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:: Volume 26, Issue 4 (10-2014) ::
J Islam Dent Assoc Iran 2014, 26(4): 267-273 Back to browse issues page
Psychological Assessment of Patients with Oral Aphthous Ulcers
Ates sa Pakfetrat1, Zahra Delavarian1, Javid Rasekhi2, Amir Seyyedi3, Shilan Salah *4
1- Member of Oral and Maxillofacial Diseases Research Center and Associate Professor, Department of Oral and Maxillofacial Dis-eases, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
2- Postgraduate Student, Department of Oral and Maxillofacial Diseases, School of Dentistry, Mashhad University of Medical Scienc-es, Mashhad, Iran
3- Assistant Professor, Department of Oral and Maxillofacial Diseases, School of Dentistry, Uromieh University of Medical Sciences, Uromieh, Iran
4- Postgraduate Student, Department of Oral and Maxillofacial Diseases, School of Dentistry, Mashhad University of Medical Scienc-es, Mashhad, Iran , salahsh901@mums.ac.ir
Abstract:   (3667 Views)

Background and Aim: Recurrent aphthous stomatitis (RAS) is among the most common oral conditions and psychological disorders are among its predisposing factors. The pur-pose of this study was to determine the frequency and type of psychological disorders in patients with RAS.

Materials and Methods: Seventy-five patients referred to Mashhad Dental School were enrolled in this cross-sectional study: 35 patients with RAS (15 males and 20 females) constituted the study group and 40 healthy patients (15 males and 25 females) comprised the control group. The SCL-90 questionnaire consisting of 90 multiple choice questions was completed by all subjects and a psychologist scored and analyzed the results in order to evaluate the psychological status of patients.

Results: The overall frequency of psychological disorders was 44% this rate was 68.6% in the RAS patients and 22.5% in the control group (p<0.0001). The frequency of anxiety disorder was 42.9% in RAS patients and 7.5% in the control group (p<0.0001). The fre-quency of somatization disorder was 17.1% in RAS patients and 0% in the control group (p=0.008). The frequency of depression was 28.6% in RAS patients and 15% in the con-trol group (p=0.004). All these differences were statistically significant. There was no sta-tistically significant difference between the two groups in other psychological disorders.

Conclusion: The results showed that psychological disorders were generally more fre-quent among RAS patients compared to the control group. The most common psychological disorder was anxiety disorder and the frequency of anxiety, depression and somatization was higher in RAS patients.

Keywords: Psychology, Anxiety, Aphthous ulcer
Full-Text [PDF 173 kb]   (1729 Downloads)    
Type of Study: Orginal | Subject: Oral Medicine
References
1. Cağlayan F, Miloglu O, Altun O, Erel O, Yilmaz AB. Oxidative stress and myeloperoxidase lev-els in saliva of patients with recurrent aphthous stomatitis. Oral Dis. 2008 Nov;14(8):700-4.
2. Davatchi F, Tehrani-Banihashemi A, Jamshidi AR, Chams-Davatchi C, Gholami J, Moradi M, et al. The Prevalence of Oral aphthosis in a normal population in Iran: A WHO-ILAR Cop-cord Study. Arch Iran Med. 2008Mar;11(2):207-9.
3. Scully C, Gorsky M, Lozada-Nur F. The diagnosis and management of recurrent aph-thous stomatitis A consensus approach. J Am Dent Assoc. 2003 Feb;134(2):200-7.
4. Pedersen A. Psychologic stress and recurrent aphthous ulceration. J Oral Pathol Med. 1989 Feb; 18(2):119-22.
5. Rima Ahmad Safadi. Prevalence of recurrent aphthous ulceration in Jordanian dental patients. BMC Oral Health 2009 Nov; 9(1):31.
6. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 2nded. Philadelphia: WB. Saunders Co; 2002, Chaps 9, 16:285-292,679-680.
7. Regezi JA, Sciubb A, Jordan RCK. Oral Pathology: Clinical Pathologic Correlations. 5th ed. St. Louis: WB Saunders Co; 2008, 35-9.
8. Eguia-del Valle A, Martinez-Conde-Llamosas R, López-Vicente J, Uribarri - Etxebarria A, Aguirre-Urizar JM. Salivary levels of Tumour Necrosis Factor-alpha in patients with recurrent aphthous stomatitis. Med Oral Patol Oral Cir Bucal. 2011 Jan, 1;16(1): e33-6.
9. Huling LB, Baccaglini L, Choquette L, Feinn RS, Lalla RV. Effect of stressful life events on the onset and duration of recurrent aph-thous stomatitis. J Oral Pathol Med. 2012 Feb; 41(2): 149-152.
10. McCartan BE, Lamey PJ, Wallace AM. Salivary cortisol and anxiety in recurrent aphthous stomatitis. J Oral Pathol Med. 1996 Aug; 25(7):357-9.
11. Gallo C de B, Mimura MAM, Sugaya NN. Psychological stress and recurrent aphthous stomatitis. Clinics (Sao Paulo) 2009 Jul; 64(7): 645-8.
12. Scully C. Handbook of oral diseases. 1st ed. London: Martin Dunits; 1999, Chap 4:73-84.
13. Victoria JM, Correia-Silva Jde F, Pimenta FJ, Kalapothakis E, Gomez RS. Serotonin transporter gene polymorphism (5-HTTLPR) in patients with recurrent aphthousstomatitis. J Oral Pathol Med. 2005 Sept;34(8):494-7.
14. Natah SS, Häyrinen-Immonen R, Hietanen J, Patinen P, Malmström M, Savilahti E, KonttinenYT. Increased density of lympho-cytes bearing gamma/delta T-cell receptors in recurrent aphthous ulceration (RAU). Int J Oral Maxillofac Surg. 2000 Oct;29(5):375-80.
15. Soto Araya M, Rojas Alcayaga G, Esguep A. Association between psychological disorders and the presence of Oral lichen planus, Burn-ing mouth syndrome and Recurrent aphthous stomatitis. Med Oral. 2004 Jan-Feb; 9(1):1-7.
16. Al-Omiri MK, Karasneh J, Lynch E. P sychological profiles in patients with recurrent aphthous ulcers. Int J Oral Maxillofac Surg. 2012 Mar; 41(3):384-8.
17. Farhadmollashahi L, Bakhshani N, Honarmand M, Dehghannode R. Correlation between anxiety, depression, and recurrent aphthous stomatitis; J of Qazvin Univ of Med Sci. 2011 Fall; 15(3):48-53.
18. Sanatkhani M, Manteghi A, Pakfetrat A, Mohammadian F. Psychiatric evaluation of patients with recurrent aphthous ulceration re-ferred to .Oral Disease Department of Mashhad Dental School-Iran (2006-2007.( J Mash Dent Sch. 2010 Fall; 34(3):219-30.
19. Chamani G, Zarei M, Ghafarinejad A, Noohi A, Alaee A. Prevalence of recurrent aphthous stomatitis and anxiety in 550 medical, dental and pharmaceutical students of Kerman Medi-cal University. J Dent Sch. 2008; 26(2):131-137.
20. Ogura M, Yamamoto T, Morita M, Watanabe T. A case-control study on food intake of patients with recurrentaphthous stomatitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 Jan; 91 (1):45-9.
21. Delavarian Z, Orafai-H-Mollashahi L, Pakfetrat A. The effects of topical sucralfate suspension on oral aphthae. J Dent Med Tehran Uni of Med Sci. 2007; 4(2):72-7.
22. Buajeeb W, Laohapand P, Vongsavan N, Krai-vaphan P. Anxiety in recurrent aphthous stoma-titis patients. J Dent Assoc Thai. 1990 Nov-Dec; 40(6): 253-8.
23. Tang L, Ma L, Liu N. Effects of psychosocial factors on recurrent aphthous ulcer. Hua Xi Kou Qiang Yi Xue Za Zhi. 2001 Apr; 19(2):102-3.
24. Cawson RA, Odell EW. Cawson's Essentials of Oral Pathology and Oral Medicine. 8th ed. Philadelphia: Elseivier; 2008.
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Pakfetrat A S, Delavarian Z, Rasekhi J, Seyyedi A, Salah S. Psychological Assessment of Patients with Oral Aphthous Ulcers. J Islam Dent Assoc Iran. 2014; 26 (4) :267-273
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Volume 26, Issue 4 (10-2014) Back to browse issues page
Journal of Islamic Dental Association of Iran

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