Impact of periodontitis and orthodontic treatment on dental anxiety and self-esteem

IF 1.8 Q3 PSYCHOLOGY, CLINICAL

Mediterranean Journal of Clinical Psychology Pub Date : 2021-04-29 DOI:10.6092/2282-1619/MJCP-2971

S. Santonocito, F. Indelicato, Alessandro Polizzi, G. Palazzo

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引用次数: 6

Abstract

Background and aims : The concept of dental anxiety related to patients’ concerns about the psychosocial impact of their dental appearance has been demonstrated to have a significant influence on the initiation and adherence to certain dental treatments, particularly in adult patients with periodontitis undergoing orthodontic treatment. This study analyze the relationship between dental appearance and self-esteem and anxiety in adult periodontitis patients undergoing orthodontic treatment. Methods : For the study were enrolled 38 patients, divided into test and control groups. The impact of dental appearance was measured using the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). State anxiety was assessed with the State Anxiety Inventory (STAI-S) and self-esteem with Rosenberg’s self-esteem scale. Results : In both groups, self-esteem correlates negatively with all dimensions of dental appearance impact except for the positive dental self-confidence dimension, where all correlations were positive. Anxiety correlates positively with social impact, psychological impact and aesthetic concern, although it maintains no significant correlations with dental self-confidence. Nevertheless, in patients undergoing orthodontic treatment, anxiety plays a mediating role between dental impact dimensions and self-esteem, whilst for the control group anxiety only plays a mediator role between psychological impact and self-esteem. Conclusion : Anxiety plays a fundamental role in the effect of perceived dental impact on self-esteem in adult patients undergoing orthodontic treatment. These results have important practical implications for the design of bio-psycho-social intervention programs that contemplate cognitive-affective variables as an essential part of orthodontic treatment in adults with periodontitis.

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牙周炎和正畸治疗对牙齿焦虑和自尊的影响

背景和目的:牙科焦虑的概念与患者对其牙齿外观的社会心理影响的关注有关，已被证明对某些牙科治疗的开始和坚持有重大影响，特别是在接受正畸治疗的成年牙周炎患者中。本研究分析成人牙周炎正畸治疗患者牙貌与自尊、焦虑的关系。方法:本研究纳入38例患者，分为试验组和对照组。使用牙科美学心理社会影响问卷(PIDAQ)测量牙齿外观的影响。用状态焦虑量表(STAI-S)评估状态焦虑，用Rosenberg自尊量表评估自尊。结果:在两组中，自尊与牙齿外观影响的所有维度均呈负相关，但牙科自信维度呈正相关，其中所有维度均为正相关。焦虑与社会影响、心理影响和审美关注呈正相关，但与牙科自信无显著相关。然而，在正畸治疗患者中，焦虑在牙齿影响维度与自尊之间起中介作用，而在对照组中，焦虑仅在心理影响与自尊之间起中介作用。结论:焦虑在成人正畸治疗患者的牙齿影响感知对自尊的影响中起着重要作用。这些结果对设计生物-心理-社会干预项目具有重要的实际意义，这些项目将认知-情感变量视为成人牙周炎正畸治疗的重要组成部分。

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

Mediterranean Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

4.10

自引率

53.80%

发文量

审稿时长

4 weeks

期刊介绍： The MJCP is an Open Access Peer-Reviewed International Journal in Clinical Psychology. MJCP accepts research related to innovative and important areas of clinical research: 1. Clinical studies related to Clinical Psychology, 2. Psychopathology and Psychotherapy; 3. Basic studies pertaining to clinical psychology field as experimental psychology, psychoneuroendocrinology and psychoanalysis; 4. Growing application of clinical techniques in clinical psychology, psychology of health, clinical approaches in projective methods; 5. Forensic psychology in clinical research; 6. Psychology of art and religion; 7. Advanced in basic and clinical research methodology including qualitative and quantitative research and new research findings.