Monique Carla da Silva Reis1, Aline Carla Araújo Carvalho2, Carolina Santos Souza Tavares3, Victor Santana Santos4, Hudson P Santos5, Paulo Ricardo Saquete Martins-Filho6. 1. Monique Carla da Silva Reis, Msc, is Occupational Therapist, Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil, and Occupational Therapist, Alagoas State University of Health Sciences, Maceio, Brazil. 2. Aline Carla Araújo Carvalho, Msc, is Physiotherapist, Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil, and Physiotherapist, Alagoas State University of Health Sciences, Maceio, Brazil. 3. Carolina Santos Souza Tavares, BN, is Nurse, Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil. 4. Victor Santana Santos, PhD, is Nurse, Centre for Epidemiology and Public Health, Federal University of Alagoas, Arapiraca, Brazil. 5. Hudson P. Santos, Jr., PhD, is Nurse, School of Nursing, University of North Carolina at Chapel Hill. 6. Paulo Ricardo Saquete Martins-Filho, PhD, is Epidemiologist, Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil; martins-filho@ufs.br.
Abstract
IMPORTANCE: The functional limitations and long-term dependence of children with congenital Zika syndrome (CZS) may lead to changes in maternal occupational roles, which can have a negative impact on mothers' well-being and mental health. OBJECTIVE: To investigate changes in occupational roles and their effects on the mental health of mothers who have a child with CZS. DESIGN: Cross-sectional study. SETTING: Rehabilitation centers of the Brazilian Unified Health System in Alagoas, Northeast Brazil. PARTICIPANTS: Forty mothers of children with CZS. OUTCOMES AND MEASURES: The Role Checklist and the Self-Reporting Questionnaire-20 were used to assess the mothers' involvement in occupational roles and common mental disorders (CMDs), respectively. The relationship between changes in occupational roles and CMDs was analyzed using a logistic regression model. RESULTS: Our study showed that loss of paid work (p = .026) is associated with poor mental health of mothers of children with CZS. CONCLUSIONS AND RELEVANCE: Strengthening public policies to reduce the economic impact of CZS on families, offering multidisciplinary counseling, and implementing psychoeducational strategies for promoting maternal psychological adjustment are needed. WHAT THIS ARTICLE ADDS: The time and money spent by mothers in daily care activities for children with CZS contribute to a reduction in family income and social well-being and have a negative impact on mothers' mental health.
IMPORTANCE: The functional limitations and long-term dependence of children with congenital Zika syndrome (CZS) may lead to changes in maternal occupational roles, which can have a negative impact on mothers' well-being and mental health. OBJECTIVE: To investigate changes in occupational roles and their effects on the mental health of mothers who have a child with CZS. DESIGN: Cross-sectional study. SETTING: Rehabilitation centers of the Brazilian Unified Health System in Alagoas, Northeast Brazil. PARTICIPANTS: Forty mothers of children with CZS. OUTCOMES AND MEASURES: The Role Checklist and the Self-Reporting Questionnaire-20 were used to assess the mothers' involvement in occupational roles and common mental disorders (CMDs), respectively. The relationship between changes in occupational roles and CMDs was analyzed using a logistic regression model. RESULTS: Our study showed that loss of paid work (p = .026) is associated with poor mental health of mothers of children with CZS. CONCLUSIONS AND RELEVANCE: Strengthening public policies to reduce the economic impact of CZS on families, offering multidisciplinary counseling, and implementing psychoeducational strategies for promoting maternal psychological adjustment are needed. WHAT THIS ARTICLE ADDS: The time and money spent by mothers in daily care activities for children with CZS contribute to a reduction in family income and social well-being and have a negative impact on mothers' mental health.
Authors: Sheila Jaqueline Gomes Dos Santos Oliveira; Caroline Lima Dos Reis; Rosana Cipolotti; Ricardo Queiroz Gurgel; Victor Santana Santos; Paulo Ricardo Saquete Martins-Filho Journal: Arch Womens Ment Health Date: 2017-04-21 Impact factor: 3.633
Authors: Michael G Sawyer; Michael Bittman; Annette M LA Greca; Angela D Crettenden; Nina Borojevic; Parimala Raghavendra; Ray Russo Journal: Dev Med Child Neurol Date: 2011-01-14 Impact factor: 5.449
Authors: Cynthia A Moore; J Erin Staples; William B Dobyns; André Pessoa; Camila V Ventura; Eduardo Borges da Fonseca; Erlane Marques Ribeiro; Liana O Ventura; Norberto Nogueira Neto; J Fernando Arena; Sonja A Rasmussen Journal: JAMA Pediatr Date: 2017-03-01 Impact factor: 16.193
Authors: Sheila Jaqueline Gomes de Oliveira; Carolina Santos Souza Tavares; Victor Santana Santos; Hudson P Santos; Paulo Ricardo Martins-Filho Journal: Rev Soc Bras Med Trop Date: 2022-04-08 Impact factor: 1.581