Caregiving of children with Down syndrome: impact on quality of life, stress, mental and oral health

照顾唐氏综合症儿童:对生活质量、压力、心理和口腔健康的影响

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作者:Caroline Dias, Carolina Schwertner, Débora Grando, Augusto Bacelo Bidinotto, Juliana Balbinot Hilgert, Jaqueline Bohrer Schuch, Lucas Araújo de Azeredo, Moisés Evandro Bauer, Lina Naomi Hashizume

Aim

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.

Conclusions

These findings suggest that the caregiving of children with DS has an impact on parenting oral health and stress.

Methods

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.

Results

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). Conclusions: These findings suggest that the caregiving of children with DS has an impact on parenting oral health and stress.

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