Correlation between the Oral and Mental Health of University Students in Serbia—A Cross-Sectional Study

Author:

Janicijevic Nikoleta1ORCID,Dimovic Tamara2,Stajic Dalibor1,Djonovic Nela1,Vasiljevic Dragan1,Tepavcevic Melanija3,Stepovic Milos3ORCID,Delic Simonida3ORCID,Petrovic Marko4,Jovanovic Kristijan3,Fetahovic Ermin5,Manojlovic Katarina6,Petrovic Ivica7ORCID,Filipovic Milos2,Sekulic Marija1

Affiliation:

1. Department of Hygiene and Ecology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia

2. Doctoral Academic Studies—Medical Sciences, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia

3. Department of Anatomy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia

4. Department of Surgery, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia

5. Department of Communication Skills with Information Technologies, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia

6. Department of Physical Medicine and Rehabilitation, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia

7. Department of Pathophysiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia

Abstract

Background: This cross-sectional study aimed to assess the correlation between subjective oral health status and mental health in a group of university students in Serbia. Methods: The study included 948 students, aged between 18 and 27, from the Faculty of Medical Sciences, University of Kragujevac, Serbia, and was conducted in 2020. The World Health Organization’s Oral Health Questionnaire for Adults was utilized to evaluate the respondents’ self-perceived oral health and oral hygiene practices. The existence of depressive symptoms was evaluated using the Beck Depression Inventory-II (BDI-II), and the Zung self-rating anxiety scale (SAS) was used for determining anxiety symptoms. Results: It is observed that 28.9% of respondents exhibit symptoms of depression and 42.3% showed symptoms of anxiety. Results show that students with severe depression and anxiety symptoms very often reported lower self-perceived oral health and oral health problems. Although the nature of this relationship has not been thoroughly evaluated, several studies have shown a mutually dependent connection between oral health and mental health. Conclusions: The results suggest that some aspects of oral health are associated with higher risks of developing symptoms of depression or anxiety, and vice versa.

Publisher

MDPI AG

Reference20 articles.

1. World Health Organization (2024, February 10). Available online: https://www.who.int/news-room/fact-sheets/detail/mental-disorders.

2. Yao, K., Yao, Y., Shen, X., Lu, C., and Guo, Q. (2019). Assessment of the oral health behavior, knowledge and status among dental and medical undergraduate students: A cross-sectional study. BMC Oral Health, 19.

3. Negative synergy of mental disorders and oral diseases versus general health;Kiejna;Dent. Med. Probl.,2019

4. No Mental Health without Oral Health;Kisely;Can. J. Psychiatry,2016

5. Beck, A.T., and Steer, R.A. (1993). Manual for the Beck Depression Inventory, Psychological Corporation.

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