Effect of Trait Anxiety in Women on Oral Health Status and Oral Health Care-Seeking Behavior

NCT04274855 | Unknown

• 1 other identifier: 830
• Study Type: observational
• Target: 451
• Locations: 1 country
• Sites: 1

Brief Summary

Trait anxiety is the tendency of an individual to perceive environmental stimuli such as different events and situations as threatening; it's stable and reflects how an individual generally feels. In 2015, it was estimated that 3.6% of the population lived with anxiety disorders globally, i.e. approximately 264 million people lived with anxiety disorders worldwide of which 31.36 million resided in the Eastern Mediterranean region, that's to say, 10% of the global number of anxiety cases. Moreover, females were more affected than males in a proportion of 4.6% as opposed to 2.6% respectively. The prevalence of anxiety has increased by 14.9% from 2005 to 2015. In addition, in 2017, approximately 42 million new cases were recorded globally. In Egypt, the total number of anxiety cases were more than 3 million in 2015 thus indicating that 4.2% of the total population lived with anxiety. Anxiety may affect the individual's utilization of dental services and predispose to a delay in seeking dental treatment and thus might compromise the overall oral health. Accordingly, this study aims to investigate the effect of trait anxiety on the oral health status of women and determine their behavior towards the utilization of dental services. To our knowledge, no previous research has been conducted to assess such relationship in Egypt.

Conditions

Anxiety Disorders; Oral Disease; Periodontal Diseases; Periodontal Attachment Loss; Periodontal Pocket; Periodontal Inflammation; Gingival Recession; Gingival Bleeding; Gingival Diseases; Bruxism; Caries,Dental; Health Care Seeking Behavior; Health Care Utilization; Self-Perception

Keywords

Trait anxiety; Oral health; Oral health status; Oral health outcomes; Periodontal; Gingival; Caries risk assessment; Bruxism; Healthcare utilization; Health care-seeking behavior; Perceived oral health

Outcome Measures

Primary Outcomes (3)

• Presence of gingival and periodontal disease

  Community Periodontal Index(CPI) on a scale that ranges from 0 to 4, where 0 indicates healthy gingival condition and 4 indicates unhealthy gingival condition (periodontitis)

  February 2020-November 2020

• Risk of developing dental caries

  American Dental Association (ADA) caries risk assessment tool adult form

  February 2020-November 2020

• Reports of bruxism activity

  Self-reported questionnaire which includes six questions with good content and face validity to assess bruxism activity on a 4-point Likert scale. This questionnaire was translated into Arabic language in the current study. This questionnaire is conducted in the form of an interview.

  February 2020-November 2020

Secondary Outcomes (2)

• Oral health care-seeking behavior

  February 2020-December 2020

• Self-perceived dental health status

  February 2020-December 2020

Eligibility Criteria

• Age: 20 Years - 55 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

A convenient sample of Egyptian women attending Faculty of Dentistry, Ain Shams University for reasons other than seeking dental treatment (e.g. accompanying other patients) will be recruited and enrolled in the study.

You may qualify if:

• Egyptian women
• Age range: From late adolescence to early elderly (20-55 years of age)

You may not qualify if:

• Women who do not consent to participate in the study.
• Women who have any diagnosed medical disorders that directly affect their oral health (e.g. Diabetes).
• Women with any diagnosed mental disorders. (Due to the increased incidence of dental caries and gingival disease in addition to the side effects of psychotropic drugs).
• Pregnant women. (Due to the affection of gingival and periodontal condition).
• Women seeking dental treatment.(Otherwise, oral health care-seeking behavior will be biased).
• Their number will be reported by a flow chart.

Sponsors & Collaborators

• Ain Shams University: lead

Study Sites (1)

Faculty of Dentistry, Ain Shams University

Cairo, Egypt

RECRUITING

Related Publications (8)

• GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018 Nov 10;392(10159):1789-1858. doi: 10.1016/S0140-6736(18)32279-7. Epub 2018 Nov 8.

  PMID: 30496104 BACKGROUND

• Kesim S, Unalan D, Esen C, Ozturk A. The relationship between periodontal disease severity and state-trait anxiety level. J Pak Med Assoc. 2012 Dec;62(12):1304-8.

  PMID: 23866479 BACKGROUND

• Kisely S, Sawyer E, Siskind D, Lalloo R. The oral health of people with anxiety and depressive disorders - a systematic review and meta-analysis. J Affect Disord. 2016 Aug;200:119-32. doi: 10.1016/j.jad.2016.04.040. Epub 2016 Apr 21.

  PMID: 27130961 BACKGROUND

• Sandi C, Richter-Levin G. From high anxiety trait to depression: a neurocognitive hypothesis. Trends Neurosci. 2009 Jun;32(6):312-20. doi: 10.1016/j.tins.2009.02.004. Epub 2009 May 4.

  PMID: 19409624 BACKGROUND

• Winocur E, Uziel N, Lisha T, Goldsmith C, Eli I. Self-reported bruxism - associations with perceived stress, motivation for control, dental anxiety and gagging. J Oral Rehabil. 2011 Jan;38(1):3-11. doi: 10.1111/j.1365-2842.2010.02118.x.

  PMID: 20557433 BACKGROUND

• Restrepo CC, Vasquez LM, Alvarez M, Valencia I. Personality traits and temporomandibular disorders in a group of children with bruxing behaviour. J Oral Rehabil. 2008 Aug;35(8):585-93. doi: 10.1111/j.1365-2842.2007.01838.x. Epub 2008 Apr 15.

  PMID: 18422509 BACKGROUND

• Parish CL, Feaster DJ, Pereyra MR, Alcaide M, Cohen M, Levin S, Gustafson D, Merenstein D, Aouizerat B, Donohue J, Webster-Cyriaque J, Wingood G, Kempf M, Metsch LR. Dental insurance, dental care utilization, and perceived unmet dental needs in women living with HIV: Results from the Women's Interagency HIV Study. J Public Health Dent. 2019 Dec;79(4):343-351. doi: 10.1111/jphd.12336. Epub 2019 Aug 16.

  PMID: 31418877 BACKGROUND

• Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J. Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J. 1982 Sep;32(3):281-91. No abstract available.

  PMID: 6958657 BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders; Mouth Diseases; Periodontal Diseases; Periodontal Attachment Loss; Periodontal Pocket; Gingival Recession; Gingival Hemorrhage; Gingival Diseases; Bruxism; Dental Caries; Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Mental Disorders; Stomatognathic Diseases; Periodontal Atrophy; Periodontitis; Oral Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Tooth Diseases; Habits; Behavior; Tooth Demineralization; Treatment Adherence and Compliance; Health Behavior

Study Officials

• Mariam Sharaf, Masters

  Ain Shams University

  PRINCIPAL INVESTIGATOR

• Amira Badran, PhD

  Ain Shams University

  STUDY DIRECTOR

• Reham Abou ElFadl, PhD

  Ain Shams University

  STUDY DIRECTOR

Central Study Contacts

Mariam Sharaf, Masters

CONTACT

+2 01068022877; mariamayman@dent.asu.edu.eg

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: February 16, 2020
• First Posted: February 18, 2020
• Study Start: February 5, 2020
• Primary Completion: November 30, 2021
• Study Completion: December 30, 2021
• Last Updated: March 26, 2021

Record last verified: 2021-03

Locations

EG (1)