Psychopathological profile and quality of life of patients with oral lichen planus

M Radwan-Oczko, E Zwyrtek, JE Owczarek… - Journal of applied oral …, 2018 - SciELO Brasil
M Radwan-Oczko, E Zwyrtek, JE Owczarek, D Szcześniak
Journal of applied oral science, 2018SciELO Brasil
Objectives Oral lichen planus (OLP) is a chronic, multifocal, sometimes painful, inflammatory
disease of the oral mucosa. OLP can predispose development of psycho-emotional
disorders. Until now, the relationship between the severity of lichen planus and the
psychological profile of patients (psychological well-being, perceived stress and pain coping
strategies) has never been studied. Material and Methods Study was conducted on 42 OLP
patients. Number of sites involved, severity and activity score of OLP were evaluated …
Objectives
Oral lichen planus (OLP) is a chronic, multifocal, sometimes painful, inflammatory disease of the oral mucosa. OLP can predispose development of psycho-emotional disorders. Until now, the relationship between the severity of lichen planus and the psychological profile of patients (psychological well-being, perceived stress and pain coping strategies) has never been studied.
Material and Methods
Study was conducted on 42 OLP patients. Number of sites involved, severity and activity score of OLP were evaluated. Psychological tests were used to evaluate patients’ psycho-emotional condition. The mean duration time of symptomatic OLP was 43 months.
Results
We detected that the longer the duration of subjective symptoms, the poorer the quality of life and the higher the level of perceived stress (PSS). Also, the higher the PSS results, the greater the anxiety and depression on Hospital Anxiety and Depression Scale (HADS). Likewise, higher level of depression in HADS was strongly correlated with worse quality of life. (p≤0.05).
Conclusions
In this study, we detected a relationship between duration of the disease, level of perceived stress and quality of life. The longer the disease lasts, the higher it tends to catastrophize. This may influence development or increase of the anxiety and depression and may decrease patients’ quality of life.
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