Department of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur Maharashtra, India.
Department of Dentistry, Indira Gandhi Government Medical College & Hospital, Nagpur, Maharashtra State, India.
Asian Pac J Cancer Prev. 2021 Feb 1;22(2):477-483. doi: 10.31557/APJCP.2021.22.2.477.
To investigate the oral psychosomatic disorders (PSDs) in family caregivers (FCs) of oral cancer (OC) patients and to evaluate the correlation between these oral PSDs to severity of depression anxiety and stress.
A total of 50 participants were included each in first degree relative (FDR), second degree relative (SDR) and control group. All the participants completed DASS-21 questionnaire and were subjected to thorough clinical history and oral examination.
All the FCs reported statistically significant higher mean levels of depression, anxiety and stress compared to controls (p˂0.001). A significantly greater number of FCs (40.00%) reported oral PSDs than control group (12.00%). Most prevalent oral PSD in FCs was aphthous stomatitis followed by oral lichen planus, bruxism, burning mouth syndrome and myofascial pain dysfunction syndrome. Moreover, there was a preponderance of these diseases in FDR (60.86%) compared to SDR (26.08%). FCs with moderate to very severe depression, anxiety and stress showed higher prevalence of these oral PSDs compared to the ones with mild depression, anxiety and stress.
The observations of higher prevalence of oral PSDs in FCs with psychological alterations can enhance healthcare professionals' awareness to better understand FCs' oral healthcare needs.
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调查口腔癌(OC)患者家属(FCs)的口腔心身障碍(PSD),并评估这些口腔 PSD 与抑郁、焦虑和压力严重程度的相关性。
共有 50 名参与者分别纳入一级亲属(FDR)、二级亲属(SDR)和对照组。所有参与者均完成 DASS-21 问卷,并接受详细的临床病史和口腔检查。
与对照组相比,所有 FCs 的抑郁、焦虑和压力的平均水平均显著升高(p˂0.001)。与对照组(12.00%)相比,更多的 FCs(40.00%)报告存在口腔 PSD。在 FCs 中,最常见的口腔 PSD 是口腔溃疡,其次是口腔扁平苔藓、磨牙症、灼口综合征和肌筋膜疼痛功能障碍综合征。此外,FDR 中这些疾病的患病率高于 SDR(60.86%比 26.08%)。中度至重度抑郁、焦虑和压力的 FCs 中这些口腔 PSD 的患病率高于轻度抑郁、焦虑和压力的 FCs。
心理改变的 FCs 中口腔 PSD 患病率较高的观察结果可以增强医疗保健专业人员的意识,从而更好地了解 FCs 的口腔保健需求。