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Associations between oral health-related quality of life and emotional statuses in children and preadolescents.

Abstract

OBJECTIVES
To evaluate the associations between oral health-related quality of life (OHRQoL) and emotional statuses in children and preadolescents.
METHODS
One hundred and forty-five Brazilian students (8-14 years) were clinically examined for caries, gingivitis, fluorosis, malocclusions, and temporomandibular disorders (TMD). OHRQoL was measured using two global ratings of oral health (OH) and overall well-being (OWB). The Revised Children's Manifest Anxiety Scale (R-CMAS) and Children's Depression Inventory (CDI) were used to assess anxiety and depression, respectively. Saliva was collected 30 min after waking and at night to determine the diurnal decline in salivary cortisol (DDSC). The results were analyzed using non-paired t test/one-way ANOVA, Pearson's correlation test, and multiple linear regression analyses.
RESULTS
11-14-year-old participants had higher CDI scores (P < 0.01) and DDSC concentrations (P < 0.001). Participants with fewer caries and without gingivitis had higher DDSC concentrations (P < 0.05). TMD patients had higher DDSC concentrations and OWB ratings (P < 0.001). Girls had higher Revised Children's Manifest Anxiety Scale (RCMAS) scores (P < 0.01). There was positive correlation between RCMAS and CDI scores and OWB ratings (P < 0.05). The OH model retained age (β =0.312; P < 0.001) and the OWB model retained TMD (β = 0.271; P < 0.001) and CDI scores (β=0.175; P < 0.05).
CONCLUSIONS
Children and preadolescents with poor emotional well-being are more sensitive to the impacts of OH and its effects on OWB.

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  • Publisher Full Text
  • Authors

    Barbosa TS, Castelo PM, Leme MS, Gavião MB

    Source

    Oral diseases 18:7 2012 Oct pg 639-47

    MeSH

    Adolescent
    Analysis of Variance
    Anxiety
    Child
    DMF Index
    Dental Caries
    Depression
    Female
    Fluorosis, Dental
    Gingivitis
    Humans
    Hydrocortisone
    Linear Models
    Male
    Malocclusion
    Manifest Anxiety Scale
    Oral Health
    Quality of Life
    Saliva
    Sex Factors
    Statistics, Nonparametric
    Stress, Psychological
    Temporomandibular Joint Disorders

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22380489