Periodontology, Department of Restorative Dentistry, Faculty of Dentistry, The National University of Malaysia.
Oral Health Division, Ministry of Health.
J Oral Sci. 2022 Jan 19;64(1):1-5. doi: 10.2334/josnusd.21-0267. Epub 2021 Oct 25.
This cross-sectional study aimed to identify impacts of depression, anxiety and stress on periodontitis severity and oral health-related quality of life (OHRQoL).
A total of 141 periodontitis patients were recruited. Psychological states were assessed using the Malay short-form Depression, Anxiety and Stress Scales (MDASS-21). Subjects were grouped as positive for depression, anxiety or stress (DAS) (positive-DAS), without DAS (non-DAS), stress-only and anxiety-only. OHRQoL was evaluated using the Malay short-form Oral Health Impact Profile (S-OHIP[M]).
OHRQoL was associated with MDASS-21, probing pocket depths, recession, clinical attachment levels, number of teeth present and number of teeth with mobility. S-OHIP(M) of positive-DAS subjects was associated with clinical attachment levels, number of teeth present and presence of anxiety. Anxiety-only subjects reported higher S-OHIP(M) scores compared to the non-DAS group.
OHRQoL of all subjects was negatively impacted by periodontitis severity and tooth loss. Combinations of depression, anxiety or stress led to worse periodontal status and OHRQoL. Subjects with anxiety-only experienced poorer OHRQoL compared to those without depression, anxiety and stress regardless of periodontitis severity. Possible impacts of psychological states on periodontitis and OHRQoL highlights the importance of assessing and improving psychological factors as part of periodontal therapy and to enhance OHRQoL.
本横断面研究旨在探讨抑郁、焦虑和压力对牙周炎严重程度和口腔健康相关生活质量（OHRQoL）的影响。
共招募了 141 名牙周炎患者。使用马来语短式抑郁、焦虑和压力量表（MDASS-21）评估心理状态。将受试者分为抑郁、焦虑或压力阳性（DAS）（阳性-DAS）、无 DAS（非 DAS）、仅压力和仅焦虑组。使用马来语短式口腔健康影响简表（S-OHIP[M]）评估 OHRQoL。
OHRQoL 与 MDASS-21、探诊深度、退缩、临床附着水平、现存牙齿数和活动牙齿数相关。阳性-DAS 受试者的 S-OHIP（M）与临床附着水平、现存牙齿数和焦虑存在相关。仅焦虑组报告的 S-OHIP（M）评分高于非 DAS 组。
所有受试者的 OHRQoL 均受到牙周炎严重程度和牙齿缺失的负面影响。抑郁、焦虑或压力的组合导致牙周状况和 OHRQoL 更差。仅焦虑组的 OHRQoL 较无抑郁、焦虑和压力的受试者更差，而不论牙周炎严重程度如何。心理状态对牙周炎和 OHRQoL 的可能影响强调了评估和改善心理因素作为牙周治疗一部分的重要性，以提高 OHRQoL。
