State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu, P. R. China.
Oral Dis. 2021 Apr;27(3):506-514. doi: 10.1111/odi.13569. Epub 2020 Aug 11.
To investigate the association between oral lichen planu(OLP) and anxiety.
This study included 174 OLP patients and 174 healthy controls. We assessed anxiety by Self-rating Anxiety Scale (SAS) and recorded OLP lesion type and severity. t test and analysis of variance were applied for continuous variants and chi-square test was performed for categorical variants. Multiple linear regression and logistic regression analysis were used for multi-variable analysis.
he SAS score of OLP patients was higher than that of healthy individuals. There was no significant difference in SAS score between the OLP subgroups, obtained according to age, type, and severity, respectively. Multiple linear regression analysis showed gender was the only factor that affected the SAS score of OLP patients. Compared with weakly anxiety-related groups, the SAS score and female ratio of highly anxiety-related group were obviously higher. Logistic regression analysis demonstrated that males were less exposed to highly anxiety-related types than females.
OLP patients tend to be more anxious compared with healthy individuals, and female patients are more anxious than male patients. There might be two types of OLP patients: weakly anxiety-related or highly anxiety-related. These results highlight the significance of psychological counseling in OLP disease management.
探讨口腔扁平苔藓(OLP)与焦虑之间的关系。
本研究纳入了 174 例 OLP 患者和 174 名健康对照者。我们采用自评焦虑量表(SAS)评估焦虑程度,并记录 OLP 病变类型和严重程度。采用 t 检验和方差分析比较连续变量,采用卡方检验比较分类变量。采用多元线性回归和 logistic 回归分析进行多变量分析。
OLP 患者的 SAS 评分高于健康对照者。按照年龄、类型和严重程度分组后,OLP 患者亚组之间的 SAS 评分无显著差异。多元线性回归分析显示,性别是影响 OLP 患者 SAS 评分的唯一因素。与轻度焦虑相关组相比,高度焦虑相关组的 SAS 评分和女性比例明显更高。logistic 回归分析表明,与女性相比,男性较少患有高度焦虑相关类型的 OLP。
与健康对照者相比,OLP 患者更易出现焦虑,女性患者比男性患者更易出现焦虑。OLP 患者可能存在两种类型:轻度焦虑相关或高度焦虑相关。这些结果强调了在 OLP 疾病管理中进行心理咨询的重要性。