Caregiving of children with Down syndrome: impact on quality of life, stress, mental and oral health.
Down syndrome
caregiver
oral health
quality of life
stress
Journal
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
ISSN: 1754-4505
Titre abrégé: Spec Care Dentist
Pays: United States
ID NLM: 8103755
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
revised:
22
12
2021
received:
31
08
2021
accepted:
23
12
2021
pubmed:
12
1
2022
medline:
22
7
2022
entrez:
11
1
2022
Statut:
ppublish
Résumé
Parental caregivers of children with Down Syndrome (DS) have a greater burden of daily activities that may affect their health. The aim of this exploratory study was to evaluate the impact of caregiving of children with Down syndrome on parenting quality of life, stress, mental and oral health. Fifty-four parental caregivers of children with DS and 51 parents of children without physical or mental disabilities participated of this study. All participants were clinically examined to evaluate the presence of dental caries, gingival conditions and answered a sociodemographic questionnaire. Depression, anxiety, quality of life and coping strategies were assessed using specific instruments. Hair cortisol level was assessed as biological marker of chronic stress. Psychological and quality of life parameters were similar between the groups of caregivers (p > .05). Caregivers of children with DS were older (48.6 vs. 41.5, p < .001), had longer caregiving period (> 10 vs < 10 years, p = .003), presented higher gingival bleeding index (6.1 vs. 4.7, p = .014) and higher cortisol levels (55.9 vs. 38.4, p = .07) as compared with parents of children without disabilities. Sociodemographic data has no influence on cortisol levels (p > .05). These findings suggest that the caregiving of children with DS has an impact on parenting oral health and stress.
Substances chimiques
Hydrocortisone
WI4X0X7BPJ
Types de publication
Journal Article
Langues
eng
Pagination
398-403Informations de copyright
© 2022 Special Care Dentistry Association and Wiley Periodicals LLC.
Références
Yamaki K, Hsieh K, Heller T. Health profile of aging family caregivers supporting adults with intellectual and developmental disabilities at home. Intellect Dev Disabil. 2009;47(6):425-435.
Chamak B, Bonniau B. Changes in the diagnosis of autism: how parents and professionals act and react in France. Cult Med Psychiatry. 2013;37(3):405-426.
Zablotsky B, Bradshaw CP, Stuart EA. The association between mental health, stress, and coping supports in mothers of children with autism spectrum disorders. J Autism Dev Disord. 2013;43(6):1380-1393.
Grey JM, Totsika V, Hastings RP. Physical and psychological health of family carers co-residing with an adult relative with an intellectual disability. J Appl Res Intellect Disabil. 2018;31(2):191-202.
Nam SJ, Park EY. Relationship between caregiving burden and depression in caregivers of individuals with intellectual disabilities in Korea. J Ment Health. 2017;26(1):50-56.
Baumgarten A, Hilgert JB, Rech RS, Cunha-Cruz J. Caries experience in caregiver-intellectual deficient pair: influence of caregiver's psychological morbidity. Spec Care Dentist. 2021;41(6):707-715.
Miyazaki ET, Dos Santos R, Miyazaki MC, Domingos NM, Felicio HC, Rocha MF. Patients on the waiting list for liver transplantation: caregiver burden and stress. Liver Transpl. 2010;16(10):1164-1168.
Bosch JA, Turkenburg M, Nazmi K, Veerman EC, de Geus EJ, Nieuw Amerongen AV. Stress as a determinant of saliva-mediated adherence and coadherence of oral and nonoral microorganisms. Psychosom Med. 2003;65(4):604-612.
Hugo FN, Hilgert JB, Corso S, Padilha DM, Bozzetti MC, Bandeira DR. Association of chronic stress, depression symptoms and cortisol with low saliva flow in a sample of south-Brazilians aged 50 years and older. Gerodontology. 2008;25(1):18-25.
Tikhonova S, Booij L, D'Souza V, Crosara KTB, Siqueira WL, Emami E. Investigating the association between stress, saliva and dental caries: a scoping review. BMC Oral Health. 2018;18(1):41.
Keskin G. The evaluation of anxiety, parental attitude and coping strategy in parents of children with mental retardation. Anatolian J Psychiat. 2010;11(1):30-37.
Porovic S, Zukanovic A, Juric H, Dinarevic SM. Oral health of Down syndrome adults in Bosnia and Herzegovina. Mater Sociomed. 2016;28(6):437-439.
James N. The formal support experiences of family carers of people with an intellectual disability who also display challenging behaviour and/or mental health issues: what do carers say? J Intellect Disabil. 2013;17(1):6-2.
Hashizume LN, Schwertner C, Moreira MJS, Coitinho AS, Faccini LS. Salivary secretory IgA concentration and dental caries in children with Down syndrome. Spec Care Dentist. 2017;37(3):115-119.
Kong AM, Hurley D, Evans KA, Brixner D, Csoboth C, Visootsak J. A retrospective, longitudinal, claims-based comparison of concomitant diagnoses between individuals with and without Down syndrome. J Manag Care Spec Pharm. 2017;23(7):761-770.
Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964;22:121-135.
World Health Organization. Oral Health Surveys: Basic Methods. 5th edition. World Health Organization; 2013
Moreira MJ, Schwertner C, Grando D, Faccini LS, Hashizume LN. Oral health status and salivary levels of mutans streptococci in children with Down syndrome. Pediatr Dent. 2015;37(4):355-360.
Schwertner C, Moreira MJ, Faccini LS, Hashizume LN. Biochemical composition of the saliva and dental biofilm of children with Down syndrome. Int J Paediatr Dent. 2016;26(2):134-140.
The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998;12:1569-1585.
The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28:551-558.
Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-897.
Grassi-Oliveira R, Pezzi JC, Daruy-Filho L, et al. Hair cortisol and stressful life events retrospective assessment in crack cocaine users. Am J Drug Alcohol Abuse. 2012;38(6):535-538.
Massey AJ, Campbell BK, Raine-Fenning N, Pincott-Allen C, Perry J, Vedhara K. Relationship between hair and salivary cortisol and pregnancy in women undergoing IVF. Psychoneuroendocrinology. 2016;74:397-405.
Kirschbaum C, Tietze A, Skoluda N, Dettenborn L. Hair as a retrospective calendar of cortisol production-Increased cortisol incorporation into hair in the third trimester of pregnancy. Psychoneuroendocrinology. 2009;34(1):32-37.
Luz C, Dornelles F, Preissler T, Collaziol D, da Cruz IM, Bauer ME. Impact of psychological and endocrine factors on cytokine production of healthy elderly people. Mech Ageing Dev. 2003;124(8-9):887-895.
Nobre IDN, Lemos CS, Pardini ACG, Carvalho J, Salles ICD. Anxiety, depression and hopelessness in family caregivers of patients with neuropsychological sequelae. Acta Fisiatr. 2015;22(4):160-165.
Bhatia MS, Srivastava S, Gautam P, Saha R, Kaur J. Burden assessment, psychiatric morbidity, and their correlates in caregivers of patients with intellectual disability. East Asian Arch Psychiatry. 2015;25:159-163.
Calvete E, de Arroyabe EL. Depression and grief in Spanish family caregivers of people with traumatic brain injury: the roles of social support and coping. Brain Inj. 2012;26(6):834-843.
Blum K, Sherman DW. Understanding the experience of caregivers: a focus on transitions. Semin Oncol Nurs. 2010;26(4):243-258.
Pruchno RA, Kleban MH, Michaels JE, Dempsey NP. Mental and physical health of caregiving spouses: development of a causal model. J Gerontol. 1990;45(5):P192-P199.
Chou YC, Pu CY, Fu LY, Kröger T. Depressive symptoms in older female carers of adults with intellectual disabilities. J Intellect Disabil Res. 2010;54(12):1031-1044.
Hooker K, Bowman SR, Coehlo DP, Lim SR, Kaye J, Guariglia R. Behavioral change in persons with dementia: relationships with mental and physical health of caregivers. J Gerontol B Psychol Sci Soc Sci. 2002;57(5):P453-60.
Vitaliano PP, Zhang J, Scanlan JM. Is caregiving hazardous to one's physical health? A meta-analysis. Psychol Bull. 2003;129(6):946-972.
MacLeod CE. Understanding experiences of spousal caregivers with health as expanding consciousness. Nurs Sci Q. 2011;24(3):245-255.
Hedov G, Annerén G, Wikblad K. Self-perceived health in Swedish parents of children with Down's syndrome. Qual Life Res. 2000;9(4):415-422.
Totsika V, Hastings RP, Vagenas D. Informal caregivers of people with an intellectual disability in England: health, quality of life and impact of caring. Health Soc Care Community. 2017;25(3):951-961.
Kuo LM, Huang HL, Liang J, Chiu YC, Chen ST, Kwok YT. A home-based training program improves Taiwanese family caregivers' quality of life and decreases their risk for depression: a randomized controlled trial. Int J Geriatr Psychiatry. 2013;28(5):504-513.
Most DE, Fidler DJ, Booth-LaForce C, Laforce-Booth C, Kelly J. Stress trajectories in mothers of young children with Down syndrome. J Intellect Disabil Res. 2006;50(Pt 7):501-514.
Alderson P. Down's syndrome: cost, quality and value of life. Soc Sci Med. 2001;53(5):627-638.
Brown R, Taylor J, Matthews B. Quality of life-ageing and Down syndrome. Downs Syndr Res Pract. 2001;6(3):111-116.
Killian TS, Turner J, Cain R. Depressive symptoms of caregiving women in midlife: the role of physical health. J Women Aging. 2005;17(1-2):115-127.
Pinquart M, Sörensen S. Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging. 2003;18(2):250-267.
Smith L, Onwumere J, Craig T, McManus S, Bebbington P, Kuipers E. Mental and physical illness in caregivers: results from an English national survey sample. Br J Psychiatry. 2014;205(3):197-203.
Trivedi R, Beaver K, Bouldin ED, Eugenio E, Zeliadt SB, Nelson K. Characteristics and well-being of informal caregivers: results from a nationally-representative US survey. Chronic Illn. 2014;10(3):167-179.
Seltzer MM, Floyd F, Song J, Greenberg J, Hong J. Midlife and aging parents of adults with intellectual and developmental disabilities: impacts of lifelong parenting. Am J Intellect Dev Disabil. 2011;116(6):479-499.
Stoneman Z. Examining the Down syndrome advantage: mothers and fathers of young children with disabilities. J Intellect Disabil Res. 2007;51(Pt 12):1006-1017.
Yoong A, Koritsas S. The impact of caring for adults with intellectual disability on the quality of life of parents. J Intellect Disabil Res. 2012;56(6):609-619.