Evaluation of Psychological Disorders in patients with Oral  Lichen Planus; a Case Control Study

Alaa Khalid  Saeed; Shaheen Ali  Ahmad

doi:10.56056/amj.2024.243

Authors

Alaa Khalid Saeed BDS. KHCMS Candidate of Oral and Maxillofacial Medicine, Erbil center
Shaheen Ali Ahmad BDS. Assistant Prof., Msc Oral medicine, KBMS fellowship in oral & maxillofacial medicine. Erbil cente Research supervisor

DOI:

https://doi.org/10.56056/amj.2024.243

Keywords:

Anxiety, Depression, DASS-21, Oral lichen planus, Stress

Abstract

Background and objective; Interest in the idea that immunological pathways may be involved in the etiology of subset of psychotic disorders has grown over the past few decades. The goal of this study was to investigate the psychiatric issues in individuals with oral lichen planus.

Method; This is a case control study which has been done at Oral & Maxillofacial medicine department in Khanzad Teaching Center and Erbil Dermatology Center between January 1^st and August 1^st, 2022. The Depression Anxiety Stress Scale -21 questionnaires were used to assess the psychological condition of patients with oral lichen planus. The sample consists of 100 participants, 50 of whom have oral lichen planus and 50 of healthy controls.

Results: There were considerable differences between the two groups, according to the oral lichen planus the values for stress (50%), anxiety (22%), and depression (34%), whereas the values in the control group were [stress (20%), anxiety (0.0%), and depression (20%)]. Among the cases, (90.0%) had only oral lesions and (76.0%) of which had symptoms. Anxiety, and stress had statistical significance relation (0.002, 0.001) respectively in patients with symptomatic lesions (erosive and atrophic type) that produce pain and discomfort.

Conclusion: The autoimmune diseases including the oral lichen planus has correlation with psychological factors, this research has shown the unfavorable impact of these oral lesions on the patient's psyche.

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References

Aggarwal A, Agrawal N, Goyal R, Kamal R, Dahiya P. Evaluation of Psychological Factors in Patients with Oral Lichen Planus. Ann dent spec. 2020; 8(2):5-10

Shaw H, Konidena A, Malhotra A, Yumnam N, Farooq F, Bansal V. Psychological status and uric acid levels in oral lichen planus patients - A case- control study. Indian J Dent Res. 2020; 31(3): 36875

Odel EW. Cawson’s Essentials of Oral Pathology and Oral Medicine. 9th edition. China; Elsevier.2017

Parlatescu I, Tovaru M, Nicolae CL, Sfeatcu R, Didilescu AC. Oral health-related quality of life in different clinical forms of oral lichen planus. Clin Oral Investig. 2020;24(1):301-8.

Warkentin DL. Psychological Disorders. Anal Chem. 1993;65(12):405–8.

Cherry K. list-of-psychological-disorders. verywellmind.2022; 2794776. Available from: https://www.verywellmind.com/a-list-of-psychological-disorders-2794776

Kalkur C, Sattur A, Guttal K. Role of depression, anxiety and stress in patients with oral lichen planus: A pilot study. Indian J Dermatol. 2015; 60(5): 445–9.

Hiremutt DRP, Mhapuskar AA, Singh P, Gupta N. Comparison of Anxiety and Depression Scores in Patients with Oral Lichen Planus and Normal Individuals. J Int Clin Dent Res Organ. 2020;12(2):140–7.

Manczyk B, Go?da J, Biniak A, et al. Evaluation of depression, anxiety and stress levels in patients with oral lichen planus. J Oral Sci. 2019;1;61(3):391–7.

Gupta A, Mohan R, Gupta S, Malik S, Goel S, Kamarthi N. Roles of serum uric acid, prolactin levels, and psychosocial factors in oral lichen planus. J Oral Sci. 2017;59(1):139–46.

Prakash S, Mohan R, Ghanta S, et al. Meteorological influences on the incidence of lichen planus in a north Indian population. J Oral Sci. 2013;55(4):311–8.

Lovibond, SH., Lovibond, PF. Manual for the Depression Anxiety Stress Scales. 2nd. Ed. Sydney: Psychology Foundation.1995

Fiocco Z, Kupf S, Patzak L, et al. Quality of Life and Psychopathology in Lichen Planus: A Neglected Disease Burden. Acta Derm Venereol. 2021;101(12).

Radwan-Oczko M, Zwyrtek E, Owczarek JE, Szcze?niak D. Psychopathological profile and quality of life of patients with oral lichen planus. J Appl Oral Sci. 2018; 26:1–9.

Jalenques I, Lauron S, Almon S, et al. Prevalence and Odds of Signs of Depression and Anxiety in Patients with Lichen Planus: Systematic Review and Meta-analyses. Acta Derm Venereol. 2020; 100: adv00330. (9):1–8.

Daume L, Kreis C, Bohner L, Kleinheinz J, Jung S. Does the clinical form of oral lichen planus (OLP) influence the oral health–related quality of life (ohrqol)? Int J Environ Res Public Health. 2020;17(18):1–9.

Wiriyakijja P, Porter S, Fedele S, et al. Health-Related Quality of Life and Its Associated Predictors in Patients with Oral Lichen Planus: A Cross-Sectional Study. Int Dent J. 2021;71(2):140–52.

Sikdar A, Bhuvaneshwari S, Sangamesh NC, et al. comparative study on the evaluation of stress in patients with lichen planus and normal healthy individuals using hospital anxiety and depression questionnaire, depression anxiety stress scale 21, and state-trait anxiety inventory. J Indian Acad Oral Med Radiol. 2022;34(2):198–202.

De Porras-Carrique T, González-Moles MÁ, Warnakulasuriya S, Ramos-García P. Depression, anxiety, and stress in oral lichen planus: a systematic review and meta-analysis. Clin Oral Investig. 2022;26(2):1391–408. Available from: https://doi.org/10.1007/s00784-021-04114-0

Chaudhary, S. (2004). Psychosocial stressors in oral lichen planus. Australian Dental Journal, 49(4), 192–195. https://doi.org/10.1111/j.1834-7819.2004.tb00072.x.