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Erschienen in: Odontology 2/2019

13.10.2018 | Original Article

Relationship between anxiety/depression and oral health-related quality of life in inpatients of convalescent hospitals

verfasst von: Kanako Hayashi, Maya Izumi, Yuhei Mastuda, Ayaka Isobe, Sumio Akifusa

Erschienen in: Odontology | Ausgabe 2/2019

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Abstract

The aim of this study is to examin the association between anxiety/depressive tendency and oral health-related quality of life in inpatients of convalescent wards. This cross-sectional study included inpatients of convalescent wards (age range 34–100 years). Data on age, sex, functional independence measure, number of teeth, odontotherapy status, and primary disease for which hospitalization was required were collected. The Hospital Anxiety and Depression Scale (HADS) was used to assess emotional distress. The oral health-related quality of life was evaluated by the Geriatric Oral Health Assessment Index (GOHAI). Oral hygiene level was assessed by the Oral Health Assessment Tool (OHAT). We performed a multiple regression analysis to assess relationships among HADS, GOHAI, and OHAT. Following the analysis, causal connections of these factors were evaluated with structural equations modeling. The scores of GOHAI and OHAT in the caseness cohort (HADS score > 11) were significantly worse than those in the non-caseness cohort (HADS score < 7). Multiple regression analysis revealed that GOHAI was a statistically significant predictor of HADS score (p = 0.012), and that HADS and OHAT scores were predictors of GOHAI (p = 0.012 and < 0.001, respectively), adjusted by sex and age. We found that a model connected from OHAT to HADS through GOHAI was a good fit for the data of inpatients. Oral health-related quality of life, affected by oral hygiene status, was strongly associated with emotional distress in inpatients of convalescent wards. Daily oral care and assessment by healthcare professionals can reduce the emotional distress of inpatients in convalescent wards.
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Metadaten
Titel
Relationship between anxiety/depression and oral health-related quality of life in inpatients of convalescent hospitals
verfasst von
Kanako Hayashi
Maya Izumi
Yuhei Mastuda
Ayaka Isobe
Sumio Akifusa
Publikationsdatum
13.10.2018
Verlag
Springer Japan
Erschienen in
Odontology / Ausgabe 2/2019
Print ISSN: 1618-1247
Elektronische ISSN: 1618-1255
DOI
https://doi.org/10.1007/s10266-018-0394-x

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