{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:31:35Z","timestamp":1786692695022,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T00:00:00Z","timestamp":1571961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    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\u2019 well-being and mental health.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To investigate changes in occupational roles and their effects on the mental health of mothers who have a child with CZS.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design:<\/jats:bold>\n                    Cross-sectional study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Rehabilitation centers of the Brazilian Unified Health System in Alagoas, Northeast Brazil.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants:<\/jats:bold>\n                    Forty mothers of children with CZS.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Outcomes and Measures:<\/jats:bold>\n                    The Role Checklist and the Self-Reporting Questionnaire\u201320 were used to assess the mothers\u2019 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.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Our study showed that loss of paid work (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .026) is associated with poor mental health of mothers of children with CZS.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    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.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>What This Article Adds:<\/jats:bold>\n                    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\u2019 mental health.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2019.035972","type":"journal-article","created":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T10:46:57Z","timestamp":1577962017000},"page":"171-177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Changes in Occupational Roles and Common Mental Disorders in Mothers of Children With Congenital Zika Syndrome"],"prefix":"10.1177","volume":"74","author":[{"given":"Monique","family":"Carla da Silva Reis","sequence":"first","affiliation":[{"name":"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."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline Carla","family":"Ara\u00fajo Carvalho","sequence":"additional","affiliation":[{"name":"Aline Carla Ara\u00fajo Carvalho, Msc, is Physiotherapist, Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil, and Physiotherapist, Alagoas State University of Health Sciences, Maceio, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Santos","family":"Souza Tavares","sequence":"additional","affiliation":[{"name":"Carolina Santos Souza Tavares, BN, is Nurse, Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor Santana","family":"Santos","sequence":"additional","affiliation":[{"name":"Victor Santana Santos, PhD, is Nurse, Centre for Epidemiology and Public Health, Federal University of Alagoas, Arapiraca, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Hudson P.","family":"Santos","sequence":"additional","affiliation":[{"name":"Hudson P. 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