Emotional assessment of patients with oral lichen planus

Alves, Mônica Ghislaine Oliveira; Carvalho, Bruna Fernandes Do Carmo; Balducci, Ivan; Cabral, Luiz Antônio Guimarães; Nicodemo, Denise; Almeida, Janete Días

doi:10.1111/ijd.12052

Cited by 32 publications

(30 citation statements)

References 25 publications

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“…The greater intensities of anxiety, depression, and stress have also confirmed in other studies using questionnaire-based approaches (18)(19)(20)(21)(22)(23), and stress remains the most commonly patient-reported trigger of OLP lesions (10,11). In addition to increased vulnerability to stress, patients with LP are often concerned about the possibility of malignancy, which may contribute to the further potentiation of emotional tension (24).…”

Section: Discussionmentioning

confidence: 61%

Evaluation of depression, anxiety and stress levels in patients with oral lichen planus

et al. 2019

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The pathogenesis of oral lichen planus (OLP) remains to be fully elucidated; however, certain psychoneurological factors may influence the onset and exacerbation of OLP. The aim of the present study is to evaluate the intensity of negative emotions in patients with OLP. A cross-sectional, questionnairebased study was performed. The sample consisted of 52 subjects, comprising 26 patients with OLP (OLP group) and 26 controls (CTRL group). The Depression Anxiety Stress Scale 21 (DASS-21) was used for psychometric evaluation. The patients were also asked about their attitude toward the disease, treatment, and interference of the disease on daily life. The mean level of depression was 12.54 ± 6.6 in the OLP group and 7.69 ± 5.22 in the CTRL group (P = 0.006). The mean level of anxiety was 11.15 ± 7.95 in the OLP group and 6.62 ± 4.86 in the CTRL group (P = 0.018). The mean stress levels were 8.69 ± 7.06 and 3.85 ± 3.18 in the OLP and CTRL groups, respectively (P = 0.003). Severe and very severe scores of depression and very severe scores of anxiety and stress were present in the OLP group, whereas these emotions were normal in the majority of controls. Depression, stress, and anxiety may be involved in the pathogenesis and course of OLP.

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Section: Discussionmentioning

confidence: 61%

Evaluation of depression, anxiety and stress levels in patients with oral lichen planus

et al. 2019

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“…The OHIP-14 test showed that, in all fields, patients in the OLP group obtained a worse quality of life, therefore agreeing with the results of authors such as López-Jornet and Camacho-Alonso (2010) who also found the scores to be higher within the OLP patients group than within the control. The results of Alves et al (2015) have also shown that this disease is responsible for a negative impact on quality of life.…”

Section: Discussionmentioning

confidence: 98%

“…Wilson's original description of LP already included the presence of hysteria, anxiety and depression as aetiological factors. Since then, many authors have demonstrated the importance of these psychological factors in the onset and development of the disease (Adamo et al, 2015;Alves et al, 2015;Čanković et al, 2015;Kalkur, Sattur, & Guttal, 2015;Sandhu et al, 2014;Suresh et al, 2015;Valter et al, 2013). Our results are similar to previous ones, considering that the HADS test showed higher levels of anxiety and depression among the OLP group patients than among the members of the control group.…”

Section: Discussionmentioning

confidence: 99%

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Psychological disorders and quality of life in oral lichen planus patients and a control group

et al. 2019

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Objectives Oral lichen planus (OLP) is a common disease whose aetiopathogenesis is linked to psychological disorders. This study aims to determine the influence of anxiety and depression in OLP patients, define the perception of quality of life in these patients and check for potential differences between atrophic/ ulcerative and reticular lesions. Materials and Methods A group of 48 OLP patients and a control group of 40 patients were selected. In order to assess anxiety, depression and quality of life, Hospital Anxiety and Depression Scale (HADS) and Oral Health Impact Profile 14 (OHIP‐14) tests were completed. Results OLP patients showed higher scores on HADS (anxiety p < 0.01, depression p < 0.05) and OHIP‐14 (physical pain p < 0.05, psychological discomfort p = 0.001). Patients with reticular lesions obtained higher scores in HADS (anxiety p = 0.001, depression p < 0.001), whereas patients with atrophic/ ulcerative lesions obtained higher scores in OHIP‐14 (p = 0.02). Conclusions Psychological disorders play an important role as a trigger for OLP and are responsible for many relapses. Psychological support would be advisable in order to improve their mental health, as this would have a positive impact on their quality of life and would lead to a better progression of the disease.

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“…These studies allow us to assess the association between exposure and disease . In the present study, most of the analyzed studies used the case‐control model, and three studies used cross‐…”

Section: Discussionmentioning

confidence: 98%

Psychological disorders and oral lichen planus: A systematic review

Cerqueira

Moura

Arsati

et al. 2018

J of Invest & Clin Dent

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The aim of the present study was to identify and analyze scientific evidence available in the literature to answer the following question: Are psychological disorders associated with the development of oral lichen planus (OLP)? Using scientific databases (PubMed, LILACS, and Science Direct), a literature search was conducted between December 2016 and January 2017, using previously selected keywords. Two independent reviewers critically assessed the results in three stages, strictly obeying the inclusion and exclusion criteria defined in the study protocol. We assessed paper quality based on STROBE (Strengthening The Reporting of Observational studies in Epidemiology). After analysis, we selected 14 papers, of which 10 showed evidence of association between psychological disorders (in particular, stress, anxiety, and depression) and the development of OLP. The paper-quality assessment by means of STROBE showed that 13 papers presented intermediate quality and one paper presented high quality. In the present systematic review, we found an association between psychological disorders and the development of OLP. K E Y W O R D Sanxiety, depression, oral lichen planus, stress, systematic review

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Emotional assessment of patients with oral lichen planus

Cited by 32 publications

References 25 publications

Evaluation of depression, anxiety and stress levels in patients with oral lichen planus

Evaluation of depression, anxiety and stress levels in patients with oral lichen planus

Psychological disorders and quality of life in oral lichen planus patients and a control group

Psychological disorders and oral lichen planus: A systematic review

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