Changes in occupational roles and common mental disorders in mothers of children with congenital Zika syndrome

• Monique Carla da Silva Reis ^[3] ; Aline Carla Araújo Carvalho ^[4] ; Carolina Santos Souza Tavares ^[5] ; Victor Santana Santos ^[1] ; Hudson P. Santos ^[2] ; Paulo Ricardo Saquete Martins-Filho ^[5]
  1. [1] Universidade Federal de Alagoas

     Universidade Federal de Alagoas

     Brasil

     
  2. [2] University of North Carolina at Chapel Hill

     University of North Carolina at Chapel Hill

     Township of Chapel Hill, Estados Unidos

     
  3. [3] Investigative Pathology Laboratory, Federal University of Sergipe; Alagoas State University of Health Sciences
  4. [4] Alagoas State University of Health Sciences ; Alagoas State University of Health Sciences
  5. [5] Alagoas State University of Health Sciences

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• Localización: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 74, Nº. 1, 2020
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • 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.