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De David SC, Ferreira TDGM, da Rocha JM, Moreira CHC, Fiorini T. Association between cognitive rumination and periodontal disease, tooth loss and oral health-related quality of life in a rural Southern Brazil population. Clin Oral Investig 2024; 28:397. [PMID: 38918232 DOI: 10.1007/s00784-024-05779-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 06/11/2024] [Indexed: 06/27/2024]
Abstract
OBJECTIVES Rumination is a maladaptive emotion regulation strategy. It has been associated with several psychological disorders and physical problems. This cross-sectional study aimed to evaluate whether cognitive rumination is associated with periodontal disease (PD), tooth loss (TL), and oral health-related quality of life (OHRQoL). MATERIALS AND METHODS A population-based sample from a rural area in southern Brazil was evaluated. Calibrated examiners carried out a complete periodontal examination at six sites-per-tooth. Rumination and Reflection (RRQ) and Oral Health Impact Profile (OHIP-14) questionnaires were administered. Regression modeling was used to assess the prevalence ratio (PR) between rumination and PD and to estimate the rate ratio (RR) between rumination and TL and rumination and OHIP. RESULTS Severe periodontitis prevalence of 33% was observed in the sample. In the Poisson-adjusted model (n = 587), individuals who ruminate more have 27% more periodontal disease (PR: 1.27, 95%CI:1.02 - 1.60). Regarding TL and OHIP, negative binomial regression (n = 672) showed an association with rumination, but it was not significant (RR 1.14, 95%CI 0.99 - 1.31) and (RR 1.20, 95%CI 0.98 - 1.48), respectively. CONCLUSIONS Cognitive rumination was independently associated with periodontal disease in individuals living in a rural area. Borderline non-significant estimates were observed regarding TL and OHRQoL. More research using different populations and focusing on individual's responses to psychological stress may confirm these results. CLINICAL RELEVANCE Emotional regulation is crucial to deal with stress, anxiety, and depression. Since psychopathologies are among the most prevalent diseases in the world, it is critical to understand the role of these issues in dental outcomes.
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Affiliation(s)
- Silvia Cardoso De David
- Department of Conservative Dentistry - Periodontology, School of Dentistry, Federal University of Rio Grande Do Sul, Ramiro Barcelos Street, 2492, Porto Alegre, RS, Zip Code 90035-003, Brazil
| | | | - José Mariano da Rocha
- Dental School, Post-Graduate Program of Federal University of Santa Maria, Santa Maria, Brazil
| | | | - Tiago Fiorini
- Department of Conservative Dentistry - Periodontology, School of Dentistry, Federal University of Rio Grande Do Sul, Ramiro Barcelos Street, 2492, Porto Alegre, RS, Zip Code 90035-003, Brazil.
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Baniasadi K, Armoon B, Higgs P, Bayat AH, Mohammadi Gharehghani MA, Hemmat M, Fakhri Y, Mohammadi R, Fattah Moghaddam L, Schroth RJ. The Association of Oral Health Status and socio-economic determinants with Oral Health-Related Quality of Life among the elderly: A systematic review and meta-analysis. Int J Dent Hyg 2021; 19:153-165. [PMID: 33523593 DOI: 10.1111/idh.12489] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Revised: 12/15/2020] [Accepted: 01/24/2021] [Indexed: 01/03/2023]
Abstract
OBJECTIVE The aim of this study was to determine the relationship between poor Oral Health-Related Quality of Life (OHRQoL) and oral health determinants (eg being 75 years of age or greater, marital status, smoking status, denture wearing, depression, low educational level (≤8th grade), poor general health, caries history, tooth-induced pain, decayed, missing filled teeth (DMFT) scores and periodontal diseases) among the elderly. METHODS Formal search strategies in PubMed, Scopus, Cochrane and Web of Science were performed to identify studies in English published before 1 December 2019. We assessed the impacts of the oral health determinants including being 75 years of age or greater, marital status, smoking status, denture wearing, depression, low educational level (≤8th grade), poor general health, caries history, tooth-induced pain, DMFT scores and periodontal diseases) on OHRQoL among elderly individuals. The data were analysed using Stata 12.0 software. RESULTS In total, 19 publications met the inclusion criteria of this meta-analysis. Findings indicate a positive association between low educational level (ie ≤8th grade), marital status, depression, smoking status, denture wearing, poor general health, tooth-induced pain, periodontal diseases and poor OHRQoL among the elderly. We also observed a negative association between DMFT, being older than 75 years of age on poor OHRQoL among the elderly. CONCLUSIONS This review identified that several oral health determinants were associated with poor OHRQoL. The efficacy of preventive measures and the economic aspects of tooth replacement approaches should be explored in the future. Developing oral healthcare plans and policies with the specific aim of improving OHRQoL among this group is essential.
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Affiliation(s)
- Kamal Baniasadi
- Department of Cognitive Psychology, Institute for Cognitive Science Studies, Pardis, Iran
| | - Bahram Armoon
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Peter Higgs
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Amir-Hossein Bayat
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | | | - Morteza Hemmat
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Yadolah Fakhri
- Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Rasool Mohammadi
- Department of Epidemiology and Biostatistics, School of Public Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Ladan Fattah Moghaddam
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Robert J Schroth
- Dr. Gerald Niznick College of Dentistry, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
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Halvari AEM, Halvari H, Deci EL. Dental anxiety, oral health‐related quality of life, and general well‐being: A self‐determination theory perspective. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2019. [DOI: 10.1111/jasp.12583] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Affiliation(s)
| | - Hallgeir Halvari
- Department of Business, Marketing and Law University of South‐Eastern Norway Hønefoss Norway
| | - Edward L. Deci
- Department of Business, Marketing and Law University of South‐Eastern Norway Hønefoss Norway
- Department of Psychology University of Rochester Rochester NY USA
- Institute for Positive Psychology and Education Australian Catholic University Strathfield NSW Australia
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van Driel TJW, Hilderink PH, Hanssen DJC, de Boer P, Rosmalen JGM, Oude Voshaar RC. Assessment of Somatization and Medically Unexplained Symptoms in Later Life. Assessment 2018; 25:374-393. [PMID: 28745072 PMCID: PMC5865474 DOI: 10.1177/1073191117721740] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
The assessment of medically unexplained symptoms and "somatic symptom disorders" in older adults is challenging due to somatic multimorbidity, which threatens the validity of somatization questionnaires. In a systematic review study, the Patient Health Questionnaire-15 (PHQ-15) and the somatization subscale of the Symptom Checklist 90-item version (SCL-90 SOM) are recommended out of 40 questionnaires for usage in large-scale studies. While both scales measure physical symptoms which in younger persons often refer to unexplained symptoms, in older persons, these symptoms may originate from somatic diseases. Using empirical data, we show that PHQ-15 and SCL-90 SOM among older patients correlate with proxies of somatization as with somatic disease burden. Updating the previous systematic review, revealed six additional questionnaires. Cross-validation studies are needed as none of 46 identified scales met the criteria of suitability for an older population. Nonetheless, specific recommendations can be made for studying older persons, namely the SCL-90 SOM and PHQ-15 for population-based studies, the Freiburg Complaint List and somatization subscale of the Brief Symptom Inventory 53-item version for studies in primary care, and finally the Schedule for Evaluating Persistent Symptoms and Somatic Symptom Experiences Questionnaire for monitoring treatment studies.
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Choi SH, Cha JY, Lee KJ, Yu HS, Hwang CJ. Changes in psychological health, subjective food intake ability and oral health-related quality of life during orthodontic treatment. J Oral Rehabil 2017; 44:860-869. [DOI: 10.1111/joor.12556] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2017] [Indexed: 11/30/2022]
Affiliation(s)
- S.-H. Choi
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - J.-Y. Cha
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - K.-J. Lee
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - H.-S. Yu
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - C.-J. Hwang
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
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Rouxel P, Heilmann A, Demakakos P, Aida J, Tsakos G, Watt RG. Oral health-related quality of life and loneliness among older adults. Eur J Ageing 2016; 14:101-109. [PMID: 28579932 PMCID: PMC5435788 DOI: 10.1007/s10433-016-0392-1] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Loneliness is a serious concern in aging populations. The key risk factors include poor health, depression, poor material circumstances, and low social participation and social support. Oral disease and tooth loss have a significant negative impact on the quality of life and well-being of older adults. However, there is a lack of studies relating oral health to loneliness. This study investigated the association between oral health-related quality of life (through the use of the oral impact on daily performances—OIDP—measure) and loneliness amongst older adults living in England. Data from respondents aged 50 and older from the third (2006–2007) and fifth (2010–2011) waves of the English Longitudinal Study of Ageing were analyzed. In the cross-sectional logistic regression model that adjusted for socio-demographic, socio-economic, health, and psychosocial factors, the odds of loneliness were 1.48 (1.16–1.88; p < 0.01) higher amongst those who reported at least one oral impact compared to those with no oral impact. Similarly, in the fully adjusted longitudinal model, respondents who reported an incident oral impact were 1.56 times (1.09–2.25; p < 0.05) more likely to become lonely. The association between oral health-related quality of life and loneliness was attenuated after adjusting for depressive symptoms, low social participation, and social support. Oral health-related quality of life was identified as an independent risk factor for loneliness amongst older adults. Maintaining good oral health in older age may be a protective factor against loneliness.
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Affiliation(s)
- Patrick Rouxel
- UCL Eastman Dental Institute, 256 Gray's Inn Road, London, WC1X 8LD UK.,UCL, Epidemiology and Public Health, 1-19 Torrington Place, London, WC1E 6BT UK
| | - Anja Heilmann
- UCL, Epidemiology and Public Health, 1-19 Torrington Place, London, WC1E 6BT UK
| | - Panayotes Demakakos
- UCL, Epidemiology and Public Health, 1-19 Torrington Place, London, WC1E 6BT UK
| | - Jun Aida
- Division of International and Community Oral Health, Tohoku University, 4-1 Seiryo-machi, Sendai, Japan
| | - Georgios Tsakos
- UCL, Epidemiology and Public Health, 1-19 Torrington Place, London, WC1E 6BT UK
| | - Richard G Watt
- UCL, Epidemiology and Public Health, 1-19 Torrington Place, London, WC1E 6BT UK
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Choi SH, Kim JS, Cha JY, Lee KJ, Yu HS, Hwang CJ. Subjective food intake ability related to oral health-related quality of life and psychological health. J Oral Rehabil 2016; 43:670-7. [DOI: 10.1111/joor.12412] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/02/2016] [Indexed: 12/17/2022]
Affiliation(s)
- S.-H. Choi
- Department of Orthodontics; The Institute of Cranial-Facial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | | | - J.-Y. Cha
- Department of Orthodontics; The Institute of Cranial-Facial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - K.-J. Lee
- Department of Orthodontics; The Institute of Cranial-Facial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - H.-S. Yu
- Department of Orthodontics; The Institute of Cranial-Facial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - C.-J. Hwang
- Department of Orthodontics; The Institute of Cranial-Facial Deformity; College of Dentistry; Yonsei University; Seoul Korea
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Hassel AJ, Danner D, Freier K, Hofele C, Becker-Bikowski K, Engel M. Oral health-related quality of life and depression/anxiety in long-term recurrence-free patients after treatment for advanced oral squamous cell cancer. J Craniomaxillofac Surg 2012; 40:e99-102. [DOI: 10.1016/j.jcms.2011.05.011] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2010] [Revised: 05/24/2011] [Accepted: 05/25/2011] [Indexed: 11/30/2022] Open
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Mattila AK, Pohjola V, Suominen AL, Joukamaa M, Lahti S. Difficulties in emotional regulation: association with poorer oral health-related quality of life in the general population. Eur J Oral Sci 2012; 120:224-31. [DOI: 10.1111/j.1600-0722.2012.00953.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- A K Mattila
- School of Health Sciences, University of Tampere, Tampere, Finland.
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Strini PJSA, Strini PJSA, De Souza Barbosa T, Duarte Gavião MB. Assessment of orofacial dysfunctions, salivary cortisol levels and oral health related quality of life (ORHQoL) in young adults. Arch Oral Biol 2011; 56:1521-7. [DOI: 10.1016/j.archoralbio.2011.06.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2011] [Revised: 04/25/2011] [Accepted: 06/16/2011] [Indexed: 10/18/2022]
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Wellington C, Edwards CL, McNeil J, Wood M, Crisp B, Feliu M, Byrd G, McDougald C, Edwards L, Whitfield KE. Somatization in the conceptualization of sickle cell disease. J Natl Med Assoc 2011; 102:1079-83. [PMID: 21141298 DOI: 10.1016/s0027-9684(15)30736-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
The unpredictable nature of sickle cell disease (SCD) and its social and environmental consequences can produce an unhealthy and almost exclusive focus on physical functioning. At the upper range of this focus on health concerns is somatization. In the current study, using 156 adult patients (55.13% female, 86) with SCD, mean age 35.59 +/- 12.73, we explored the relationship of somatization to pain. We found somatization to be predictive of pain severity and current pain intensity as well as a range of averaged indices of pain over time (p < .0001). We further found somatization to be predictive of a range of negative psychological experiences to include depression, anxiety, and hostility (p < .0001). We interpret these data to suggest that patients with SCD who have a propensity to focus exclusively on their health or are more sensitive to minor changes in their health status (somatization) may also be more likely to report greater concerns about their health and higher ratings of pain.
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Affiliation(s)
- Chanté Wellington
- Department of Psychiatry, Duke University Medical Center, 932 Morreene Rd, Durham, NC 27705, USA
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Hassel AJ, Danner D, Schmitt M, Nitschke I, Rammelsberg P, Wahl HW. Oral health-related quality of life is linked with subjective well-being and depression in early old age. Clin Oral Investig 2010; 15:691-7. [DOI: 10.1007/s00784-010-0437-3] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2010] [Accepted: 06/14/2010] [Indexed: 10/19/2022]
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Smith B, Baysan A, Fenlon M. Association between Oral Health Impact Profile and General Health scores for patients seeking dental implants. J Dent 2009; 37:357-9. [DOI: 10.1016/j.jdent.2009.01.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2008] [Revised: 12/27/2008] [Accepted: 01/09/2009] [Indexed: 11/24/2022] Open
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Abstract
PURPOSE OF REVIEW To review recent findings on the relationship between neurotic disorders (specifically depression, anxiety and somatization) and function and quality of life (QoL) in patients with complex clinical presentations, and to consider the clinical and public health implications. RECENT FINDINGS The high prevalence of comorbid depression and anxiety among patients with general medical disorders is well known. The impact of the comorbidity on function in these patients is documented extensively. The study of their QoL is an emerging area of work, though its interpretation is controversial. The impact of somatization on function and QoL is less well studied. Recent findings emphasize the value of a common measure for QoL across health conditions. SUMMARY Depression, anxiety and somatization are a significant burden in the general population and failure to recognize and manage these problems in general healthcare contributes to delayed recovery. A holistic approach to symptom, disability and QoL assessment, done in awareness of possible measurement redundancy, is likely to assist better recognition and management of these conditions. Further research is needed on the effects on QoL of depression and anxiety in patients with general medical disorders and early detection and treatment of somatization.
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Hebling E, Pereira AC. Oral health-related quality of life: a critical appraisalof assessment tools used in elderly people. Gerodontology 2007; 24:151-61. [PMID: 17696892 DOI: 10.1111/j.1741-2358.2007.00178.x] [Citation(s) in RCA: 72] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The purpose of this study was to undertake a critical appraisal of oral health-related quality of life (OHRQoL) measurements used for research in the elderly. BACKGROUND A variety of OHRQoL measurements have been developed in the past 20 years as a result of increased concern about the impact of oral conditions on a person's quality of life. There is need for an assessment aimed at prioritising the recommended measurements to be used for different purposes in the elderly. MATERIALS AND METHODS Original English language papers using measurements to assess OHRQoL in the elderly were identified from Web of Science, EMBASE, PubMed, Medline and Lilacs databases. The search included all papers published from 1985 to February 2007. The criteria of assessment were: (i) measurement criteria (number of items and domains, and classification of the results found for each measurement); (ii) quantitative-qualitative criteria (frequency, acceptability, reproducibility, reliability, sensitivity and capability of being reproduced in other language versions). RESULTS In a total of 152 papers selected, 20 measurements were identified. However, only seven fulfilled all the measurement and quantitative-qualitative criteria. CONCLUSION Geriatric Oral Health Assessment Index, Subjective Oral Health Status Indicators, Oral Health Impact Profile-49, Dental Impact on Daily Living, Oral Health Impact Profile-14, Oral Impact on Daily Performances and German Version of the Oral Heath Impact Profile were considered as instruments of choice to assess OHRQoL in the elderly. The other 13 instruments identified require further research aimed at a validation process and the use of a language other than English.
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Affiliation(s)
- Eduardo Hebling
- Department of Community Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil.
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