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Recurrent aphthous stomatitis ( RAS ): a preliminary within‐subject study of quality of life, oral health impacts and personality profiles
Author(s) -
ALOmiri Mahmoud K.,
Karasneh Jumana,
Alhijawi Mohannad M.,
Zwiri Abdalwhab M. A.,
Scully Crispian,
Lynch Edward
Publication year - 2015
Publication title -
journal of oral pathology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.887
H-Index - 83
eISSN - 1600-0714
pISSN - 0904-2512
DOI - 10.1111/jop.12232
Subject(s) - medicine , quality of life (healthcare) , recurrent aphthous stomatitis , anxiety , depression (economics) , neuroticism , personality , psychiatry , stomatitis , psychology , social psychology , nursing , economics , macroeconomics
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 ( OHQ oL‐ UK ) proformas. Patients completed OHIP ‐14 and OHQ oL‐ 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 OHQ oL‐ UK scores ( P > 0.05). During ulcer‐free periods, no relationships were detected between OHIP , OHQ oL‐ UK , HAD and NEO ‐ FFI scores ( P > 0.05), except between OHQ oL‐ 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 .