Il disagio della maternità tra diagnosi e trattamento

Studies in maternity disease usually describes characteristics, prevalence, onsets and consequences in the wellness of women and childs. The multidisciplinary model applied to this issues focused new topics like risk factors, protective factors, aggravating factors and maintaining factors of suffering state. From constructivist and cognitive perspective (Guidano, 1999), the project of research investigated clients representations in a clinical surgery for maternity support located in San Gerardo Hospital in Monza that is managed by the Panda Onlus Association for parenting. Objectives was the collection of epidemiological local data on the risk factors, diagnoses, caratteristics of desease. We also wanted to build a model for evaluating the efficacy and relaxation afforded to users. The instruments selected and used are varied and provide qualitative and quantitative data can compare the symptoms with the individual's subjective experience and make a card of welcome. Finally, the effectiveness of 'intervention is carried out through semi-structured interview on perceived change (S. Di Nuovo, 2000) which provides an indication of the vision of the patient and the therapist also reference, the protagonists of the care pathway. The results reported for a total sample of 76 subjects, confirmed the findings of the literature on risk factors and in particular highlighted the importance of a relationship supportive and devoted special attention to primiparas and to immigrant women. The type of user has an average age and educational level higher than those reported in the literature and is aimed at the counter in the form of car transmission in case of second or third child and is sent to the service if the first pregnancy by the services area of that work, therefore, as a filter. The reasons that lead mothers to seek help are pervasive and debilitating emotional feelings of sadness or anxiety and the greatest areas of impairment appear to be those related to the relationship with the partner and the emotional sharing of everyday life with baby. The intervention focuses on the personal history of development and the path that led to motherhood in order to support the maternal sense of competence, the first factor of change according to the dedicated review (Dennis, 2005). The intervention is judged positively by the users surveyed species in having been able to promote a more functional mode of expression, and manage their emotions in meaningful relationships. In conclusion, the methodology and research design proved effective in identifying the links between clinical evaluations and diagnostic symptom with subjective experience of patients, the flexibility of structuring of the instruments used allows an application to different types of intervention: screening, individual therapy, couple and group psychotherapy and pharmacotherapy, psychoeducation.