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Environmental Health and Preventive Medicine
Published in: Environmental Health and Preventive Medicine 1/2020

Open Access 01-12-2020 | Caries | Research article

Association between high psychological distress and poor oral health-related quality of life (OHQoL) in Japanese community-dwelling people: the Nagasaki Islands Study

Authors: Ai Sekiguchi, Shin-ya Kawashiri, Hideaki Hayashida, Yuki Nagaura, Kenichi Nobusue, Fumiaki Nonaka, Hirotomo Yamanashi, Masayasu Kitamura, Koji Kawasaki, Hideki Fukuda, Takahiro Iwasaki, Toshiyuki Saito, Takahiro Maeda

Published in: Environmental Health and Preventive Medicine | Issue 1/2020

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Abstract

Background

We investigated the association between psychological distress and oral health status/oral health-related quality of life (OHQoL) in Japanese community-dwelling people.

Methods

We conducted a cross-sectional study using data from the Nagasaki Islands Study. A total of 1183 (455 men and 728 women) has been analyzed in this study. Psychological distress was measured using the Kessler Psychological Distress Scale (K6). Oral health status was measured by dental examination. The OHQoL was measured using the General Oral Health Assessment Index (GOHAI). We defined the total score of ≥5 points on the K6 as high psychological distress (high-K6 group).

Results

The multiple linear regression analysis to identify the GOHAI showed that gender, K6, the total number of teeth, the number of dental caries, and visiting a dental clinic within the past 6 months significantly associated with the GOHAI. Among all of these variables, high-K6 (≥ 5) was a substantial contributing factor of the GOHAI (β = − 0.23, 95% Cl − 2.31 to −1.41, p < 0.0001).

Conclusions

It is likely that the individual with high psychological distress was strongly related to poor OHQoL even in the general population.
Appendix
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Literature
1.
Kessler RC, Aguilar-gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al. The global burden of mental disorders: an update from the WHO World Mental Health (WMH) surveys. Epidemiol Psichiatr Soc. 2009;18:23–33.PubMedPubMedCentralCrossRef
2.
3.
Zhang Y, Chen Y, Ma L. Depression and cardiovascular disease in elderly: current understanding. J Clin Neurosci. 2018;47:1–5.PubMedCrossRef
4.
Roy T, Lloyd CE. Epidemiology of depression and diabetes: a systematic review. J Affect Disord. 2012;142:8–21.CrossRef
5.
Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR, et al. No health without mental health. Lancet. 2007;370:859–77.PubMedCrossRef
6.
7.
Kandelman D, Petersen PE, Ueda H. Oral health, general health, and quality of life in older people. Spec Care Dent. 2008;28:224–36.CrossRef
8.
Kisely S, Quek LH, Pais J, Lalloo R, Johnson NW, Lawrence D. Advanced dental disease in people with severe mental illness: systematic review and meta-analysis. Br J Psychiatry. 2011;199:187–93.PubMedCrossRef
9.
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;200:119–32.PubMedCrossRef
10.
Torales J, Barrios I, González I. Oral and dental health issues in people with mental disorders. Problemáticas de salud bucodental en personas con trastornos mentales. Medwave. 2017;17:e7045.PubMedCrossRef
11.
Xiang X, Lee WKS. Serious psychological distress as a barrier to dental care in community-dwelling adults in the United States. J Public Health Dent. 2015;75:134–41.PubMedCrossRef
12.
Patel R, Gamboa A. Prevalence of oral diseases and oral-health-related quality of life in people with severe mental illness undertaking community-based psychiatric care. Br Dent J. 2012;213:1–5.CrossRef
13.
Corridore D, Guerra F, La Marra C, Di Thiene D, Ottolenghi L. Oral health status and oral health-related quality of life in Italian deinstitutionalized psychiatric patients. Clin Ter. 2017;168:77–83.
14.
Sanders AE, Slade GD, Lim S, Reisine ST. Impact of oral disease on quality of life in the US and Australian populations. Community Dent Oral Epidemiol. 2009;37:171–81.PubMedPubMedCentralCrossRef
15.
Grønning K, Espnes GA, Nguyen C, Rodrigues AMF, Gregorio MJ, Sousa R, et al. Psychological distress in elderly people is associated with diet, wellbeing, health status, social support and physical functioning- a HUNT3 study. BMC Geriatr. 2018;18:205.PubMedPubMedCentralCrossRef
16.
Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NHJ. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010;8:126.PubMedPubMedCentralCrossRef
17.
Rozier RG, Pahel BT. Patient- and population-reported outcomes in public health dentistry: oral health-related quality of life. Dent Clin North Am. 2008;52:345–65.PubMedCrossRef
18.
Shanbhag S, Dahiya M, Croucher R. The impact of periodontal therapy on oral health-related quality of life in adults: a systematic review. J Clin Periodontol. 2012;39:725–35.PubMedCrossRef
19.
Okoro CA, Strine TW, Eke PI, Dhingra SS, Balluz LS. The association between depression and anxiety and use of oral health services and tooth loss. Community Dent Oral Epidemiol. 2012;40:134–44.PubMedCrossRef
20.
Nishi D, Susukida R, Usuda K, Mojtabai R, Yamanouchi Y. Trends in the prevalence of psychological distress and the use of mental health services from 2007 to 2016 in Japan. J Affect Disord. 2018;239:208–13.PubMedCrossRef
21.
Tanji F, Tomata Y, Zhang S, Otsuka T, Tsuji I. Psychological distress and completed suicide in Japan: a comparison of the impact of moderate and severe psychological distress. Prev Med. 2018;116:99–103.PubMedCrossRef
22.
Dahl KE, Calogiuri G, Jönsson B. Perceived oral health and its association with symptoms of psychological distress, oral status and socio-demographic characteristics among elderly in Norway. BMC Oral Health. 2018;18:93.PubMedPubMedCentralCrossRef
23.
O’Neil A, Berk M, Venugopal K, Kim SW, Williams LJ, Jacka FN. The association between poor dental health and depression: findings from a large-scale, population-based study (the NHANES study). Gen Hosp Psychiatry. 2014;36:266–70.PubMedCrossRef
24.
Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003;31(Suppl):3–24.PubMedCrossRef
25.
26.
Hayashida H, Saito T, Kawasaki K, Kitamura M, Furugen R, Iwasaki T, et al. Association of periodontitis with carotid artery intima-media thickness and arterial stiffness in community-dwelling people in Japan: The Nagasaki Islands study. Atherosclerosis. 2013;229:186–91.PubMedCrossRef
27.
Yamanashi H, Shimizu Y, Koyamatsu J, Nobuyoshi M, Nagayoshi M, Kadota K, et al. Multiple somatic symptoms and frailty: cross-sectional study in Japanese community-dwelling elderly people. Fam Pract. 2016;33:453–60.PubMedCrossRef
28.
Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SLT, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32:959–76.PubMedCrossRef
29.
Sakurai K, Nishi A, Kondo K, Yanagida K, Kawakami N. Screening performance of K6/K10 and other screening instruments for mood and anxiety disorders in Japan. Psychiatry Clin Neurosci. 2011;65:434–41.PubMedCrossRef
30.
Furukawa TA, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y, et al. The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. Int J Methods Psychiatr Res. 2008;17:152–8.PubMedPubMedCentralCrossRef
31.
Yokoyama Y, Otsuka K, Kawakami N, Kobayashi S, Ogawa A, Tannno K, et al. Mental health and related factors after the Great East Japan earthquake and tsunami. PLoS One. 2014;9:e102497.PubMedPubMedCentralCrossRef
32.
Brown LJ, Brunelle JA, Kingman A. Periodontal status in the United States, 1988-91: prevalence, extent, and demographic variation. J Dent Res. 1996;75:672–83.PubMedCrossRef
33.
Shimazaki Y, Saito T, Kiyohara Y, Kato I, Kubo M, Iida M, et al. Relationship between electrocardiographic abnormalities and periodontal disease: the Hisayama Study. J Periodontol. 2004;75:791–7.PubMedCrossRef
34.
Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ. 1990;54:680–7.PubMedCrossRef
35.
Naito M, Suzukamo Y, Nakayama T, Hamajima N, Fukuhara S. Linguistic adaptation and validation of the General Oral Health Assessment Index (GOHAI) in an elderly Japanese population. J Public Health Dent. 2006;66:273–5.PubMedCrossRef
36.
Ikebe K, Hazeyama T, Enoki K, Murai S, Okada T, Kagawa R, et al. Comparison of GOHAI and OHIP-14 measures in relation to objective values of oral function in elderly Japanese. Community Dent Oral Epidemiol. 2012;40:406–14.PubMedCrossRef
37.
Seedat S, Scott KM, Angermeyer MC, Bromet EJ, Ph D, Brugha TS, et al. Disorders in the WHO World Mental Health Surveys. Arch Gen Psychiatry. 2009;66:785–95.PubMedPubMedCentralCrossRef
38.
Qin Z, Baccaglini L. Distribution, determinants, and prevention of falls among the elderly in the 2011-2012 California health interview survey. Public Health Rep. 2016;131:331–9.PubMedPubMedCentralCrossRef
39.
Douglas H, Georgiou A, Westbrook J. Social participation as an indicator of successful aging: an overview of concepts and their associations with health. Aust Heal Rev. 2017;41:455–62.CrossRef
40.
Awick EA, Ehlers DK, Aguiñaga S, Daugherty AM, Kramer AF, McAuley E. Effects of a randomized exercise trial on physical activity, psychological distress and quality of life in older adults. Gen Hosp Psychiatry. 2017;41:455–62.
41.
Yamamoto T, Aida J, Kondo K, Fuchida S, Tani Y, Saito M, et al. Oral health and incident depressive symptoms: JAGES Project Longitudinal Study in Older Japanese. J Am Geriatr Soc. 2017;65:1079–84.PubMedCrossRef
42.
Hashioka S, Inoue K, Miyaoka T, Hayashida M, Wake R, Oh-Nishi A, et al. The possible causal link of periodontitis to neuropsychiatric disorders: more than psychosocial mechanisms. Int J Mol Sci. 2019;20:3723.PubMedCentralCrossRef
43.
Ohara Y, Hirano H, Yoshida H, Obuchi S, Ihara K, Fujiwara Y, et al. Prevalence and factors associated with xerostomia and hyposalivation among community-dwelling older people in Japan. Gerodontology. 2016;33:20–7.PubMedCrossRef
44.
45.
Saito M, Shimazaki Y, Fukai K, Furuta M, Aida J, Ando Y, et al. Risk factors for tooth loss in adult Japanese dental patients: 8020 Promotion Foundation Study. J Investig Clin Dent. 2019;10:e12392.PubMedCrossRef
46.
Almomani F, Williams K, Catley D, Brown C. Effects of an oral health promotion program in people with mental illness. J Dent Res. 2009;88:648–52.PubMedCrossRef
47.
Kuehner C. Why is depression more common among women than among men? The Lancet Psychiatry. 2017;4:146–58.PubMedCrossRef
48.
Cohen-Carneiro F, Souza-Santos R, Rebelo MAB. Quality of life related to oral health: contribution from social factors. Qualidade de vida relacionada à saúde bucal: Contribuição dos fatores sociais. Cienc e Saude Coletiva. 2011;16(Suppl 1):1007–15.CrossRef
49.
Kuriyama S, Nakaya N, Ohmori-Matsuda K, Shimazu T, Kikuchi N, Kakizaki M, et al. Factors associated with psychological distress in a community-dwelling Japanese population: the Ohsaki Cohort 2006 study. J Epidemiol. 2009;19:294–302.PubMedPubMedCentralCrossRef
50.
Van Der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the dutch adult literacy and life skills survey. J Health Commun. 2013;18:172–84.PubMedPubMedCentralCrossRef
51.
Rozier RG, White A, Slade G. Trends in oral diseases in the U.S. population. J Dent Educ. 2017;81:eS97–eS109.PubMedCrossRef
Metadata
Title
Association between high psychological distress and poor oral health-related quality of life (OHQoL) in Japanese community-dwelling people: the Nagasaki Islands Study
Authors
Ai Sekiguchi
Shin-ya Kawashiri
Hideaki Hayashida
Yuki Nagaura
Kenichi Nobusue
Fumiaki Nonaka
Hirotomo Yamanashi
Masayasu Kitamura
Koji Kawasaki
Hideki Fukuda
Takahiro Iwasaki
Toshiyuki Saito
Takahiro Maeda
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Caries
Published in
Environmental Health and Preventive Medicine / Issue 1/2020
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-020-00919-9

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