Banca de DEFESA: LORENA GOMES SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LORENA GOMES SANTOS
DATE: 06/07/2023
TIME: 10:00
LOCAL: REMOTA
TITLE:

Relationship between persistent arthralgia after diagnosis of chikungunya and quality of life, mental health and work absenteeism.

KEY WORDS:

Chikungunya, Arthralgia, Quality of life, Work leave, Mental Health.

PAGES: 68
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Chikungunya typically manifests with fever and arthralgia that can persist for
months to years. The permanence of joint pain for long periods can cause inability to perform
daily activities. AIM: To describe the quality of life, mental health and impact on work of
persistent arthralgia in patients with chikungunya. Methodology: Between June 2019 and
March 2020, a surveillance study for febrile and acute rash illnesses identified patients with
laboratory evidence (qRT-PCR or Elisa IgM) of chikungunya virus infection in an Emergency
Care Unit in Salvador - Bahia. Between October 2021 and January 2022, identified cases
aged ≥ 18 years were interviewed by telephone to collect data on persistence of arthralgia
and its impact. Participants who reported joint pain for ≥90 days were classified as having
persistent arthralgia and the others without persistent arthralgia. To assess quality of life, the
general question about self-assessment of health from the SF-12 scale instrument was used,
and to assess mental health, questionnaires from the PHQ-9 and GAD-7 scales were
applied. Closed questions were used to assess work absenteeism. Relative and absolute
frequencies, and measures of central tendency and dispersion were calculated to describe
participants and their outcomes. The study was approved by the Research Ethics Committee
of the Instituto Gonçalo Moniz. Results: Of the 63 cases of chikungunya interviewed, 42
participants (66.7%) had persistent arthralgia. Low level of quality of life was reported by
68.3% of those with persistent arthralgia and by 30.0% of those without persistent arthralgia.
Anxiety symptoms were reported by 43.9% and 35.0% of those with and without persistent
arthralgia, and symptoms of depression by 24.4% and 5.0%, respectively. Leave from work
occurred in 83.0% and 50.0%, respectively. Conclusion: Although the sample size limited
the power to verify whether the differences were statistically significant, the study reinforces
the negative impact of chikungunya on mental health, quality of life and work, highlighting the
need for adequate dimensioning of health services to guarantee psychological assistance
and rehabilitation to patients.

COMMITTEE MEMBERS:
Externa à Instituição - CRISTIANE WANDERLEY CARDOSO
Presidente - 1369353 - GUILHERME DE SOUSA RIBEIRO
Interna - 2300442 - RITA DE CASSIA PEREIRA FERNANDES