Severity of oral lichen planus and oral lichenoid lesions is associated with anxiety
| Autor: | Fernanda Teixeira Garcia, Ana Carolina Fragoso Motta, Camila de Barros Gallo, Miriane Lucindo Zucoloto, Nathalia Vilela Souza, Lara Maria Alencar Ramos Innocentini, Aloizio Premoli Maciel, Jefferson Veronezi Pavanin, Janaina Silva Martins Humberto, Paulo Sérgio da Silva Santos, Matheus Eiji Warikoda Shibakura |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Lichenoid Eruptions Cross-sectional study Oral Health QUALIDADE DE VIDA Anxiety Severity of Illness Index 03 medical and health sciences 0302 clinical medicine stomatognathic system Quality of life Internal medicine Severity of illness medicine Humans General Dentistry business.industry Case-control study 030206 dentistry medicine.disease Somatic anxiety stomatognathic diseases Cross-Sectional Studies 030220 oncology & carcinogenesis Concomitant Case-Control Studies Quality of Life Oral lichen planus Female Mouth Neoplasms medicine.symptom business Lichen Planus Oral |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| Popis: | Oral lichen planus (OLP) and oral lichenoid lesions (OLL) are chronic inflammatory diseases whose symptoms can impair patient’s quality of life (QoL). Psychological factors seem to play an important role in these diseases. This study aimed to determine the impact of oral health and anxiety levels on the QoL of patients with OLP and OLL. This was a cross-sectional study composed of OLP and OLL patients and a control group matched by age and sex with no autoimmune/inflammatory or malignant oral lesions. Anxiety levels and oral health impact on QoL were assessed using the Hamilton Anxiety Scale (HAM-A) and the Oral Health Impact Profile-14 (OHIP-14), respectively. The instruments were filled through personal interview before starting the treatment for oral lesions. A total of 87 patients diagnosed with OLP (n = 45) and OLL (n = 42), and 87 controls were included in the study. Statistical differences were observed for the psychic and somatic anxiety dimensions between severities of diseases. Patients with OLP or OLL had higher scores for the OHIP-14 dimensions physiological discomfort and social limitation compared with controls. In addition, higher scores for physical pain, physical disability, social disability, and handicap were detected among patients with greater severity. Greater severity of OLP and OLL seems to be associated with increased levels of anxiety, higher scores of oral health impact profile, and decreased QoL. Patients with severe OLP/OLL may benefit from additional therapeutic treatments, such as psychological and/or psychiatric management, concomitant to treatment specific to oral lesions. |
| Databáze: | OpenAIRE |
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