Abstract
Background
Resilience is a dynamic process influenced by life circumstances. This study evaluated the association between resilience and anxiety, depressive symptoms, and quality of life (QoL) of mothers of children with congenital Zika syndrome (CZS).
Method
This was a cross-sectional study including 31 mothers of children with CZS assisted in rehabilitation centers in Sergipe state, Northeast Brazil, an endemic area for Zika virus (ZIKV).
Results
Mothers’ age ranged from 18 to 42 years and all of them had low income. There were high levels of anxiety (scores > 40) in 80.6% of mothers and 19.3% had moderate (scores 19–29) to severe (scores 30–63) depressive symptoms. We found a relationship between increased levels of anxiety and depressive symptoms and lower levels of personal competence (p = 0.007) and acceptance of self and life (p = 0.003), respectively. We also found a positive relationship between social QoL and personal competence (p = 0.003).
Conclusion
This study showed that lower personal competence is significantly associated to psychological distress and poorer social QoL in mothers of children with CZS.
References
Campos, M. M. M. S., de Sousa, T. C., Teixeira, G. P., et al. (2018). Challenges and perspectives of mothers of children with microcephaly due to Zika virus infection. Rev da Rede Enferm do Nord, 19, e32839. https://doi.org/10.15253/2175-6783.20181932839
Silva Reis, M. C., Araújo Carvalho, A. C., Souza Tavares, C. S., et al. (2020). Changes in occupational roles and common mental disorders in mothers of children with congenital Zika syndrome. American Journal of Occupational Therapy. https://doi.org/10.5014/ajot.2019.035972
de Carvalho, C. M. S., Pereira, A. A. M., de Abreu, G. F., et al. (2018). Feelings of mothers of infants with microcephaly: A qualitative study. Bioscience Journal, 34, 1422–1431. https://doi.org/10.14393/BJ-v34n5a2018-39700
dos Santos, Costa E., Bonfim, E. G., de Lima Brito Magalhães R, & Viana, L. M. M. (2018). Mothers’ experiences of children with microcephaly. Rev da Rede Enferm do Nord. https://doi.org/10.15253/2175-6783.2018193453
Dennis, C.-L., Brown, H. K., Falah-Hassani, K., et al. (2017). Identifying women at risk for sustained postpartum anxiety. Journal of Affective Disorders, 213, 131–137. https://doi.org/10.1016/j.jad.2017.02.013
Dos Santos Oliveira, S. J. G., Dos Reis, C. L., Cipolotti, R., et al. (2017). Anxiety, depression, and quality of life in mothers of newborns with microcephaly and presumed congenital Zika virus infection: A follow-up study during the first year after birth. Archives of Women’s Mental Health, 20, 473–475. https://doi.org/10.1007/s00737-017-0724-y
Fioravanti-Bastos, A. C. M., Cheniaux, E., & Landeira-Fernandez, J. (2011). Development and validation of a short-form version of the Brazilian state-trait anxiety inventory. Psicol Reflex e Crit, 24, 485–494. https://doi.org/10.1590/S0102-79722011000300009
Fleck, M. P., Louzada, S., Xavier, M., et al. (2000). Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref. Revista de Saude Publica, 34, 178–183.
Gorenstein, C., Andrade, L., Guerra Vieira Filho, A. H., et al. (1999). Psychometric properties of the Portuguese version of the Beck Depression Inventory on Brazilian college students. Journal of Clinical Psychology, 55, 553–562. https://doi.org/10.1002/(sici)1097-4679(199905)55:5%3c553::aid-jclp3%3e3.0.co;2-d
Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms. Personality and Individual Diffferences, 49, 645–650. https://doi.org/10.1016/j.paid.2010.05.041
Krstić, T., Mihić, L., & Oros, M. (2017). Coping strategies and resolution in mothers of children with cerebral palsy. Journal of Loss and Trauma, 22, 385–395. https://doi.org/10.1080/15325024.2017.1297659
Lin, F.-Y., Rong, J.-R., & Lee. (2013). Resilience among caregivers of children with chronic conditions: A concept analysis. Journal of Multidisciplinary Healthcare, 6, 323–333. https://doi.org/10.2147/JMDH.S46830
Miodrag, N., & Hodapp, R. M. (2010). Chronic stress and health among parents of children with intellectual and developmental disabilities. Current Opinion in Psychiatry, 23, 407–411. https://doi.org/10.1097/YCO.0b013e32833a8796
Moore, C. A., Staples, J. E., Dobyns, W. B., et al. (2017). Characterizing the pattern of anomalies in congenital Zika syndrome for pediatric clinicians. JAMA Pediatrics, 171, 288. https://doi.org/10.1001/jamapediatrics.2016.3982
Mugno, D., Ruta, L., D’Arrigo, V. G., & Mazzone, L. (2007). Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health and Quality of Life Outcomes, 5, 22. https://doi.org/10.1186/1477-7525-5-22
Peer, J. W., & Hillman, S. B. (2014). Stress and resilience for parents of children with intellectual and developmental disabilities: A review of key factors and recommendations for practitioners. Journal of Policy and Practice in Intellectual Disabilities, 11, 92–98. https://doi.org/10.1111/jppi.12072
Pesce, R. P., Assis, S. G., Avanci, J. Q., et al. (2005). Adaptação transcultural, confiabilidade e validade da escala de resiliência. Cadernos de Saúde Pública, 21, 436–448. https://doi.org/10.1590/s0102-311x2005000200010
World Health Organization. (1995). The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41, 1403–1409
Yilmaz, H., Erkin, G., & Nalbant, L. (2013). Depression and anxiety levels in mothers of children with cerebral palsy: A controlled study. European Journal of Physical and Rehabilitation Medicine, 49, 823–827
Funding
We are grateful to CAPES and FAPITEC for the financial support (Finance Code 001 and EDITAL CAPES/FAPITEC/SE N˚ 11/2016).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
The study was approved by the Human Research Ethics Committee at the Federal University of Sergipe (CAAE: 50165815.6.0000.5546). Informed written consent was obtained from all participants.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Santos, V.S., Tavares, C.S.S., de Oliveira, S.J.G. et al. Resilience in Mothers of Children with Congenital Zika Syndrome. Matern Child Health J 25, 855–859 (2021). https://doi.org/10.1007/s10995-021-03124-4
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-021-03124-4