Prevalence of recurrent aphthous ulcers among dentistry students and its association with anxiety
Abstract
Introduction: Recurrent aphthous stomatitis (RAS) is a common ulcerative inflammatory condition of the oral mucosa. Considering the contradictory findings of previous research about the association between anxiety and RAS, the present study aimed to determine the prevalence of RAS and its association with anxiety among dentistry students. Materials and Methods: In this descriptive-analytical study, a total of 241 dentistry students of G. University were divided into two groups (those with a history of RAS and healthy subjects) after recording their demographic and required information. Also, Cattell’s questionnaire was used to evaluate the level of anxiety. The results were analyzed using SPSS v.21 software, and a p-value of <0.05 was considered statistically significant. Results: 2.40% of subjects suffered from RAS. This condition was more prevalent in winter, and its incidence was significantly different between the two groups in terms of the presence of a family history of RAS (p=0.01), food allergy (p=0.05), and regular exercise (p=0.040). Subjects with RAS had a significantly higher anxiety intensity in the areas of lack of ego strength, superego susceptibility, and ergic tension compared to subjects without RAS (p<0.0001). Conclusion: The results showed that some areas of anxiety, including lack of ego strength, can be predictors of RAS. Therefore, teaching life skills such as anxiety management and its timely diagnosis and treatment can play an essential role in the prevention and treatment of RAS. Keywords: Recurrent aphthous stomatitis; Anxiety; Dentistry students.
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2. Nandini N, Sreeja C, Sathish Muthukumar HP, et al (2020). Recurrent aphthous ulcer: Literature review on etiopathogenesis, diagnosis and clinical aspects. AJPP, 6(5):312-9.
3. Vuletic M, Papic M, Zivanovic S, et al (2022). Recurrent Aphthous Stomatitis – An Overview. EABR, 0(0).
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5. Batool S, Shaikh K, Qadir A, et al (2023). ASSOCIATION BETWEEN RECURRENT APHTHOUS STOMATITIS AND STRESS IN ADULTS AT TERTIARY CARE HOSPITAL. Xi'an Shiyou Daxue Xuebao (Ziran Kexue Ban)/J. Xi'an Shiyou Univ. Nat. Sci. Ed., 19:148-61.
6. Hariyani N, Bramantoro T, Nair R, et al (2020). Depression symptoms and recurrent aphthous stomatitis—Evidence from a population-based study in Indonesia. Oral Dis., 26(5):948-54.
7. Mirzaei M, Zarabadipour M, Mirzadeh M (2021). Evaluation the relationship between psychological profile and salivary cortisol in patients with recurrent aphthous stomatitis. J. Dent. Res., 18:50.
8. Öner Ü, Öner F, Osman K, et al (2022). Evaluation of Quality of Life, Anxiety and Depression in Patients with Recurrent Aphthous Stomatitis. Arch. Med. Res., 38(1):23.
9. Chamani G, Zarei M, Ghafarinejad A, et al (2008). Prevalence of recurrent aphthous stomatitis and anxiety in 550 medical, dental and pharmaceutical students of Kerman Medical University. JDS, 26(2):131-.
10. Rao AK, Vundavalli S, Sirisha N, et al (2015). The association between psychological stress and recurrent aphthous stomatitis among medical and dental student cohorts in an educational setup in India. J. Indian Assoc. Public Health Dent., 13(2):133.
11. Shiva A, Yazdani Charati J, Elkaei A, et al (2019). Prevalence of Recurrent Aphthous Stomatitis in University Students and Its Relation with Anxiety. J. Maz. Univ. Med., 29(180):108-12.
12. Ziaei S, Raeisi Shahraki H, Dadvand Dehkordi S (2022). The association of recurrent aphthous stomatitis with general health and oral health related quality of life among dental students. IJPPP, 14(4):254-61.
13. Frajerman A, Chaumette B, Krebs M-O, et al (2022). Mental health in medical, dental and pharmacy students: A cross-sectional study. J. Affect. Disord., 10:100404.
14. Hutajulu NA, Lubis WH (2023). Stress Experienced during the COVID-19 Pandemic; Its Relationship with the Incidence of Recurrent Aphthous Stomatitis (RAS). JIDMR, 16 (1):187-192.
15. Agius AM, Gatt G, Vento Zahra E, et al (2021). Self-reported dental student stressors and experiences during the COVID-19 pandemic. JDE, 85(2):208-15.
16. Hakami Z, Khanagar SB, Vishwanathaiah S, et al (2021). Psychological impact of the coronavirus disease 2019 (COVID-19) pandemic on dental students: A nationwide study. JDE, 85(4):494-503.
17. Verma S, Srikrishna K, Srishti, et al (2023). Recurrent Oral Ulcers and Its Association With Stress Among Dental Students in the Northeast Indian Population: A Cross-Sectional Questionnaire-Based Survey. Cureus, 15(2):e34947.
18. Basirat M, Rabiei M, Ashouri A, et al (2018). Association of Lifestyle and Aphthous Stomatitis Among Dentistry Students. CJIM, 3(3):86-90.
19. Slebioda Z, Szponar E, Kowalska A (2013). Recurrent aphthous stomatitis: genetic aspects of etiology. Postepy Dermatol Alergol, 30(2):96-102.
20. Wray D, Vlagopoulos TP, Siraganian RP (1982). Food allergens and basophil histamine release in recurrent aphthous stomatitis. Oral Surg. Oral Med. Oral Pathol., 54(4):388-95.
21. Shi L, Wan K, Tan M, et al (2015). Risk factors of recurrent aphthous ulceration among university students. Int. J. Clin. Exp. Med. INT J CLIN EXP MED, 8(4):6218-23.
22. Liu S, Li L, Liu Z, et al (2019). Long-term Tai Chi experience promotes emotional stability and slows gray matter atrophy for elders. Front. Psychol., 10:91.
23. Cattell, Raymond B. (1957). Personality and motivation structure and measurement. Yonkers, N.Y.: World Book Co.
24. Śliwak J, Zarzycka B (2012). The interplay between post-critical beliefs and anxiety: an exploratory study in a Polish sample. JORH, 51(2):419-30.
25. Rezaei F, Aminian M, Raygani AV (2017). Evaluation of Salivary Cortisol Changes and Psychological Profiles in Patients with Recurrent Aphthous Stomatitis. Contemp. Clin. Dent., 8(2):259-63.
26. Karaer Cakmak I, Urhan A, Reyhani I (2020). Stress and recurrent aphthous stomatitis. Med-Science., 9(1): 170-4.
27. Maredpour A.R., Shaeeiri M.R., Kafi M (2010). The Study of Psychometric Properties, the Four System Anxiety Questionnaireâ (FSAQ). CPAP, 8(2):11-20.
28. Ibragimovich RA (2018). ADAPTATION OF THE THIRTEEN FACTOR VERSION OF CATTELL’S PERSONALITY QUESTIONNAIRE. EJRRES, 6(6): 10-18.
29. Huang B, Xu S, Xiong J, et al (2012). Psychological factors are closely associated with the Bell's palsy: a case-control study. J. Huazhong Univ. Sci. Technol. Med. Sci. J HUAZHONG U SCI-MED, 32(2):272-9.
30. Nasiłowska-Barud A, Zapolski T, Barud M, et al (2017). Overt and Covert Anxiety as a Toxic Factor in Ischemic Heart Disease in Women: The Link Between Psychological Factors and Heart Disease. Med Sci Monit, 23:751-8.
2. Nandini N, Sreeja C, Sathish Muthukumar HP, et al (2020). Recurrent aphthous ulcer: Literature review on etiopathogenesis, diagnosis and clinical aspects. AJPP, 6(5):312-9.
3. Vuletic M, Papic M, Zivanovic S, et al (2022). Recurrent Aphthous Stomatitis – An Overview. EABR, 0(0).
4. Kumar M, Thenarasu V (2020). PSYCHOLOGICAL PROBLEMS AND THEIR EFFECTS ON THE ORAL CAVITY-A REVIEW. Int. J. Clin. Dent., 13(3): 279-289.
5. Batool S, Shaikh K, Qadir A, et al (2023). ASSOCIATION BETWEEN RECURRENT APHTHOUS STOMATITIS AND STRESS IN ADULTS AT TERTIARY CARE HOSPITAL. Xi'an Shiyou Daxue Xuebao (Ziran Kexue Ban)/J. Xi'an Shiyou Univ. Nat. Sci. Ed., 19:148-61.
6. Hariyani N, Bramantoro T, Nair R, et al (2020). Depression symptoms and recurrent aphthous stomatitis—Evidence from a population-based study in Indonesia. Oral Dis., 26(5):948-54.
7. Mirzaei M, Zarabadipour M, Mirzadeh M (2021). Evaluation the relationship between psychological profile and salivary cortisol in patients with recurrent aphthous stomatitis. J. Dent. Res., 18:50.
8. Öner Ü, Öner F, Osman K, et al (2022). Evaluation of Quality of Life, Anxiety and Depression in Patients with Recurrent Aphthous Stomatitis. Arch. Med. Res., 38(1):23.
9. Chamani G, Zarei M, Ghafarinejad A, et al (2008). Prevalence of recurrent aphthous stomatitis and anxiety in 550 medical, dental and pharmaceutical students of Kerman Medical University. JDS, 26(2):131-.
10. Rao AK, Vundavalli S, Sirisha N, et al (2015). The association between psychological stress and recurrent aphthous stomatitis among medical and dental student cohorts in an educational setup in India. J. Indian Assoc. Public Health Dent., 13(2):133.
11. Shiva A, Yazdani Charati J, Elkaei A, et al (2019). Prevalence of Recurrent Aphthous Stomatitis in University Students and Its Relation with Anxiety. J. Maz. Univ. Med., 29(180):108-12.
12. Ziaei S, Raeisi Shahraki H, Dadvand Dehkordi S (2022). The association of recurrent aphthous stomatitis with general health and oral health related quality of life among dental students. IJPPP, 14(4):254-61.
13. Frajerman A, Chaumette B, Krebs M-O, et al (2022). Mental health in medical, dental and pharmacy students: A cross-sectional study. J. Affect. Disord., 10:100404.
14. Hutajulu NA, Lubis WH (2023). Stress Experienced during the COVID-19 Pandemic; Its Relationship with the Incidence of Recurrent Aphthous Stomatitis (RAS). JIDMR, 16 (1):187-192.
15. Agius AM, Gatt G, Vento Zahra E, et al (2021). Self-reported dental student stressors and experiences during the COVID-19 pandemic. JDE, 85(2):208-15.
16. Hakami Z, Khanagar SB, Vishwanathaiah S, et al (2021). Psychological impact of the coronavirus disease 2019 (COVID-19) pandemic on dental students: A nationwide study. JDE, 85(4):494-503.
17. Verma S, Srikrishna K, Srishti, et al (2023). Recurrent Oral Ulcers and Its Association With Stress Among Dental Students in the Northeast Indian Population: A Cross-Sectional Questionnaire-Based Survey. Cureus, 15(2):e34947.
18. Basirat M, Rabiei M, Ashouri A, et al (2018). Association of Lifestyle and Aphthous Stomatitis Among Dentistry Students. CJIM, 3(3):86-90.
19. Slebioda Z, Szponar E, Kowalska A (2013). Recurrent aphthous stomatitis: genetic aspects of etiology. Postepy Dermatol Alergol, 30(2):96-102.
20. Wray D, Vlagopoulos TP, Siraganian RP (1982). Food allergens and basophil histamine release in recurrent aphthous stomatitis. Oral Surg. Oral Med. Oral Pathol., 54(4):388-95.
21. Shi L, Wan K, Tan M, et al (2015). Risk factors of recurrent aphthous ulceration among university students. Int. J. Clin. Exp. Med. INT J CLIN EXP MED, 8(4):6218-23.
22. Liu S, Li L, Liu Z, et al (2019). Long-term Tai Chi experience promotes emotional stability and slows gray matter atrophy for elders. Front. Psychol., 10:91.
23. Cattell, Raymond B. (1957). Personality and motivation structure and measurement. Yonkers, N.Y.: World Book Co.
24. Śliwak J, Zarzycka B (2012). The interplay between post-critical beliefs and anxiety: an exploratory study in a Polish sample. JORH, 51(2):419-30.
25. Rezaei F, Aminian M, Raygani AV (2017). Evaluation of Salivary Cortisol Changes and Psychological Profiles in Patients with Recurrent Aphthous Stomatitis. Contemp. Clin. Dent., 8(2):259-63.
26. Karaer Cakmak I, Urhan A, Reyhani I (2020). Stress and recurrent aphthous stomatitis. Med-Science., 9(1): 170-4.
27. Maredpour A.R., Shaeeiri M.R., Kafi M (2010). The Study of Psychometric Properties, the Four System Anxiety Questionnaireâ (FSAQ). CPAP, 8(2):11-20.
28. Ibragimovich RA (2018). ADAPTATION OF THE THIRTEEN FACTOR VERSION OF CATTELL’S PERSONALITY QUESTIONNAIRE. EJRRES, 6(6): 10-18.
29. Huang B, Xu S, Xiong J, et al (2012). Psychological factors are closely associated with the Bell's palsy: a case-control study. J. Huazhong Univ. Sci. Technol. Med. Sci. J HUAZHONG U SCI-MED, 32(2):272-9.
30. Nasiłowska-Barud A, Zapolski T, Barud M, et al (2017). Overt and Covert Anxiety as a Toxic Factor in Ischemic Heart Disease in Women: The Link Between Psychological Factors and Heart Disease. Med Sci Monit, 23:751-8.
| Files | ||
| Issue | Vol 10, No 3 (Summer 2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v10i3.14633 | |
| Keywords | ||
| Recurrent aphthous stomatitis; Anxiety; Dentistry students. | ||
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How to Cite
1.
Basirat M, Elmi Z, Shateri S, Fallahi M, Najar Karimi F. Prevalence of recurrent aphthous ulcers among dentistry students and its association with anxiety. J Craniomaxillofac Res. 2023;10(3):114-119.
