Abstract
This study aims to analyze the potential impact of taking care of a child with congenital Zika virus syndrome (CZS) on the mental health of parents. Specifically, three objectives were formulated: (a) to assess the level of mental health of the parents; (b) to examine the influence of subjective well-being and fatigue as predictors of parents’ mental health; and (c) to identify the impact of sociodemographic variables on parents’ mental health. Sixty-nine mothers (Mage = 26.38; SD = 6.23) and 17 fathers (Mage = 31.41; SD = 7.57) of children diagnosed with CZS took part in this study. They answered a questionnaire containing measures of positive and negative affects, life satisfaction, fatigue, mental health, as well as sociodemographic questions. The results indicated that approximately 7% of the participants had low levels of mental health and probable emotional disorder. In addition, higher levels of fatigue and negative affects and lower levels of life satisfaction significantly predict a lower level of mental health. Finally, comparative analysis showed significant differences between fathers and mothers: mothers reported experiencing fewer positive and more negative affects, a lower level of satisfaction with life, a higher level of fatigue and worse mental health. In summary, this article presents an overview of the mental health of mothers and fathers of children with CZS and points the way to devising strategies for psychological intervention that promote the adaptation of parents to this kind of developmental disability in the family.
Similar content being viewed by others
References
Barlow, J. H., Cullen-Powell, L. A., & Cheshire, A. (2006). Psychological well-being among mothers of children with cerebral palsy. Early Child Development and Care, 176, 421–428. https://doi.org/10.1080/0300443042000313403.
Borsa, J. C., & Nunes, M. L. T. (2011). Psychosocial aspects of parenting: Men and women’s role in nuclear families. Psicologia e Argumento, 29, 31–39.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.
Cheshire, A., Barlow, J. H., & Powell, L. A. (2010). The psychosocial well-being of parents of children with cerebral palsy: A comparison study. Disability and Rehabilitation, 32, 1673–1677. https://doi.org/10.3109/09638281003649920.
Dabrowska, A., & Pisula, E. (2010). Parenting stress and coping styles in mothers and fathers of pre-school children with autism and Down syndrome. Journal of Intellectual Disability Research, 54, 266–280. https://doi.org/10.1111/j.1365-2788.2010.01258.x.
Diener, E., & Chan, M. Y. (2011). Happy people live longer: Subjective well-being contributes to health and longevity. Applied Psychology: Health and Well-Being, 3, 1–43. https://doi.org/10.1111/j.1758-0854.2010.01045.x.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–5. https://doi.org/10.1207/s15327752jpa4901_13.
Eickman, S. H., Carvalho, M. D. S. G., Ramos, M. A. W., Linden, V., & Silva, P. F. S. (2016). Zika virus congenital syndrome. Reports in Public Health, 32, 1–3. https://doi.org/10.1590/0102-311X00047716.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. https://doi.org/10.3758/BF03193146.
Freitas, P. M., Rocha, C. M., & Haase, C. G. (2014). Analysis of predictors of psychological status of mothers of children with cerebral palsy. Estudos e Pesquisas em Psicologia, 14, 453–473.
Giacomoni, C. H., & Hutz, C. S. (1997). A mensuração do bem-estar subjetivo: escala de afeto positivo e negativo e escala de satisfação de vida [Resumos]. Em Sociedade Interamericana de Psicologia (Org.). São Paulo: SIP, Anais XXVI Congresso Interamericano de Psicologia 313.
Gouveia, V. V., Oliveira, G. F., Mendes, L. A., Souza, L. E., Cavalcanti, T. M., & Melo, R. L. (2015). Escala de avaliação da fadiga: Adaptação para profissionais da saúde. Revista Psicologia: Organiações e Trabalho, 15, 246–256. https://doi.org/10.17652/rpot/2015.3.594.
Gouveia, V. V., Lima, T. J. S., Gouveia, R., Freire, L. A., & Barbosa, L. H. (2012). Questionário de Saúde Geral (QSG-12): o efeito de itens negativos em sua estrutura fatorial. Cadernos Délelőtt Saúde Pública, 28, 375–384. https://doi.org/10.1590/S0102-311X2012000200016.
Garip, Y., Ozel, S., Tuncer, O. B., Kilinc, G., Seckin, F., & Arasil, T. (2016). Fatigue in the mothers of children with cerebral palsy. Disability and Rehabilitation, 25, 1–6. https://doi.org/10.3109/09638288.2016.1161837.
Gatzoyia, D., Kotsis, K., Koullourou, I., Goulia, P., Carvalho, A., Soulis, S., et al. (2014). The association of illness perceptions with depressive symptoms and general psychological distress in parents of an offspring with autism spectrum disorder. Disability and Health Journal, 7, 173–180. https://doi.org/10.1016/j.dhjo.2013.10.008.
Géradin, P., Cao-Lormeau, V. M., Desprès, P., & Besnard, M. (2017). Zika rash and increased risk of congenital brain abnormalities. Lancet, 14(389), 151–152. https://doi.org/10.1016/S0140-6736(17)30014-4.
Giallo, R., Wood, C. E., Jellet, R., & Porter, R. (2013). Fatigue, wellbeing and parental self-efficacy in mothers of children with an Autism Spectrum Disorder. Autism, 17, 465–480. https://doi.org/10.1177/1362361311416830.
Giallo, R., Wade, C., Cooklin, A., & Rose, N. (2001). Assessment of fatigue and depression in mothers of young children: Support for two separate constructs. Journal of Reproductive and Infant Psychology, 29, 69–80. https://doi.org/10.1080/02646838.2010.513050.
Goldberg, D., & Williams, P. (1988). A users guide to the General Health Questionnaire. Windsor: NFER-Nelson.
Guillamon, N., Nieto, R., Pousada, M., Redolar, D., Muñoz, E., Hernández, E., et al. (2013). Quality of life and mental health among parents of children with cerebral palsy: The influence of self-efficacy and coping strategies. Mental Health, 22, 1579–1590. https://doi.org/10.1111/jocn.12124.
Hastings, R. P. (2003). Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. Journal of Intellectual Disability Research, 47, 231–237.
Hox, J. J. (2010). Multilevel Analysis: Techniques and applications. New York: Routledge.
Khayamim, N., Bahadoran, P., & Mehrabi, T. (2016). Relationship between fatigue and sleepiness with general health of mothers in the postpartum period. Iranian Journal of Nursing and Midwifery Research, 21, 385–390. https://doi.org/10.4103/1735-9066.185580.
Krauer, F., Riesen, M., Reveiz, L., Oladapo, O. T., Martínez-Vega, R., Porgo, T. V., et al. (2017). Zika Virus infection as a cause of congenital brain abnormalities and Guillain-Barré syndrome: Systematic review. PLoS Med, 3(14), e1002203 https://doi.org/10.1371/journal.pmed.1002203.
Mak, W. W. S., & Kwok, Y. T. Y. (2010). Internalization of stigma for parents of children with autism spectrum disorder in Hong Kong. Social Science & Medicine, 70, 2045–2051. https://doi.org/10.1016/j.socscimed.2010.02.023.
McCarthy, A., Cuskelly, M., Kraayenoord, C. E., & Cohen, J. (2006). Predictors of stress in mothers and fathers of children with fragile X syndrome. Research in Developmental Disabilities, 27, 688–704. https://doi.org/10.1016/j.ridd.2005.10.002.
Michielsen, S. I., De Vries, J., Van Heck, G. L., Van de Vijver, F. J. R., & Sijtsma, K. (2004). Examination of the dimensionality of fatigue. European Journal of Psychological Assessment, 20, 39–48. https://doi.org/10.1027/1015-5759.20.1.39.
Michielsen, H. J., De Vries, J., & Van Heck, G. L. (2003). Psychometric qualities of a brief self-rated fatigue measure: The Fatigue Assessment Scale. Journal of Psychosomatic Research, 54(4), 345–352. https://doi.org/10.1016/S0022-3999(02)00392-6.
Miranda-Filho, D. B., Martelli, C. M. T., Ximenes, R. A. A., Araújo, T. V. B., Rocha, M. A. W., Ramos, R. C. F., et al. (2016). Initial description of the presumed congenital Zika syndrome. American Journal of Public Health, 4, 598–600. https://doi.org/10.2105/AJPH.2016.303115.
Moore, C. A., Staples, E., Dobyns, W. B., Pessoa, A., Ventura, C. V., Fonseca, E. B., et al. (2016). Characterizing the pattern of anomalies in congenital Zika syndrome for pediatric clinicians. JAMA Pediatrics, 3, E1–E8. https://doi.org/10.1001/jamapediatrics.2016.3982.
Oliveira, S. J. G. S., Melo, E. S., Reinheimer, D. M., Gurgel, R. Q., Santos, V. S., & Martins-Filho, P. R. S. (2016). Anxiety, depression, and quality of life in mothers of newborns with microcephaly and presumed congenital Zika virus infection. Archives of Women’s Mental Health, 19, 1149–1151. https://doi.org/10.1007/s00737-016-0654-0.
Pozo, P., Sarriá, E., & Brioso, A. (2014). Family quality of life and psychological well-being in parents of children with autism spectrum disorders: A double ABCX model. Journal of Intellectual Disability Research, 58, 442–458. https://doi.org/10.1111/jir.12042.
Runquist, J. (2007). A depressive symptoms responsiveness model for differentiating fatigue from depression in the postpartum period. Archives of Women’s Mental Health, 10, 267–275. https://doi.org/10.1007/s00737-007-0208-6.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78. https://doi.org/10.1037/0003-066X.55.1.68.
Seltzer, M. M., Almeida, D. M., Greenberg, J. S., Savla, J., Stawski, R. S., Hong, J., et al. (2009). Psychosocial and biological markers of daily lives of midlife parents of children with disabilities. Journal of Health and Social Behavior, 50, 1–15. https://doi.org/10.1177/002214650905000101.
Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65, 467–487. https://doi.org/10.1002/jclp.20593.
Smith, L. E., Hong, J., Seltzer, M. M., Greenberg, J. S., Almeida, D. M., & Bishop, S. L. (2010). Daily experiences among mothers of adolescents and adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 40, 167–178. https://doi.org/10.1007/s10803-009-0844-y.
Souza, L. A. S., Torres, A. R. R., Barbosa, G. A., Lima, T. J. S., & Souza, L. E. C. (2014). Self-efficacy as a mediator of the relationship between subjective well-being and general health of military cadets. Reports in Public Health, 30, 2309–2319. https://doi.org/10.1590/0102-311X00177513.
Tonge, B., Brereton, A., Kiomall, M., Mackinnon, A., King, N., & Rinehart, N. (2006). Effects on parental mental health of an education and skills training program for parents of young children with autism: A Randomized Controlled Trial. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 561–569. https://doi.org/10.1097/01.chi.0000205701.48324.26.
Totsika, V., Hastings, R. P., Emerson, E., Lancaster, G. A., & Berridge, D. M. (2011). A population-based investigation of behavioural and emotional problems and maternal mental health: Associations with autism spectrum disorder and intellectual disability. Journal of Child Psychology and Psychiatry, 52, 91–99. https://doi.org/10.1111/j.1469-7610.2010.02295.x.
Van der Veek, S. M. C., Kraaij, V., & Garnefski, N. (2009). Down or up? Explaining positive and negative emotions in parents of children with Down’s syndrome: Goals, cognitive coping, and resources. Journal of Intellectual & Developmental Disability, 34, 216–229. https://doi.org/10.1080/13668250903093133.
Vargas, A., Saad, W., Dimech, A. S., Santos, R. H., Sivini, M. A. V. C., Albuquerque, L. C., et al. (2016). Characteristics of the first cases of microcephaly possibly related to Zika virus reported in the Metropolitan Region of Recife, Pernambuco State, Brazil. Epidemiologia e Serviços Délelőtt Saúde, 25, 691–700. https://doi.org/10.5123/S1679-49742016000400003.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.
Wood, W., & Eagly, A. H. (2010). Gender. In S. T. Fiske, D. T. Gilbert & G. Lindzey (Eds.), Handbook of Social Psychology (pp. 629–667). Hoboken: John Wiley & Sons.
Woyciekoski, C., Stenert, F., & Hutz, C. S. (2012). Determinants of subjective well-being. Psico, 43, 280–288.
Yang, C. M., & Wu, C. H. (2005). The situational fatigue scale: a different approach to measuring fatigue. Quality of Life Research, 14, 1357–1362. https://doi.org/10.1007/s11136-004-5680-0.
Author Contributions
L.E.C.S.: designed and executed the study, assisted with data collection, and final revision of the manuscript. T.J.S.L.: designed and executed the study, assisted with the data analyses, and wrote the paper. E.M.R: contributed by critically reviewing the theoretical content and discussion of results. A.L.S.P.: contributed by critically reviewing the theoretical content and discussion of results. T.C.F.: collaborated with the data collection and text revision. L.B.P.L.: collaborated with the data collection and text revision.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval
All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study is part of a larger project that has been approved by the Institutional Review Board of Albert Sabin Children’s Hospital in Fortaleza, Brazil (registration number: 1.743.023).
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
de Souza, L.E.C., de Lima, T.J.S., Ribeiro, E.M. et al. Mental Health of Parents of Children with Congenital Zika Virus Syndrome in Brazil. J Child Fam Stud 27, 1207–1215 (2018). https://doi.org/10.1007/s10826-017-0969-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10826-017-0969-0