Common mental disorder is associated with periodontitis
Julita Maria F. Coelho
Department of Biological Sciences, Feira de Santana State University, Bahia, Brazil
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorSamilly S. Miranda
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorSimone S. da Cruz
Department of Health, Feira de Santana State University, Bahia, Brazil
Department of Epidemiology, Federal University of Recôncavo of Bahia, Bahia, Brazil
Search for more papers by this authorDarci N. dos Santos
Department of Epidemiology, Collective Health Institute, Federal University of Bahia, Salvador, Brazil
Search for more papers by this authorSoraya C. Trindade
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorEneida de M. M. Cerqueira
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorJohelle de S. Passos-Soares
Department of Health, Feira de Santana State University, Bahia, Brazil
Department of Preventive Dentistry, Federal University of Bahia, Salvador, Brazil
Search for more papers by this authorMaria da Conceição N. Costa
Department of Epidemiology, Collective Health Institute, Federal University of Bahia, Salvador, Brazil
Search for more papers by this authorAna Claudia M. G. Figueiredo
Department of Health, University of Brasília, Distrito Federal, Brazil
Search for more papers by this authorAlexandre Marcelo Hintz
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorAlba R. B. de Almeida
Department of Education/Psychology, State University of Bahia, Bahia, Brazil
Search for more papers by this authorMonalisa N. Pereira
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorNayra M. de Souza
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorMaurício L. Barreto
Department of Epidemiology, Collective Health Institute, Federal University of Bahia, Salvador, Brazil
Search for more papers by this authorCorresponding Author
Isaac S. Gomes-Filho
Department of Health, Feira de Santana State University, Bahia, Brazil
Correspondence
Isaac Suzart Gomes-Filho, Avenida Getúlio Vargas, 379, Centro, Feira de Santana, Bahia, Brazil.
Email: [email protected]
Search for more papers by this authorJulita Maria F. Coelho
Department of Biological Sciences, Feira de Santana State University, Bahia, Brazil
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorSamilly S. Miranda
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorSimone S. da Cruz
Department of Health, Feira de Santana State University, Bahia, Brazil
Department of Epidemiology, Federal University of Recôncavo of Bahia, Bahia, Brazil
Search for more papers by this authorDarci N. dos Santos
Department of Epidemiology, Collective Health Institute, Federal University of Bahia, Salvador, Brazil
Search for more papers by this authorSoraya C. Trindade
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorEneida de M. M. Cerqueira
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorJohelle de S. Passos-Soares
Department of Health, Feira de Santana State University, Bahia, Brazil
Department of Preventive Dentistry, Federal University of Bahia, Salvador, Brazil
Search for more papers by this authorMaria da Conceição N. Costa
Department of Epidemiology, Collective Health Institute, Federal University of Bahia, Salvador, Brazil
Search for more papers by this authorAna Claudia M. G. Figueiredo
Department of Health, University of Brasília, Distrito Federal, Brazil
Search for more papers by this authorAlexandre Marcelo Hintz
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorAlba R. B. de Almeida
Department of Education/Psychology, State University of Bahia, Bahia, Brazil
Search for more papers by this authorMonalisa N. Pereira
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorNayra M. de Souza
Department of Health, Feira de Santana State University, Bahia, Brazil
Search for more papers by this authorMaurício L. Barreto
Department of Epidemiology, Collective Health Institute, Federal University of Bahia, Salvador, Brazil
Search for more papers by this authorCorresponding Author
Isaac S. Gomes-Filho
Department of Health, Feira de Santana State University, Bahia, Brazil
Correspondence
Isaac Suzart Gomes-Filho, Avenida Getúlio Vargas, 379, Centro, Feira de Santana, Bahia, Brazil.
Email: [email protected]
Search for more papers by this authorAbstract
Objectives
This research evaluated the association between exposure to common mental disorder (CMD) and the presence of periodontitis.
Background
Common mental disorder is characterized by the presence of irritation, fatigue, insomnia, forgetfulness, decreased ability to concentrate, anxiety, and depression. It has been associated with several diseases; however, there are few studies that have associated it with periodontitis.
Methods
This cross-sectional study was carried out with 621 individuals. Data collection involved the application of a general questionnaire and the self-reporting questionnaire for diagnosis of CMD. The diagnosis of periodontitis involved a full mouth periodontal examination using: clinical attachment level, probing depth, and bleeding on probing. Prevalence ratios and 95% confidence intervals between CMD (exposure) and periodontitis (outcome) were obtained.
Results
In the final sample, 38.16% (237) of the individuals were classified with CMD. Among these, 28.27% (67) had periodontitis. Association measurements showed that the occurrence of periodontitis among those exposed to CMD is approximately 50% higher than in those without this mental condition, with statistical significance, after adjustment for age, sex, family income, current smoking habit, alcohol beverage consumption, and cardiovascular disease (PRadjusted = 1.54, 95% CI: [1.13 to 2.10]).
Conclusions
The findings showed a positive association between exposure to CMD and periodontitis, revealing the importance of broadening public actions targeting mental health, which seems to be related to oral health, mainly due to the high frequency of the diseases in the studied sample.
REFERENCES
- 1Goldber D, Huxley P. Common Mental Disorders–A Bio-Social Model, ( 2nd edn). London: Tavistock/Routledge; 1993.
- 2Kac G, Silveira EA, Oliveira LC, Mari JJ. Factors associated with minor psychiatric disorders among women selected from a healthcare center in Rio de Janeiro, Brazil. Cad Saúde Pública. 2006; 22: 999-1007.
- 3Araya R, Fritsch R, Acuña J, Lewis G. Common mental disorders in Santiago, Chile: prevalence and socio-demographic correlates. Br J Psychiatry. 2001; 178: 228-233.
- 4Puertas G, Ríos C, Valle H. The prevalence of common mental disorders in urban slums with displaced persons in Colombia. Rev Panam Salud Publica. 2006; 20: 324-330.
- 5Jenkins R, Othieno C, Ongeri L, et al. Common mental disorder in Nyanza province, Kenya in 2013 and its associated risk factors –an assessment of change since 2004, using a repeat household survey in a demographic surveillance site. BMC Psychiatry. 2015; 15: 1-12.
- 6Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol. 2014; 43: 476-493.
- 7Rocha SV, Almeida M, Araújo TM, Virtuoso Júnior JS. Prevalence of common mental disorders among the residents of urban areas in Feira de Santana, Bahia. Rev Bras Epidemiol. 2010; 13: 630-640.
- 8Moreira J, Bandeira M, Cardoso CS, Scalon JD. Prevalence of common mental disorders in the population attended by the family health program. J Bras Psiquiatr. 2011; 60: 221-226.
10.1590/S0047-20852011000300012 Google Scholar
- 9Fonseca I, Araujo TM. Prevalence of common mental disorders among industry workers in Bahia, Brasil. Rev Bras Saúde Ocup. 2014; 39: 35-49.
10.1590/0303-7657000065012 Google Scholar
- 10Borges TL, Hegadoren KM, Miasso AI. Common mental disorders and use of psychotropic medications in women consulting at primary care units in a Brazilian urban area. Rev Panam Salud Publica. 2015; 38: 195-201.
- 11Coelho FM, Pinheiro RT, Horta BL, Magalhães P, Garcias C, Silva CV. Common mental disorders and chronic non-communicable diseases in adults: a population based study. Cad Saúde Pública. 2009; 25: 59-67.
- 12Verdolin LD, Borner A, Guedes Junior RO, Silva T, Belmonte T. Comparison between the prevalence of mental disorders in obese and overweight patients. Scientia Medica. 2012; 22: 25-31.
- 13Araújo GS, Pereira SM, Santos DN, Marinho JM, Rodrigues LC, Barreto ML. Common mental disorders associated with tuberculosis: a matched case-control study. PLoS ONE. 2014; 9:e99551.
- 14Zewdu S, Abebe N. Common mental disorder among HIV infected individuals at comprehensive HIV care and treatment clinic of debre markos referral hospital, Ethiopia. J AIDS Clin Res. 2015; 6: 1-6.
- 15Solis A, Lotufo R, Pannuti CM, Brunheiro EC, Marques AH, Lotufo-Neto F. Association of periodontal disease to anxiety and depression symptoms, and psychosocial stress factors. J Clin Periodontol. 2004; 31: 633-638.
- 16Sundararajan S, Muthukumar S, Rao SR. Relationship between depression and chronic periodontitis. J Indian Soc Periodontol. 2015; 19: 294-296.
- 17Cormac I, Jenkins P. Understanding the importance of oral health in psychiatric patients. Adv Psychiatr Treat. 1999; 5: 53-60.
10.1192/apt.5.1.53 Google Scholar
- 18Kisely S, Baghaie H, Lalloo R, Siskind D, Johnson NW. A systematic review and meta-analysis of the association between poor oral health and severe mental illness. Psychosom Med. 2015; 77: 83-92.
- 19Peruzzo DC, Benatti BB, Ambrosano GM, et al. A systematic review of stress and psychological factors as possible risk factors for periodontal disease. J Periodontol. 2007; 78: 1491-1504.
- 20Warren KR, Postolache TT, Groer ME, Pinjari OK, Kelly DL, Reynolds MA. Role of chronic stress and depression in periodontal diseases. Periodontol. 2000; 2014(64): 127-138.
- 21Gil-Montoya JA, Mello AL, Barrios R, Gonzalez-Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: a nonsystematic review. Clin Interv Aging. 2015; 10: 461-467.
- 22Passos-Soares JS, Santos L, Cruz SS, et al. The impact of caries in combination with periodontitis on oral health-related quality of life in Bahia, Brazil. J Periodontol. 2018; 89: 1407-1417.
- 23Carmo MBB, Santos LM, Feitosa CA, et al. Screening for common mental disorders using the SRQ-20 in Brazil: what are the alternative strategies for analysis? Braz J Psychiatry. 2017; 40: 115-122.
- 24 WHO. User's Guide to the Self-Reporting Questionnaire (SRQ). Geneva, Switzerland: World Health Organization; 1994.
- 25Santos K, Araújo TM, Pinho OS, Silva A. Evaluation of an instrument for measuring psychiatric morbidity: a validity study of the self-reporting questionnaire (SRQ-20). Rev Bai de Saúde Pública. 2010; 34: 544-560.
- 26Mari JJ, Williams P. A validity study of a psychiatric screening questionnaire (SRQ 20) in primary care in the city of São Paulo. Br J Psychiatry. 1986; 148: 23-26.
- 27Pihlstrom BL, Ortiz-Campos C, Mchugh RB. A randomized four-years study of periodontal therapy. J Periodontol. 1981; 52: 227-242.
- 28Ramfjord SP. Indice for prevalence and indice of periodontal disease. J Periodontol. 1959; 30: 51-59.
10.1902/jop.1959.30.1.51 Google Scholar
- 29Ainamo J, Bay I. Periodontal indexes for and in practice. Tandlaegebladet. 1976; 80: 149-152.
- 30Mannem S, Chava VK. The effect of stress on periodontitis: a clinic biochemical study. J Indian Soc Periodontol. 2012; 16: 365-369.
- 31Gomes-Filho IS, Cruz SS, Rezende EJ, et al. Exposure measurement in the association between periodontal disease and prematurity/low birth weight. J Clin Periodontol. 2007; 34: 957-963.
- 32Zhang J, Yu K. What's the relative risk. JAMA. 1998; 280: 1690-1691.
- 33Cruz SS, Costa M, Gomes-Filho IS, et al. Contribution of periodontal disease in pregnant women as a risk factor for low birth weight. Community Dent Oral Epidemiol. 2009; 37: 527-533.
- 34Passos JS, Gomes-Filho IS, Vianna MI, et al. Outcome measurements in studies on the association between osteoporosis and periodontal disease. J Periodontol. 2010; 81: 1773-1780.
- 35Esteves Lima RP, Miranda Cota LO, Costa FO. Association between periodontitis and gestational diabetes mellitus: a case-control study. J Periodontol. 2013; 84: 1257-1265.
- 36Bojorquez I, Aguilera RM, Ramírez J, Cerecero D, Mejía S. Common mental disorders at the time of deportation: a survey at the Mexico-United States border. J Immigr Minor Health. 2015; 17: 1732-1738.
- 37Scholte WF, Verduin F, Van Lammeren A, Rutayisire T, Kamperman AM. Psychometric properties and longitudinal validation of the self-reporting questionnaire (SRQ-20) in a Rwandan community setting: a validation study. BMC Med Res Methodol. 2011; 11(1): 111-116.
- 38Page RC, Eke PI. Case definitions for use in population-based surveillance of periodontitis. J Periodontol. 2007; 78: 1387-1399.
- 39Tran DT, Gay I, Du XL, et al. Assessment of partial-mouth periodontal examination protocols for periodontitis surveillance. J Clin Periodontol. 2014; 41: 846-852.
- 40Lucchese R, Sousa K, Bonfin SP, Vera I, Santana FR. Prevalence of common mental disorders in primary health care. Acta Paul Enferm. 2014; 27: 200-207.
- 41Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol. 2000; 2013(62): 59-94.
- 42Chrysanthakopoulos NA. Risk factors for the progression of periodontal disease in a Greek adult population. J Investig Clin Dent. 2017; 8(2):e12199. https://doi.org/10.1111/jicd.12199
- 43Corrao G, Bagnardi V, Zambon A, Vecchia CL. A meta-analysis of alcohol consumption and the risk of 15 diseases. Prev Med. 2004; 38: 613-619.
- 44Culic V. Moderate drinking, psychological factors and cardiovascular protection. Eur Heart J. 2009; 30: 381-383.
- 45Han DH, Lim S, Kim JB. The association of smoking and diabetes with periodontitis in Koreans. J Periodontol. 2012; 83(11): 1397-1406.
- 46Tezal M, Grossi SG, Ho AW, Genco RJ. Alcohol consumption and periodontal disease. The third National health and nutrition examination survey. J Clin Periodontol. 2004; 31: 484-488.
- 47Hare DL, Toukhsati SR, Johansson P, Jaarsma T. Depression and cardiovascular disease: a clinical review. Eur Heart J. 2013; 35(21): 1365-72. https://doi.org/10.1093/eurheartj/eht462
- 48Thurstona RC, Rewakd M, Kubzansky LD. An anxious heart: anxiety and the onset of cardiovascular diseases. Prog Cardiovasc Dis. 2013; 55: 524-537.
- 49Tonetti MS, Van Dyke TE, Beck J, Bouchard P, Working group 1 of the joint EFP/AAP workshop. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP workshop on periodontitis and systemic diseases. J Clin Periodontol. 2013; 2013(40): 24-29.
- 50Nguyen CM, Kim JW, Quan VH, Nguyen BH, Tran SD. Periodontal associations in cardiovascular diseases: the latest evidence and understanding. J Oral Biol Craniofac Res. 2015; 5: 203-206.