engleski

Which dimensions of quality of life mostly distinguish parents and their children on orthodontic treatment demand?

Aim: To analyse characteristics of young adolescents and their parents considering agreement on orthodontic treatment demand expressed by their children. Materials and Methods: The study included 221 dyads of adolescents (11-14 years, 54% female) and their parents. Orthodontic treatment demand was assessed on a five- point scale (0=no ; 4-very much) which was dichotomized with a cut- off point ≥3=a lot. Child Perceptions Questionnaire, Parental- Caregivers Perceptions Questionnaire and Family Impact Scale were self-administered. A discriminant analysis was used. Results: Four groups were analysed: (1) parents-adolescents agreement on high treatment demand (N=103), (2) parents- adolescents agreement on low demand (N=46), (3) parents- adolescents disagreement with children expressing high demand while parents thought children expressed low (N=19) and (4) children expressed low demand while parents thought they expressed high (N=53). One statistically significant canonical function was detected (61.1% of variance ; p=0.013). Individuals with high treatment demand (parent-child agreement), clearly deviated from the other three groups and were characterized by the most disturbed psychosocial well-being, most frequent functional limitations (both from the adolescents’ and parents' point of view) and financial burden. Cases where parents and children disagreed were similar and closer to the group in which parents and children agreed on low treatment demand characterized by lesser disturbance of these dimensions. Conclusion: The cases in which parents' and children's opinions disagreed were more similar to those in which they agreed on a lower demand for treatment, mostly characterized by lower psychosocial influences.

Adolescent ; Orthodontics ; Parent-Child Relations ; Quality of Life ; Surveys and Questionnaires

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