The impact of stomatological disease on oral health-related quality of life

The clinical diagnosis of stomatological disease may indicate its cause and prognosis; however, it says little about the resulting level of impairment from the patient's perspective. The primary objective of this study was to test whether patients attending an outpatient oral medicine clinic wo...

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Bibliographic Details
Published in:European journal of oral sciences 2003-08, Vol.111 (4), p.297-304
Main Authors: Llewellyn, Carrie Diane, Warnakulasuriya, Saman
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Anxiety - psychology
Attitude to Health
Case-Control Studies
Cross-Sectional Studies
Dentistry
Depression - psychology
Female
Humans
Logistic Models
Male
Middle Aged
Mouth Diseases - psychology
Multivariate Analysis
Oral Health
Quality of Life
Reproducibility of Results
Social Isolation
stomatological disease
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Summary:The clinical diagnosis of stomatological disease may indicate its cause and prognosis; however, it says little about the resulting level of impairment from the patient's perspective. The primary objective of this study was to test whether patients attending an outpatient oral medicine clinic would have worse oral health related quality of life (OHR‐QoL) compared with the general population. In addition, we aimed to assess whether anxiety or depression could be predicted by OHR‐QoL and to explore the relationship between clinical diagnoses, OHR‐QoL and anxiety/depression. Data were collected from patients (n = 97) through face‐to‐face interviews using the Oral Health Impact Profile Short form (OHIP‐14) to measure OHR‐QoL, the Hospital Anxiety and Depression Scale (HADS) for psychiatric morbidity, and a visual analogue scale for self‐rated general health. Age‐ and sex‐matched controls (n = 388) were provided from a normative data set collected in a UK national survey in 1998. Participants had significantly lower OHR‐QoL scores than the general population on all domains and overall OHR‐QoL scores. Of the variance in anxiety, 55% was predicted by general health ratings and OHR‐QoL domains of ‘psychological discomfort’ and ‘psychological disability’. Of the variance in depression, 54% was predicted by general health ratings and OHR‐QoL domains of ‘functional limitation’ and ‘social disability’. Patient centred, routine assessment of OHR‐QoL provides an additional dimension that may help to improve awareness of the impact of disease on the individual's life and enhance the clinical decision‐making process.
ISSN:0909-8836
1600-0722
DOI:10.1034/j.1600-0722.2003.00057.x