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Year : 2020  |  Volume : 4  |  Issue : 2  |  Page : 106-110

To correlate the anxiety, depression, and symptoms of stress levels among patients affected by oral lichen planus and lichenoid reaction

1 Department of Oral Medicine and Radiology, Darshan Dental College and Hospital, Udaipur, Rajasthan, India
2 Department of Prosthodontics and Crown and Bridge, Ahmedabad Dental College and Hospital, Ahmedabad, Gujarat, India
3 Department of Oral Medicine and Radiology, Daswani Dental College and Research Centre, Kota, Rajasthan, India
4 Department of Orthodontics and Dentofacial Orthopedics, Daswani Dental College and Research Centre, Kota, Rajasthan, India
5 Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, West Bengal, India

Correspondence Address:
Dr. Tulika Sharma
Department of Oral Medicine and Radiology, Darshan Dental College and Hospital, Udaipur, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sidj.sidj_46_20

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Introduction: Psychosomatic factor-like depression and depressive symptoms play an important role in the causation of different forms of mucosal changes among which one of them is oral lichen planus (OLP). Oral diseases may be a direct expression of emotions or conflicts. The research aimed to provide a precise estimate by assessing anxiety, depression, and stress in OLP patients and lichenoid reaction (LR) as compared to healthy controls using a self-report scale questionnaire. Materials and Methods: This methodological cross-sectional study comprised of 150 subjects, 50 normal healthy controls (control), 50 patients with OLP, and 50 patients with LR were recruited. The outcome measures of this study were done with pretested, prestructured 21 multiple-choice questions designed to evaluate depression, stress, anxiety levels were assessed using respectively Beck Anxiety Questionnaire, Beck Depression Questionnaire, and Holmes and Rahe Stress Inventory Scales depending on how the questions were answered at the time of presentation (enrolment). Results: The mean anxiety, depression, and stress scores were significantly (P <0.001) different and higher in both OLP and LR groups as compared to the control group. However, mean anxiety, depression, and stress scores were found similar (P >0.05) between the OLP and LR groups. Conclusion: The present study's findings may help direct future management strategies for the patient with OLP and LR. It also helps to understand the patient's behavior in respect of anxiety, depression, and stress. Ministry of health and family welfare – Dental Education should enhance dentistry and give training on how to screen anxiety and depression among Oral disease patients and should develop guidelines to screen and treat depression and anxiety among such patients.

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