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Anxiety symptoms have a direct effect on oral health perception in young women

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Abstract

Purpose

Assess the influence of anxiety symptoms on oral health related-quality of life in young women from a cohort study in Southern Brazil.

Methods

A sample of 535 young mothers were analyzed. Interviews and psychological evaluations were carried out by trained psychologists. The Brazilian version of the Corah’s dental anxiety scale and the Beck anxiety inventory were used to evaluate dental anxiety and anxiety symptoms, respectively. The oral health-related quality of life (OHRQoL) was assessed by the Oral Impacts on Daily Performance instrument. Dental examinations were performed by trained dentists to assess oral health status (DMFT). The effect of anxiety symptoms on oral health-related quality of life was estimated using the parametric g-formula.

Results

The prevalence of negative impact on OHRQoL was of 46.3 and 28% of the women presented anxiety symptoms. Unadjusted analysis showed that women with anxiety symptoms had 2.5 higher impact on OHRQoL (OR 2.55; CI 95% 1.72–3.79). The parametric g-formula revealed that anxiety had a direct effect on oral health perception (OR 1.16; CI 95% 1.04–1.30), not mediated by dental anxiety.

Conclusion

Oral health-related quality of life is influenced by anxiety symptoms, regardless of dental anxiety.

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Acknowledgements

The authors would like to thank the State Funding Agency (FAPERGS) for the Grant (#11/1189-4) that allowed this study to be performed. Also, the authors would like to thank CAPES agency for the scholarship provided to the first author (FSC). The authors are grateful to the graduate and undergraduate students that participate in the fieldwork.

Funding

This study was funded by Rio Grande do Sul Funding Agency (FAPERGS) - Brazil (Grant Number #11/1189-4).

Author information

Authors and Affiliations

  1. Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil

    Francine S. Costa & Flávio F. Demarco

  2. Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil

    Mariana G. Cademartori, Manuela F. Silva, Ayah Q. Shqair, Flávio F. Demarco & Marília L. Goettems

  3. Section of Periodontology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark

    Gustavo G. Nascimento

  4. Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil

    Ricardo T. Pinheiro

Authors
  1. Francine S. Costa
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  2. Mariana G. Cademartori
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  3. Manuela F. Silva
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  4. Gustavo G. Nascimento
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  5. Ayah Q. Shqair
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  6. Ricardo T. Pinheiro
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  7. Flávio F. Demarco
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  8. Marília L. Goettems
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Corresponding author

Correspondence to Marília L. Goettems.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All the procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and national (Brazil) research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all the participants included in the study.

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Costa, F.S., Cademartori, M.G., Silva, M.F. et al. Anxiety symptoms have a direct effect on oral health perception in young women. Qual Life Res 27, 1583–1588 (2018). https://doi.org/10.1007/s11136-018-1797-4

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  • DOI: https://doi.org/10.1007/s11136-018-1797-4

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