.
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    Effectiveness of the third wave cognitive behavior therapy for peripartum depression treatment-A systematic review
    (Elsevier, 2023-11-04) Rodríguez Muñoz, María de la Fe; Nakić Radoš, Sandra; Uka, Ana; Marques, M.; Maia, B.R.; Matos, M.; Branquinho, Mariana; Aydın, R.; Mahmoodi, V.; Chrzan-Dętkoś, Magdalena; Walczak-Kozłowska, Tamara; Liakea, Iliana; https://orcid.org/0000-0002-8330-8427; https://orcid.org/0000-0002-9039-8504; https://orcid.org/0000-0001-7320-7107; https://orcid.org/0000-0001-9719-5710; https://orcid.org/0000-0002-7297-8003; https://orcid.org/0000-0002-9781-7281; https://orcid.org/0000-0002-4625-2647
    Introduction To investigate the effectiveness of third-wave cognitive behavior therapies in the treatment of peripartum depression. Method A systematic review of the effectiveness of psychological interventions in treating peripartum depression focus on the Third Wave has been conducted. The electronic databases MEDLINE, PsycINFO, Web of Science and Clinical Trials were searched, using a combination of different search terms. Data were independently extracted by two authors and a synthesis of the results was offered. Methodological quality was assessed by three authors, using ROBE-2 and MINORS. Search date was conducted in February 2022 and the search was re-run in November 2022 for new entries. Findings Six papers were included and reported, focused on, the effectiveness of Third Wave approach interventions in reducing depressive symptoms. Papers included the following intervention approaches: Behavioral intervention (n = 2), Mindfulness (n = 2), Dialectical Behavior Therapy (n = 1) and Acceptance and Commitment Therapy (n = 1). All six papers were consistent in that interventions lead to a decrease in depression symptoms. However, risk of bias evaluation showed that all were critical low, but one paper was high quality. Conclusion and implications for practice and research Systematic review showed that third-wave approaches are promising in effectiveness to reduce depression symptoms in peripartum women. However, more high-quality studies with follow-up are needed.
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    Depresión perinatal en mujeres gestantes fumadoras: prevalencia, características de la sintomatología depresiva y factores de riesgo
    (Sociedad Chilena de Obstetricia y Ginecología, 2024-08-26) Martín Agudiez, Nuria; Rodríguez Muñoz, María de la Fe; Izquierdo Méndez, Nuria; Olivares Crespo, María Eugenia; Soto Balbuena, Cristina
    Introducción: El tabaquismo es un problema de salud pública. Existe una asociación entre el tabaquismo y el desarrollo de depresión perinatal. Objetivo: Estimar la prevalencia de la depresión prenatal y analizar los factores de riesgo que predicen el desarrollo de depresión prenatal en un grupo representativo de mujeres españolas gestantes fumadoras. Método: Se llevó a cabo un estudio transversal en una muestra de 1.524 de embarazadas en el primer trimestre de gestación. Se les administró el Cuestionario de salud del paciente (PHQ-9) y el Inventario revisado de predictores de depresión posparto (PDPI-R). Resultados: Se encontró una tasa de depresión antenatal en mujeres fumadoras del 25,6%. Se encontraron como predictores de depresión prenatal en fumadoras el estresor de enfermedad grave de un familiar y la falta de apoyo emocional de la pareja. Conclusiones: La falta de apoyo social y la carencia de estrategias adaptativas de afrontamiento del estrés es posible que hagan más proclive que la mujer continúe fumando en el embarazo y aumentan el riesgo de depresión perinatal.
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    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/0000-0003-1764-5940
    Background 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.
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    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, Ana
    Introduction: 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.
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    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, Sandra
    Background: 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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    Psychological, Psychosocial and Obstetric Differences between Spanish and Immigrant Mothers: Retrospective Observational Study.
    (MDPI, 2022-09-18) Martínez Herreros, María Carmen; Rodríguez Muñoz, María de la Fe; Izquierdo Méndez, Nuria; Olivares Crespo, María Eugenia
    This study analyzed the influence of psychological and psychosocial factors of pregnant women at an obstetric level. The possible differences between Spaniards and immigrants were studied. This was a retrospective observational study. The sample has been divided into two study cohorts, one consisting of Spanish pregnant women and one consisting of foreign pregnant women. Both completed the Revised Postpartum Depression Predictors Inventory and the Patient Health Questionnaire-9. A total of 15.9% of Spanish women and 23.2% of immigrants had depressive symptoms. Immigrants claim to have less support at the partner, family, and friendship levels than Spaniards. Moreover, 16.4% of Spaniards vs. 8.1% of immigrants had pregnancy complications; Cesarean section was performed in 16.2% of Spaniards vs. 7.9% of immigrants. A greater number of premature births were detected in immigrants than in Spaniards. Access to universal healthcare is a protective factor against socioeconomic and cultural conditions affecting the mental and obstetrical health of immigrants.
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    Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis.
    (Elsevier, 2023-03-15) Motrico, Emma; Bina, Rena; Kassianos, Angelos P.; Mateus, Vera; Ozteki, Deniz; Rodríguez Muñoz, María de la Fe; Moreno Peral, Patricia; Conejo Cerón, Sonia; Le, Huynh-Nhu
    Background: To date, dozens of systematic reviews (SRs) and meta-analyses (MAs) summarize the effectiveness of preventive interventions for perinatal depression. However, the results are inconclusive, making an urgent need to step up to higher levels of evidence synthesis. Aims: To summarize and compare the evidence from the SR&MA examining the effectiveness of all types of interventions for preventing perinatal depression. Method: PubMed, PsycINFO, Cochrane Database of Systematic Reviews and OpenGrey were searched from inception to December 2022. We selected SR&MA of randomized controlled trials (RCTs) that compared all types of preventive interventions for perinatal depression with control groups whose outcome was the reduction of depressive symptoms and/or incidence of new cases of perinatal depression (PROSPERO: CRD42020173125). Results: A total of 19 SRs and MAs evaluated 152 unique RCTs that included 83,408 women from 26 countries and five continents. The median effect size for any intervention was SMD = 0.29 (95% CI: 0.20 to 0.38). Exercise/physical activity-based, psychological, and any type of intervention showed median effect sizes of 0.43, 0.28 and 0.36, respectively. The degree of overlap among RCTs was slight. According to AMSTAR-2, 79% of them were rated as low or critically low-quality. The strength of evidence, according to GRADE, was poorly reported and, in most cases, was low. Conclusions: Exercise/physical activity-based and psychological interventions have a small-to-medium effect on reducing perinatal depressive symptoms. There is insufficient evidence to conclude that dietary supplements and pharmacological interventions are effective in preventing perinatal depression. There is a need for high-quality SR&MA of RCTs, mainly focusing on universal preventive interventions
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    Preventing perinatal depression in Spain: a pilot evaluation of Mamás y Bebés
    (Taylor and Francis Group, Routledge, 2019-11-15) Le, Huynh-Nhu; Rodríguez Muñoz, María de la Fe; Soto Balbuena, Cristina; Olivares Crespo, María Eugenia; Izquierdo Méndez, Nuria; Marcos Nájera, Rosa
    Objective: This pilot study evaluated the feasibility, acceptability, and preliminary effectiveness of a cognitive-behavioural intervention to prevent perinatal depressive symptoms in pregnant women at high risk for perinatal depression in Spain. Background: Perinatal depression (PD) can negatively affect maternal and infant outcomes. Mamás y Bebés/The Mothers and Babies Course (MBC) is an evidence-based CBT intervention aimed at teaching women at high risk for depression mood regulation skills to prevent depression in the United States, including Spanishspeaking perinatal women in the United States. However, there is limited research on preventive interventions for PD in Spain. Method: Pregnant women screened for high risk for PD were recruited in their first trimester in an obstetrics clinic at two urban hospitals in Spain. In a non-experimental design, 30 women completed eight weekly group sessions of the MBC. The Patient Health Questionnaire was the main depression outcome at four time points: pre-intervention, post-intervention, and at 3 months and 6 months postpartum. Participants completed an evaluation questionnaire at the end of each session to assess the acceptability of the intervention. Results: The MBC was effective in reducing depressive symptoms from baseline to all three time points: post-intervention, 3 and 6 months postpartum. Attendance was high (76.7% attended all eight sessions). Mothers reported positive feedback from the participating in the MBC. Conclusion: This pilot study suggests that the intervention is feasible, acceptable, and provides promising evidence for reducing depressive symptoms in urban Spanish perinatal women. Larger and rigorous randomised trials are needed to confirm these findings.