Parenting stress as a mediator in the oral health of children and adolescents: A stress process model

Gazzaz, Arwa Z.; Carpiano, Richard M.; Aleksejūnienė, Jolanta

doi:10.1111/cdoe.12531

Cited by 3 publications

(8 citation statements)

References 34 publications

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“…Although parents of children with SHCN experienced higher parenting stress, contrary to our hypothesis, such stress was not associated with child dental care for either age group. Previous studies have reported that parenting stress was associated with increased [ 18 ] and decreased [ 25 ] child dental visits, while others have found no such association [ 20 , 21 ]. Several possible explanations are possible.…”

Section: Discussionmentioning

confidence: 99%

“…The stress process model is a dominant theoretical framework for examining the mechanisms generating social patterns in exposure to stress and recognizes that exposure to social stressors is fundamentally linked to social statuses and social roles [ 29 , 30 ]. While the model has been widely used to examine the processes underlying general health, especially mental health, less attention has been given to its application in oral health research [ 21 ]. Our model explored the infrequently considered role of psychosocial factors in the study of oral health inequalities in children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, the effects of parental psychosocial factors on such children's dental care are critical but understudied. A growing body of literature exists on the broader influence of parental psychosocial factors, such as parenting stress and social support, on children's oral health [18][19][20][21]. However, less is known about how these factors apply to SHCN populations.…”

Section: Introductionmentioning

confidence: 99%

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Parental psychosocial factors, unmet dental needs and preventive dental care in children and adolescents with special health care needs: A stress process model

et al. 2022

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Background Children and adolescents with special health care needs (SHCN) have higher unmet dental needs, but the potential mechanisms by which parental factors can influence dental care use have not been determined. Parenting a child with SHCN can present special demands that affect parents’ well-being and, in turn, their caregiving. Hence, the study's overall aim was to apply the stress process model to examine the role of parental psychosocial factors in the association between child SHCN and dental care. Specifically, the study tested hypotheses regarding how (a) children’s SHCN status is associated with child dental care (unmet dental needs and lack of preventive dental visits), both directly and indirectly via parental psychosocial factors (parenting stress, instrumental, and emotional social support) and (b) parental social support buffers the association between parenting stress and child dental care. Methods A secondary data analysis of the 2011–2012 US National Survey of Children’s Health was performed for 6- to 11-year-old children (n = 27,874) and 12- to 17-year-old adolescents (n = 31,328). Our age-stratified models estimated associations between child SHCN status and parental psychosocial factors with two child dental care outcomes: parent-reported unmet child dental needs and lack of preventive dental care. Results Parents of children with (vs without) SHCN reported higher unmet child dental needs, higher parenting stress, and lower social support (instrumental and emotional). Instrumental, but not emotional, parental support was associated with lower odds of their child unmet dental needs in both age groups. The association between parenting stress and child dental care outcomes was modified by parental social support. Conclusion Differences existed in child unmet dental needs based on SHCN status, even after adjusting for parental psychosocial factors. SHCN status was indirectly associated with unmet dental needs via parental instrumental support among adolescents, and parental instrumental support buffered the negative association between parenting stress and both child dental care outcomes. Hence, parental social support was an important determinant of child dental care and partially explained the dental care disparities in adolescents with SHCN.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Parental psychosocial factors, unmet dental needs and preventive dental care in children and adolescents with special health care needs: A stress process model

et al. 2022

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“…High stress levels can make parents pay attention or not pay attention to the needs of their children, which may be reflected differently in seeking the use of their child's dental care [12]. In addition, several studies found that in mothers, the number of children was more associated with social isolation and relationship problems with partners [19].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the pattern of visits to the dentist is also consistent with socioeconomic status, even with access to the same dental care. Several studies have assessed the role of parental psychosocial factors in the oral health of children and adolescents [12].…”

Section: Introductionmentioning

confidence: 99%

Differences in Early Childhood Caries Status on Parental Stress Levels and Socioeconomic Status in Makassar City, Indonesia, During the COVID-19 Pandemic

Anwar

Panna

Akbar

2022

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective:To analyze the differences in early childhood caries status on parental stress levels and socioeconomic status in Makassar City, Indonesia, during the COVID-19 pandemic. Material and Methods: This type of analytical observational study with a cross-sectional design was conducted in North Rantepao, Toraja City, South Sulawesi Province, Indonesia. The research subjects of this study were parents who met the criteria, were willing to participate in the study, and had children aged 6-17 years. The questionnaire instrument with the criteria for assessing children's dental and oral health was assessed based on parents' perceptions. Each item is rated on a scale from 1 (never) to 5 (always). Then the total score was divided into three categories, namely low (score 3-6), moderate (score 7-10), and high (score 11-15). Comparative test analysis using Chi-Square test. Results: Parents with high-stress levels had more children with poor oral health. There is a significant difference according to the level of stress and socioeconomic status of the parents. Conclusion: There is a significant difference between caries status in early childhood based on socioeconomic status and parental stress level.

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Work Stress, Work-Related Rumination, and Depressive Symptoms in University Teachers: Buffering Effect of Self-Compassion

Wu¹,

Cao²,

Du³

2023

PRBM

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The association between work stress and depressive symptoms has been well documented. More research is still needed to further investigate the underlying explanatory process mechanism and the potential protective function of personal resource in attenuating the negative effect of work stress on mental health. To address this gap and informed by the stress process model and emotion regulation theory,the present study examined the indirect role of work-related rumination and the buffering effect of selfcompassion in university teachers, a population with increased vulnerabilities for both work stress and mental health issues. Methods: This study collected data from 727 university teachers (M age = 37.65 ± 7.77 years, 61.5% women) through an online survey. Indirect effect analysis and moderation effect analysis were implemented using structural equation modeling via Mplus. Results: Work stress was directly and indirectly associated with depressive symptoms through work-related rumination, and selfcompassion moderated the associations between (a) work stress and depressive symptoms and (b) work-related rumination and depressive symptoms. The direct and indirect effects of work stress on depressive symptoms were weaker in university teachers with high levels of self-compassion than in those with low levels of self-compassion. Conclusion: Work stress was associated with depressive symptoms through a cognitive pathway. The findings deepen our understanding of the link between work stress and mental health outcomes by revealing the indirect role of cognitive processes, the protective function of emotion regulation strategies, and their interplay. Reducing work-related rumination and strengthening selfcompassion may constitute effective interventions to alleviate the negative effects of work stress on mental health.

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Parenting stress as a mediator in the oral health of children and adolescents: A stress process model

Cited by 3 publications

References 34 publications

Parental psychosocial factors, unmet dental needs and preventive dental care in children and adolescents with special health care needs: A stress process model

Parental psychosocial factors, unmet dental needs and preventive dental care in children and adolescents with special health care needs: A stress process model

Differences in Early Childhood Caries Status on Parental Stress Levels and Socioeconomic Status in Makassar City, Indonesia, During the COVID-19 Pandemic

Work Stress, Work-Related Rumination, and Depressive Symptoms in University Teachers: Buffering Effect of Self-Compassion

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