Skip to main content
Top
Published in: European Archives of Paediatric Dentistry 2/2020

01-04-2020 | Original Scientific Article

Oral health-related quality of life in caregivers of individuals with Cerebral Palsy: a case–control study

Authors: É. da S. L. Alvarenga, A. M. Silva, T. A. E. da Silva, R. F. de Araújo, R. R. Prado Júnior, R. F. Mendes

Published in: European Archives of Paediatric Dentistry | Issue 2/2020

Login to get access

Abstract

Aim

The object of this study is to evaluate the oral health-related quality of life (OHRQoL) of caregivers of individuals with Cerebral Palsy (CP).

Methods

Ninety-eight caregivers of individuals with CP (SG) and 196 caregivers of individuals without special needs (CG) completed the reduced version of the Oral Health Impact Profile (OHIP-14). In addition, a questionnaire with demographic and socioeconomic questions was used. Groups were matched according to gender, schooling and family income. Fisher’s exact tests, Chi square and Mann–Whitney, and bi/multivariate logistic regression were used (p < 0.05).

Results

The impact on OHRQoL was similar for SG and CG (OHIP-14 total score). For SG, the high negative impact was in the following OHIP domains: “Functional limitation”, “Physical disability”, “Psychological incapacity” and “Disadvantages”. For SG, a higher number of caregivers was single, unemployed, received government financial aid. There was a statistically significant association between the number of children a caregiver has and a negative impact on OHRQoL.

Conclusions

Being a caregiver of children with or without CP had a negative impact of similar magnitude on ORHQoL. The negative impact on OHRQoL of caregivers of children with CP was associated with having a high number of children; the higher the number of children, the greater the negative impact on their OHRQoL.
Literature
go back to reference Aran A, Shalev RS, Biran G, Gross-Tsur V. Parenting style impacts on quality of life in children with cerebral palsy. J Pediatr. 2007;151(1):56–60.CrossRef Aran A, Shalev RS, Biran G, Gross-Tsur V. Parenting style impacts on quality of life in children with cerebral palsy. J Pediatr. 2007;151(1):56–60.CrossRef
go back to reference Barbosa CS, Marchini AMPS, Marchini L. General and oral health-related quality of life among caregivers of Parkinson’s disease patients. Geriatr Gerontol Int. 2013;13:429–36.CrossRef Barbosa CS, Marchini AMPS, Marchini L. General and oral health-related quality of life among caregivers of Parkinson’s disease patients. Geriatr Gerontol Int. 2013;13:429–36.CrossRef
go back to reference Bax M, Goldstein M, Rosenbaum P, et al. Proposed definition and classification of cerebral palsy. Dev Med Child Neurol. 2005;47:571–6.CrossRef Bax M, Goldstein M, Rosenbaum P, et al. Proposed definition and classification of cerebral palsy. Dev Med Child Neurol. 2005;47:571–6.CrossRef
go back to reference Bearden DR, Monokwane B, Khurana E, et al. Pediatric Cerebral Palsy in botswana: etiology, outcomes, and comorbidities. Pediatr Neurol. 2016;59:23–9.CrossRef Bearden DR, Monokwane B, Khurana E, et al. Pediatric Cerebral Palsy in botswana: etiology, outcomes, and comorbidities. Pediatr Neurol. 2016;59:23–9.CrossRef
go back to reference Brennan DS, Spencer EAJ, Roberts-Thomson KF. Tooth loss, chewing ability and quality of life. Qual Life Res. 2008;17:227–35.CrossRef Brennan DS, Spencer EAJ, Roberts-Thomson KF. Tooth loss, chewing ability and quality of life. Qual Life Res. 2008;17:227–35.CrossRef
go back to reference Carvalho RB, Mendes RF, Prado Júnior RR, Neto JMM. Oral health and oral motor function in children with Cerebral Palsy. Spec Care Dent. 2011;31(2):58–62.CrossRef Carvalho RB, Mendes RF, Prado Júnior RR, Neto JMM. Oral health and oral motor function in children with Cerebral Palsy. Spec Care Dent. 2011;31(2):58–62.CrossRef
go back to reference Davis E, Shelly A, Waters E, et al. The impact of caring for a child with cerebral palsy: quality of life for mothers and fathers. Child Care Health Dev. 2010;36:63–73.CrossRef Davis E, Shelly A, Waters E, et al. The impact of caring for a child with cerebral palsy: quality of life for mothers and fathers. Child Care Health Dev. 2010;36:63–73.CrossRef
go back to reference Du RY, McGrath C, Yiu CKY, King NM. Health and oral health-related quality of life among preschool children with cerebral palsy. Qual Life Res. 2010;19(9):1367–71.CrossRef Du RY, McGrath C, Yiu CKY, King NM. Health and oral health-related quality of life among preschool children with cerebral palsy. Qual Life Res. 2010;19(9):1367–71.CrossRef
go back to reference Gaber A, Galarneau C, Feine JS, Emami E. Rural-urban disparity in oral health-related quality of life. Community Dent Oral Epidemiol. 2018;46:132–42.CrossRef Gaber A, Galarneau C, Feine JS, Emami E. Rural-urban disparity in oral health-related quality of life. Community Dent Oral Epidemiol. 2018;46:132–42.CrossRef
go back to reference Jain M, Kaira L, Sikka G. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two state samples of Gujarat and Rajasthan. J Dent. 2013;9(2):135–44. Jain M, Kaira L, Sikka G. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two state samples of Gujarat and Rajasthan. J Dent. 2013;9(2):135–44.
go back to reference Kaya K, Unsal-Delialioglu S, Ordu-Gokkaya NK, et al. Musculo-skeletal pain, quality of life and depression in mothers of children with Cerebral Palsy. Disabil Rehabil. 2010;32(20):1666–72.CrossRef Kaya K, Unsal-Delialioglu S, Ordu-Gokkaya NK, et al. Musculo-skeletal pain, quality of life and depression in mothers of children with Cerebral Palsy. Disabil Rehabil. 2010;32(20):1666–72.CrossRef
go back to reference Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol. 2007;35(6):401–11.CrossRef Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol. 2007;35(6):401–11.CrossRef
go back to reference Machry RV, Knorst JK, Tomazoni F, Ardenghi TM. School environment and individual factors influence oral health related quality of life in Brazilian children. Braz Oral Res. 2018;32:e63.CrossRef Machry RV, Knorst JK, Tomazoni F, Ardenghi TM. School environment and individual factors influence oral health related quality of life in Brazilian children. Braz Oral Res. 2018;32:e63.CrossRef
go back to reference Mahajan A. Selection bias: selection of controls as a critical issue in the interpretation of results in a case control study. Indian J Med Res. 2015;142(6):768.CrossRef Mahajan A. Selection bias: selection of controls as a critical issue in the interpretation of results in a case control study. Indian J Med Res. 2015;142(6):768.CrossRef
go back to reference Martinez-Beneyto Y, Montero-Martin J, Garcia-Naves F, et al. Influence of a preventive program on the oral health-related quality of life (OHRQoL) of European pregnant women: a cohort study. Odontology. 2019;107(1):10–6.CrossRef Martinez-Beneyto Y, Montero-Martin J, Garcia-Naves F, et al. Influence of a preventive program on the oral health-related quality of life (OHRQoL) of European pregnant women: a cohort study. Odontology. 2019;107(1):10–6.CrossRef
go back to reference Mugno D, Ruta L. Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health Qual Life Outcomes. 2007;9:1–9. Mugno D, Ruta L. Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health Qual Life Outcomes. 2007;9:1–9.
go back to reference Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the oral health impact profile-short form. Community Dent Oral Epidemiol. 2005;33(4):307–14.CrossRef Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the oral health impact profile-short form. Community Dent Oral Epidemiol. 2005;33(4):307–14.CrossRef
go back to reference Ozkan Y. Child’s quality of life and mother’s burden in spastic cerebral palsy: a topographical classification perspective. J Int Med Res. 2018;46(8):3131–7.CrossRef Ozkan Y. Child’s quality of life and mother’s burden in spastic cerebral palsy: a topographical classification perspective. J Int Med Res. 2018;46(8):3131–7.CrossRef
go back to reference Polack S, Adams M, O’banion D, et al. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life. Dev Med Child Neurol. 2018;60(9):914–21.CrossRef Polack S, Adams M, O’banion D, et al. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life. Dev Med Child Neurol. 2018;60(9):914–21.CrossRef
go back to reference Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of Cerebral Palsy. Dev Med Child Neurol. 2007;109:8–14. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of Cerebral Palsy. Dev Med Child Neurol. 2007;109:8–14.
go back to reference Santos MTBR, Biancardi M, Guare RO, Jardim JR. Caries prevalence in patients with Cerebral Palsy and the burden of caring for them. Spec Care Dent. 2010;30(5):206–10.CrossRef Santos MTBR, Biancardi M, Guare RO, Jardim JR. Caries prevalence in patients with Cerebral Palsy and the burden of caring for them. Spec Care Dent. 2010;30(5):206–10.CrossRef
go back to reference Santos MTBR, Biancardi M, Celiberti P, Guare RO. Dental caries in cerebral palsied individuals and their caregivers’ quality of life. Child Care Health Dev. 2009;35(4):475–81.CrossRef Santos MTBR, Biancardi M, Celiberti P, Guare RO. Dental caries in cerebral palsied individuals and their caregivers’ quality of life. Child Care Health Dev. 2009;35(4):475–81.CrossRef
go back to reference Slade G. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25:284–90.CrossRef Slade G. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25:284–90.CrossRef
go back to reference Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11:3–11.PubMed Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11:3–11.PubMed
go back to reference Strom H, Kreuter M, Rosberg S. Quality of life in parents/caretakers of children with cerebral palsy in Kampong Cham, Cambodia. J Trop Pediatr. 2012;58:303–6.CrossRef Strom H, Kreuter M, Rosberg S. Quality of life in parents/caretakers of children with cerebral palsy in Kampong Cham, Cambodia. J Trop Pediatr. 2012;58:303–6.CrossRef
go back to reference van Lieshout P, Candundo H, Martino R, et al. Onset factors in cerebral palsy: a systematic review. Neurotoxicology. 2017;61:47–53.CrossRef van Lieshout P, Candundo H, Martino R, et al. Onset factors in cerebral palsy: a systematic review. Neurotoxicology. 2017;61:47–53.CrossRef
go back to reference World Health Organization. Oral health surveys: basic methods. 4th ed. Geneva: WHO; 1997. World Health Organization. Oral health surveys: basic methods. 4th ed. Geneva: WHO; 1997.
go back to reference Wu J, Zhang J, Hong Y. Quality of life of primary caregivers of children with cerebral palsy: a comparison between mother and grandmother caregivers in Anhui province of China. Child Care Health Dev. 2017;43(5):718–24.CrossRef Wu J, Zhang J, Hong Y. Quality of life of primary caregivers of children with cerebral palsy: a comparison between mother and grandmother caregivers in Anhui province of China. Child Care Health Dev. 2017;43(5):718–24.CrossRef
go back to reference Yu SJ, Chen P, Zhu GX. Relationship between implantation of missing anterior teeth and oral health-related quality of life. Qual Life Res. 2013;22(7):1613–20.CrossRef Yu SJ, Chen P, Zhu GX. Relationship between implantation of missing anterior teeth and oral health-related quality of life. Qual Life Res. 2013;22(7):1613–20.CrossRef
Metadata
Title
Oral health-related quality of life in caregivers of individuals with Cerebral Palsy: a case–control study
Authors
É. da S. L. Alvarenga
A. M. Silva
T. A. E. da Silva
R. F. de Araújo
R. R. Prado Júnior
R. F. Mendes
Publication date
01-04-2020
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Paediatric Dentistry / Issue 2/2020
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-019-00472-2

Other articles of this Issue 2/2020

European Archives of Paediatric Dentistry 2/2020 Go to the issue