IADR Abstract Archives
Relationship of Stress and Coping-Strategies to Periodontitis, Americans and Syrian
Objectives: To assess the association between perceived stress and periodontitis in American and Syrian population, and to explore the role of coping strategies in moderating the relationship.
Methods:
This Cross-sectional correlational study included 632 consented adult patients. The study evaluated two groups: American (n=321), and Syrian (n=311). Self-reports of perceived stress and coping styles were examined in relation to clinical periodontal measures as assessed by one examiner. Clinical periodontal examinations included recording teeth numbers and conducting partial-mouth examination of the following parameters: Clinical attachment loss (CAL), pocket depth (PD), gingival recession (REC), bleeding on probing (BOP), plaque, and calculus. Perceived stress was measured with Perceived Stress Scale (PSS). Coping was measured using Brief COPE (BC).
Data were analyzed using: Descriptive statistics for all variables, exploratory factor to compare PSS and BC items, Pearson’s correlation, Independent t-test, and one-way analysis of variance. Multivariate logistic regression was used to assess the association between perceived stress and periodontitis while controlling for other covariates.
Results: The Perceived Stress score overall mean was 27.4 ± 8.7. Women had a significantly higher rate than males; 28.6 ± 8.8 and 25.7 ± 8.2 respectively.
CAL was significantly associated with stress while controlling for known confounders. Psychosocial factors with other risk factors accounted for in the study explained 37% and 23% of the variance in periodontal disease in the Syrian and US respectively.
Individuals with low Positive and high Negative Cope and more perceived stress had a greater risk of having more severe CAL in both samples
Conclusions: This study showed a moderate statistically significant association between stress and periodontitis after adjusting for the major risk factors in both the US and Syrian samples. The relation was consistent using different definitions of periodontitis. The coping strategies play an important role in the relationship between stress and periodontitis.
Methods:
This Cross-sectional correlational study included 632 consented adult patients. The study evaluated two groups: American (n=321), and Syrian (n=311). Self-reports of perceived stress and coping styles were examined in relation to clinical periodontal measures as assessed by one examiner. Clinical periodontal examinations included recording teeth numbers and conducting partial-mouth examination of the following parameters: Clinical attachment loss (CAL), pocket depth (PD), gingival recession (REC), bleeding on probing (BOP), plaque, and calculus. Perceived stress was measured with Perceived Stress Scale (PSS). Coping was measured using Brief COPE (BC).
Data were analyzed using: Descriptive statistics for all variables, exploratory factor to compare PSS and BC items, Pearson’s correlation, Independent t-test, and one-way analysis of variance. Multivariate logistic regression was used to assess the association between perceived stress and periodontitis while controlling for other covariates.
Results: The Perceived Stress score overall mean was 27.4 ± 8.7. Women had a significantly higher rate than males; 28.6 ± 8.8 and 25.7 ± 8.2 respectively.
CAL was significantly associated with stress while controlling for known confounders. Psychosocial factors with other risk factors accounted for in the study explained 37% and 23% of the variance in periodontal disease in the Syrian and US respectively.
Individuals with low Positive and high Negative Cope and more perceived stress had a greater risk of having more severe CAL in both samples
Conclusions: This study showed a moderate statistically significant association between stress and periodontitis after adjusting for the major risk factors in both the US and Syrian samples. The relation was consistent using different definitions of periodontitis. The coping strategies play an important role in the relationship between stress and periodontitis.
