Jabbarifar Seyed Ebrahim, Ahmady Neda, Sahafian Seyed Ahmad Reza, Samei Fatemeh, Soheillipour Shima
Associate Professor, Pediatric Dentistry Department and Torabinejad Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Dent Res J (Isfahan). 2009 Fall;6(2):65-70.
Little research has been carried out on whether the parental stress affects children's oral health in general and dental caries in particular. This study aimed to investigate the association between parental stress and early childhood caries (ECC).
A cross-sectional study was designed that included 250 children of 4-6 year-old; 127 ones attended the pediatric department of Isfahan School of Dentistry who had early childhood caries and a comparison group of 123 caries free children attended five kindergartens and pre-schools in Isfahan city. Clinical examinations were conducted to evaluate the caries status. The parents of the two study groups completed the self-administrated long form of the Parenting Stress Index questionnaire. Details of their socio-demographic status were gathered too. The collected data were analyzed by SPSS version 11.5. The nonparametric Mantel-Haenszel test for correlation statistics was used to determine bivariate associations between total parenting stress and their domains scores in the two groups; i.e., those with early childhood caries and the caries free group.
Mean score of PSI in the early childhood caries and caries free group were 286.66 ± 66.26 and 273.87 ± 31.03, respectively. There was not any significant relationship between total parental stress and ECC. The scores of the following domains of PSI demonstrated significant differences between ECC and CF groups: child reinforcement, child distractibility, child deficit attention, life stress and relationship with spouse (P = 0.01, 0.01, 0.001, 0.005 respectively).
Findings of this study did not show any significant association between total parenting stress score and prevalence of early childhood caries.
关于父母压力是否会影响儿童的整体口腔健康，尤其是龋齿，相关研究较少。本研究旨在调查父母压力与幼儿龋齿（ECC）之间的关联。
设计了一项横断面研究，纳入250名4至6岁的儿童；其中127名患有幼儿龋齿的儿童在伊斯法罕牙科学院儿科就诊，另一个对照组为123名无龋齿儿童，来自伊斯法罕市的五所幼儿园和学前班。进行临床检查以评估龋齿状况。两个研究组的父母完成了自行填写的《养育压力指数问卷》长表。还收集了他们社会人口学状况的详细信息。收集的数据使用SPSS 11.5版本进行分析。采用非参数Mantel-Haenszel相关性检验来确定两组中（即患有幼儿龋齿组和无龋齿组）总养育压力与其各领域得分之间的双变量关联。
幼儿龋齿组和无龋齿组的PSI平均得分分别为286.66±66.26和273.87±31.03。父母总压力与幼儿龋齿之间没有显著关系。PSI以下领域的得分在幼儿龋齿组和无龋齿组之间存在显著差异：儿童强化、儿童注意力分散、儿童注意力缺陷、生活压力以及与配偶的关系（P值分别为0.01、0.01、0.001、0.005）。
本研究结果未显示总养育压力得分与幼儿龋齿患病率之间存在任何显著关联。
