Predictive value of dental readiness and psychological dimensions for oral health-related quality of life in Croatian soldiers: a cross-sectional study
| Autor: | Martina Bulj, Stjepan Špalj, Darije Plančak, Magda Mlacović Zrinski, Davorka Perić |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Index of Orthodontic Treatment Need medicine.medical_specialty Croatia Cross-sectional study media_common.quotation_subject Psychology Military soldiers dental readiness oral health OHRQoL Combat readiness Oral Health Hostility Young Adult Quality of life Sickness Impact Profile Surveys and Questionnaires Psychoticism Dental Anxiety medicine Humans Personality Dental Care Psychiatry Dental Medicine media_common DMF Index business.industry General Medicine Middle Aged medicine.disease humanities Cross-Sectional Studies Military Personnel Quality of Life Anxiety Female medicine.symptom business Somatization Clinical psychology |
| Zdroj: | Croatian Medical Journal Volume 53 Issue 5 |
| ISSN: | 1332-8166 0353-9504 |
| DOI: | 10.3325/cmj.2012.53.461 |
| Popis: | General and oral health have multiple effects on the quality of life (QoL), which can be decreased by pain, discomfort, and difficulties in everyday physical activities, chewing, speech, hygiene, relaxation, and social contact (1-3). Oral health is an often neglected dimension of health, especially among soldiers, although it affects their QoL and combat readiness (4). An inadequately assessed combat readiness may reduce the effectiveness of the military unit and cause human risks and financial expenses due to transportation of soldiers to health facilities (5). Acute dental conditions may cause losses of over 18 000 man-days per division per year (6,7). Dental non-battle injury emergency rates averaged 16% during Vietnam War (8), and in US military units in peacekeeping missions in Bosnia and Herzegovina the rate of emergency dental conditions was 156-170 per 1000 soldiers per year (9). Psychological personality dimensions might influence self-perceived QoL, thus potentially affecting the reported health impairment and combat disability. We hypothesized that the psychological dimensions that may affect the self-perception of OHRQoL were somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideas, psychoticism, and dental anxiety. The studies of HRQoL in soldiers have so far been sporadic (10,11). There were studies that assessed the impact of oral health on combat readiness or the consequences of wartime events on oral health, but often overlooked the QoL assessment (6,12-14). To the best of our knowledge, no studies so far have assessed the effect of psychological dimensions on the self-perceived OHRQoL. The aim of the research was to explore the predictive value of dental readiness and psychological dimensions for OHRQoL. The hypothesis was that OHRQoL was a specific dimension of combat readiness that was significantly correlated with clinically assessed dental readiness and psychological symptomatic dimensions. |
| Databáze: | OpenAIRE |
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