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Pakfetrat et. al Psychological Assessment of Patients with Oral …

phobic anxiety, paranoid ideation, inter-personal The results of the current study showed that the
sensitivity and psychoticism with no case in this general frequency of psychiatric disorders was
study. Due to the small sample size in all 44% among the understudy population, 68.6%
subgroups, the disorders could not be statistically among the RAS patients and 22.5% among
analyzed based on their severity. controls. These values are way different from those
reported by Sanatkhani stating a 42.9% frequency
Discussion for psychiatric disorders in patients with RAS in
This study aimed to psychologically assess patients oral medicine department of Mashhad University,
with RAS in comparison with controls. Some School of Dentistry [19]. The difference between
previous studies have also investigated the effect the results of the two studies, despite similar
of psychological disorders and stress on location, may be due to the age, gender,
development of RAS; but the current study used a socioeconomic differences, level of education and
reliable questionnaire namely SCL-90 for this assessment time point.
purpose to assess different types of psychiatric The current study showed that the frequency of
disorders. Also, the current study had a control psychiatric disorders was significantly higher in
group and a psychologist assisted in analysis of RAS patients than in controls (p=0.000). This
data, which make the current study a unique one. finding is in accord with the results of Tang et al,
A total of 75 subjects were evaluated out of which, who also had a control group similar to the current
60% were females. In this regard, our study is study. They used Eysencke Personality
similar to those of Gallo [12], Sanatkhani [19], Questionnaire (EPQ) and SCL-90 to assess
Ogura [21], Viraparia and Delavarian [22]. psychosocial status of subjects. The results showed
Of studies on the role of psychiatric disorders in that psychological disorders may play an
development of RAS, some have only evaluated underlying role in development of RAS [24].
the level of anxiety and stress. Some used tools for Our results confirm those of Mollashahi et al. They
detection of psychiatric disorders while some showed that level of anxiety and depression in
others did not. For instance, Pedersson [4] used RAS patients was significantly higher than that in
Social Readjustment Rating Scale (SRRS) and in negative controls (no disease). In comparison
Gallo [12] used an international accredited with positive control (patients with burning mouth
questionnaire to assess stress. Bujeeb [23] used syndrome, unusual facial pain and myofascial
Self-Rating Anxiety Scale (SAS) questionnaire to pain-dysfunction syndrome) the difference in level
assess anxiety, Viraparia used examination and a of anxiety of patients was not significant but the
questionnaire to assess depression and Soto Araya difference in level of depression was significant
[16] used Recent Experience Test and Hospital [18]. Also, our study results were in line with those
Anxiety Depression Scale (HAD) to evaluate of Chamani et al, who reported a significant
stress, anxiety and depression. Thus, the current association between development of RAS and the
study is superior to the afore-mentioned ones since mean score of anxiety in males and females [20].
we used SCL-90 to comprehensively assess Anxiety was the most common psychiatric disorder
different types of psychiatric disorders. Also, this in our understudy population; which confirms the
tool requires not much time or education for results of Bujeeb [23], Tang [24] and Soto Araya
completion and also assesses somatization. The [16].
SCL-90 questionnaire has some disadvantages Of the evaluated disorders including anxiety,
including high number of questions, the need for depression, obsessive compulsive disorder,
elementary education and the need for a somatization and hostility, this study showed that
[ Downloaded from jida.ir on 2025-02-02 ] differences in terms of the questionnaires and occurrence of RAS. This finding is in accord with
anxiety, somatization and depression could be
psychologist to interpret the results.
correlated with development of RAS but the
Review of literature revealed that similar studies
have been conducted in this regard with remaining disorders were not correlated with the
the results of the study by Soto Araya [16] who
tools, understudy population, sample size, etc.

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Autumn 2014; Vol. 26, No. 4

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