Relationship of Anxiety and Depression in Patients with Chronic Periodontitis
Journal of Dental School, Shahid Beheshti University of Medical Sciences,
Vol. 37 No. 2 (2019),
11 March 2020
,
Page 44-47
https://doi.org/10.22037/jds.v37i2.29406
Abstract
Objectives Many researchers have attempted to link the current concepts of anxiety and depression to periodontal disease. This study aimed to compare the level of anxiety and depression in Iranian patients with chronic periodontitis (CP) and periodontally healthy controls.
Methods Fifty CP patients and 50 periodontally healthy controls participated in this study according to our eligibility criteria. Periodontal clinical examination was performed using a Williams probe. The clinical attachment loss (CAL), pocket probing depth (PPD) and bleeding on probing (BOP) were recorded for all teeth except for third molars. In order to psychologically assess the individuals, the Beck’s Depression Inventory (BDI) and the Beck’s Anxiety Inventory (BAI) were used. The mean scores of BAI and BDI were compared between the two groups using the Student t-test.
Results The mean age of participants was 44.86±8.07 years. The mean score of BDI was 13.58±8.35 in periodontally healthy controls and 25.62±13.01 in CP patients. The mean score of BAI was 9.9±5.65 in the control and 21.02±13.63 in the test group. The Student t-test revealed a significant difference between the two groups in total score of BDI and BAI (P<0.000). A significant correlation was noted between the BDI and age (P=0.027) but BAI had no significant correlation with age (P=0.245).
Conclusion According to the results of this study, the level of anxiety and depression in CP patients was higher than that in periodontally healthy controls in our study population- Anxiety
- Depression
- Chronic Periodontitis
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References
Newman MG, Klokkevold PR, Carranza FA, Fermin A, Takei H. Carranza's Clinical Periodontology. Elsevier; 2016; 200-340.
Genco RJ, Ho AW, Kopman J, Grossi SG, Dunford RG, Tedesco LA. Models to evaluate the role of stress in periodontal disease. Ann Periodontol. 1998 Jul ;3(1):288-302.
Goyal S, Gupta G, Thomas B, Bhat KM, Bhat GS. Stress and periodontal disease: The link and logic!! Ind Psychiatry J. 2013 Jan;22(1):4-11.
Parwani R, Parwani SR. Does stress predispose to periodontal disease? Dent Update. 2014 Apr ;41(3):260-4, 7-8, 71-2.
Preeja C, Ambili R, Nisha KJ, Seba A, Archana V. Unveiling the role of stress in periodontal etiopathogenesis: an evidence-based review. J Investig Clin Dent. 2013 May ;4(2):78-83.
Wimmer G, Janda M, Wieselmann-Penkner K, Jakse N, Polansky R, Pertl C. Coping with stress: its influence on periodontal disease. J Periodontol. 2002 Nov;73(11):1343-51.
Wimmer G, Kohldorfer G, Mischak I, Lorenzoni M, Kallus KW. Coping with stress: its influence on periodontal therapy. J Periodontol. 2005 Jan;76(1):90-8.
Beck AT, Guth D, Steer RA, Ball R. Screening for major depression disorders in medical inpatients with the Beck Depression Inventory for Primary Care. Behaviour research and therapy. 1997;35(8):785-91.
Beck AT, Steer RA, Ball R, Ciervo CA, Kabat M. Use of the Beck Anxiety and Depression Inventories for Primary Care with Medical Outpatients. Assessment. 1997;4(3):211-9.
da Silva AM, Newman HN, Oakley DA. Psychosocial factors in inflammatory periodontal diseases. A review. J Clin Periodontol. 1995 Jul;22(7):516-26.
Selye HJIB, MA. Stress in health and disease Butterworth’s. Inc. Boston, MA.1976. P: ??
Marques-Vidal P, Milagre V. Are oral health status and care associated with anxiety and depression? A study of Portuguese health science students. J Public Health Dent. 2006 Mar ;66(1):64-6.
Roberts A, Matthews JB, Socransky SS, Freestone PP, Williams PH, Chapple IL. Stress and the periodontal diseases: effects of catecholamines on the growth of periodontal bacteria in vitro. Oral Microbiol Immunol. 2002 Oct;17(5):296-303.
Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety--an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil. 2006 Aug;33(8):588-93.
Nascimento GG, Gastal MT, Leite FRM, Quevedo LA, Peres KG, Peres MA, et al. Is there an association between depression and periodontitis? A birth cohort study. J Clin Periodontol. 2019 Jan;46(1):31-9.
Saletu AJJCP. Pir er-Frühauf H, Saletu F, Linzmayer L, Anderer P, Matej a M. Controlled clinical and psychometric studies on the relation between periodontitis and depressive mood. J Clin Periodontol. 2005;32(12):1219-25.
Moss ME, Beck JD, Kaplan BH, Offenbacher S, Weintraub JA, Koch GG, et al. Exploratory case-control analysis of psychosocial factors and adult periodontitis. J Periodontol. 1996 Oct;67(10 Suppl):1060-9.
Klages U, Weber AG, Wehrbein H. Approximal plaque and gingival sulcus bleeding in routine dental care patients: relations to life stress, somatization and depression. J Clin Periodontol. 2005 Jun;32(6):575-82.
Dumitrescu AL, Kawamura M. Involvement of psychosocial factors in the association of obesity with periodontitis. J Oral Sci. 2010;52(1):115-24.
Dumitrescu AL, Dogaru BC, Dogaru CD. Self-control and self-confidence: their relationship to self-rated oral health status and behaviours. Oral Health Prev Dent. 2009 Jun;7(2):155-62.
Solis AC, Lotufo RF, Pannuti CM, Brunheiro EC, Marques AH, Lotufo-Neto F. Association of periodontal disease to anxiety and depression symptoms, and psychosocial stress factors. J Clin Periodontol. 2004 Aug; 31(8):633-8.
Vettore MV, Leao AT, Monteiro Da Silva AM, Quintanilha RS, Lamarca GA. The relationship of stress and anxiety with chronic periodontitis. J Clin Periodontol. 2003 May ;30(5):394-402.
Persson GR, Persson RE, MacEntee CI, Wyatt CC, Hollender LG, Kiyak HA. Periodontitis and perceived risk for periodontitis in elders with evidence of depression. J Clin Periodontol. 2003 Aug;30(8):691-6.
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