Mental health and burden in mothers of children with congenital Zika syndrome during COVID-19 pandemic

Gama, Gabriela Lopes; Silva, Bruna Milena da; Silva, Mariana Balbino da; Ferreira, Rayssa Vieira Brandão; Tavares, Jousilene de Sales; Melo, Adriana

doi:10.1590/1806-9304202100S200009

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Saúde Materno Infantil

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLES • Rev. Bras. Saude Mater. Infant. 21 (Suppl 2) • May 2021 • https://doi.org/10.1590/1806-9304202100S200009 copy

Mental health and burden in mothers of children with congenital Zika syndrome during COVID-19 pandemic

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives:

to evaluate burden, frequency of anxiety and signs and symptoms of depression in mothers of children with congenital Zika syndrome (CZS) during the COVID-19 pandemic and the social isolation period.

Methods:

this is a cross-sectional study conducted with mothers who care for their children with CZS. The data were collected by an online form with questions regarding mother's socioeconomic conditions and questions related with Zarit burden scale and Beck's inventories on depression and anxiety. Spearman’s correlation tests and multiple regression analyzes were performed to assess factors related to mothers' burden and mental health.

Results:

41 mothers were evaluated, 51.2% had mild burden, 39% had minimal anxiety and 73.2% did not have signs and symptoms of depression. Negative correlations were observed between levels of burden and maternal schooling (p=0.01), presence of signs and symptoms of anxiety and receiving financial aid (p<0.04) as well as the presence of signs and symptoms of anxiety and having children with seizures history (p=0.03).

Conclusion:

despite the risk of their children again being victims of an epidemic virus, mothers who care for their children with CZS did not present serious mental health impairments.

Key words
Zika virus infection; Cost of illness; Social isolation; Anxiety; Depression

Characteristics	N	%	Range	X̅ ± SD
Mother
Age, years			20-42	29.36 ± 6.24
Lives with partner, YES	31	70.4
Schooling
Illiterate	1	2.3
Graduated or not from Elementary school	16	36.4
Graduated from High School	18	40.9
Graduated or not from Higher Education	9	20.5
Family Income^* * At the time of data collection, the Brazilian minimum wage was R$1,045.00 reais
< 1 wage	17	38.6
≥ 1 wage < 3 minimum wages	25	56.9
≥ 3 minimum wages	2	4.5
Receives financial aid from the government, YES	33	75
Receives financial aid from family members or third parties, YES	27	61.4
Living conditions
Own home	21	47.7
Rent	11	25
Others	12	27.3
Number of rooms at home			4-11	6.1 ± 1.4
Number of people with whom you live			2-6	3.6 ± 1.03
Child
Sex, Male	27	61.4
Child's age, months			39-58	52.4 ± 4.1
Cephalic perimeter
At birth			23-34	30.1 ± 2.1
Currently			37-49.5	42.13 ± 2.9
BMI
At birth			8.17-18	13.1 ± 1.7
Currently			12.1-23.2	16 ± 2.5
GMFCS
Level I	2	4.9
Level II	1	2.4
Level III	0	-
Level IV	1	2.4
Level V	37	90.2
Occurance of comorbidities
Seizures, YES	13	31.7
Takes two or more medication, YES	17	41.5
Gastrostomy, YES	4	9.8

The most striking feeling in the past days	Yes		No
The most striking feeling in the past days	n	%	n	%
Anxiety	26	63.4	15	36.6
Exhaustion	19	46.3	22	53.7
Stress	25	61	16	39.0
Impotence	10	24.4	31	75.6
Fear	26	63.4	15	36.6
Sadness	15	36.6	26	63.4
Desire to take own's life	1	2.4	40	97.6

Characteristics	ZBS	BAI	BDI- II
Mother's Characteristics
Age, years	-0.08	-0.05	-0.18
Lives with a partner, YES	0.09	0.14	0..13
Schooling: Graduated from High school, YES	-0.38^* *p<0.05 ^† †p<0.2	0.17	027^† †p<0.2
Family Income, < 1 wage, YES	-0.24^† †p<0.2	-0.019	0.05
Receives financial aid from government, YES	0.05	-0.31^* *p<0.05 ^† †p<0.2	-0.23^† †p<0.2
Receives financial aid from Family member or third parties, YES	0.26^† †p<0.2	-0.4^* *p<0.05 ^† †p<0.2	-0.14
Rooms at home, YES	0.05	-0.15	-0.22^† †p<0.2
Lives with >4 people, YES	0.11	-0.06	0.19
Child's Characteristics
Microcephaly at birth, YES	0.3^† †p<0.2	0.035	0.12
GMFCS level V, YES	0.01	-0.18	-0.14
Seizures, YES	-0.01	-0.33^* *p<0.05 ^† †p<0.2	-0.29^† †p<0.2
Takes two or more medications, YES	0.13	0.08	0.09
Gastrostomy, YES	0.24^† †p<0.2	0.11	0.07
Social isolation during the pandemic
Maintaining social isolation by mother, YES	0.07	0.001	0.013
Support to care for child with CZS during social isolation, YES	0.11	-0.01	0.23^† †p<0.2
Reduction of support network, YES	-0.26 ^† †p<0.2	0.02	0.102

Variables	Coefficient	SEM	T	p
ZBS Score
Schooling: Graduated from High school, YES	13.89	4.81	2.88	0.006
BAI Score
Seizures, YES	-9.26	4.39	-2.11	0.04
Receives financial aid from family members or third parties, YES	-11.17	4.15	-2.69	0.011
Receives financial aid from government, YES	-10.01	4.76	-2.10	0.042

Instituto de Medicina Integral Prof. Fernando Figueira Rua dos Coelhos, 300. Boa Vista, 50070-550 Recife PE Brasil, Tel./Fax: +55 81 2122-4141 - Recife - PR - Brazil
E-mail: revista@imip.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[TFN1] BMI= body mass index; GMFCS= Gross Motor Function Classification Scale; N = number of participants; SD= Standard Deviation.

[TFN2] * At the time of data collection, the Brazilian minimum wage was R$1,045.00 reais