Oral Health-Related Quality of Life in Adult Patients with Depression or Attention Deficit Hyperactivity Disorder (ADHD)

The aim of this cross-sectional study was the evaluation of the oral health-related quality of life (OHRQoL) in patients with depression or attention-deficit/hyperactivity disorder (ADHD) in comparison with a group of mentally healthy individuals. Patients from the Department of Psychiatry and Psych...

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Main Authors: Stephan Gemp, Dirk Ziebolz, Rainer Haak, Nicole Mauche, Madlen Prase, Ezgi Dogan-Sander, Frauke Görges, Maria Strauß, Gerhard Schmalz
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/22/7192
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author Stephan Gemp
Dirk Ziebolz
Rainer Haak
Nicole Mauche
Madlen Prase
Ezgi Dogan-Sander
Frauke Görges
Maria Strauß
Gerhard Schmalz
author_facet Stephan Gemp
Dirk Ziebolz
Rainer Haak
Nicole Mauche
Madlen Prase
Ezgi Dogan-Sander
Frauke Görges
Maria Strauß
Gerhard Schmalz
author_sort Stephan Gemp
collection DOAJ
description The aim of this cross-sectional study was the evaluation of the oral health-related quality of life (OHRQoL) in patients with depression or attention-deficit/hyperactivity disorder (ADHD) in comparison with a group of mentally healthy individuals. Patients from the Department of Psychiatry and Psychotherapy, University of Leipzig, Germany, were recruited. A healthy comparison group (HC) was recruited from the Department of Cariology, Endodontology and Periodontology. The OHRQoL was assessed using the Oral Health Impact Profile G14 (OHIP G14). Furthermore, a questionnaire regarding oral hygiene behaviour was applied. A total of 141 patients with depression or ADHD (depression n = 94, ADHD n = 47) and 145 HC individuals with a balanced age and gender distribution were surveyed. OHIP G14 median scores were significantly higher in the overall psychiatric patient group compared to HC (5.00 vs. 0.00, <i>p</i> < 0.001). This was also found for the four dimensions of OHIP G14 (<i>p</i> < 0.001). The OHIP G14 sum score of patients with depression and ADHD was comparable (5.00 vs. 6.50, <i>p</i> = 0.302). A significant association among psychiatric patients between smoking, gum bleeding, professional tooth cleaning, oral health education, interdental cleaning, and elevated OHIP scores was found (<i>p</i> < 0.001). In conclusion, patients with depression and adults with ADHD show a reduced OHRQoL. A contradictory association between oral hygiene/oral health behaviour and OHRQoL supports the hypothesis of a changed perception of oral conditions in patients with mental diseases. Interdisciplinary collaboration between psychiatric specialists and dentists should be fostered.
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spelling doaj.art-19e2b445c0684f8ba31f5337af5718f72023-11-24T14:49:48ZengMDPI AGJournal of Clinical Medicine2077-03832023-11-011222719210.3390/jcm12227192Oral Health-Related Quality of Life in Adult Patients with Depression or Attention Deficit Hyperactivity Disorder (ADHD)Stephan Gemp0Dirk Ziebolz1Rainer Haak2Nicole Mauche3Madlen Prase4Ezgi Dogan-Sander5Frauke Görges6Maria Strauß7Gerhard Schmalz8Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, GermanyDepartment of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, GermanyDepartment of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, GermanyDepartment of Psychiatry and Psychotherapy, University of Leipzig, 04103 Leipzig, GermanyDepartment of Psychiatry and Psychotherapy, University of Leipzig, 04103 Leipzig, GermanyDepartment of Psychiatry and Psychotherapy, University of Leipzig, 04103 Leipzig, GermanyDepartment of Psychiatry and Psychotherapy, University of Leipzig, 04103 Leipzig, GermanyDepartment of Psychiatry and Psychotherapy, University of Leipzig, 04103 Leipzig, GermanyDepartment of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, GermanyThe aim of this cross-sectional study was the evaluation of the oral health-related quality of life (OHRQoL) in patients with depression or attention-deficit/hyperactivity disorder (ADHD) in comparison with a group of mentally healthy individuals. Patients from the Department of Psychiatry and Psychotherapy, University of Leipzig, Germany, were recruited. A healthy comparison group (HC) was recruited from the Department of Cariology, Endodontology and Periodontology. The OHRQoL was assessed using the Oral Health Impact Profile G14 (OHIP G14). Furthermore, a questionnaire regarding oral hygiene behaviour was applied. A total of 141 patients with depression or ADHD (depression n = 94, ADHD n = 47) and 145 HC individuals with a balanced age and gender distribution were surveyed. OHIP G14 median scores were significantly higher in the overall psychiatric patient group compared to HC (5.00 vs. 0.00, <i>p</i> < 0.001). This was also found for the four dimensions of OHIP G14 (<i>p</i> < 0.001). The OHIP G14 sum score of patients with depression and ADHD was comparable (5.00 vs. 6.50, <i>p</i> = 0.302). A significant association among psychiatric patients between smoking, gum bleeding, professional tooth cleaning, oral health education, interdental cleaning, and elevated OHIP scores was found (<i>p</i> < 0.001). In conclusion, patients with depression and adults with ADHD show a reduced OHRQoL. A contradictory association between oral hygiene/oral health behaviour and OHRQoL supports the hypothesis of a changed perception of oral conditions in patients with mental diseases. Interdisciplinary collaboration between psychiatric specialists and dentists should be fostered.https://www.mdpi.com/2077-0383/12/22/7192affective disordersoral health-related quality of lifepsychosocial impactoral health impact profile
spellingShingle Stephan Gemp
Dirk Ziebolz
Rainer Haak
Nicole Mauche
Madlen Prase
Ezgi Dogan-Sander
Frauke Görges
Maria Strauß
Gerhard Schmalz
Oral Health-Related Quality of Life in Adult Patients with Depression or Attention Deficit Hyperactivity Disorder (ADHD)
Journal of Clinical Medicine
affective disorders
oral health-related quality of life
psychosocial impact
oral health impact profile
title Oral Health-Related Quality of Life in Adult Patients with Depression or Attention Deficit Hyperactivity Disorder (ADHD)
title_full Oral Health-Related Quality of Life in Adult Patients with Depression or Attention Deficit Hyperactivity Disorder (ADHD)
title_fullStr Oral Health-Related Quality of Life in Adult Patients with Depression or Attention Deficit Hyperactivity Disorder (ADHD)
title_full_unstemmed Oral Health-Related Quality of Life in Adult Patients with Depression or Attention Deficit Hyperactivity Disorder (ADHD)
title_short Oral Health-Related Quality of Life in Adult Patients with Depression or Attention Deficit Hyperactivity Disorder (ADHD)
title_sort oral health related quality of life in adult patients with depression or attention deficit hyperactivity disorder adhd
topic affective disorders
oral health-related quality of life
psychosocial impact
oral health impact profile
url https://www.mdpi.com/2077-0383/12/22/7192
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