Psychological disorders and oral lichen planus: matched case–control study and literature review

Pippi, Roberto; Romeo, Umberto; Santoro, M; Vecchio, Alessandro Del; Scully, Crispian; Petti, Stefano

doi:10.1111/odi.12423

Cited by 41 publications

(37 citation statements)

References 50 publications

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Section: Discussioncontrasting

confidence: 57%

“…Accordingly, the present pattern of results was at odds with studies that could not observe differences in symptoms of depression [12], quality of life, or self-control [13]. In contrast, the results did match those findings, showing that individuals with LPP did suffer from higher symptoms of depression [11, 13]. The present results expand upon the current literature, in that a more sophisticated pattern of psychological functioning of individuals with LPP could be drawn and always compared to healthy controls.…”

Section: Discussioncontrasting

confidence: 56%

“…Hirota et al [12] were unable to find statistically significant mean differences in anxiety and depression in individuals with ( n = 91) and without ( n = 87) LPP. Similarly, in their literature review Pippi et al [13] found no associations between the presence of oral LP and symptoms of anxiety, quality of life, and self-control. In contrast, Pippi et al [13] reported higher scores of depression and lower scores of self-control in individuals with oral LP compared to healthy controls.…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, in their literature review Pippi et al [13] found no associations between the presence of oral LP and symptoms of anxiety, quality of life, and self-control. In contrast, Pippi et al [13] reported higher scores of depression and lower scores of self-control in individuals with oral LP compared to healthy controls. Chiang et al [14] assessed 105 individuals aged about 50 years with both LPP and frontal fibrosing alopecia and observed that a higher disease activity (i.e., the severity of LPP and frontal fibrosing alopecia) was associated with higher symptoms of depression and anxiety and lower scores of quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Compared to Controls, Individuals with Lichen Planopilaris Have More Depression, a Lower Self-Esteem, and a Lower Quality of Life

et al. 2019

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Background: Individuals with lichen planopilaris (LPP) typically present with hair loss and an irritated scalp, with signs and symptoms such as itching, erythema, scaling, and burning. Both hair loss and reddened skin may be visible also for other people. Therefore, it is conceivable that individuals with LPP might report a lower mental health status. Accordingly, in the present study, we compared dimensions of mental health between individuals with LPP and healthy controls. Method: A total of 38 individuals with LPP (mean age: 38.24 years, 47.4% females) and 58 gender- and age-matched controls took part in this study. They completed questionnaires covering dimensions of quality of life and self-esteem; experts rated participants’ symptoms of depression and anxiety. Furthermore, dermatologists reported on the illness duration, the LPP activity index, and the severity of alopecia. Results: Compared to healthy controls, individuals with LPP reported lower scores of self-esteem, physical functioning, and mental health and higher scores of role limitations (physical and emotional). Likewise, experts rated higher depression scores in individuals with LPP compared to controls. In individuals with LPP, a higher LPP disease activity and a higher severity of hair loss were associated with higher depression and lower quality-of-life scores. Further, a higher LPP activity index, a lower self-esteem, and higher anxiety scores predicted a poorer quality of life, while illness duration was statistically unrelated. Conclusions: Compared to controls, and irrespectively of the illness duration, individuals with LPP reported a lower quality of life and a lower self-esteem, and experts’ ratings observed higher scores of depression. Experts treating individuals with LPP might pay special attention to the individuals’ mental health status.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussioncontrasting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Compared to Controls, Individuals with Lichen Planopilaris Have More Depression, a Lower Self-Esteem, and a Lower Quality of Life

et al. 2019

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“…Indeed, mild, undiagnosed forms of these oral diseases would be exacerbated by depression, anxiety, and similar traits, thus making the diagnosis possible. Alternatively, these diseases could impair everyday activities, such as eating, drinking, speaking, denture wearing, thus generating pain and discomfort, which in turn would be responsible for psychological distress (Pippi et al., ).…”

Section: Oral Diseases and Elder Neglectmentioning

confidence: 99%

Elder neglect—Oral diseases and injuries

Petti¹

2018

Oral Diseases

Self Cite

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Elder neglect (EN) is the failure of a designated caregiver to meet the needs of a dependent older person. World EN prevalence, meta-analyzed in this study, is 1.0% or 1.8% according to different statistical methods. Referring alleged EN cases to Adult Protective Services (APSs) by healthcare workers (HCWs) is mandatory in many countries. However, only few claims are substantiated, as EN could be confused with SelfNeglect, and neglect could be unintentional or due to caregiver unawareness.Screening tools are inaccurate, and their use is discouraged by public health organizations, because they lead to too many false positives, which engulf the already overwhelmed APSs. HCWs need effective tools with objective judgments, which do not hamper the HCW-caregiver-patient rapport and prevent lawsuits when allegations are unfounded. Orofacial EN manifestations (poor oral/denture hygiene, lack of needed/improper dentures, dry mouth, skin/mucosal rashes) are essential Forensic Markers of EN. I classified EN-associated oral diseases according to the unmet needs into four groups: (1) traumatic injuries due to lack of caregiver vigilance (e.g., maxillofacial fractures); (2) diseases due to oral hygiene deficiency (e.g., root caries); (3) diseases typical of the elderly with late/no diagnosis (e.g., oral cancer); and (4) diseases typical of the elderly exacerbated by psychological distress (e.g., oral lichen planus). K E Y W O R D Selder neglect, oral and maxillofacial injuries, oral diseases

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Lichen Planus

Souza

Dupont²,

Souza³

2023

Dermatology in Public Health Environments

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Psychological disorders and oral lichen planus: matched case–control study and literature review

Abstract: Depressed mood and low self-control were highly associated with OLP, particularly the reticular-papular forms. These traits could have a causative role in OLP development-progression, but further investigations are necessary.

Cited by 41 publications

References 50 publications

Compared to Controls, Individuals with Lichen Planopilaris Have More Depression, a Lower Self-Esteem, and a Lower Quality of Life

Compared to Controls, Individuals with Lichen Planopilaris Have More Depression, a Lower Self-Esteem, and a Lower Quality of Life

Elder neglect—Oral diseases and injuries

Lichen Planus

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