A Study On Psychological Condition In Patients With Halitosis

Objective: To assess the differences on psychological condition and oral health-related quality of life between patients with and without halitosis,and to explore the psychological problem of halitosis patients.Meanwhile,relationship between their psychological condition and oral health-related quality of life was also investigated.Methods: Patients who complained of bad breath and were diagnosed as halitosis in the Ninth's People's Hospital were included into case group,while patients who diagnosed without halitosis were included into control group.Questionnaires and measurement of the halitosis were used to collect the data.In questionnaires,information on participants' general status,Self-reporting Inventory(SCL-90)and Oral Health Impact Profile-14(OHIP-14)are collected.To measure the oral malodor,Oral Chroma and organoleptic test were used.SPSS19.0 was used for data analysis.Results: A total of 212 participants(106 for case group and 106 for control group)were included in this study.The halitosis group had significantly higher SCL-90 scores than the control group(0.63vs0.48,P=0.002).The scores on the factors of interpersonal sensitivity,anxiety,depression,paranoid ideation were found significantly different between two groups.Furthermore,OHIP-14 score were significantly correlated with SCL-90 score(r=0.637,P<0.001),and the greatest influencing domain was psychological disorder.Conclusion: Psychological condition in patients with halitosis is significantly worse than patients without halitosis.Four aspects are mainly manifested in the interpersonal sensitivity,anxiety,depression and paranoid ideation.Moreover,the close relationship between psychological condition and oral health-related quality of life was confirmed.It suggested that to improve patients' quality of life,we should pay attention to the mental health of patients in the clinical treatment of halitosis patients,strengthen the education and guidance.