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人格特质对口腔扁平苔藓治疗患者口腔健康相关生活质量的影响。

Effect of personality traits on the oral health-related quality of life in patients with oral lichen planus undergoing treatment.

机构信息

Clinical Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna, Sensengasse 2a, 1090, Vienna, Austria.

Department of Dermatology and Venereology, Medical Institution Rudolfstiftung, Juchgasse 25, 1030, Vienna, Austria.

出版信息

Clin Oral Investig. 2021 Apr;25(4):2381-2389. doi: 10.1007/s00784-020-03561-5. Epub 2020 Sep 14.

Abstract

OBJECTIVES

The aim of this study was to evaluate the relationship between personality traits and perceived treatment success in oral lichen planus.

MATERIAL AND METHODS

A total of 53 patients with diagnosed oral lichen planus were evaluated at the time of diagnosis and along the course of their treatment. The visual analogue scale (VAS) was used for evaluating pain and burning sensation, along with an evaluation of the oral health-related quality of life (OHIP) and the clinical severity. In order to determine the personality trait, the NEO-FFI questionnaire was applied. Data were assessed with the statistical software Stata by a multiple linear regression.

RESULTS

A significant relationship between the two personality traits: "conscientiousness" and "extraversion" and a perceived improvement in oral lichen planus could be observed. The higher the "conscientiousness," the better the perceived oral health-related quality of life. Furthermore, "extraversion" had a significant influence on the improvement in clinical severity index (P < 0.05).

CONCLUSIONS

Personality traits, especially conscientiousness and extraversion, have a significant impact on the perception of therapeutic intervention in oral lichen planus.

CLINICAL RELEVANCE

As personalized patient management is gaining importance and psychosocial factors play a significant role in mucosal diseases, the patient's psychological profile should be considered in the oral lichen planus management.

摘要

目的

本研究旨在评估人格特质与口腔扁平苔藓患者对治疗效果的感知之间的关系。

材料与方法

共评估了 53 例经诊断为口腔扁平苔藓的患者,分别在诊断时和治疗过程中进行评估。采用视觉模拟评分(VAS)评估疼痛和烧灼感,并评估口腔健康相关生活质量(OHIP)和临床严重程度。为了确定人格特质,应用 NEO-FFI 问卷进行评估。使用统计软件 Stata 对数据进行评估,采用多元线性回归分析。

结果

观察到两种人格特质“尽责性”和“外向性”与口腔扁平苔藓患者感知的改善之间存在显著关系。“尽责性”越高,口腔健康相关生活质量的感知越好。此外,“外向性”对临床严重指数的改善有显著影响(P < 0.05)。

结论

人格特质,尤其是尽责性和外向性,对口腔扁平苔藓患者对治疗干预的感知有显著影响。

临床意义

由于个性化患者管理越来越重要,社会心理因素在黏膜疾病中起着重要作用,因此在口腔扁平苔藓管理中应考虑患者的心理特征。

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