Impact of depressive symptoms on prosthetic status—results of the study of health in Pomerania (SHIP)

Objectives Previous investigations have confirmed that every fifth dental patient suffers from clinically significant depressive symptoms. However, the putative impact of depressive symptoms on the prosthetic status has not been addressed in these studies. The objective of this study was to investig...

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Published in:Clinical oral investigations 2013-05, Vol.17 (4), p.1191-1200
Main Authors: Samietz, Stefanie A., Kindler, Stefan, Schwahn, Christian, Polzer, Ines, Hoffmann, Wolfgang, Kocher, Thomas, Grabe, Hans Jörgen, Mundt, Torsten, Biffar, Reiner
Format: Article
Language:English
Subjects:
Adult
Attitude to Health
Dental Prosthesis - psychology
Dentistry
Depression
Female
Germany
Health Surveys
Humans
Logistic Models
Male
Mandible
Medicine
Middle Aged
Original Article
Psychiatric Status Rating Scales
Self Concept
Sensitivity and Specificity
Sex Factors
Statistics, Nonparametric
Tooth Loss - psychology
Tooth Loss - rehabilitation
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Summary:Objectives Previous investigations have confirmed that every fifth dental patient suffers from clinically significant depressive symptoms. However, the putative impact of depressive symptoms on the prosthetic status has not been addressed in these studies. The objective of this study was to investigate the association between depressive symptoms and prosthetic status based on data from the Study of Health in Pomerania (SHIP-0). Methods Data from 2,135 participants aged 30 to 59 years were analyzed. A classification (six classes regarding the number and position of missing teeth per jaw) was used to identify the degree of prosthetic status (no/suboptimal/optimal tooth replacement). The presence of depressive symptoms was assessed with a modified version of von Zerssen’s complaints scale. Screening for lifetime diagnoses of mental disorders was performed with the Composite International Diagnostic-Screener (CID-S). Multivariable logistic regressions including several confounders were calculated. Results A significant protective dose–response effect of depressive symptoms on prosthetic status was found only in men for the lower jaw [0–1 depressive symptoms: odds ratio (OR) = 3.84, 95 % confidence interval (CI, 1.65–8.92), p  
ISSN:1432-6981
1436-3771
DOI:10.1007/s00784-012-0806-1