PSYCHOSOMATIC ASPECTS IN THE COURSE OF LICHEN PLANUS OF THE ORAL MUCOSA-Reference-Cited by-同舟云学术

PSYCHOSOMATIC ASPECTS IN THE COURSE OF LICHEN PLANUS OF THE ORAL MUCOSA

Published:2023-05-22 Issue:1 Volume:19 Page:52-56
ISSN:2077-7566
Container-title:Actual problems in dentistry
language:en
Short-container-title:

Author:

Nagaeva Marina¹,Butorova Anna²,Klimova Taisia¹,Tomilova Aleksandra²

Affiliation:

1. Tyumenskiy gosudarstvennyy medicinskiy universitet

2. Tyumen State Medical University

Abstract

Objectives. To determine the prevalence and severity of alexithymia in patients with oral manifestation of lichen planus (LP). Methodology. The study involved 90 young and middle-aged patients (mean age 49.4 ± 8.9 years). The patients were divided into 3 groups: group 1 – 34 people with oral manifestations of LP, group 2 – 16 people with leukoplakia, group 3 – 40 people without clinical manifestations of diseases of the oral mucosa. A dental examination was conducted, including an assessment of the condition of the oral mucosa, and a standardized questionnaire survey using a Russian-language validated version of the 20-point Toronto Alexithymia Scale. Results. Alexithymia was detected in 55.88% with various forms of LP, which is statistically 2.2 times higher (p < 0.001) than in patients with leukoplakia of the oral mucosa (25%) and 5.6 times higher (p < 0.001) than in patients of group 3 who do not have diseases of the oral mucosa. The average score of alexithymia in patients with LP was 80.5 ± 2.7 points, which is statistically significantly higher than in the group of patients with leukoplakia (61.0 ± 4.2 points, p = 0.006) and in the control group (44.1 ± 2.9 points, p < 0.001). A higher incidence of alexithymia was revealed in patients with exudative hyperemic form (58.33%, P1 = 0.041) and erosive-ulcerative form of LP (57.14%, p = 0.049). Quantitative assessment of alexithymia showed that among patients with LP, the greatest severity of alexithymia was found in patients with exudative hyperemic form of LP – 85.9 = 1.5 points, (p < 0.001). Conclusion. The data obtained allow us to consider LP as a disease in the development of which there is a psychosomatic component. The presence of alexithymia and the degree of its severity can be considered as a predictive or predictive candidate factor.

Publisher

TIRAZH Publishing House

Subject

General Medicine

Reference17 articles.

1. Ананьев В.А. Основы психологии здоровья. Книга 1. Концептуальные основы психологии здоровья. Спб. : Речь. 2006:384. [V.A. Ananyev. Fundamentals of health psychology. Book 1. Conceptual foundations of health psychology. St. Petersburg : Speech. 2006:384. (In Russ.)]. https://www.studmed.ru/ananev-va-osnovy-psihologii-zdorovya-kniga-1_d8929095b3e.html, Anan'ev V.A. Osnovy psihologii zdorov'ya. Kniga 1. Konceptual'nye osnovy psihologii zdorov'ya. Spb. : Rech'. 2006:384. [V.A. Ananyev. Fundamentals of health psychology. Book 1. Conceptual foundations of health psychology. St. Petersburg : Speech. 2006:384. (In Russ.)]. https://www.studmed.ru/ananev-va-osnovy-psihologii-zdorovya-kniga-1_d8929095b3e.html

2. Вильданов М.Н., Герасимова Л.П., Чемикосова Т.С. Оценка корреляционной связи между психоэмоциональным состоянием и болевым фактором у пациентов с красным плоским лишаем рта. Проблемы стоматологии. 2022;18(3):77-81. [M.N. Vildanov, L.P. Gerasimova, T.S. Chemikosova. Evaluation of the correlation between the psychoemotional state and the pain factor in patients with lichen planus of the mouth. Actual problems in dentistry. 2022;18(3):77-81. (In Russ.)]. https://doi.org/10.18481/2077-7566-2022-18-3-77-81, Vil'danov M.N., Gerasimova L.P., Chemikosova T.S. Ocenka korrelyacionnoy svyazi mezhdu psihoemocional'nym sostoyaniem i bolevym faktorom u pacientov s krasnym ploskim lishaem rta. Problemy stomatologii. 2022;18(3):77-81. [M.N. Vildanov, L.P. Gerasimova, T.S. Chemikosova. Evaluation of the correlation between the psychoemotional state and the pain factor in patients with lichen planus of the mouth. Actual problems in dentistry. 2022;18(3):77-81. (In Russ.)]. https://doi.org/10.18481/2077-7566-2022-18-3-77-81

3. Городилова Е.А., Гилева О.С., Кошкин С.В., Халявина И.Н. Междисциплинарные подходы к комплексному лечению больных с распространенным красным плоским лишаем кожи и слизистой оболочки рта: роль протетического лечения. Вятский медицинский вестник. 2016;77(1):20-26. [E.A. Gorodilova, O.S. Gileva, S.V. Koshkin, I.N. Khalyavina. Iterdisciplinary approaches to comprehensive treatment of patients with generalized lichen planus of derma and oral mucosa: the role of prosthetic treatment. Vyatka Medical Bulletin. 2016;77(1):20-26. (In Russ.)]. Https://cyberleninka.ru/article/n/mezhdistsiplinarnye-podhody-k-kompleksnomu-lecheniyu-bolnyh-s-rasprostranennym-krasnym-ploskim-lishaem-kozhi-i-slizistoy-obolochki-rta/viewer, Gorodilova E.A., Gileva O.S., Koshkin S.V., Halyavina I.N. Mezhdisciplinarnye podhody k kompleksnomu lecheniyu bol'nyh s rasprostranennym krasnym ploskim lishaem kozhi i slizistoy obolochki rta: rol' proteticheskogo lecheniya. Vyatskiy medicinskiy vestnik. 2016;77(1):20-26. [E.A. Gorodilova, O.S. Gileva, S.V. Koshkin, I.N. Khalyavina. Iterdisciplinary approaches to comprehensive treatment of patients with generalized lichen planus of derma and oral mucosa: the role of prosthetic treatment. Vyatka Medical Bulletin. 2016;77(1):20-26. (In Russ.)]. Https://cyberleninka.ru/article/n/mezhdistsiplinarnye-podhody-k-kompleksnomu-lecheniyu-bolnyh-s-rasprostranennym-krasnym-ploskim-lishaem-kozhi-i-slizistoy-obolochki-rta/viewer

4. Григорьев С.С., Жовтяк П.Б., Летаева О.В. Красный плоский лишай слизистой оболочки рта. Обзор литературы. Уральский медицинский журнал. 2014;5(119):8. [S.S. Grigoriev, P.B. Zhevtyak, O.V. Letyaeva. Lichen planus of the oral mucosa. Literature review. Ural Medical Journal. 2014;5(119):8. (In Russ.)]. https://www.elibrary.ru/item.asp?id=21982436, Grigor'ev S.S., Zhovtyak P.B., Letaeva O.V. Krasnyy ploskiy lishay slizistoy obolochki rta. Obzor literatury. Ural'skiy medicinskiy zhurnal. 2014;5(119):8. [S.S. Grigoriev, P.B. Zhevtyak, O.V. Letyaeva. Lichen planus of the oral mucosa. Literature review. Ural Medical Journal. 2014;5(119):8. (In Russ.)]. https://www.elibrary.ru/item.asp?id=21982436

5. Колпакова Н.В., Шестель А.И. Распространенность алекситимии среди студентов медицинского вуза. Взаимосвязь с соматической заболеваемостью, наличием вредных привычек и уровнем успеваемости. Медицинская наука и образование Урала. 2021;22(2):128-131. [N.V. Kolpakova, A.I. Shestel. The prevalence of alexithymia among medical university students. The relationship with somatic morbidity, the presence of bad habits and the level of academic performance. Medical science and education of the Urals. 2021;22(2):128-131. (In Russ.)]. https://doi.org/10.36361/1814-8999-2021-22-2-128-131., Kolpakova N.V., Shestel' A.I. Rasprostranennost' aleksitimii sredi studentov medicinskogo vuza. Vzaimosvyaz' s somaticheskoy zabolevaemost'yu, nalichiem vrednyh privychek i urovnem uspevaemosti. Medicinskaya nauka i obrazovanie Urala. 2021;22(2):128-131. [N.V. Kolpakova, A.I. Shestel. The prevalence of alexithymia among medical university students. The relationship with somatic morbidity, the presence of bad habits and the level of academic performance. Medical science and education of the Urals. 2021;22(2):128-131. (In Russ.)]. https://doi.org/10.36361/1814-8999-2021-22-2-128-131.