Journal
JOURNAL OF PERIODONTOLOGY
Volume 92, Issue 11, Pages 1601-1612Publisher
WILEY
DOI: 10.1002/JPER.20-0756
Keywords
anxiety; depression; periodontitis; stress
Categories
Funding
- Program for Innovation Team Building at Institutions of Higher Education in Chongqing
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
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The study found that HADS and PSS-10 can be used for psychological assessment in patients with periodontitis, and the severity of periodontitis, age, smoking history, and comorbidities can affect psychological manifestations in patients with periodontitis.
Background: To investigate the psychometric properties of the Hospital Anxiety and Depression Scale (HADS) and 10-item Perceived Stress Scale (PSS-10) in patients with periodontitis and to evaluate the psychological features of patients with periodontitis. Methods: Overall, 460 individuals with periodontitis were enrolled. The HADS and the PSS-10 were administered to all patients. Methodology testing included the exploratory factor analysis, the confirmatory factor analysis (CFA), test-retest reliability, as well as internal consistency. Results: Regarding the CFA results of the HADS, as well as the PSS-10, a bifactor model fitted the data best. The Cronbach alpha value, as well as the intra-class correlation coefficients value of the two measures were all >0.70. The anxiety, depression, distress manifestations, and moderate-to-high perceived stress prevalence were 35.2%, 18.2%, 24.6%, and 43.9%, respectively. Severity of periodontitis, age, smoking, and disease comorbidities were identified as independent prognosticators of the presence of psychological manifestations in periodontitis. Conclusion: The HADS and the PSS-10 can be used as general measures for psychological assessment in patients with periodontitis.
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