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Clinical Oral Investigations

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01.05.2024 | Research

The effect of somatic pain and comorbid mental distress on oral health-related quality of life in orthodontic patients

verfasst von: Yaxin Xie, Xinrui Zheng, Yuanhong Li, Jiayue He, Peiqi Wang, Xianglong Han

Erschienen in: Clinical Oral Investigations | Ausgabe 5/2024

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Abstract

Objectives

The purpose of the present study was to evaluate the prevalence of somatic pain in orthodontic patients and determine whether somatic pain contributes to worsening oral health-related quality of life (OHRQoL) through the mediating effect of psychological discomfort.

Materials and methods

Scale measurements and analyses were conducted on a cohort of 769 orthodontic outpatients, encompassing Patient Health Questionnaire-15-pain (PHQ-15-P), Hua-Xi Emotional-Distress Index (HEI), Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), and Oral Health Impact Profile-14 (OHIP-14).

Results

Among the respondents, 56.3% (N = 433) reported somatic pain and 20.0% (N = 154) had mental discomfort based on PHQ-15-P and HEI scores. Patients with somatic pain symptoms had significantly higher scores of HEI and OHIP-14 (P < 0.001), and higher PHQ-15-P and HEI scores emerged as statistically significant predictors of lower OHIP-14 scores (P < 0.001). HEI scores which assessed anxiety and depression partially mediated the correlation between PHQ-15-P and OHIP-14 scores, of which anxiety accounted for 52.9% of the overall mediation effect, dominating the indirect effect.

Conclusion

Orthodontic patients reporting somatic pains were at a significantly higher risk of worsening OHRQoL during treatment, and this adverse effect is partially mediated by anxiety and depression.

Clinical relevance

Our findings highlight the necessity for the assessment of general health and mental well-being during orthodontic interventions. To prevent delays in treating general disorders and the potential failure of orthodontic treatments, we encourage increased attentiveness towards patients with somatic symptoms and consideration of the adverse effects of comorbid mental distress.

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Titel: The effect of somatic pain and comorbid mental distress on oral health-related quality of life in orthodontic patients
verfasst von: Yaxin Xie
Xinrui Zheng
Yuanhong Li
Jiayue He
Peiqi Wang
Xianglong Han
Publikationsdatum: 01.05.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 5/2024
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-05666-7

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The effect of somatic pain and comorbid mental distress on oral health-related quality of life in orthodontic patients

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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