Interactive Effects of COVID-19 Infection and Psychological Factors on Oral Health-Related Quality of Life in Myanmar.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-01-09 DOI:10.1111/joor.13928

Kaung Myat Thwin, Sachiko Takehara, Wa Than Lin, Hiroshi Ogawa

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引用次数: 0

Abstract

Background: The complex association between COVID-19 and psychological factors may significantly impact oral health, including oral health-related quality of life (OHRQoL). Despite their interconnected nature, literature regarding their collective impact on OHRQoL is limited.

Objective: This study aims to assess the independent and interactive effects of COVID-19 infection and psychological factors on OHRQoL.

Materials and methods: The cross-sectional study included 158 participants from a health centre in Yangon city. Participants were categorised into three groups based on their COVID-19 infection history, hospitalisation and oxygen supply: 'not experienced', 'experienced, non-hospitalised' and 'experienced, hospitalised'. Validated instruments, including Depression, Anxiety and Stress Scale-21 (DASS-21) to measure emotional states and the Oral Health Impact Profile-14 (OHIP-14) to assess OHRQoL, were employed. Descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test, linear regressions and interaction analysis were computed.

Results: The median OHIP-14 score was 7.2. Among 85 confirmed COVID-19 cases, 38.8% (n = 33) received hospitalisation and oxygen supply. Multivariable regression analysis identified 'experienced, hospitalised' (95% CI: 6.36, 11.76), difficulty falling asleep (95% CI: 2.65, 7.18), depressive symptoms (95% CI: 7.38, 12.44), anxiety symptoms (95% CI: 2.93, 7.52) and stress symptoms (95% CI: 4.55, 11.11) as predictors of OHIP-14. Interaction analysis revealed their associations varied by hospitalisation history. In non-hospitalised individuals, depressive symptoms were positively interacted with OHRQoL (95% CI: 1.34, 9.02). Significant associations were observed between 'experienced, hospitalised' × 'depressive, anxiety and stress symptoms' and OHRQoL in both univariable and multivariable analyses.

Conclusion: A COVID-19 infection history and psychological distress significantly affect OHRQoL in Myanmar participants. Moreover, a strong interactive association was observed between hospitalisation during infection and symptoms of psychological distress.

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缅甸新型冠状病毒感染与心理因素对口腔健康相关生活质量的交互影响

背景：COVID-19与心理因素之间的复杂关联可能显著影响口腔健康，包括口腔健康相关生活质量（OHRQoL）。尽管它们具有相互关联的性质，但关于它们对OHRQoL的集体影响的文献有限。目的：本研究旨在评估COVID-19感染与心理因素对OHRQoL的独立和交互影响。材料和方法：横断面研究包括来自仰光市一家保健中心的158名参与者。参与者根据其COVID-19感染史、住院情况和供氧情况分为三组：“没有经验”、“有经验，未住院”和“有经验，住院”。采用经过验证的工具，包括测量情绪状态的抑郁、焦虑和压力量表-21 （DASS-21）和评估OHRQoL的口腔健康影响量表-14 （OHIP-14）。进行描述性统计、Mann-Whitney U检验、Kruskal-Wallis检验、线性回归和交互作用分析。结果：OHIP-14中位评分为7.2分。在85例确诊的COVID-19病例中，38.8% （n = 33）接受了住院治疗和供氧。多变量回归分析确定“有经验、住院”（95% CI: 6.36, 11.76）、入睡困难（95% CI: 2.65, 7.18）、抑郁症状（95% CI: 7.38, 12.44）、焦虑症状（95% CI: 2.93, 7.52）和压力症状（95% CI: 4.55, 11.11）是OHIP-14的预测因子。相互作用分析显示其相关性因住院史而异。在未住院的个体中，抑郁症状与OHRQoL呈正相关（95% CI: 1.34, 9.02）。在单变量和多变量分析中，观察到“经历过的、住院的”×“抑郁、焦虑和压力症状”与OHRQoL之间存在显著关联。结论：新型冠状病毒感染史和心理困扰显著影响缅甸参与者的OHRQoL。此外，在感染期间住院与心理困扰症状之间观察到强烈的互动关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.