Effect of psychotherapy on the efficacy of treatment for chronic oral mucosal diseases

Abstract

BACKGROUND: Psychological factors negatively affect the development and course of chronic oral mucosal diseases.

AIM: To evaluate the effect of psychological support on the effectiveness of therapy for lichen planus and chronic recurrent aphthous stomatitis.

MATERIALS AND METHODS: The cohort of a nonrandomized clinical trial involved 64 patients, including 46 women (71.8%) and 18 men (28.2%). The average patient age was 60.3±3.0 years. The patients were divided into groups based on their consent to work with a psychologist. The study group provided consent for psychological support, whereas the comparison group refused psychological support. Anamnestic examination included an assessment of the quality of life, severity of pain syndrome on a visual analog scale, and anxiety on the Beck anxiety inventory. Clinical examination was performed according to the standard method of dental examination.

RESULTS: After treatment in the study group, a significant decrease in anxiety, a decrease in the severity of pain syndrome, and an improvement in the quality of life were observed. In the comparison group, a tendency to decrease the severity of pain syndrome, without a statistically significant change in the level of anxiety or an improvement in the quality of life, was noted.

CONCLUSION: Psychological correction in the complex treatment of patients with chronic diseases of the oral mucosa increases patient compliance and the effectiveness of treatment of the underlying disease.

Keywords

oral lichen planus / recurrent aphthous stomatitis / anxiety / oral health related quality of life

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