Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.03023
Revista de Odontologia da UNESP
Original Article

Impact of the burden of caregivers of children with ASD on oral health

Impacto da sobrecarga dos cuidadores de crianças com TEA na saúde bucal

Beatriz Bueno FALQUETTI; João Victor Soares RODRIGUES; Amanda PAINO-SANT’ANA; Mariella Boaretti DEROIDE; Gabriel MULINARI-SANTOS; Letícia Helena THEODORO

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Abstract

Introduction: the caregiver's demand to meet the needs of individuals with autism spectrum disorder (ASD) can influence their quality of life.

Objective: the objective of the present study was to compare the burden on caregivers of individuals with ASD with individuals neurotypical (N) and to evaluate the correlation of the impact of oral health with the burden on these caregivers.

Material and method: participants were divided into two groups: ASD Group (ASD; n=35) and Neurotypical Group (N; n=35). A sociodemographic characteristics questionnaire was administered to caregivers. Caregiver burden was measured using the Burden Interview (BI) questionnaire. The visible plaque index (VPI) of children was analyzed. The data were submitted to statistical analysis (α=5%).

Result: in the group ASD, the majority of participants were partially dependent, with the majority being dependent on oral hygiene. In group N, the majority were independent and self-sufficient in oral hygiene. Half of the caregivers in the group ASD felt mild to moderate burden (54.3%), while in group N it was found that more than half of them had no burden (65.7%). In the comparative analysis of data from the BI questionnaire, significant differences were observed between the groups in questions (p <0.001), which are directly related to childcare. Regarding the VPI of children in the group ASD and N groups compared to the level of burden, it was observed that there were no significant differences between the groups.

Conclusion: ASD caregivers have a greater burden when compared to N caregivers and the degree of burden did not influence the oral hygiene of the child with ASD.

Keywords

Autism spectrum disorder, caregiver burden, oral hygiene

Resumo

Introdução: a demanda do cuidador em atender as necessidades de indivíduos com transtorno do espectro autista (TEA), pode influenciar na sua qualidade de vida.

Objetivo: o objetivo do presente estudo foi comparar a sobrecarga de cuidadores de indivíduos com TEA com indivíduos neurotípicos (N) e avaliar a correlação do impacto da saúde bucal com a sobrecarga desses cuidadores.

Material e método: os participantes foram divididos em dois grupos: Grupo TEA (TEA; n=35) e Grupo Neurotípico (N; n=35). Foi aplicado aos cuidadores um questionário de características sociodemográficas. A sobrecarga dos cuidadores foi medida pelo questionário Burden Interview (BI). Foi analisado o índice de placa visível (IPV) das crianças. Os dados foram submetidos a análise estatística (α=5%).

Resultado: no grupo TEA a maioria dos participantes eram parcialmente dependentes, sendo a maioria dependentes na higienização bucal. No grupo N a maioria eram independentes e autossuficientes na higienização bucal. Metade dos cuidadores do grupo TEA apresentaram sobrecargas leve à moderada (54,3%). No grupo N constatou-se que a maioria enquadrava-se em nenhuma sobrecarga (65,7%). Na análise comparativa dos dados do questionário BI foram observadas diferenças significantes entre os grupos nas questões (p<0,001) que são diretamente relacionadas com os cuidados com os filhos. Com relação ao IPV das crianças do grupo TEA e N comparadas ao nível de sobrecarga, observou-se que não houve diferenças significativas entre os grupos.

Conclusão: os cuidadores do grupo TEA apresentam maior sobrecarga quando comparados ao grupo N e não houve correlação entre a sobrecarga e o grau de higiene bucal.

Palavras-chave

Transtorno do espectro autista, sobrecarga do cuidador, higiene bucal

References

1 American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5TM. 5th ed. Arlington: American Psychiatric Publishing Inc; 2013. 947 p.

2 Moss P, Mandy W, Howlin P. Child and adult factors related to quality of life in adults with autism. J Autism Dev Disord. 2017 Jun;47(6):1830-7. http://dx.doi.org/10.1007/s10803-017-3105-5. PMid:28343343.

3 Li Q, Li Y, Liu B, Chen Q, Xing X, Xu G, et al. Prevalence of autism spectrum disorder among children and adolescents in the United States from 2019 to 2020. JAMA Pediatr. 2022 Sep;176(9):943-5. http://dx.doi.org/10.1001/jamapediatrics.2022.1846. PMid:35789247.

4 Maenner MJ, Warren Z, Williams AR, Amoakohene E, Bakian AV, Bilder DA, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 sites, United States, 2020. MMWR Surveill Summ. 2023 Mar;72(2):1-14. http://dx.doi.org/10.15585/mmwr.ss7202a1. PMid:36952288.

5 Vishnu Rekha C, Arangannal P, Shahed H. Oral health status of children with autistic disorder in Chennai. Eur Arch Paediatr Dent. 2012 Jun;13(3):126-31. http://dx.doi.org/10.1007/BF03262858. PMid:22652209.

6 Bhandary S, Hari N. Salivary biomarker levels and oral health status of children with autistic spectrum disorders: a comparative study. Eur Arch Paediatr Dent. 2017 Apr;18(2):91-6. http://dx.doi.org/10.1007/s40368-017-0275-y. PMid:28236284.

7 Vajawat M, Deepika PC. Comparative evaluation of oral hygiene practices and oral health status in autistic and normal individuals. J Int Soc Prev Community Dent. 2012 Jul;2(2):58-63. http://dx.doi.org/10.4103/2231-0762.109369. PMid:24478969.

8 Onol S, Kırzıoğlu Z. Evaluation of oral health status and influential factors in children with autism. Niger J Clin Pract. 2018 Apr;21(4):429-35. http://dx.doi.org/10.4103/njcp.njcp_41_17. PMid:29607853.

9 DeMattei R, Cuvo A, Maurizio S. Oral assessment of children with an autism spectrum disorder. J Dent Hyg. 2007;81(3):65. PMid:17908421.

10 Lee GK, Shivers CM. Factors that affect the physical and mental health of caregivers of school-age children and transitioning young adults with autism spectrum disorder. J Appl Res Intellect Disabil. 2019 May;32(3):622-34. http://dx.doi.org/10.1111/jar.12556. PMid:30575246.

11 Bozkurt G, Uysal G, Düzkaya DS. Examination of care burden and stress coping styles of parents of children with autism spectrum disorder. J Pediatr Nurs. 2019 Jul-Aug;47:142-7. http://dx.doi.org/10.1016/j.pedn.2019.05.005. PMid:31146248.

12 Fong V, Gardiner E, Iarocci G. Satisfaction with informal supports predicts resilience in families of children with autism spectrum disorder. Autism. 2021 Feb;25(2):452-63. http://dx.doi.org/10.1177/1362361320962677. PMid:33106025.

13 Breinbauer KH, Vásquez VH, Mayanz SS, Guerra C, Millán KT. Validación en Chile de la Escala de Sobrecarga del Cuidador de Zarit en sus versiones original y abreviada. Rev Med Chil. 2009 May;137(5):657-65. http://dx.doi.org/10.4067/S0034-98872009000500009. PMid:19701555.

14 Choi S, Seo J. Analysis of caregiver burden in palliative care: an integrated review. Nurs Forum. 2019 Apr;54(2):280-90. http://dx.doi.org/10.1111/nuf.12328. PMid:30737798.

15 Almansour MA, Alateeq MA, Alzahrani MK, Algeffari MA, Alhomaidan HT. Depression and anxiety among parents and caregivers of autistic spectral disorder children. Neurosciences. 2013 Jan;18(1):58-63. PMid:23291799.

16 Isa SN, Ishak I, Rahman AA, Saat NZM, Din NC, Lubis SH, et al. Health and quality of life among the caregivers of children with disabilities: a review of literature. Asian J Psychiatr. 2016 Oct;23:71-7. http://dx.doi.org/10.1016/j.ajp.2016.07.007. PMid:27969083.

17 Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019 Apr;13(5 Suppl 1):S31-4. http://dx.doi.org/10.4103/sja.SJA_543_18. PMid:30930717.

18 Souza MM, Rodrigues JVS, Gonçalves MEC, Rossato ACP, Voms Stein MCR, Poli MCF, et al. Gender influence on antioxidant capacity and oxidative damage in saliva of children with autism spectrum disorder: a preliminary study. Rev Odontol UNESP. 2021;50:e20210057. http://dx.doi.org/10.1590/1807-2577.05721.

19 Souza MM, Rodrigues JVS, Gonçalves MEC, Theodoro LH, Nakamune ACMS. Salivary flow and salivary proteins in male and female children with autism spectrum disorder: pilot study. Rev Odontol UNESP. 2022 Dec;51:e20220041. http://dx.doi.org/10.1590/1807-2577.04122.

20 Scazufca M. Brazilian version of the Burden Interview scale for the assessment of burden of care in carers of people with mental illnesses. Br J Psychiatry. 2002 Mar;24(1):12-7. http://dx.doi.org/10.1590/S1516-44462002000100006.

21 Barros ALO, Gutierrez GM, Barros AO, Santos MTBR. Quality of life and burden of caregivers of children and adolescents with disabilities. Spec Care Dentist. 2019 Jul;39(4):380-8. http://dx.doi.org/10.1111/scd.12400. PMid:31172548.

22 The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995 Nov;41(10):1403-9. http://dx.doi.org/10.1016/0277-9536(95)00112-K. PMid:8560308.

23 Cardoso M, Rocha MJC. Traumatized primary teeth in children assisted at the Federal University of Santa Catarina, Brazil. Dent Traumatol. 2002 Jun;18(3):129-33. http://dx.doi.org/10.1034/j.1600-9657.2002.00030.x. PMid:12154768.

24 Farghaly JG, Fachin LV, Otton R, Guaré RO, Leite MF. Efeito do gênero (masculino e feminino) sobre a cárie dentária e parâmetros salivares de crianças. Pesqui Bras Odontopediatria Clin Integr. 2013 Mar;13(1):11-5. http://dx.doi.org/10.4034/PBOCI.2013.131.02.

25 Papadopoulos C, Lodder A, Constantinou G, Randhawa G. Systematic review of the relationship between autism stigma and informal caregiver mental health. J Autism Dev Disord. 2019 Apr;49(4):1665-85. http://dx.doi.org/10.1007/s10803-018-3835-z. PMid:30569408.

26 Calderon R, Greenberg MT. Stress and coping in hearing mothers of children with hearing loss: factors affecting mother and child adjustment. Am Ann Deaf. 1999 Mar;144(1):7-18. http://dx.doi.org/10.1353/aad.2012.0153. PMid:10230078.

27 Weiss MJ. Harrdiness and social support as predictors of stress in mothers of typical children, children with autism, and children with mental retardation. Autism. 2002 Mar;6(1):115-30. http://dx.doi.org/10.1177/1362361302006001009. PMid:11918107.

28 Tang L, Bie B. The stigma of autism in china: an analysis of newspaper portrayals of autism between 2003 and 2012. Health Commun. 2016;31(4):445-52. http://dx.doi.org/10.1080/10410236.2014.965381. PMid:26398334.
 


Submitted date:
10/30/2023

Accepted date:
10/30/2023

6560b75ba953957018020ab3 rou Articles
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