Bravo Mancilla, Patricia Nicolle

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Bravo Mancilla, Patricia Nicolle

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Departamento de Enfermería

Jerarquía académica

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DOI 10.1016/j.chiabu.2023.106228
Maternal history of maltreatment and offspring's emotional and behavioral problems in adolescence: Do family factors contribute to the intergenerational risk transmission?
2023-07
Bravo, Patricia
;
Kim, Yugyun
;
Xerxa, Yllza
;
Koopman-Verhoeff, M. Elisabeth
;
Carcamo, Rodrigo
;
Oldehinkel, Albertine
;
Hillegers, Manon
;
Jansen, Pauline
Background: A history of childhood maltreatment often has a negative and long-lasting impact across different domains in life. A childhood maltreatment experience in parents may even affect the next generation. So far, the effects of family factors have been considered in the intergenerational transmission of adversity across the childhood years, but whether the effects remain until adolescence is less clear. Objective: Using data from a large population-based study in the Netherlands, including both mother and child reports, we examined whether maternal childhood maltreatment history is associated with increased mental health problems in offspring and the role of family functioning and harsh parenting as a potential pathway. Participants: 4912 adolescents (aged 13 years) and their mothers were recruited in the Generation R study. Methods: Mothers reported childhood maltreatment experiences using the Childhood Trauma Questionnaire (CTQ), and adolescents reported on their mental health using the Youth Self Report (YSR). Structural equation modeling (SEM) was used to test the association of maternal childhood maltreatment on mental health problems in offspring and family functioning and harsh parenting as mechanisms to explain this association. Results: Adolescents of mothers with a history of maltreatment had greater internalizing (beta = 0.07, p < .01) and externalizing problems (beta = 0.08, p < .01). Moreover, we found an indirect effect via family functioning over time and harsh parenting at ages 3 and 8 years which mediated this association. Conclusion: We concluded an intergenerational effect of maternal childhood maltreatment on adolescents internalizing and externalizing problems. The findings might enable earlier intervention within the family context to mitigate the consequences of maternal childhood maltreatment.
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DOI 10.1016/j.chiabu.2023.106228
Maternal history of maltreatment and offspring's emotional and behavioral problems in adolescence: Do family factors contribute to the intergenerational risk transmission?
2023-07
Bravo, Patricia
;
Kim, Yugyun
;
Xerxa, Yllza
;
Koopman-Verhoeff, M. Elisabeth
;
Carcamo, Rodrigo
;
Oldehinkel, Albertine
;
Hillegers, Manon
;
Jansen, Pauline
Background: A history of childhood maltreatment often has a negative and long-lasting impact across different domains in life. A childhood maltreatment experience in parents may even affect the next generation. So far, the effects of family factors have been considered in the intergenerational transmission of adversity across the childhood years, but whether the effects remain until adolescence is less clear. Objective: Using data from a large population-based study in the Netherlands, including both mother and child reports, we examined whether maternal childhood maltreatment history is associated with increased mental health problems in offspring and the role of family functioning and harsh parenting as a potential pathway. Participants: 4912 adolescents (aged 13 years) and their mothers were recruited in the Generation R study. Methods: Mothers reported childhood maltreatment experiences using the Childhood Trauma Questionnaire (CTQ), and adolescents reported on their mental health using the Youth Self Report (YSR). Structural equation modeling (SEM) was used to test the association of maternal childhood maltreatment on mental health problems in offspring and family functioning and harsh parenting as mechanisms to explain this association. Results: Adolescents of mothers with a history of maltreatment had greater internalizing (beta = 0.07, p < .01) and externalizing problems (beta = 0.08, p < .01). Moreover, we found an indirect effect via family functioning over time and harsh parenting at ages 3 and 8 years which mediated this association. Conclusion: We concluded an intergenerational effect of maternal childhood maltreatment on adolescents internalizing and externalizing problems. The findings might enable earlier intervention within the family context to mitigate the consequences of maternal childhood maltreatment.
Scopus© Citations 13 3
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DOI 10.1590/1980-265x-tce-2019-0265
LEARNING STYLES: PREFERENCE OF THE NURSING STUDENTS OF THE UNIVERSITY OF MAGALLANES, CHILE
2020
Bravo Mancilla, Patricia Nicolle
;
Backes, Vânia Marli Schubert
;
Canever, Bruna Pedroso
ABSTRACT Objective: to identify the preference of the Nursing students of the University of Magallanes as regards learning styles. Method: a quantitative, descriptive and correlational study of the cross-sectional type was conducted with 186 students from first to fifth year of the undergraduate course, with an age range between 18 and 45 years old. The Honey-Alonso Questionnaire of Learning Styles was applied during the second semester of 2018. For data analysis, distribution of frequencies, descriptive statistics and correlations (Spearman) for the learning styles, using the SPSS v. 22.0. Results: the learning style of highest moderate preference of the Nursing students was the Reflexive one, with a mean value of 53.20%, according to class and to years of study, followed by the Theoretical, with 39%. No statistically significant correlations were found between the years of study and the learning styles (p>0.05); on the other hand, most of the surveyed students present one and two learning styles. Conclusion: knowing the learning styles will allow designing methodological strategies which are adequate for the students' learning styles, and which allow streamlining the learning process. The students object of this study are analytical and reflexive individuals, which very well matches the profile of the Nursing students when it comes to putting their Nursing chores into action.
Scopus© Citations 3 1
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DOI 10.1016/j.appet.2022.106418
Maternal sensitivity in early childhood and body mass index in adolescence: A population-based study on the role of self-regulation as a mediator
2023-3-1
Bravo, Patricia
;
Cárcamo, Rodrigo
;
Santos, Susana
;
Ringoot, Ank
;
van IJzendoorn, Marinus H.
;
Hillegers, Manon H.J.
;
Jansen, Pauline W.
Maternal sensitivity has been implicated in various aspects of child health and development, including overweight. However, long-term effects, the role of paternal sensitivity and the explanatory pathways are unclear. This study examined whether maternal sensitivity in early childhood is prospectively associated with adolescent body mass index and whether children's self-regulation mediates this relation. Data from 540 children and their mothers were available from a large cohort study in the Netherlands. Maternal sensitivity was assessed at child ages 1, 3, and at 4 years paternal sensitivity was also included. Children's self-regulation skills were observed at age 3, eating behaviour was assessed at 10 years, and child BMI was measured at 13 years. Longitudinal structural equation modelling was applied. The cross-sectional association between maternal sensitivity and child self-regulation was significant, while lower levels of self-regulation and higher levels of food responsiveness and restrained eating predicted a higher child BMI at 13 years. Furthermore, a direct association of paternal sensitivity at 4 years with BMI at 13 years was found, but only in girls. Maternal sensitivity was not directly associated with child BMI after adjusting for covariates. Our findings showed the importance of self-regulation in the early years for subsequent weight development. Nevertheless, as self-regulation could not explain the relationship between parenting and child weight, research should focus on the contribution of other contextual factors, such as feeding styles and the social environment, to this relationship.
Scopus© Citations 2

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