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The correlations between health-related quality of life changes and pain and anxiety in orthodontic patients in the initial stage of treatment.

Wang J, Tang X, Shen Y, Shang G, Fang L, Wang R, Xu Y - Biomed Res Int (2015)

Bottom Line: SF-36 had moderate reliability (Cronbach's alpha coefficient exceeding 0.7, good fit on day 30).Spearman correlation coefficients for SF-36 with S-AI were -0.131~-0.515 (P < 0.05); SF-36 with VAS were -0.141~-0.273 (P < 0.05), indicating significant but moderate negative correlations between HRQoL and pain/anxiety.Early treatment-related pain and anxiety are important factors in HRQoL.

View Article: PubMed Central - PubMed

Affiliation: Department of Stomatology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301, Middle Yanchang Road, Shanghai 200072, China.

ABSTRACT
This study aimed to assess generic health-related quality of life (HRQoL), pain intensity, and anxiety levels and the relationship between the three aspects in healthy young Chinese orthodontic patients in the early stage of orthodontic treatment. We enrolled 252 eligible participants (10-29 years old) to complete validated Chinese versions of questionnaires, including the State-Trait Anxiety Inventory (S-AI), the visual analogue scale (VAS), and the Short-Form 36-Item Health Survey (SF-36) at baseline and on days 1, 2, 3, 7, 14, and 30 after initial archwire placement (SF-36 only at baseline and day 30). The response rate was 96% (243 of 252). SF-36 had moderate reliability (Cronbach's alpha coefficient exceeding 0.7, good fit on day 30). Statistical significant changes were observed in physical function (P < 0.01), body pain (P = 0.01), and general health (P < 0.01) domains. Spearman correlation coefficients for SF-36 with S-AI were -0.131~-0.515 (P < 0.05); SF-36 with VAS were -0.141~-0.273 (P < 0.05), indicating significant but moderate negative correlations between HRQoL and pain/anxiety. Overall, the application of SF-36 in assessing HRQoL is reluctantly suitable for young Chinese orthodontic patients in the early stage of orthodontic treatment. Early treatment-related pain and anxiety are important factors in HRQoL.

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Related in: MedlinePlus

Median of VAS scores in the study subject.
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fig1: Median of VAS scores in the study subject.

Mentions: Changes in pain scores and anxiety scores on each time-point are shown in Figures 1 and 2, respectively. A significant decrease can be observed in the VAS scores, while the reduction in S-AI scores was relatively slight. This indicated that patients felt pain gradually dying out while remaining a relatively high level of anxiety. Table 3 presents the correlations between VAS and S-AI scores at 6 time-points. Except for the scores on day 30, statistically significant correlations were observed, and the r maximum was 0.333 (P < 0.001) on the 14th day, indicating that the VAS score was positively related to the state anxiety score, but the correlation was a weak one (Table 3).


The correlations between health-related quality of life changes and pain and anxiety in orthodontic patients in the initial stage of treatment.

Wang J, Tang X, Shen Y, Shang G, Fang L, Wang R, Xu Y - Biomed Res Int (2015)

Median of VAS scores in the study subject.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4317575&req=5

fig1: Median of VAS scores in the study subject.
Mentions: Changes in pain scores and anxiety scores on each time-point are shown in Figures 1 and 2, respectively. A significant decrease can be observed in the VAS scores, while the reduction in S-AI scores was relatively slight. This indicated that patients felt pain gradually dying out while remaining a relatively high level of anxiety. Table 3 presents the correlations between VAS and S-AI scores at 6 time-points. Except for the scores on day 30, statistically significant correlations were observed, and the r maximum was 0.333 (P < 0.001) on the 14th day, indicating that the VAS score was positively related to the state anxiety score, but the correlation was a weak one (Table 3).

Bottom Line: SF-36 had moderate reliability (Cronbach's alpha coefficient exceeding 0.7, good fit on day 30).Spearman correlation coefficients for SF-36 with S-AI were -0.131~-0.515 (P < 0.05); SF-36 with VAS were -0.141~-0.273 (P < 0.05), indicating significant but moderate negative correlations between HRQoL and pain/anxiety.Early treatment-related pain and anxiety are important factors in HRQoL.

View Article: PubMed Central - PubMed

Affiliation: Department of Stomatology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301, Middle Yanchang Road, Shanghai 200072, China.

ABSTRACT
This study aimed to assess generic health-related quality of life (HRQoL), pain intensity, and anxiety levels and the relationship between the three aspects in healthy young Chinese orthodontic patients in the early stage of orthodontic treatment. We enrolled 252 eligible participants (10-29 years old) to complete validated Chinese versions of questionnaires, including the State-Trait Anxiety Inventory (S-AI), the visual analogue scale (VAS), and the Short-Form 36-Item Health Survey (SF-36) at baseline and on days 1, 2, 3, 7, 14, and 30 after initial archwire placement (SF-36 only at baseline and day 30). The response rate was 96% (243 of 252). SF-36 had moderate reliability (Cronbach's alpha coefficient exceeding 0.7, good fit on day 30). Statistical significant changes were observed in physical function (P < 0.01), body pain (P = 0.01), and general health (P < 0.01) domains. Spearman correlation coefficients for SF-36 with S-AI were -0.131~-0.515 (P < 0.05); SF-36 with VAS were -0.141~-0.273 (P < 0.05), indicating significant but moderate negative correlations between HRQoL and pain/anxiety. Overall, the application of SF-36 in assessing HRQoL is reluctantly suitable for young Chinese orthodontic patients in the early stage of orthodontic treatment. Early treatment-related pain and anxiety are important factors in HRQoL.

Show MeSH
Related in: MedlinePlus