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Factors Associated with Behavioral Disorders in Children with Congenital Zika Syndrome and Their Families—A Cross-Sectional Study

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  • Nívia Maria Rodrigues Arrais

    (Pediatrics Department, Universidade Federal do Rio Grande do Norte, Natal 59077-010, Brazil
    Pediatrics Department, Universidade Federal de São Paulo—UNIFESP, Sao Paulo 04021-001, Brazil)

  • Claudia Rodrigues Souza Maia

    (Pediatrics Department, Universidade Federal do Rio Grande do Norte, Natal 59077-010, Brazil)

  • Nathália Allana de Amorim Rodrigues

    (Physical Therapy Department, Universidade Federal do Rio Grande do Norte, Natal 59077-010, Brazil)

  • Rafaela Silva Moreira

    (Department of Health Sciences, Universidade Federal de Santa Catarina, Ararangua 88905-120, Brazil)

  • Valeria Azevedo de Almeida

    (Physical Therapy Department, Universidade Federal do Rio Grande do Norte, Natal 59077-010, Brazil)

  • Silvana Alves Pereira

    (Pediatrics Department, Universidade Federal do Rio Grande do Norte, Natal 59077-010, Brazil)

  • Maria Isabel de Moraes Pinto

    (Pediatrics Department, Universidade Federal de São Paulo—UNIFESP, Sao Paulo 04021-001, Brazil)

Abstract

The Zika virus was responsible for an outbreak between 2015 and 2016 in Brazil: an alarming public health problem of international relevance. The Congenital Zika Syndrome (CZS) is often associated with manifestations that are responsible for cognitive and motor development delays and behavioral disorders. Thus, we aimed to characterize the clinical-epidemiological and familial context of those children and to identify factors associated with the risk of behavioral disorders using the Survey of Well-Being of Young Children questionnaire (SWYC). In total, 52 children diagnosed with CZS were evaluated. Logistic regressions were employed to assess predictive variables for behavioral alteration. Eighteen (35%) of the children presented a risk of behavioral alteration. Children born normocephalic were 36-fold more likely to present behavioral alteration (95% CI: 3.82 to 337.92, p = 0.002). Children with hearing and visual impairments showed reduced risks. In total, 35% percent of families reported food insecurity and 21% were at risk for maternal depression. Our findings suggest better social interactions and conditions to externalize reactions for children with CZS born normocephalic. The continuous assessment of these children and families may identify conditions associated with behavioral alteration and psychosocial vulnerabilities that help in decision-making, therefore optimizing patient–family interactions.

Suggested Citation

  • Nívia Maria Rodrigues Arrais & Claudia Rodrigues Souza Maia & Nathália Allana de Amorim Rodrigues & Rafaela Silva Moreira & Valeria Azevedo de Almeida & Silvana Alves Pereira & Maria Isabel de Moraes , 2022. "Factors Associated with Behavioral Disorders in Children with Congenital Zika Syndrome and Their Families—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(15), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9554-:d:879544
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    References listed on IDEAS

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    1. Thaís Lorena Barbosa de França & Wilton Rodrigues Medeiros & Nilba Lima de Souza & Egmar Longo & Silvana Alves Pereira & Thamyris Barbosa de Oliveira França & Klayton Galante Sousa, 2018. "Growth and Development of Children with Microcephaly Associated with Congenital Zika Virus Syndrome in Brazil," IJERPH, MDPI, vol. 15(9), pages 1-11, September.
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