Evaluation of the Effects of Periodontal Disease Severity on Social Anxiety Level

Yıl 2019, Cilt: 22 Sayı: 1, 92 - 101, 13.03.2019

Ayşegül Sarı Süleyman Ziya Şenyurt Kemal Üstün Seval Kul Kamile Erciyas

https://doi.org/10.7126/cumudj.452805

Öz

Objectives: The aim of this study was to determine the level of social anxiety in patients with periodontal disease, and to examine its relationship with the clinical characteristics of periodontal disease.

Materials and Methods: This study investigated 200 patients in a cross-sectional design. Sociodemographic data, clinical periodontal parameters and patient complaints were recorded. Patients were divided into four groups according to their clinical periodontal index values: chronic periodontitis (CP), aggressive periodontitis (AP), gingivitis (G), and periodontally healthy (PH). Social anxiety levels of the patients were assessed based on the Liebowitz Social Anxiety Scale (LSAS).

Results: A negative relationship was observed between LSAS scores and age, a positive relationship was observed with education level (p0.05). The Liebowitz total score and total anxiety, socially related anxiety and total avoidance levels of patients with halitosis complaints were found significantly higher (p0.05). LSAS scores for patients with complaints of aesthetics and mobility were significantly higher for all seven sub-items (p0.05). Total avoidance and performance avoidance values were significantly higher in patients with complaints of gingival bleeding (p0.05). All of the LSAS scores were higher in the AP and CP groups compared to the PH group and higher in the AP group than in the CP and G groups (p<0.05). In the G group, the performance-related avoidance level was significantly higher than in the PH group (p<0.05).

Anahtar Kelimeler

Anxiety, periodontal diseases, social phobia

Kaynakça

• 1. Newman MG KP, Carranza FA. Carranza's Clinical Periodontology: Saunders Elsevier; 2012.
• 2. Brand HS, Gortzak RA, Abraham-Inpijn L. Anxiety and heart rate correlation prior to dental checkup. International dental journal. 1995;45:347-351.
• 3. Loe H, Anerud A, Boysen H, Morrison E. Natural history of periodontal disease in man. Rapid, moderate and no loss of attachment in Sri Lankan laborers 14 to 46 years of age. Journal of clinical periodontolog.y 1986;13:431-445.
• 4. Ng SK, Leung WK. Oral health-related quality of life and periodontal status. Community dentistry and oral epidemiology. 2006;34:114-122.
• 5. Cochran DL. Inflammation and bone loss in periodontal disease. Journal of periodontology. 2008;79:1569-1576.
• 6. Bollen CM, Beikler T. Halitosis: the multidisciplinary approach. International journal of oral science. 2012;4:55-63.
• 7. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. Journal of clinical periodontology. 2004;31:454-457.
• 8. American Psychiatric Association Diagnostic and statistical manual of mental disorders. DC: American Psychiatric Association. 1994.
• 9. Romm KL, Rossberg JI, Berg AO, Hansen CF, Andreassen OA, Melle I. Assessment of social anxiety in first episode psychosis using the Liebowitz Social Anxiety scale as a self-report measure. European psychiatry : the journal of the Association of European Psychiatrists. 2011;26:115-121.
• 10. Halperin S, Nathan P, Drummond P, Castle D. A cognitive-behavioural, group-based intervention for social anxiety in schizophrenia. The Australian and New Zealand journal of psychiatry. 2000;34:809-813.
• 11. Wittchen HU, Fuetsch M, Sonntag H, Muller N, Liebowitz M. Disability and quality of life in pure and comorbid social phobia. Findings from a controlled study. European psychiatry : the journal of the Association of European Psychiatrists. 2000;15:46-58.
• 12. Oberlander EL, Schneier FR, Liebowitz MR. Physical disability and social phobia. Journal of clinical psychopharmacology. 1994;14:136-143.
• 13. Bez Y, Coskun E, Erol K, et al. Adult strabismus and social phobia: a case-controlled study. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus. 2009;13:249-252.
• 14. Bez Y, Yesilova Y, Kaya MC, Sir A. High social phobia frequency and related disability in patients with acne vulgaris. European journal of dermatology : EJD. 2011;21:756-760.
• 15. Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's Clinical Periodontology: Elsevier Health Sciences; 2011.
• 16. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4:1-6.
• 17. Flemmig TF. Periodontitis. Ann Periodontol. 1999;4:32-38.
• 18. Parameter on aggressive periodontitis. American Academy of Periodontology. J Periodontol. 2000;71:867-869.
• 19. Liebowitz MR. Social phobia. Modern problems of pharmacopsychiatry. 1987;22:141-173.
• 20. Heimberg RG, Horner KJ, Juster HR, et al. Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological medicine. 1999;29:199-212.
• 21. Soykan C, Ozguven HD, Gencoz T. Liebowitz Social Anxiety Scale: the Turkish version. Psychological reports. 2003;93:1059-1069.
• 22. Zaitsu T, Ueno M, Shinada K, Wright FA, Kawaguchi Y. Social anxiety disorder in genuine halitosis patients. Health and quality of life outcomes. 2011;9:94.
• 23. Ergin A, Hatipoğlu C, Bozkurt Aİ, et al. Life satisfaction and self-care agency levels of the medical students and influencing factors. Pam Tıp Derg. 2011;4:144-151.
• 24. Ekanayake L, Dharmawardena D. Dental anxiety in patients seeking care at the University Dental Hospital in Sri Lanka. Community dental healt.h 2003;20:112-116.
• 25. Salvi GE, Lawrence HP, Offenbacher S, Beck JD. Influence of risk factors on the pathogenesis of periodontitis. Periodontol 2000. 1997;14:173-201.
• 26. Bergstrom J, Eliasson S, Dock J. A 10-year prospective study of tobacco smoking and periodontal health. Journal of periodontology. 2000;71:1338-1347.
• 27. Ballenger JC, Davidson JR, Lecrubier Y, et al. Consensus statement on social anxiety disorder from the International Consensus Group on Depression and Anxiety. The Journal of clinical psychiatry. 1998;59:54-60.
• 28. Özdemir AK, Özdemir HD, Coşkun A, Taşveren S. Diş Hekimliği Fakültesinde protez kliniği ile diğer kliniklerde hasta anksiyetesinin araştırılması. Cumhuriyet Dent J. 2012;15:297-306.
• 29. Turk CL, Heimberg RG, Orsillo SM, et al. An investigation of gender differences in social phobia. Journal of anxiety disorders. 1998;12:209-223.
• 30. Mannuzza S, Schneier FR, Chapman TF, Liebowitz MR, Klein DF, Fyer AJ. Generalized social phobia. Reliability and validity. Archives of general psychiatry. 1995;52:230-237.
• 31. Weinshenker NJ, Goldenberg I, Rogers MP, et al. Profile of a large sample of patients with social phobia: comparison between generalized and specific social phobia. Depression and anxiety. 1996;4:209-16.
• 32. Yolac Yarpuz A, Demirci Saadet E, Erdi Sanli H, Devrimci Ozguven H. [Social anxiety level in acne vulgaris patients and its relationship to clinical variables]. Turk psikiyatri dergisi = Turkish journal of psychiatry. 2008;19:29-37.
• 33. Gultekin BK, Dereboy IF. The prevalence of social phobia, and its impact on quality of life, academic achievement, and identity formation in university students. Turk psikiyatri dergisi = Turkish journal of psychiatry. 2011;22:150-158.
• 34. Ergin A, Hatipoğlu C, Bozkurt Aİ, et al. Tıp fakültesi öğrencilerinin yaşam doyumu ve öz-bakım gücü düzeyleri ve etkileyen faktörler. Pam Tıp Derg. 2011;4:144-151.
• 35. Stein MB, Baird A, Walker JR. Social phobia in adults with stuttering. The American journal of psychiatry. 1996;153:278-280.
• 36. Gundel H, Wolf A, Xidara V, Busch R, Ceballos-Baumann AO. Social phobia in spasmodic torticollis. Journal of neurology, neurosurgery, and psychiatry. 2001;71:499-504.
• 37. Schneier FR, Barnes LF, Albert SM, Louis ED. Characteristics of social phobia among persons with essential tremor. The Journal of clinical psychiatry. 2001;62:367-372.
• 38. Topcuoglu V, Bez Y, Sahin Bicer D, et al. [Social phobia in essential tremor]. Turk psikiyatri dergisi = Turkish journal of psychiatry. 2006;17:93-100.