Effect of personality traits on the oral health-related quality of life in patients with oral lichen planus undergoing t
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ORIGINAL ARTICLE
Effect of personality traits on the oral health-related quality of life in patients with oral lichen planus undergoing treatment Dvorak Gabriella 1
&
Rappersberger Klemens 2 & Rausch-Fan Xiao-hui 1 & Bruckmann Corinna 1 & Hofmann Eva 3
Received: 4 February 2020 / Accepted: 1 September 2020 # The Author(s) 2020
Abstract Objectives The aim of this study was to evaluate the relationship between personality traits and perceived treatment success in oral lichen planus. Material and methods A total of 53 patients with diagnosed oral lichen planus were evaluated at the time of diagnosis and along the course of their treatment. The visual analogue scale (VAS) was used for evaluating pain and burning sensation, along with an evaluation of the oral health-related quality of life (OHIP) and the clinical severity. In order to determine the personality trait, the NEO-FFI questionnaire was applied. Data were assessed with the statistical software Stata by a multiple linear regression. Results A significant relationship between the two personality traits: “conscientiousness” and “extraversion” and a perceived improvement in oral lichen planus could be observed. The higher the “conscientiousness,” the better the perceived oral healthrelated quality of life. Furthermore, “extraversion” had a significant influence on the improvement in clinical severity index (P < 0.05). Conclusions Personality traits, especially conscientiousness and extraversion, have a significant impact on the perception of therapeutic intervention in oral lichen planus. Clinical relevance As personalized patient management is gaining importance and psychosocial factors play a significant role in mucosal diseases, the patient’s psychological profile should be considered in the oral lichen planus management. Keywords OHIP . NE-OFFI . OLP . Mucosal disease . Therapeutic outcome . Therapy
Introduction Oral lichen planus (OLP) is a chronic inflammatory mucocutaneous disease. Prevalent in around 2% of the general population, it mainly affects women between 30 and 60 years of age. This immune disease is clinically characterized by different types of lesions, like reticular, so-called Wickham Striae, atrophic, or erosive areas, which may alternate [1]. Patients with symptomatic OLP require intensive care, as the disease
* Dvorak Gabriella [email protected] 1
Clinical Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna, Sensengasse 2a, 1090 Vienna, Austria
2
Department of Dermatology and Venereology, Medical Institution Rudolfstiftung, Juchgasse 25, 1030 Vienna, Austria
3
Competence Center for Empirical Research Methods, WU Vienna University of Economics and Business, Vienna, Austria
may limit the perceived quality of daily life [2]. Specifically, pain stemming from erosive lesions may considerably impair food intake and oral hygiene accompanied by a high incidence of psychological problems. As of today, no curative treatment exists. Therapy focuses on the mitig
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