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

Manczyk, Barbara; Gołda, Joanna; Biniak, Agnieszka; Reszelewska, Katarzyna; Mazur, B; Zając, Karolina; Bińczak, Paulina; Chomyszyn‐Gajewska, Maria; Oruba, Zuzanna

doi:10.2334/josnusd.18-0113

Cited by 28 publications

(20 citation statements)

References 23 publications

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“…[33] Elevated salivary/urinary cortisol levels correspond to increased anxiety and depressive states. [34] A recent study by Radwan-Oczko et al assessed the psychological and psychopathological aspects of patients with OLP. The study confirmed the interrelationship between OLP and stress, depression, anxiety, and the resultant compromised quality of patient's life.…”

Section: Etiopathogenesismentioning

confidence: 99%

Oral lichen planus and associated comorbidities: An approach to holistic health

Hasan

Ahmed

Kiran

et al. 2019

J Family Med Prim Care

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Lichen planus (LP) is a chronic inflammatory disorder with involvement of skin, oral and genital mucosa, scalp, and nail appendages. Oral lichen planus (OLP) lesions demonstrate a number of morphologic presentations, persist for a long time with rare self-resolution, and undergo malignant changes. OLP has been associated with numerous systemic connotations such as metabolic syndrome, diabetes mellitus, hypertension, thyroid diseases, psychosomatic ailments, chronic liver disease, gastrointestinal diseases, and genetic susceptibility to cancer. The oral health physician should be aware of these systemic associations and should work in close connect with the primary healthcare physicians to rule out the predisposing factors for the associated comorbidities. This article aims to highlight the various systemic associations of OLP and warrants the screening of these ailments in OLP for prevention and effective management.

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Section: Etiopathogenesismentioning

confidence: 99%

Oral lichen planus and associated comorbidities: An approach to holistic health

Hasan

Ahmed

Kiran

et al. 2019

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…Systemic factors, such as hypertension, diabetes, viral infection, autoimmunity or immunode ciency, and cancer, were supposed to be its etiology [24]. Patients with OLP had signi cantly higher prevalence of stress, anxiety, and depression than the general population [25][26][27]. A chronic and long-lasting course of OLP could make patients stressed, anxious, and depressed.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of oral mucosal lesions and their association with socioeconomic status and systemic health in a remote rural area in China: a cross-sectional study of 146 cases

Yao

Zhang

Song

et al. 2022

Preprint

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Background Epidemiological data of oral mucosal lesions (OMLs) are required to develop practical oral care policies. However, limited data are available for rural areas in China. We aimed to estimate the spectrum and prevalence of OMLs and to identify their associated socioeconomic status (SES) and systemic health in a remote rural area in Yunnan, China. Methods We screened patients for OMLs in an oral medicine clinic in rural Yuannan, China, from August 2020 to February 2021. OMLs were documented. SES, including the highest education level achieved and the previous month’s household income, as well as the patient’s systemic health, including a history of smoking, alcohol use, and chronic disease, were obtained from the Medical History/Health Questionnaire Form and patient medical records. Results A total of 146 patients were found to have OMLs. The most frequent OML was aphthous ulcer (n = 41, 28.1%), followed by burning mouth syndrome (BMS) (n = 16, 11.0%), viral ulcer (n = 14, 9.6%), and oral lichen planus (OLP) (n = 9, 6.2%). In these patients, the most common chronic diseases were sleep apnea (n = 35, 24.0%), hypertension (n = 23, 15.8%), bronchitis (n = 16, 11.0%), reflux (including gastroesophageal reflux disease) (n = 12, 8.2%), and arthritis (n = 11, 7.5%). On adjusted regression, the patients without chronic diseases had a lower risk of BMS than those with chronic diseases (odds ratio [OR], 0.2; 95% confidence interval [CI], 0.03–0.9). Age was an independent protective factor for viral ulcers (OR, 1.0; 95% CI, 0.9–1.0). Patients with low-income levels had a lower risk of OLP than those with high-income levels (OR, 0.2; 95% CI, 0.05–0.9). Conclusions In rural Yunnan in China, the most frequent OML was aphthous ulcer, which was followed by BMS, viral ulcer, and OLP. Chronic diseases were associated with BMS. Age was an independent protective factor for oral viral ulcers. A high-income level was associated with the presence of OLP. Oral care policies should be prioritized among patients with aphthous ulcer. Preventive strategy of BMS should be targeted to people with chronic disease for health equalities.

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“…Such information must be disseminated with caution, considering that it is strongly associated with psychological stress of patients with OLP. 27,28 The patient is nowadays understood as an active agent in treatment decisions and shared decision making is extremely important in current clinical practice. 29 The first-line treatment for OLP is based on topical steroids such as clobetasol propionate.…”

Section: Discussionmentioning

confidence: 99%