Quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study

Summary: Background: Congenital syphilis is an important public health problem in low- and middle-income countries. Poor neonatal health outcomes associated with the disease may lead to maternal psychological distress and feelings of helplessness. This study aimed to evaluate the quality of life, a...

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Autores principales:	Carolina Santos Souza Tavares, Sheila Jaqueline Gomes dos Santos Oliveira, Vanessa Tavares de Gois-Santos, Andreia Centenaro Vaez, Max Oliveira de Menezes, Hudson P Santos Jr, Victor Santana Santos, Paulo Ricardo Martins-Filho
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Congenital syphilis Quality of life Anxiety Depressive symptoms Sexual dysfunction Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/0cc5348213d34affa0babfcd75904ca9
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spelling	oai:doaj.org-article:0cc5348213d34affa0babfcd75904ca92021-12-02T05:04:44ZQuality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study2667-193X10.1016/j.lana.2021.100127https://doaj.org/article/0cc5348213d34affa0babfcd75904ca92022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667193X2100123Xhttps://doaj.org/toc/2667-193XSummary: Background: Congenital syphilis is an important public health problem in low- and middle-income countries. Poor neonatal health outcomes associated with the disease may lead to maternal psychological distress and feelings of helplessness. This study aimed to evaluate the quality of life, anxiety levels, depressive symptoms, and sexual function in mothers of neonates with congenital syphilis in the Northeast of Brazil. Methods: This cohort study compared patient-centered outcomes between mothers of neonates with congenital syphilis and mothers of healthy neonates during the first three months of the postpartum period. The study was conducted in Sergipe state, Northeast Brazil, a region with one of the highest rates of congenital syphilis (14·1 cases per 1000 live births). Quality of life, depressive symptoms, anxiety levels, and sexual function were evaluated by using the World Health Organization Quality of Live - shortened version (WHOQoL-BREF) instrument, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory, and Female Sexual Function Index, respectively. Unadjusted differences between groups were anayzed by using the Mann-Whitney test. Glass's delta with 95% confidence interval (CI) was used to measure the effect size. Findings: Sixty-three women were included in each group. During the in-hospital stay, mothers of neonates with congenital syphilis had lower scores for overall quality of life (p < 0·001; large effect size: -0·559 [95% CI -0·683 to -0·405]) and higher levels of anxiety (p < 0·001; large effect size: 0·558 [95% CI 0·403 to 0·681]) and depressive symptoms (p < 0·001; large effect size: 0·561 [95% CI 0·407 to 0·684]) than mothers of healthy neonates. Three months after childbirth, we found persistent depressive symptoms (p = 0·021; small effect size: 0·239 [95% CI 0·041 to 0·419]) and low overall sexual function (p = 0·041; small effect size: -0·211 [95% CI -0·394 to -0·012]) among mothers of neonates with congenital syphilis compared to the control group. Interpretation: Mothers of neonates with congenital syphilis present poorer quality of life, mental health, and sexual function compared to mothers of healthy neonates. Funding: Brazilian Federal Agency for Coordination of Improvement of Higher Education Personnel (CAPES).Carolina Santos Souza TavaresSheila Jaqueline Gomes dos Santos OliveiraVanessa Tavares de Gois-SantosAndreia Centenaro VaezMax Oliveira de MenezesHudson P Santos JrVictor Santana SantosPaulo Ricardo Martins-FilhoElsevierarticleCongenital syphilisQuality of lifeAnxietyDepressive symptomsSexual dysfunctionPublic aspects of medicineRA1-1270ENThe Lancet Regional Health. Americas, Vol 7, Iss , Pp 100127- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Congenital syphilis Quality of life Anxiety Depressive symptoms Sexual dysfunction Public aspects of medicine RA1-1270
spellingShingle	Congenital syphilis Quality of life Anxiety Depressive symptoms Sexual dysfunction Public aspects of medicine RA1-1270 Carolina Santos Souza Tavares Sheila Jaqueline Gomes dos Santos Oliveira Vanessa Tavares de Gois-Santos Andreia Centenaro Vaez Max Oliveira de Menezes Hudson P Santos Jr Victor Santana Santos Paulo Ricardo Martins-Filho Quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study
description	Summary: Background: Congenital syphilis is an important public health problem in low- and middle-income countries. Poor neonatal health outcomes associated with the disease may lead to maternal psychological distress and feelings of helplessness. This study aimed to evaluate the quality of life, anxiety levels, depressive symptoms, and sexual function in mothers of neonates with congenital syphilis in the Northeast of Brazil. Methods: This cohort study compared patient-centered outcomes between mothers of neonates with congenital syphilis and mothers of healthy neonates during the first three months of the postpartum period. The study was conducted in Sergipe state, Northeast Brazil, a region with one of the highest rates of congenital syphilis (14·1 cases per 1000 live births). Quality of life, depressive symptoms, anxiety levels, and sexual function were evaluated by using the World Health Organization Quality of Live - shortened version (WHOQoL-BREF) instrument, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory, and Female Sexual Function Index, respectively. Unadjusted differences between groups were anayzed by using the Mann-Whitney test. Glass's delta with 95% confidence interval (CI) was used to measure the effect size. Findings: Sixty-three women were included in each group. During the in-hospital stay, mothers of neonates with congenital syphilis had lower scores for overall quality of life (p < 0·001; large effect size: -0·559 [95% CI -0·683 to -0·405]) and higher levels of anxiety (p < 0·001; large effect size: 0·558 [95% CI 0·403 to 0·681]) and depressive symptoms (p < 0·001; large effect size: 0·561 [95% CI 0·407 to 0·684]) than mothers of healthy neonates. Three months after childbirth, we found persistent depressive symptoms (p = 0·021; small effect size: 0·239 [95% CI 0·041 to 0·419]) and low overall sexual function (p = 0·041; small effect size: -0·211 [95% CI -0·394 to -0·012]) among mothers of neonates with congenital syphilis compared to the control group. Interpretation: Mothers of neonates with congenital syphilis present poorer quality of life, mental health, and sexual function compared to mothers of healthy neonates. Funding: Brazilian Federal Agency for Coordination of Improvement of Higher Education Personnel (CAPES).
format	article
author	Carolina Santos Souza Tavares Sheila Jaqueline Gomes dos Santos Oliveira Vanessa Tavares de Gois-Santos Andreia Centenaro Vaez Max Oliveira de Menezes Hudson P Santos Jr Victor Santana Santos Paulo Ricardo Martins-Filho
author_facet	Carolina Santos Souza Tavares Sheila Jaqueline Gomes dos Santos Oliveira Vanessa Tavares de Gois-Santos Andreia Centenaro Vaez Max Oliveira de Menezes Hudson P Santos Jr Victor Santana Santos Paulo Ricardo Martins-Filho
author_sort	Carolina Santos Souza Tavares
title	Quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study
title_short	Quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study
title_full	Quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study
title_fullStr	Quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study
title_full_unstemmed	Quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study
title_sort	quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the northeast brazil: a cohort study
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/0cc5348213d34affa0babfcd75904ca9
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Quality of life, depressive symptoms, anxiety, and sexual function in mothers of neonates with congenital syphilis in the Northeast Brazil: A cohort study

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