Association between two-year trajectories of dental anxiety and the changes in the oral health-related quality of life
Yang, Lily (2024-05-28)
Association between two-year trajectories of dental anxiety and the changes in the oral health-related quality of life
(28.05.2024)
Julkaisu on tekijänoikeussäännösten alainen. Teosta voi lukea ja tulostaa henkilökohtaista käyttöä varten. Käyttö kaupallisiin tarkoituksiin on kielletty.
suljettu
Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2024060747968
https://urn.fi/URN:NBN:fi-fe2024060747968
Tiivistelmä
We evaluated associations between changes in dental anxiety and oral health-related quality of life (OHRQoL) and its dimensions among 5 269 parents of the FinnBrain Birth Cohort Study. Dental anxiety was measured with the Modified Dental Anxiety Scale and two-year trajectories (gestational weeks 14 and 34 and 3 and 24 months after birth) from previous study with same population were used. OHRQoL was measured with the Oral Health Impact Profile 14-item questionnaire at gestational week 34. The association between dental anxiety trajectories and change between gw34 and 4years in the OHIP-14 severity scores by total and dimensions was analyzed with the Joncheere-Terpstra test separately for mothers and fathers.
OHRQoL decreased for both mothers and fathers from gestational week 34 to the 4-year follow-up. The difference in the OHRQoL change between dental anxiety trajectory classes was statistically significant in mothers but not in fathers. The greatest decline in OHRQoL was observed in the Stable high trajectory group for both parents. In mothers, OHRQoL decreased second most in Moderate increasing trajectory group. For fathers, the considerable increase in OHRQoL in the High decreasing trajectory group was not statistically significant due to the small group size. Of the dimensions the changes in Psychological disability and Handicap differed according to dental anxiety trajectories for both of mothers and fathers. The most significant declines in OHRQoL for both parents were in the Physical Pain and Psychological Discomfort dimensions.
These findings indicate that reductions in dental anxiety are significantly associated with improvements in OHRQoL, emphasizing the critical role that psychological factors play in oral health outcomes. The findings underscore the need for targeted interventions that specifically address dental anxiety. For mothers and fathers with stable high dental anxiety, psychological interventions aimed at reducing anxiety could significantly improve their OHRQoL. Additionally, for those with moderate increasing anxiety, tailored support to manage anxiety effectively could prevent further declines in quality of life.
OHRQoL decreased for both mothers and fathers from gestational week 34 to the 4-year follow-up. The difference in the OHRQoL change between dental anxiety trajectory classes was statistically significant in mothers but not in fathers. The greatest decline in OHRQoL was observed in the Stable high trajectory group for both parents. In mothers, OHRQoL decreased second most in Moderate increasing trajectory group. For fathers, the considerable increase in OHRQoL in the High decreasing trajectory group was not statistically significant due to the small group size. Of the dimensions the changes in Psychological disability and Handicap differed according to dental anxiety trajectories for both of mothers and fathers. The most significant declines in OHRQoL for both parents were in the Physical Pain and Psychological Discomfort dimensions.
These findings indicate that reductions in dental anxiety are significantly associated with improvements in OHRQoL, emphasizing the critical role that psychological factors play in oral health outcomes. The findings underscore the need for targeted interventions that specifically address dental anxiety. For mothers and fathers with stable high dental anxiety, psychological interventions aimed at reducing anxiety could significantly improve their OHRQoL. Additionally, for those with moderate increasing anxiety, tailored support to manage anxiety effectively could prevent further declines in quality of life.