Stress, oral health behaviour and clinical outcome

Objective. Several studies indicate that stress adversely affects various health behaviours. Oral hygiene behaviour, however, has been rarely studied in this context. The present study thus aims to assess the effects of stress on oral hygiene behaviour and clinical outcome. Design. In a prospective...

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Veröffentlicht in:British journal of health psychology 2005-05, Vol.10 (2), p.269-283
Hauptverfasser: Deinzer, Renate, Granrath, Nicole, Spahl, Manuela, Linz, Sandra, Waschul, Bernd, Herforth, Armin
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container_end_page 283
container_issue 2
container_start_page 269
container_title British journal of health psychology
container_volume 10
creator Deinzer, Renate
Granrath, Nicole
Spahl, Manuela
Linz, Sandra
Waschul, Bernd
Herforth, Armin
description Objective. Several studies indicate that stress adversely affects various health behaviours. Oral hygiene behaviour, however, has been rarely studied in this context. The present study thus aims to assess the effects of stress on oral hygiene behaviour and clinical outcome. Design. In a prospective matched controlled design 12 pairs of medical students, each consisting of 1 student participating in a major academic exam and 1 student not participating in any exams (control) were studied. Methods. A professional tooth cleaning was performed 4 weeks prior to exams to obtain plaque levels of 0 at all sites. Immediately prior to professional tooth cleaning and 4 weeks after exams plaque levels (as indicator of oral hygiene behaviour) and bleeding on probing (an indicator of gingivitis) were assessed. Results. No group differences were observed at the beginning of the exam period; after exams significant higher rates of plaque (p =.0005, d =1.74) and gingivitis (p =.016, d =1.01) were observed in exam students as compared with controls. Conclusions. The study illustrates the clinical significance of stress effects on health behaviour. Stress should be included as a factor in models of patient compliance and health behaviour.
doi_str_mv 10.1348/135910705X26858
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No group differences were observed at the beginning of the exam period; after exams significant higher rates of plaque (p =.0005, d =1.74) and gingivitis (p =.016, d =1.01) were observed in exam students as compared with controls. Conclusions. The study illustrates the clinical significance of stress effects on health behaviour. Stress should be included as a factor in models of patient compliance and health behaviour.</description><identifier>ISSN: 1359-107X</identifier><identifier>EISSN: 2044-8287</identifier><identifier>DOI: 10.1348/135910705X26858</identifier><identifier>PMID: 15969854</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Attitude to Health ; Biological and medical sciences ; Bleeding ; Case-Control Studies ; Cleaning ; Clinical outcomes ; Clinical significance ; Compliance ; Cross-Sectional Studies ; Dental Plaque - epidemiology ; Fundamental and applied biological sciences. Psychology ; Germany ; Gingivitis - epidemiology ; Health Behavior ; Health behaviour ; Humans ; Hygiene ; Illness and personality ; Illness, stress and coping ; Medical students ; Occupational stress ; Oral Health ; Oral hygiene ; Oral Hygiene Index ; Periodontal Index ; Predictors ; Prospective Studies ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Reference Values ; Stress ; Stress, Psychological - complications ; Students, Medical - psychology ; Tests</subject><ispartof>British journal of health psychology, 2005-05, Vol.10 (2), p.269-283</ispartof><rights>2005 The British Psychological Society</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Wiley Subscription Services, Inc. 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Several studies indicate that stress adversely affects various health behaviours. Oral hygiene behaviour, however, has been rarely studied in this context. The present study thus aims to assess the effects of stress on oral hygiene behaviour and clinical outcome. Design. In a prospective matched controlled design 12 pairs of medical students, each consisting of 1 student participating in a major academic exam and 1 student not participating in any exams (control) were studied. Methods. A professional tooth cleaning was performed 4 weeks prior to exams to obtain plaque levels of 0 at all sites. Immediately prior to professional tooth cleaning and 4 weeks after exams plaque levels (as indicator of oral hygiene behaviour) and bleeding on probing (an indicator of gingivitis) were assessed. Results. 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Psychology</subject><subject>Germany</subject><subject>Gingivitis - epidemiology</subject><subject>Health Behavior</subject><subject>Health behaviour</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Medical students</subject><subject>Occupational stress</subject><subject>Oral Health</subject><subject>Oral hygiene</subject><subject>Oral Hygiene Index</subject><subject>Periodontal Index</subject><subject>Predictors</subject><subject>Prospective Studies</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. 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Psychology</topic><topic>Germany</topic><topic>Gingivitis - epidemiology</topic><topic>Health Behavior</topic><topic>Health behaviour</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Medical students</topic><topic>Occupational stress</topic><topic>Oral Health</topic><topic>Oral hygiene</topic><topic>Oral Hygiene Index</topic><topic>Periodontal Index</topic><topic>Predictors</topic><topic>Prospective Studies</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Reference Values</topic><topic>Stress</topic><topic>Stress, Psychological - complications</topic><topic>Students, Medical - psychology</topic><topic>Tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deinzer, Renate</creatorcontrib><creatorcontrib>Granrath, Nicole</creatorcontrib><creatorcontrib>Spahl, Manuela</creatorcontrib><creatorcontrib>Linz, Sandra</creatorcontrib><creatorcontrib>Waschul, Bernd</creatorcontrib><creatorcontrib>Herforth, Armin</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of health psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deinzer, Renate</au><au>Granrath, Nicole</au><au>Spahl, Manuela</au><au>Linz, Sandra</au><au>Waschul, Bernd</au><au>Herforth, Armin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stress, oral health behaviour and clinical outcome</atitle><jtitle>British journal of health psychology</jtitle><addtitle>Br J Health Psychol</addtitle><date>2005-05</date><risdate>2005</risdate><volume>10</volume><issue>2</issue><spage>269</spage><epage>283</epage><pages>269-283</pages><issn>1359-107X</issn><eissn>2044-8287</eissn><abstract>Objective. Several studies indicate that stress adversely affects various health behaviours. Oral hygiene behaviour, however, has been rarely studied in this context. The present study thus aims to assess the effects of stress on oral hygiene behaviour and clinical outcome. Design. In a prospective matched controlled design 12 pairs of medical students, each consisting of 1 student participating in a major academic exam and 1 student not participating in any exams (control) were studied. Methods. A professional tooth cleaning was performed 4 weeks prior to exams to obtain plaque levels of 0 at all sites. Immediately prior to professional tooth cleaning and 4 weeks after exams plaque levels (as indicator of oral hygiene behaviour) and bleeding on probing (an indicator of gingivitis) were assessed. Results. No group differences were observed at the beginning of the exam period; after exams significant higher rates of plaque (p =.0005, d =1.74) and gingivitis (p =.016, d =1.01) were observed in exam students as compared with controls. Conclusions. The study illustrates the clinical significance of stress effects on health behaviour. Stress should be included as a factor in models of patient compliance and health behaviour.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>15969854</pmid><doi>10.1348/135910705X26858</doi><tpages>15</tpages></addata></record>
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subjects Attitude to Health
Biological and medical sciences
Bleeding
Case-Control Studies
Cleaning
Clinical outcomes
Clinical significance
Compliance
Cross-Sectional Studies
Dental Plaque - epidemiology
Fundamental and applied biological sciences. Psychology
Germany
Gingivitis - epidemiology
Health Behavior
Health behaviour
Humans
Hygiene
Illness and personality
Illness, stress and coping
Medical students
Occupational stress
Oral Health
Oral hygiene
Oral Hygiene Index
Periodontal Index
Predictors
Prospective Studies
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Reference Values
Stress
Stress, Psychological - complications
Students, Medical - psychology
Tests
title Stress, oral health behaviour and clinical outcome
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