{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:37:24Z","timestamp":1791589044866,"version":"4.3.4"},"reference-count":44,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico\u2014CNPq, Brazil","award":["#302251\/2019-7"],"award-info":[{"award-number":["#302251\/2019-7"]}]},{"name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico\u2014CNPq, Brazil","award":["#001"],"award-info":[{"award-number":["#001"]}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior\u2014CAPES, Brazil","doi-asserted-by":"publisher","award":["#302251\/2019-7"],"award-info":[{"award-number":["#302251\/2019-7"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior\u2014CAPES, Brazil","doi-asserted-by":"publisher","award":["#001"],"award-info":[{"award-number":["#001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The family of individuals living with Down Syndrome (DS) often demonstrate high levels of stress associated with the demand for care and difficulties experienced in everyday life. The aim of this cross-sectional study was to assess perceived stress by parents\/caregivers of individuals with DS and its association with general perceived self-efficacy and dental outcomes, considering the COVID-19 pandemic\u2019s impacts on family\u2019s daily activities and finances. A sample of 257 parents\/caregivers answered a questionnaire with socioeconomic, dental, and behavioral variables and the short version of the Perceived Stress Scale and the General Perceived Self-Efficacy Scale. The sample was divided into three groups based on perceived stress levels. Associated variables were evaluated using multinomial logistic regression (level of significance 5%), adjusting for socioeconomic factors. The mean perceived stress score was 17.84 \u00b1 5.75 (0\u201339). Medium stress (second tertile) was associated with finger\/nail biting in individuals with DS (OR = 2.05; 95%CI 1.04\u20134.03; p = 0.038), difficulty in performing oral hygiene (OR = 2.39; 95%CI 1.23\u20134.65; p = 0.011) and medium and high self-efficacy (OR = 0.12; 95%CI 0.05\u20130.31; p &lt; 0.001 and OR = 0.38; 95%CI 0.15\u20130.98; p = 0.046, respectively); high stress (third tertile) was associated with medium and high self-efficacy (OR = 0.25; 95%CI 0.09\u20130.67; p = 0.006 and OR = 0.05; 95%CI 0.02\u20130.15; p &lt; 0.001, respectively) and negative impact of COVID-19 in family finances (OR = 3.00; 95%CI 1.39\u20136.44; p = 0.005). It was concluded that parents\/caregivers\u2019 perceived stress was averaged and associated with self-efficacy, finger\/nail biting, oral hygiene demands, and the financial impact of COVID-19.<\/jats:p>","DOI":"10.3390\/ijerph21111497","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T08:01:27Z","timestamp":1731312087000},"page":"1497","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Stress and Self-Efficacy in Parents\/Caregivers and Oral Health of Individuals with Down Syndrome During the COVID-19 Pandemic: A Cross-Sectional Study"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1406-4166","authenticated-orcid":false,"given":"Julya Ribeiro","family":"Campos","sequence":"first","affiliation":[{"name":"Department of Dental Clinics, Oral Pathology and Oral Surgery, Periodontology Division, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando Oliveira","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Dental Clinics, Oral Pathology and Oral Surgery, Periodontology Division, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3364-4024","authenticated-orcid":false,"given":"Ana Cristina","family":"Borges-Oliveira","sequence":"additional","affiliation":[{"name":"Department of Social and Preventive Dentistry, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1517-5842","authenticated-orcid":false,"given":"Lu\u00eds Ot\u00e1vio Miranda","family":"Cota","sequence":"additional","affiliation":[{"name":"Department of Dental Clinics, Oral Pathology and Oral Surgery, Periodontology Division, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1016\/S0140-6736(03)12987-X","article-title":"Down\u2019s Syndrome","volume":"361","author":"Roizen","year":"2003","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/mrdd.20162","article-title":"Genetic mechanisms involved in the phenotype of Down syndrome","volume":"13","author":"Paterson","year":"2007","journal-title":"Ment. Retard. Dev. Disabil. Res. Rev."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"437","DOI":"10.5455\/msm.2016.28.437-439","article-title":"Oral health of Down syndrome adults in Bosnia and Herzegovina","volume":"28","author":"Porovic","year":"2016","journal-title":"Mater. Sociomed."},{"key":"ref_4","first-page":"27","article-title":"Mothers\u2019 perceptions concerning oral health of children and adolescents with Down syndrome: A qualitative approach","volume":"11","author":"Oliveira","year":"2010","journal-title":"Eur. J. Paediatr. Dent."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s41687-020-00211-y","article-title":"Down syndrome and oral health: Mothers\u2019 perception on their children\u2019s oral health and its impact","volume":"16","author":"AlJameel","year":"2020","journal-title":"J. Patient Rep. Outcomes"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"4247","DOI":"10.4103\/jfmpc.jfmpc_885_21","article-title":"Implications of Down\u2019s syndrome on oral health status in patients: A prevalence-based study","volume":"10","author":"Goud","year":"2021","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.jormas.2021.01.007","article-title":"Evaluation of the craniofacial and oral characteristics of individuals with Down syndrome: A review of the literature","volume":"122","year":"2021","journal-title":"J. Stomatol. Oral Maxillofac. Surg."},{"key":"ref_8","first-page":"628","article-title":"Periodontal disease in patients with Down syndrome: A systematic review","volume":"149","author":"Scalioni","year":"2018","journal-title":"JADA"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/scd.12444","article-title":"Impact of oral conditions of children\/adolescents with Down syndrome on their families\u2019 quality of life","volume":"40","author":"Carrada","year":"2019","journal-title":"Spec. Care Dent."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"490","DOI":"10.47102\/annals-acadmedsg.202420","article-title":"Quality of life of family caregivers of children and young adults with Down syndrome: A systematic review and meta-analysis","volume":"53","author":"Cheok","year":"2024","journal-title":"Ann. Acad. Med. Singap."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1111\/scd.12694","article-title":"Caregiving of children with Down syndrome: Impact on quality of life, stress, mental and oral health","volume":"42","author":"Dias","year":"2022","journal-title":"Spec. Care Dent."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"100019","DOI":"10.1016\/j.xcrm.2020.100019","article-title":"Immune mechanisms for increased risk of severe COVID-19 in Down syndrome","volume":"1","author":"Espinosa","year":"2020","journal-title":"Cell Rep. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"103890","DOI":"10.1016\/j.ridd.2021.103890","article-title":"Predictors of mental health among parents of children with cerebral palsy during the COVID-19 pandemic in Iran: A web-based cross-sectional study","volume":"112","author":"Farajzadeh","year":"2021","journal-title":"Res. Dev. Disabil."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"103790","DOI":"10.1016\/j.ridd.2020.103790","article-title":"Impact of COVID-19 outbreak on mental health and perceived strain among caregivers tending children with special needs","volume":"107","author":"Dhiman","year":"2020","journal-title":"Res. Dev. Disabil."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Fuca, E., Costanzo, F., Ursumando, L., and Vicari, S. (2022). Parenting Stress in Mothers of Children and Adolescents with Down Syndrome. J. Clin. Med., 11.","DOI":"10.3390\/jcm11051188"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1037\/0033-295X.84.2.191","article-title":"Self-efficacy: Towards a unifying theory of behavioral change","volume":"84","author":"Bandura","year":"1977","journal-title":"Psychol. Rev."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2229","DOI":"10.1177\/1359105315573443","article-title":"Factors associated with general self-efficacy and resilience among youth heads of households in Kenya","volume":"21","author":"Goodman","year":"2016","journal-title":"J. Health Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1111\/ipd.12223","article-title":"Self-efficacy theory-based intervention in adolescents: A cluster randomized trial-focus on oral self-care practice and oral self-care skills","volume":"27","year":"2017","journal-title":"Int. J. Paediatr. Dent."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Tognasso, G., Gorla, L., Ambrosini, C., Figurella, F., De Carli, P., Parolin, L., Sarracino, D., and Santona, A. (2022). Parenting Stress, Maternal Self-Efficacy and Confidence in Caretaking in a Sample of Mothers with Newborns (0\u20131 Month). Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19159651"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Bostanabad, M.A., Hosseinzadeh, M., Molazemi, Z., and Areshtanab, H.N. (2024). Emotional intelligence and stress and their relationship with breastfeeding self-efficacy in mothers of premature infants. BMC Womens Health, 24.","DOI":"10.1186\/s12905-023-02849-4"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1111\/jonm.12828","article-title":"Work stress, perceived social support, self-efficacy and burnout among Chinese registered nurses","volume":"27","author":"Liu","year":"2019","journal-title":"J. Nurs. Manag."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Jurado, M.M.M., P\u00e9rez-Fuentes, M.C., Ruiz, N.F.O., M\u00e1rquez, M.M.S., and Linares, J.J.G. (2019). Self-Efficacy and Emotional Intelligence as Predictors of Perceived Stress in Nursing Professionals. Medicina, 55.","DOI":"10.3390\/medicina55060237"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1002\/nop2.889","article-title":"Telephone nurses\u2019 perceived stress, self-efficacy and empathy in their work with frequent callers","volume":"9","author":"Skogevall","year":"2022","journal-title":"Nurs. Open"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1390","DOI":"10.1111\/inm.13179","article-title":"Nursing students\u2019 perceived stress, social support, self-efficacy, resilience, mindfulness and psychological well-being: A structural equation model","volume":"32","author":"Berdida","year":"2023","journal-title":"Int. J. Ment. Health Nurs."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e13009","DOI":"10.1111\/ijn.13009","article-title":"Parenting stress, self-efficacy and COVID-19 health risks as predictors of general stress among nurses","volume":"27","author":"Garcia","year":"2021","journal-title":"Int. J. Nurs. Pract."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3233\/WOR-211385","article-title":"The level of perceived stress, burnout, self-efficacy, and coping strategies among physiotherapy academicians during the COVID-19 lockdown","volume":"75","author":"Saxena","year":"2023","journal-title":"Work"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.jogn.2021.12.004","article-title":"Maternal Self-Efficacy Buffers the Effects of COVID-19-Related Experiences on Postpartum Parenting Stress","volume":"51","author":"Lin","year":"2022","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_28","unstructured":"Spacapan, S., and Oskamp, S. (1988). Perceived Stress in a Probability Sample of United States. The Social Psychology of Health: Claremont Symposium on Applied Social Psychology, Sage."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1590\/S0034-89102007000400015","article-title":"Brazilian version of the Perceived Stress Scale: Translation and validation for the elderly","volume":"41","author":"Luft","year":"2007","journal-title":"Rev. Saude Publica"},{"key":"ref_30","first-page":"12","article-title":"Valida\u00e7\u00e3o da escala de auto-efic\u00e1cia geral percebida","volume":"26","author":"Souza","year":"2004","journal-title":"Rev. Univ. Rural S\u00e9r. Ci\u00eancias Humanas"},{"key":"ref_31","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica (IBGE) (2021, June 14). Caracter\u00edsticas \u00c9tnico-Raciais da Popula\u00e7\u00e3o: Um Estudo das Categorias de Classifica\u00e7\u00e3o de cor ou Ra\u00e7a. [Brazilian Institute of Geography and Statistics\u2014IBGE. Etninic-Racial Characteristics of the Population: A Study of the Categories for Skin Color or Race], Available online: https:\/\/biblioteca.ibge.gov.br\/visualizacao\/livros\/liv63405.pdf."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"3625","DOI":"10.1590\/1413-812320172211.31102016","article-title":"Burden of caregivers of children and adolescents with Down Syndrome","volume":"22","author":"Barros","year":"2017","journal-title":"Ci\u00eancia Sa\u00fade Coletiva"},{"key":"ref_33","first-page":"160","article-title":"Burden of family caregivers of Down syndrome children: A cross-sectional study","volume":"38","author":"Alwakeel","year":"2021","journal-title":"Fam. Pract."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"104113","DOI":"10.1016\/j.ridd.2021.104113","article-title":"Support needs, coping, and stress among parents and caregivers of people with Down syndrome","volume":"119","author":"Lee","year":"2021","journal-title":"Res. Dev. Disabil."},{"key":"ref_35","first-page":"430","article-title":"Oral Care Experiences and Challenges for Children with Down Syndrome: Reports from Caregivers","volume":"42","author":"Duker","year":"2020","journal-title":"Pediatr. Dent."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Moralez-Rodriguez, F.M., and P\u00e9rez-Marmol, J.M. (2019). The role of anxiety, coping strategies, and emotional intelligence on general perceived self-efficacy in university students. Front. Psychol., 10.","DOI":"10.3389\/fpsyg.2019.01689"},{"key":"ref_37","first-page":"15","article-title":"Prevalence of onychophagia and its relation to stress and quality of life","volume":"30","author":"Erdogan","year":"2021","journal-title":"Acta Dermatovenerolog. Alp. Pannonica Adriat."},{"key":"ref_38","first-page":"489.e1","article-title":"Factors associated with malocclusions in children and adolescents with Down syndrome","volume":"133","author":"Paiva","year":"2008","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.1111\/apa.15409","article-title":"COVID-19 and Down syndrome","volume":"109","author":"Callea","year":"2020","journal-title":"Acta Paediatr."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Costa, A.L., Pereira, J.L., Franco, L., and Guinot, F. (2022). COVID-19 Lockdown: Impact on Oral Health-Related Behaviors and Practices of Portuguese and Spanish Children. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192316004"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1","DOI":"10.17796\/1053-4625-45.1.1","article-title":"Function of the Family Unit, Oral Hygiene Rules and Attitudes to Dental Health in Children During First-Wave 2020 COVID-19 Lockdown","volume":"45","author":"Blumer","year":"2021","journal-title":"J. Clin. Pediatr. Dent."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1038\/s41431-020-0696-7","article-title":"COVID-19 and Down\u2019s syndrome: Are we heading for a disaster?","volume":"28","author":"Dard","year":"2020","journal-title":"Eur. J. Hum. Genet."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"103983","DOI":"10.1016\/j.ridd.2021.103983","article-title":"Psychological distress and burden among family caregivers of children with and without developmental disabilities six months into the COVID-19 pandemic","volume":"114","author":"Iovino","year":"2021","journal-title":"Res. Dev. Disabil."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s10995-020-02896-5","article-title":"The Caregiver Health Effects of Caring for Young Children with Developmental Disabilities: A Meta-analysis","volume":"24","author":"Masefield","year":"2020","journal-title":"Matern. Child Health J."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/11\/1497\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:30:18Z","timestamp":1760113818000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/11\/1497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,11]]},"references-count":44,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["ijerph21111497"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21111497","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,11]]}}}