Oral health‐related quality of life among Brazilian adults with mental disorders

Abstract

The aim of this study was to investigate associations of sociodemographic, lifestyle, medical conditions, and caries experience with oral health-related quality of life (OHRQoL) in a large sample of adults with mental disorders. A sample of 753 adults diagnosed with schizophrenia or depression, who were users of 10 public mental health outpatient clinics located in the city of São Paulo, Brazil, participated in the study. Participants provided data on sociodemographic characteristics, psychiatric diagnosis, medication use, and health behaviors. Oral examinations to evaluate dental caries (using the decayed, missing, and filled teeth ([DMFT] index) and dental plaque (using the Silness-Löe plaque index) were conducted. Oral health-related quality of life was evaluated using the 14-item Oral Health Impact Profile (OHIP-14) questionnaire. Log-Poisson regression was used to evaluate associations between the outcome and independent variables. The prevalence of one or more OHIP-14 impacts occurring fairly often/often was 72.3%. Physical pain was the OHIP domain with the highest prevalence, followed by psychological discomfort. Multivariable analysis showed that higher prevalence of the reponses 'fairly often/often' in the OHIP-14 was associated with being female, aged 35 to 54 years, having a low family income, a diagnosis of depression, a smoking habit, and fewer than 20 teeth. Adults with mental disorders had a high prevalence of impacts on their OHRQoL, which were associated with caries experience, sociodemographic characteristics, type of psychiatric diagnosis, and behavioral risk indicators.

Structure and replicability of oral health‐related quality of life networks across patients with schizophrenia and the general community

“…Health Problems [ICD-10]), being regularly followed-up by the psychiatric health teams (at least every two months) to ensure that all participants were under treatment, and being able to communicate in Portuguese. 6 Ethical approval for each study was obtained from the Research Ethics Committee of relevant institutions. All participants provided written and verbal informed consent.…”

“…1 Among patients with severe mental illness, low OHRQoL is associated with sociodemographic characteristics, smoking, lower number of teeth, xerostomia, and diagnostic of schizophrenia or depression. 6,7 Evidence also indicates that individuals living with severe mental illness have substantially higher chances of having lost all their teeth and presenting higher dental caries experience compared to the general community. 8 As a result of poorer clinical outcomes, these patients are likely to experience increased oral impacts on their quality of life.…”

“…OHRQoL is a subjective construct influenced by patients' perceptions and expectations, levels of oral morbidity and oral health needs, frames of reference of what a healthy mouth means, previous experiences accessing health services, sociodemographic characteristics such as gender and age, and psychosocial wellbeing 1 . Among patients with severe mental illness, low OHRQoL is associated with sociodemographic characteristics, smoking, lower number of teeth, xerostomia, and diagnostic of schizophrenia or depression 6,7 . Evidence also indicates that individuals living with severe mental illness have substantially higher chances of having lost all their teeth and presenting higher dental caries experience compared to the general community 8 .…”

Kronik Ruhsal Hastalığı Olan Bireylerin Ağız ve Diş Sağlığı ile İlişkili Yaşam Kalitesinin ve Alışkanlıklarının Değerlendirilmesi

“…Ölçek alt boyutlarından alınan puan ne kadar yüksek ise o alt boyuta ilişkin ağız sağlığı yaşam kalitesinin kötü olduğu yorumu yapılabilmektedir. Literatürde yapılan çalışmalardada benzer sonuçlar elde edilmiştir (24,42). Patel ve arkadaşlarının (2012) yaptıkları benzer çalışmada fiziksel ağrı alt boyutu en yüksek puan aldığı belirlenmiştir (24).…”

“…Patel ve arkadaşlarının (2012) yaptıkları benzer çalışmada fiziksel ağrı alt boyutu en yüksek puan aldığı belirlenmiştir (24). Lopes ve arkadaşlarının yaptıkları çalışma da da fiziksel ağrı ve psikolojik rahatsızlık alt boyutunun en yüksek puan aldığı belirlenmiştir (42). Kronik ruhsal hastalığı olan bireylerin ağız sağlığı yaşam kalitesi kapsamında fiziksel ağrı ve psikolojik rahatsızlıktan yüksek değerler almasının nedeni ağız ve diş sağlığı ile ilgili katılımcıların en çok %33'ÜNÜN diş ağrısı ve çürüklerden şikayeti olması ve %58.2'sinin ağız ve diş sağlığından memnun olmaması OLABİLİR.…”