Presencia de lesiones orales en pacientes con afecciones psicológicas, atendidos en una institución de salud / Presence of oral lesions in a group of patients with psychological disorders attending a health institution

Introducción: El liquen plano oral, la estomatitis aftosa recurrente y el síndrome boca urente constituyen entidades patológicas bucales que presentan relación con afecciones psicológicas. Objetivo: Describir la presencia de liquen plano oral, estomatitis aftosa recurrente y síndrome de boca urente en pacientes con afecciones psicológicas atendidos en una institución de salud. Métodos: Se realizó un estudio descriptivo de corte transversal, obteniéndose una población de 35 pacientes seleccionados mediante un muestreo no probabilístico por criterio de 26 pacientes aquellos que fueron remitidos del área de psicología (bajo un test de diagnóstico psicológico) al servicio de estomatología, con lesiones orales antes descritas. Bajo la firma de un consentimiento informado fueron tratadas y evolucionadas en un periodo de 16 meses. Se tuvieron en cuenta las consideraciones éticas basadas en la resolución 008430 de 1993, tratado de Helsinki. Resultados: En cuanto a la frecuencia, la lesión bucal que más se presentó fue la estomatitis aftosa recurrente en un 65,3 por ciento, las aftas mayores en un 38,4 por ciento, seguido de un tipo aftas menores en un 26,9 por ciento, entre otras lesiones en menor frecuencia. Los diagnósticos psicológicos evidenciados fueron estrés, depresión y ansiedad, en diferentes proporciones, mostrándose como lesión más frecuente dentro de estas entidades psicológicas, la estomatitis aftosa recurrente. No existió asociación estadística entre las variables orales y las psicológicas por mostrar valores de p >0,005. Conclusiones: Existió la presencia de liquen plano oral, la estomatitis aftosa recurrente y el síndrome boca urente en alteraciones psicológicas como estrés, ansiedad y depresión, con mayor frecuencia la estomatitis aftosa recurrente(AU)

Introduction: Oral lichen planus, recurrent aphthous stomatitis and burning mouth syndrome are oral conditions related to psychological disorders. Objective: Describe the presence of oral lichen planus, recurrent aphthous stomatitis and burning mouth syndrome in patients with psychological disorders attending a health institution. Methods: A descriptive cross-sectional study was conducted of a population of 35 patients, of whom 26 were selected by criterion nonprobability sampling and referred from the psychology service (based on a psychological diagnosis test) to the dental care service due to the presence of the aforementioned oral lesions. Upon granting their informed consent, the patients were treated and followed up for 16 months. Ethical provisions from Resolution 008430 of 1993, the Helsinki Declaration, were complied with. Results: In terms of frequency, the most common oral lesion was recurrent aphthous stomatitis with 65.3 percent. Major aphthas represented 38.4 percent. and aphthas of a minor type 26.9 percent.; other lesions had a lower frequency. The psychological diagnoses achieved were stress, depression and anxiety to various degrees, and the most common lesion for these psychological disorders was recurrent aphthous stomatitis. No statistical association was found between oral and psychological variables, for they showed values of p >0.005. Conclusions: The presence of oral lichen planus, recurrent aphthous stomatitis and burning mouth syndrome was determined in psychological disorders such as stress, anxiety and depression. Of these oral lesions, recurrent aphthous stomatitis was the most common(AU)

Psychopathological profile and quality of life of patients with oral lichen planus

Abstract Objectives Oral lichen planus (OLP) is a chronic, multifocal, sometimes painful, inflammatory disease of the oral mucosa. OLP can predispose development of psycho-emotional disorders. Until now, the relationship between the severity of lichen planus and the psychological profile of patients (psychological well-being, perceived stress and pain coping strategies) has never been studied. Material and Methods Study was conducted on 42 OLP patients. Number of sites involved, severity and activity score of OLP were evaluated. Psychological tests were used to evaluate patients' psycho-emotional condition. The mean duration time of symptomatic OLP was 43 months. Results We detected that the longer the duration of subjective symptoms, the poorer the quality of life and the higher the level of perceived stress (PSS). Also, the higher the PSS results, the greater the anxiety and depression on Hospital Anxiety and Depression Scale (HADS). Likewise, higher level of depression in HADS was strongly correlated with worse quality of life. (p≤0.05). Conclusions In this study, we detected a relationship between duration of the disease, level of perceived stress and quality of life. The longer the disease lasts, the higher it tends to catastrophize. This may influence development or increase of the anxiety and depression and may decrease patients' quality of life.

Ansiedad como rasgo de la personalidad de un grupo de pacientes con liquen plano bucal / Anxiety as a personality trait of a group of patients with oral lichen planus

La ansiedad es un sentimiento de recelo o de miedo. La fuente de este desasosiego no siempre se reconoce, lo cual se puede añadir a la angustia que se siente. Numerosos autores han relacionado a entidades como el Liquen Plano Bucal (LPB) o el bruxismo como condiciones psicosomáticas. Cuantificar los niveles de ansiedad/estado y ansiedad como rasgo de la personalidad en una población Venezolana con Liquen Plano Bucal. En el estudio se incluyeron 20 pacientes diagnosticados con Liquen Plano Bucal y 10 sujetos con mucosa bucal sana. Se aplicó el cuestionario de Ansiedad Estado-Rasgo "STAI" (State-Trait Anxiety Inventory). El cuestionario está diseñado para auto aplicación y la misma se hizo de manera individual sin límite de tiempo.Resultados: 17/20 de los pacientes del grupo con Liquen Plano Bucal presentaron un decatipo igual o mayor de 6 en la escala del cuestionario de Ansiedad Rasgo "STAI", indicando que el 85% de los pacientes en este grupo resultaron tener la ansiedad como rasgo en su personalidad. En el grupo control 8/10 presentaron un decatipo igual o mayor de 6 en la escala del cuestionario de Ansiedad Rasgo "STAI", lo que señala que el 80% de los sujetos de este grupo presentaba la ansiedad como rasgo en su personalidad. 15/20 de los pacientes del grupo con LPB presentaron un decatipo igual o mayor de 6 en la escala del cuestionario Ansiedad Estado "STAI" lo que indica que el 75% de los pacientes con LPB se mostraban ansiosos al momento de la aplicación de esta prueba. 9/10 individuos del grupo control presentaron un decatipo igual o mayor de 6 en la escala del cuestionario Ansiedad Estado "STAI", evidenciando que el 90% de los pacientes de este grupo se encontraban ansiosos al momento de la aplicación del cuestionario. No se observó una diferencia estadísticamente significativa entre los dos grupos

Anxiety is a fearing, disquiet feeling, with unknown source, that leads to more anguish for the patient who's suffering the condition. Several authors have related entities like Oral Lichen Planus (OLP) and bruxism with psycho-somatic conditions. To quantify the levels of state-anxiety and trait-anxiety in an OLP Venezuelan population.Materials and Methods: In the present study, 20 OLP patients and 10 healthy oral mucosa individuals were subjected to the STAI questionnaire (State-Trait Anxiety Inventory) applied without time limit. 17/20 OLP patients presented a 6 or greater score in the STAI scale what indicated that 85% of patients have anxiety as a personality feature. 8/10 patient in the control group presented a 6 or greater score in the STAI scale what indicated that 80% of patients in this group have anxiety as a personality feature. 15/20 OLP patients presented a 6 or greater score in the anxiety-state scale what indicated that 75% of the patients were anxious at the moment of test application. 9/10 patients in the control group presented a 6 or greater score in the anxiety-state scale what indicated that 90% of the patients were anxious at the moment of test application. There is not statistical differences between the two groups. In this study, there are more OLP patients with anxiety as a personality feature; nevertheless there is no statistical difference between the two groups. Is a clinical decision to include psychological treatment in each particular case, especially patients with recurrent lesions

Evaluation of salivary cortisol and psychological factors in patients with oral lichen planus.

Background and Objectives: Lichen planus is a relatively common chronic inflammatory disease of oral mucosa and skin. Cortisol, also called as "stress hormone", has been used as an indicator in various stress evaluation studies. Salivary cortisol measurement is an indicator of free cortisol or biologically active cortisol in human serum and provides noninvasive and easy technique. Recent studies have been conflicting, and hence, in the present study, evaluation of salivary cortisol levels and psychosocial factors in oral lichen planus (OLP) patients was done. Materials and Methods: A total of 30 patients with clinically and histopathologically proven cases of OLP, along with the age and sex-matched healthy controls were included in the study. Samples of stimulated saliva were collected, centrifuged and analyzed for the level of cortisol with cortisol enzyme linked immunosorbent assay. Psychosocial factors of study and control groups were measured by depression anxiety and stress scale. Student's t-test was used to compare the psychological factors and salivary cortisol levels between patients with the OLP and the control group. Results: Irrespective of sex, significantly higher depression (83.4 ± 15.4%), anxiety (80.5 ± 11.3%), and stress (94.2 ± 6.2%) scores were observed in OLP patients compared to controls. Increased cortisol levels were observed among 17 (56.6%) OLP patients in the study group. A positive correlation was found between psychological factors and salivary cortisol levels in the OLP patients. The values of Pearson's correlation coefficient "r", between depression, anxiety, and stress with salivary cortisol was: +0.42,S; +0.27,NS; and +0.65,HS, respectively among the study group.

Alteraciones psicológicas en la etiopatogénesis de patología de la mucosa oral / Psychological disorders in the etiopathogenesis of the oral mucous pathology

El liquen plano oral, la úlcera recurrente oral y el síndrome de boca urente son tres entidades patológicas de la mucosa oral que se caracterizan por tener una etiología multifactoral y por ser de difícil manejo terapéutico en cuanto a lograr un tratamiento que resuelva el padecimiento. Uno de los factores que probablemente juegue un rol en el desarrollo de estas patologías es el estado psicológico del paciente a través de alteraciones tales como el estrés, ansiedad, depresión. La consideración de aspectos psíquicos en el desarrollo de lesiones de la mucosa oral está sustentada por diversas investigaciones, tanto clínicas como de laboratorio, aunque ninguna ha sido absolutamente concluyente. Sin embargo las evidencias logradas abren una nueva perspectiva tanto en la comprensión de la etiopatogénesis de estas enfermedades como en su prevención y manejo terapéutico