Do maternal depression and anxiety influence children's oral health‐related quality of life?

Costa, Francine dos Santos; Azevedo, Marina Sousa; Ardenghi, Thiago Machado; Pinheiro, Ricardo Tavares; Demarco, Flávio Fernando; Goettems, Marília Leão

doi:10.1111/cdoe.12303

Cited by 19 publications

(26 citation statements)

References 36 publications

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“…Maternal, but not paternal, participation in sport, outdoor activities and walking for transport was associated with higher participation in these activities in children . Others also demonstrated that the mother has a significant influence on the children's oral health‐related quality of life, even in adulthood . Maternal health‐related behaviour and attitudes regarding feeding practices and self‐efficacy were associated with health‐related behaviours in children, including eating behaviours and physical and sedentary activities …”

Section: Discussionmentioning

confidence: 99%

Oral health‐related quality of life in patients with disorders of nutrition

Shay

Ami

Ianculovici

et al. 2018

J of Oral Rehabilitation

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Background: Researchers demonstrated a correlation between nutrition and healthrelated quality of life (HRQoL). Little is known about the correlation between disorders of nutrition (DON) and Oral HRQoL (OHRQoL). Objectives: (a) To measure OHRQoL in DON patients compared to patients attending nutritional counselling for other reasons (eg, systemic diseases or general dietary counselling) (NCOR) and to healthy controls attending routine dental screenings. (b) To analyse associations between OHRQoL and demographics, health-related behaviours and nutritional practices. We hypothesised that OHRQoL is impaired in DON patients and correlates with poor health-related behaviours and nutritional practices Methods: Demographic, smoking, alcohol and physical activity habits, verbal pain scale, oral health impact profile-14 (OHIP-14) and nutritional practice data were collected from 63 DON, 35 NCOR and 100 controls. Results: Compared to controls, DON patients exhibited poorer OHIP-14 global scores and had more functional limitation, physical disability, psychological disability, social disability and handicap. OHIP-14 global score was positively associated with maternal origin, oral symptoms, eggs and eggplant consumption, avoiding seasoning, hot drinks and fibrous food and negatively associated with physical activity and fresh vegetable consumption. In the conceptual hierarchical multiple regression model, verbal pain scale, eggplant consumption and physical activity were mediators in the relationship between DON and OHIP-14. DON, physical activity and eggplant consumption also directly associated with OHRQoL. Conclusions: Oral HRQoL was impaired in DON patients and correlated with poor health-related behaviours and nutritional practices. Routine workup of DON patients should include OHRQoL assessment. K E Y W O R D S disorders of nutrition, human study, nutrition, oral health-related quality of life, quality of life

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Section: Discussionmentioning

confidence: 99%

Oral health‐related quality of life in patients with disorders of nutrition

Shay

Ami

Ianculovici

et al. 2018

J of Oral Rehabilitation

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“…In addition, the role of demographic factors as moderators was also determined. Mothers are the main caregivers responsible for childrearing and transmitting health related behaviours to their children [18,29]. A large sample of preschool children where the majority of parents were young mothers of Malay ethnicity aged less than 40 years participated in this study.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, children whose mothers had moderate or high levels of dental anxiety were more likely to have untreated dental caries than children whose mothers had low dental anxiety [17,26,27]. In addition, many studies had reported that maternal dental anxiety, socioeconomic status, and oral health behaviours were also associated with poorer child's OHRQoL (COHRQoL) [17,18,28,29]. On the other hand, child dental anxiety was associated with child's dental caries [30], and child's dental caries was associated with COHRQoL [22].…”

Section: Introductionmentioning

confidence: 99%

Impact of maternal and child dental anxiety on oral health-related quality of life of 5–6-year-old preschool children

Marhazlinda

Yusof

2020

Health Qual Life Outcomes

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Background There is a lack of evidence with regards to the association between both maternal and child dental anxiety and the mother’s perception of her child’s oral health-related quality of life (COHRQoL). The aim of this study was to investigate the association of maternal and child dental anxiety with COHRQoL and the effect of demographic factors as moderators in this relationship. In addition, the association between child’s dental caries experience and the COHRQoL was also assessed. Methods A cross-sectional study was conducted involving 1150, 5–6 year-old preschool children in Selangor, Malaysia. Mothers answered a questionnaire on socio-economic status, the Malay-Modified Dental Anxiety Scale to assess maternal dental anxiety, and the Malay-Early Childhood Oral Health Impact Scale to assess COHRQoL. Child's dental anxiety was assessed using the Malay-Modified Child Dental Anxiety Scale via a face-to-face interview prior to oral examination to assess dental caries. Data were analysed using structural equation modelling to assess the relationship between maternal and child dental anxiety and COHRQoL. Results Overall, complete data on 842 mother–child dyads were analysed. The mean scores of total ECOHIS, the child impacts section (CIS), and the family impacts section (FIS) were 17.7 (SD = 4.9), 12.6 (SD = 3.7), and 5.1 (SD = 1.9), respectively. The mean dental anxiety scores for mothers and children were 11.8 (SD = 4.5) and 16.9 (SD = 4.3), respectively. Maternal dental anxiety was associated with the CIS (b = 0.08, p < 0.001), the FIS (b = 0.01, p = 0.001), and the total ECOHIS (b = 0.14, p < 0.001). Maternal education level, income, urban/rural location, and kindergarten type were moderators to the relationship. In addition, there was also a significant relationship between child’s dental caries experience and COHRQoL (p < 0.001). Conclusions Maternal dental anxiety and child’s dental caries experience have significantly impacted the COHRQoL, the CIS, and the FIS domains. Demographic factors such as maternal education, income, urban/rural location, and kindergarten type acted as moderators that can strengthen or weaken the relationship between maternal dental anxiety and COHRQoL of 5–6-year-old preschool children.

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“…In the last years, the influences of maternal psychological status on child's health have been investigated and showed that poor maternal mental health has adverse effects on child well‐being and development . Costa et al (2017) showed that mothers with anxiety symptoms or depressive symptoms had a prevalence of impact 91% higher in child oral health‐related quality of life when compared with mothers without any symptoms, and this impact is further aggravated when both conditions were present …”

Section: Introductionmentioning

confidence: 99%

Are maternal mental disorders associated with children's oral health? A systematic review

Gomes

Cademartori

Goettems

et al. 2020

Int J Paed Dentistry

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Maternal mental problems may lead to a negative effect on children's oral health (COH). The aim of this study was to systematically review the literature to answer the question: Are maternal mental disorders (MMD) associated with COH from zero to 12 years old? Electronic searches were performed in five databases with no language restriction. Cohort, case-control, and cross-sectional studies were included. A total of 1183 references were identified, and seven studies were included. In relation to MMD studies investigated: Common Mental Disorders (n = 2), Major Depressive Disorder (MDD) (n = 2), symptoms of depression (SD) (n = 3), Alcohol-related diagnosis (n = 1), and symptoms of anxiety (n = 2). As outcome, the studies investigated dental caries (n = 5), gingivitis and periodontal diseases (n = 1), sleep bruxism (SB) (n = 1), and malocclusion (n = 1). Positive association was found between MDD and OH (SB and dental caries). There was no MMD associated with malocclusion. Alcohol-related diagnosis showed a positive association with gingivitis and periodontal diseases and no association with dental caries; anxiety had a positive association with dental caries and no association with SB. The heterogeneity of the data precluded precise conclusions to be drawn, but MMD may have influence on COH.

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Do maternal depression and anxiety influence children's oral health‐related quality of life?

Abstract: Poorer COHRQoL was associated with maternal depression and anxiety symptoms.

Cited by 19 publications

References 36 publications

Oral health‐related quality of life in patients with disorders of nutrition

Oral health‐related quality of life in patients with disorders of nutrition

Impact of maternal and child dental anxiety on oral health-related quality of life of 5–6-year-old preschool children

Are maternal mental disorders associated with children's oral health? A systematic review

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