Universität zu Köln

Graetz, Christian, Woeste, Sirka, Mrowietz, Ullrich and Ehrenthal, Johannes C. ORCID: 0000-0002-9428-3763 (2021). The impact of psychological attachment on the relationship between periodontal health and dental fear in patients with versus without psoriasis: a questionnaire-based, cross-sectional study. BMC Oral Health, 21 (1). LONDON: BMC. ISSN 1472-6831

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Abstract

BackgroundWhile there is increasing evidence for the relevance of psychosocial variables such as dental fear or psychological attachment in dentistry, much less is known about the mechanisms that determine the strength of those associations. One potential moderator is the occurrence of a comorbid chronic disease such as psoriasis, which is linked to relevant disease parameters such as periodontal inflammation. The aim of the study was to test a moderation model of the relationship between dental fear, psychological attachment and psoriasis on periodontal health.MethodsA total of 201 patients (100 with psoriasis, 101 without psoriasis) were included in a questionnaire-based, cross-sectional study. Dental status was measured with the Community Periodontal Index (CPI), dental fear was measured with the Hierarchical Anxiety Questionnaire (HAQ), and psychological attachment was measured with the Relationship Questionnaire (RQ). In addition to the examination of main effects, bootstrapping-based analyses were conducted to test the moderating influence of psychological attachment on the association between CPI and dental fear, gain moderated by group (with vs. without psoriasis).ResultsControlling for several covariates, higher CPI scores were associated with higher levels of dental fear only in individuals without psoriasis under conditions of higher levels of psychological attachment anxiety and lower levels of attachment avoidance.ConclusionIn individuals without psoriasis, psychological attachment can moderate the association between periodontal health and dental fear. This may provide a useful framework for reducing dental fear through interventions on the level of the dentist-patient relationship.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Graetz, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Woeste, Sirka UNSPECIFIED UNSPECIFIED UNSPECIFIED Mrowietz, Ullrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Ehrenthal, Johannes C. UNSPECIFIED orcid.org/0000-0002-9428-3763 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-580140
DOI:	10.1186/s12903-021-01457-8
Journal or Publication Title:	BMC Oral Health
Volume:	21
Number:	1
Date:	2021
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6831
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Psychologie
Subjects:	Psychology
Uncontrolled Keywords:	Keywords Language BODY-MASS INDEX; RISK-FACTORS; ORAL-HEALTH; DEPRESSIVE SYMPTOMS; LIFE; ASSOCIATION; PERSONALITY; PATTERNS; THERAPY; STRESS Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/58014