Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (3): 308-313.doi: 10.7518/gjkq.2023042

• Original Articles • Previous Articles     Next Articles

Investigation on the degree of psychological distress and its influencing factors in patients with oral lichen planus

He Jing1,2(),Hu Mingjia2,Xiao Ning2,Li Jia2,Sun Wanxin2,Ling Lü2,Liu Fan1,3()   

  1. 1.West China School of Nursing, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    3.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Nursing, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-08-20 Revised:2023-01-30 Online:2023-05-01 Published:2023-05-16
  • Contact: Fan Liu E-mail:409235062@qq.com;samotj@163.com

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Abstract:

Objective This study aims to investigate the degrees of psychological distress in patients with oral lichen planus (OLP) and analyze the influencing factors. Methods We conducted a cross-sectional survey of 236 OLP patients who met the inclusion criteria using a general information questionnaire, distress thermometer (DT) and generalized an-xiety disorder-7 (GAD-7). We used SPSS 26.0 for statistical analysis of the survey results. Results The psychological pain score of all patients was 3.17±2.64, including 97 patients (41.1%) with significant psychological pain (≥ 4 points) and 90 patients (38.1%) with mild psychological pain (1-3 points). The main causes of psychological distress were oral pain (47.5%), worry (41.5%), and sleep disturbance (39.4%). Multiple regression analysis showed that disease type (erosion, non-erosion), anxiety, age, lack of time and energy to do housework, sleep disturbance, diarrhea, edema, and dry nose/congestion were independent factors for psychological distress. Conclusion Patients with OLP generally suffered from var-ying degrees of psychological distress, and those with erosion, anxiety, and/or sleep disturbance had a higher degree of psychological pain. Medical staff should strengthen the evaluation of psychological pain in patients with OLP and identify those with significant psychological distress in a timely manner to carry out reasonable and effective intervention.

Key words: oral lichen planus, psychological distress, anxiety, cross-sectional survey

CLC Number: 

  • R 781.5

TrendMD: 

Tab 1

The distribution of DT in OLP patient"

心理痛苦程度DT/分例数构成比/%累积构成比/%
无心理痛苦04920.820.8
轻度痛苦l~39038.158.9
中度痛苦4~67130.189.0
重度痛苦7~9187.696.6
极度痛苦1083.4100

Tab 2

Probelm list items endorsed by OLP patient n=236"

具体问题例数频率/%
实际问题无时间精力照顾孩子/老人4318.2
无时间精力做家务208.5
经济问题3113.1
交通出行198.1
工作/上学4016.9
周围环境114.7
交往问题与孩子/老人相处3314.0
与伴侣相处4418.6
与亲友相处229.3
与医护人员相处41.7
情绪问题抑郁2510.6
恐惧218.9
孤独145.9
紧张6527.5
悲伤156.4
担忧9841.5
对日常生活丧失兴趣145.9
睡眠障碍9339.4
记忆力下降/注意力不集中9138.6
躯体问题外表/外形104.2
洗澡/穿衣10.4
呼吸83.4
排尿改变83.4
便秘2711.4
腹泻73.0
进食5322.5
疲乏3514.8
水肿83.4
发烧10.4
头晕177.2
消化不良208.5
口腔疼痛11247.5
恶心83.4
鼻子干燥/充血198.1
性10.4
皮肤干燥218.9
手/脚麻木125.1
身体活动受限20.8
精神/宗教问题失去寄托00.0

Tab 3

Univariate analysis of risk factors affecting the distress in OLP"

分组因素例数DT/分F/t值P值*
性别男682.62±2.48t=-2.0400.042
女1683.39±2.68
年龄/岁<45682.63±2.44t=-1.9850.048
≥451683.38±2.69
文化程度小学及以下613.82±2.75F=2.7340.044
初中743.34±2.62
高中及大专682.62±2.51
本科及以上333.17±2.64
OLP类型非糜烂型1352.56±2.42t=-4.191<0.001
糜烂型1013.97±2.72
焦虑无1522.16±2.01t=-8.460<0.001
有844.99±2.68

Tab 4

Multiple linear regression analysis of distress in OLP"

自变量

回归

系数

标准误

标准化

回归系数

t值P值
常量0.7410.4681.5830.115
焦虑1.7400.3540.3164.917<0.001
OLP类型0.9590.2990.183.2050.002
年龄0.7430.3470.1282.1420.033
无时间精力做家务1.3120.5670.1392.3130.022
睡眠障碍0.6380.3160.1182.0210.045
腹泻2.0720.8840.1332.3440.020
水肿1.8700.9340.1282.0020.047
鼻子干燥/充血1.3890.5990.1432.3170.022
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