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口腔黏膜下纤维化患者口腔癌恐惧症与焦虑的评估及相关性:一项横断面研究。

Evaluation and correlation of oral cancer phobia and anxiety in oral submucous fibrosis patients: A cross-sectional study.

作者信息

Kalaskar Ashita Ritesh, Somani Gauri Ashok, Kalaskar Ritesh Rambharose

机构信息

Department of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur, 440003, Maharashtra, India.

Government Dental College & Hospital, Nagpur, 440003, Maharashtra, India.

出版信息

J Oral Biol Craniofac Res. 2025 Jul-Aug;15(4):724-728. doi: 10.1016/j.jobcr.2025.04.008. Epub 2025 Apr 23.

Abstract

OBJECTIVE

Oral Cancer Phobia and anxiety in patients having premalignant conditions like Oral Submucous fibrosis (OSMF) needs to be evaluated so as to provide an overall effective management to these patients.

METHODS & MATERIALS: Patients having OSMF were tested for oral cancer phobia and anxiety using the validated Marathi translation of CAI and 5-item version of the Spielberger State-Trait Anxiety Inventory (STAI) questionnaire respectively. The correlation was obtained for Oral cancer phobia, anxiety, and socio-demographic status.

RESULTS

Cancer phobia and anxiety (mild to severe) were present in all the participants with the majority (65 %) having severe scores and significantly correlated with each other (p value < 0.001). Their scores significantly increased with an increase in grades of OSMF. A co-relation with socio-demographic profiles revealed females to be more affected by severe cancerophobia and anxiety. Patients with less education and housewives had greater levels of cancerophobia and anxiety. Housewives were also more concerned about acquiring cancer.

CONCLUSION

Cancer phobia and anxiety are prevalent in Oral Submucous Fibrosis patients highlighting the significance of identifying and providing psychological therapy as an important part of OSMF management protocol.

摘要

目的

需要对患有口腔黏膜下纤维化(OSMF)等癌前病变的患者的口腔癌恐惧症和焦虑症进行评估,以便为这些患者提供全面有效的管理。

方法与材料

分别使用经验证的CAI马拉地语译本和斯皮尔伯格状态-特质焦虑量表(STAI)问卷的5项版本,对患有OSMF的患者进行口腔癌恐惧症和焦虑症测试。得出了口腔癌恐惧症、焦虑症与社会人口统计学状况之间的相关性。

结果

所有参与者均存在癌症恐惧症和焦虑症(轻度至重度),大多数(65%)得分严重,且彼此显著相关(p值<0.001)。随着OSMF等级的增加,他们的得分显著升高。与社会人口统计学特征的相关性显示,女性受严重癌症恐惧症和焦虑症的影响更大。受教育程度较低的患者和家庭主妇的癌症恐惧症和焦虑程度更高。家庭主妇也更担心患癌。

结论

癌症恐惧症和焦虑症在口腔黏膜下纤维化患者中普遍存在,这凸显了识别并提供心理治疗作为OSMF管理方案重要组成部分的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb93/12051511/92618c098bb7/gr1.jpg

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