Faculdade de Medicina, Undergraduate Medical School, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.
Três Lagoas Campus, Undergraduate Medical School, Federal University of Mato Grosso do Sul, Três Lagoas, MS, Brazil.
Women Health. 2023 Mar;63(3):220-228. doi: 10.1080/03630242.2023.2167900. Epub 2023 Jan 29.
The study aimed to identify the factors associated with symptoms of depression, anxiety and stress in Brazilian mothers of children and adolescents during the COVID-19 pandemic. This is a cross-sectional study carried in 2020 with the participation of 822 mothers who answered an online questionnaire containing sociodemographic variables and the Depression, Anxiety and Stress Scale (DASS-21). The adjusted model showed a higher depression score in women who became unemployed during the pandemic, who felt a greater burden in taking care of children, who took medication on a regular basis, and who self-assessed their health as regular or poor/very poor. Having a lower family income increased their anxiety scale score. In contrast, the variables associated with a reduced anxiety scale score included greater age, not feeling overwhelmed with demands to care for children, not using medications, not having gastrointestinal diseases, and good/very good self-assessed health. These variables, together with the benefits of living in the Northeast and Midwest regions of Brazil as well as sleeping more hours per night, were also associated with reduced stress. The present study is significant as it points out elements present in the daily lives of mothers that have an impact on their mental health. The study points to the need to (re)think mental health policies taking into account the needs of the public studied.
本研究旨在确定与 COVID-19 大流行期间巴西儿童和青少年的母亲的抑郁、焦虑和压力症状相关的因素。这是一项 2020 年进行的横断面研究，共纳入了 822 名母亲，她们回答了一个包含社会人口学变量和抑郁、焦虑和压力量表（DASS-21）的在线问卷。调整后的模型显示，在大流行期间失业的女性、感到照顾孩子负担更重的女性、经常服用药物的女性以及自我评估健康状况为一般或差/非常差的女性，其抑郁评分更高。家庭收入较低会增加其焦虑量表评分。相反，与降低焦虑量表评分相关的变量包括年龄较大、不觉得照顾孩子的需求压力过大、不使用药物、没有胃肠道疾病以及自我评估健康状况良好/非常好。这些变量，以及居住在巴西东北部和中西部地区以及每晚睡眠时间更长的好处，也与降低压力有关。本研究具有重要意义，因为它指出了影响母亲心理健康的日常生活中的因素。该研究表明，有必要（重新）考虑心理健康政策，以考虑所研究公众的需求。
