Recurrent aphthous stomatitis (RAS): a preliminary within-subject study of quality of life, oral health impacts and personality profiles
Background RAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients’ perceptions. Professionals should understand this relation to adequately manage oral ulcers. This study aimed at investigating the relationship betw...
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| Published in | Journal of oral pathology & medicine Vol. 44; no. 4; pp. 278 - 283 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Denmark
Blackwell Publishing Ltd
01.04.2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0904-2512 1600-0714 1600-0714 |
| DOI | 10.1111/jop.12232 |
Cover
| Abstract | Background
RAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients’ perceptions. Professionals should understand this relation to adequately manage oral ulcers. This study aimed at investigating the relationship between oral health impacts, oral health‐related quality of life and psychological profiles in patients with recurrent aphthous stomatitis (RAS).
Methods
Fifty‐three patients (30 men and 23 women, mean age: 31.1 ± 10.1 years) with RAS participated in this study. During ulcer episodes, participants completed Hospital Anxiety and Depression Scale (HAD), Neuroticism‐Extraversion‐Openness Five Factor Inventory (NEO‐FFI), Oral Health Impact Profile (OHIP‐14) and United Kingdom Oral Health‐Related Quality of Life measure (OHQoL‐UK) proformas. Patients completed OHIP‐14 and OHQoL‐UK again when they were ulcer‐free. The statistically significance levels were set at P ≤ 0.05.
Results
During ulcer episodes, patients reported worse oral health impacts and an inferior quality of life in comparison with ulcer‐free times (P < 0.0001). Higher OHIP scores were significantly associated with higher HAD depression (P = 0.036) and anxiety (P = 0.012) scores. NEO‐FFI scores had no significant relations with OHIP and OHQoL‐UK scores (P > 0.05). During ulcer‐free periods, no relationships were detected between OHIP, OHQoL‐UK, HAD and NEO‐FFI scores (P > 0.05), except between OHQoL‐UK and conscientiousness scores (P = 0.05).
Conclusions
RAS increased the negative oral health impacts on patients and consequently lowered their quality of life. Stressful situations and conditions (including anxiety and depression), rather than inherent personality profiles and stable psychological traits, were related to oral health impacts and quality of life in patients with RAS. |
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| AbstractList | RAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients' perceptions. Professionals should understand this relation to adequately manage oral ulcers. This study aimed at investigating the relationship between oral health impacts, oral health-related quality of life and psychological profiles in patients with recurrent aphthous stomatitis (RAS).
Fifty-three patients (30 men and 23 women, mean age: 31.1 ± 10.1 years) with RAS participated in this study. During ulcer episodes, participants completed Hospital Anxiety and Depression Scale (HAD), Neuroticism-Extraversion-Openness Five Factor Inventory (NEO-FFI), Oral Health Impact Profile (OHIP-14) and United Kingdom Oral Health-Related Quality of Life measure (OHQoL-UK) proformas. Patients completed OHIP-14 and OHQoL-UK again when they were ulcer-free. The statistically significance levels were set at P ≤ 0.05.
During ulcer episodes, patients reported worse oral health impacts and an inferior quality of life in comparison with ulcer-free times (P < 0.0001). Higher OHIP scores were significantly associated with higher HAD depression (P = 0.036) and anxiety (P = 0.012) scores. NEO-FFI scores had no significant relations with OHIP and OHQoL-UK scores (P > 0.05). During ulcer-free periods, no relationships were detected between OHIP, OHQoL-UK, HAD and NEO-FFI scores (P > 0.05), except between OHQoL-UK and conscientiousness scores (P = 0.05).
RAS increased the negative oral health impacts on patients and consequently lowered their quality of life. Stressful situations and conditions (including anxiety and depression), rather than inherent personality profiles and stable psychological traits, were related to oral health impacts and quality of life in patients with RAS. Background RAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients’ perceptions. Professionals should understand this relation to adequately manage oral ulcers. This study aimed at investigating the relationship between oral health impacts, oral health‐related quality of life and psychological profiles in patients with recurrent aphthous stomatitis (RAS). Methods Fifty‐three patients (30 men and 23 women, mean age: 31.1 ± 10.1 years) with RAS participated in this study. During ulcer episodes, participants completed Hospital Anxiety and Depression Scale (HAD), Neuroticism‐Extraversion‐Openness Five Factor Inventory (NEO‐FFI), Oral Health Impact Profile (OHIP‐14) and United Kingdom Oral Health‐Related Quality of Life measure (OHQoL‐UK) proformas. Patients completed OHIP‐14 and OHQoL‐UK again when they were ulcer‐free. The statistically significance levels were set at P ≤ 0.05. Results During ulcer episodes, patients reported worse oral health impacts and an inferior quality of life in comparison with ulcer‐free times (P < 0.0001). Higher OHIP scores were significantly associated with higher HAD depression (P = 0.036) and anxiety (P = 0.012) scores. NEO‐FFI scores had no significant relations with OHIP and OHQoL‐UK scores (P > 0.05). During ulcer‐free periods, no relationships were detected between OHIP, OHQoL‐UK, HAD and NEO‐FFI scores (P > 0.05), except between OHQoL‐UK and conscientiousness scores (P = 0.05). Conclusions RAS increased the negative oral health impacts on patients and consequently lowered their quality of life. Stressful situations and conditions (including anxiety and depression), rather than inherent personality profiles and stable psychological traits, were related to oral health impacts and quality of life in patients with RAS. RAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients' perceptions. Professionals should understand this relation to adequately manage oral ulcers. This study aimed at investigating the relationship between oral health impacts, oral health-related quality of life and psychological profiles in patients with recurrent aphthous stomatitis (RAS). Fifty-three patients (30 men and 23 women, mean age: 31.1 plus or minus 10.1 years) with RAS participated in this study. During ulcer episodes, participants completed Hospital Anxiety and Depression Scale (HAD), Neuroticism-Extraversion-Openness Five Factor Inventory (NEO-FFI), Oral Health Impact Profile (OHIP-14) and United Kingdom Oral Health-Related Quality of Life measure (OHQoL-UK) proformas. Patients completed OHIP-14 and OHQoL-UK again when they were ulcer-free. The statistically significance levels were set at P less than or equal to 0.05. During ulcer episodes, patients reported worse oral health impacts and an inferior quality of life in comparison with ulcer-free times (P < 0.0001). Higher OHIP scores were significantly associated with higher HAD depression (P = 0.036) and anxiety (P = 0.012) scores. NEO-FFI scores had no significant relations with OHIP and OHQoL-UK scores (P > 0.05). During ulcer-free periods, no relationships were detected between OHIP, OHQoL-UK, HAD and NEO-FFI scores (P > 0.05), except between OHQoL-UK and conscientiousness scores (P = 0.05). RAS increased the negative oral health impacts on patients and consequently lowered their quality of life. Stressful situations and conditions (including anxiety and depression), rather than inherent personality profiles and stable psychological traits, were related to oral health impacts and quality of life in patients with RAS. RAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients' perceptions. Professionals should understand this relation to adequately manage oral ulcers. This study aimed at investigating the relationship between oral health impacts, oral health-related quality of life and psychological profiles in patients with recurrent aphthous stomatitis (RAS).BACKGROUNDRAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients' perceptions. Professionals should understand this relation to adequately manage oral ulcers. This study aimed at investigating the relationship between oral health impacts, oral health-related quality of life and psychological profiles in patients with recurrent aphthous stomatitis (RAS).Fifty-three patients (30 men and 23 women, mean age: 31.1 ± 10.1 years) with RAS participated in this study. During ulcer episodes, participants completed Hospital Anxiety and Depression Scale (HAD), Neuroticism-Extraversion-Openness Five Factor Inventory (NEO-FFI), Oral Health Impact Profile (OHIP-14) and United Kingdom Oral Health-Related Quality of Life measure (OHQoL-UK) proformas. Patients completed OHIP-14 and OHQoL-UK again when they were ulcer-free. The statistically significance levels were set at P ≤ 0.05.METHODSFifty-three patients (30 men and 23 women, mean age: 31.1 ± 10.1 years) with RAS participated in this study. During ulcer episodes, participants completed Hospital Anxiety and Depression Scale (HAD), Neuroticism-Extraversion-Openness Five Factor Inventory (NEO-FFI), Oral Health Impact Profile (OHIP-14) and United Kingdom Oral Health-Related Quality of Life measure (OHQoL-UK) proformas. Patients completed OHIP-14 and OHQoL-UK again when they were ulcer-free. The statistically significance levels were set at P ≤ 0.05.During ulcer episodes, patients reported worse oral health impacts and an inferior quality of life in comparison with ulcer-free times (P < 0.0001). Higher OHIP scores were significantly associated with higher HAD depression (P = 0.036) and anxiety (P = 0.012) scores. NEO-FFI scores had no significant relations with OHIP and OHQoL-UK scores (P > 0.05). During ulcer-free periods, no relationships were detected between OHIP, OHQoL-UK, HAD and NEO-FFI scores (P > 0.05), except between OHQoL-UK and conscientiousness scores (P = 0.05).RESULTSDuring ulcer episodes, patients reported worse oral health impacts and an inferior quality of life in comparison with ulcer-free times (P < 0.0001). Higher OHIP scores were significantly associated with higher HAD depression (P = 0.036) and anxiety (P = 0.012) scores. NEO-FFI scores had no significant relations with OHIP and OHQoL-UK scores (P > 0.05). During ulcer-free periods, no relationships were detected between OHIP, OHQoL-UK, HAD and NEO-FFI scores (P > 0.05), except between OHQoL-UK and conscientiousness scores (P = 0.05).RAS increased the negative oral health impacts on patients and consequently lowered their quality of life. Stressful situations and conditions (including anxiety and depression), rather than inherent personality profiles and stable psychological traits, were related to oral health impacts and quality of life in patients with RAS.CONCLUSIONSRAS increased the negative oral health impacts on patients and consequently lowered their quality of life. Stressful situations and conditions (including anxiety and depression), rather than inherent personality profiles and stable psychological traits, were related to oral health impacts and quality of life in patients with RAS. |
| Author | AL-Omiri, Mahmoud K. Scully, Crispian Lynch, Edward Zwiri, Abdalwhab M. A. Alhijawi, Mohannad M. Karasneh, Jumana |
| Author_xml | – sequence: 1 givenname: Mahmoud K. surname: AL-Omiri fullname: AL-Omiri, Mahmoud K. email: alomirim@yahoo.co.uk organization: Faculty of Dentistry, University of Jordan, Amman, Jordan – sequence: 2 givenname: Jumana surname: Karasneh fullname: Karasneh, Jumana organization: Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan – sequence: 3 givenname: Mohannad M. surname: Alhijawi fullname: Alhijawi, Mohannad M. organization: Department of Dentistry, Ministry of Health, Amman, Jordan – sequence: 4 givenname: Abdalwhab M. A. surname: Zwiri fullname: Zwiri, Abdalwhab M. A. organization: Department of Periodontics and Oral Medicine, Aljouf University, Sakaka, Saudi Arabia – sequence: 5 givenname: Crispian surname: Scully fullname: Scully, Crispian organization: University College London (UCL), London, UK – sequence: 6 givenname: Edward surname: Lynch fullname: Lynch, Edward organization: Warwick Dentistry, Warwick Medical School, University of Warwick, Coventry, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25154862$$D View this record in MEDLINE/PubMed |
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Aphthous ulceration publication-title: N Eng J Med – volume: 9 start-page: 1 year: 2004 end-page: 7 article-title: Association between psychological disorders and the presence of oral lichen planus, burning mouth syndrome and recurrent aphthous stomatitis publication-title: Med Oral – volume: 41 start-page: 384 year: 2012 end-page: 8 article-title: Psychological profiles among patients with recurrent aphthous ulcers publication-title: Int J Oral Maxillofac Surg – volume: 32 start-page: 334 year: 2003 end-page: 6 article-title: Patient‐centered outcome measures for oral mucosal disease are sensitive to treatment publication-title: Int J Oral Maxillofac Surg – volume: 78 start-page: 643 year: 1999 end-page: 9 article-title: A cross‐cultural study of oral health values publication-title: J Dent Res – volume: 1 start-page: 40 year: 2003 article-title: Assessment of oral health related quality of life publication-title: Health Qual Life Outcomes – volume: 3 start-page: 3 year: 1986 end-page: 17 article-title: Developing socio‐dental indicators–the social impact of dental disease publication-title: Community Dent Health – volume: 17 start-page: 503 year: 2004 end-page: 11 article-title: Oral health related quality of life in patients treated with fixed, removable, and complete denture 1 month and 6–12 months after treatment publication-title: Int J Prosthodont – volume: 22 start-page: 215 year: 2011 end-page: 20 article-title: Does recurrent aphthous stomatitis affect quality of life? A prospective study with 128 patients evaluating different treatment modalities publication-title: J Dermatolog Treat – volume: 36 start-page: 147 year: 2007 end-page: 52 article-title: The assessment of oral health‐related quality of life by factor analysis in patients with Behcet's disease and recurrent aphthous stomatitis publication-title: J Oral Pathol Med – volume: 52 start-page: 526 year: 1990 end-page: 35 article-title: The effects of relaxation/imagery training on recurrent aphthous stomatitis: a preliminary study publication-title: Psychosom Med – volume: 31 start-page: 161 year: 2003 end-page: 8 article-title: Oral and general health related quality of life with conventional and implant dentures publication-title: Community Dent Oral Epidemiol – volume: 11 start-page: 213 year: 1967 end-page: 8 article-title: The social readjustment rating scale publication-title: J Psychosom Res – volume: 74 start-page: 1408 year: 1995 end-page: 13 article-title: Relation between clinical dental status and subjective impacts on daily living publication-title: J Dent Res – volume: 128 start-page: 280 year: 1976 end-page: 9 article-title: The SCL‐90 and the MMPI: a step in the validation of a new self‐report scale publication-title: Br J Psychiatry – volume: 26 start-page: 52 year: 1998 end-page: 61 article-title: Assessing change in quality of life using the Oral Health Impact Profile publication-title: Community Dent Oral Epidemiol – year: 2000 – volume: 21 start-page: 99 year: 2007 end-page: 106 article-title: Pain and pain‐related interference associated with recurrent aphthous ulcers publication-title: J Orofac Pain – volume: 134 start-page: 200 year: 2003 end-page: 7 article-title: The diagnosis and management of recurrent aphthous stomatitis: a consensus approach publication-title: J Am Dent Assoc – volume: 26 start-page: 41 year: 1998 end-page: 7 article-title: Issues in measuring change in self‐perceived oral health status publication-title: Community Dent Oral Epidemiol – volume: 64 start-page: 645 year: 2009 end-page: 8 article-title: Psychological stress and recurrent aphthous stomatitis publication-title: Clinics – year: 1992 – volume: 40 start-page: 253 year: 1990 end-page: 8 article-title: Anxiety in recurrent aphthous stomatitis patients publication-title: J Dent Assoc Thail – volume: 70 start-page: 263 year: 1998 end-page: 76 article-title: Replicable item‐cluster subcomponents in the NEO five‐factor inventory publication-title: J Pers Assess – volume: 11 start-page: 3 year: 1994 end-page: 11 article-title: Development and evaluation of the oral health impact profile publication-title: Community Dent Health – volume: 67 start-page: 361 year: 1983 end-page: 70 article-title: The hospital anxiety and depression scale publication-title: Acta Psychiatr Scand – volume: 19 start-page: 603 year: 2009 end-page: 6 article-title: Measuring the impact of oral mucosa disease on quality of life publication-title: Eur J Dermatol – year: 1980 – 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RAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients’... RAS may affect quality of life and impacts oral health and daily activities; consequently, psychological factors, dental needs and patients' perceptions.... |
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| SubjectTerms | Adolescent Adult Age Factors Aged Anxiety - etiology Depression - etiology Female HAD scale Humans Male Middle Aged NEO-FFI OHIP-14 OHQoL-UK Oral Health Personality Inventory Quality of Life recurrent aphthous stomatitis Stomatitis, Aphthous - physiopathology Stomatitis, Aphthous - psychology Stress, Psychological - etiology Surveys and Questionnaires Young Adult |
| Title | Recurrent aphthous stomatitis (RAS): a preliminary within-subject study of quality of life, oral health impacts and personality profiles |
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