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Coping With Stress: Its Influence on Periodontal Disease

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Zeitschriftentitel: Journal of Periodontology
Personen und Körperschaften: Wimmer, Gernot, Janda, Michaela, Wieselmann‐Penkner, Karin, Jakse, Norbert, Polansky, Raoul, Pertl, Christof
In: Journal of Periodontology, 73, 2002, 11, S. 1343-1351
Medientyp: E-Article
Sprache: Englisch
veröffentlicht:
Wiley
Schlagwörter:
author_facet Wimmer, Gernot
Janda, Michaela
Wieselmann‐Penkner, Karin
Jakse, Norbert
Polansky, Raoul
Pertl, Christof
Wimmer, Gernot
Janda, Michaela
Wieselmann‐Penkner, Karin
Jakse, Norbert
Polansky, Raoul
Pertl, Christof
author Wimmer, Gernot
Janda, Michaela
Wieselmann‐Penkner, Karin
Jakse, Norbert
Polansky, Raoul
Pertl, Christof
spellingShingle Wimmer, Gernot
Janda, Michaela
Wieselmann‐Penkner, Karin
Jakse, Norbert
Polansky, Raoul
Pertl, Christof
Journal of Periodontology
Coping With Stress: Its Influence on Periodontal Disease
Periodontics
General Earth and Planetary Sciences
General Environmental Science
author_sort wimmer, gernot
spelling Wimmer, Gernot Janda, Michaela Wieselmann‐Penkner, Karin Jakse, Norbert Polansky, Raoul Pertl, Christof 0022-3492 1943-3670 Wiley Periodontics General Earth and Planetary Sciences General Environmental Science http://dx.doi.org/10.1902/jop.2002.73.11.1343 <jats:p><jats:bold>Background:</jats:bold> Various forms of stress behavior were documented and in patients with periodontitis their relationship with periodontal disease was investigated.</jats:p><jats:p><jats:bold>Methods:</jats:bold> Eighty‐nine patients with different forms of chronic periodontitis were included in this retrospective case‐control study. They were all undergoing periodontal treatment at the Department of Dental Prosthetics, University of Graz, or a private dental practice. The control group consisted of 63 persons employed in health care at the Clinic of Graz. All participants completed a stress coping questionnaire of 114 items and 19 actional and intrapsychic stress coping modes. The questionnaire served as a psychodiagnostic survey aimed at collecting data on stress coping strategies. Clinical attachment loss (CAL) served as the clinical parameter.</jats:p><jats:p><jats:bold>Results:</jats:bold> With the help of a factor analysis with α factorization and Varimax rotation, 5 factors were extracted from the 19 subtests. The reliability of the questionnaire was less than 0.70 only for subtests “escape” and “pharmaceutical drugs.” Otherwise the internal consistency ranged between 0.74 and 0.92, and the retest reliability between 0.72 and 0.84. Subsequent assessment with the <jats:italic>t</jats:italic> test for independent random samples at the 5% level showed that patients differ significantly from controls in regard of factor 2 (active coping, <jats:italic>P</jats:italic> = 0.40) and 3 (distractive coping, <jats:italic>P</jats:italic> = 0.033), and that they differ very significantly from controls in regard of factor 4 (defensive coping, <jats:italic>P</jats:italic> = 0.000) and 5 (coping through aggression and pharmaceutical drugs, <jats:italic>P</jats:italic> = 0.007). In the statistical analysis of factors with regard to the severity of periodontal disease, the patients were divided into 2 groups (mild to moderate and severe). The t test for independent random samples showed significance for factor 4 (defensive coping) in that patients with a defensive coping style had greater attachment loss (<jats:italic>p<jats:sub>F4</jats:sub></jats:italic> = 0.04).</jats:p><jats:p><jats:bold>Conclusions:</jats:bold> The data corroborate the thesis that periodontitis patients with inadequate stress behavior strategies (defensive coping) are at greater risk for severe periodontal disease. However, further investigations are required to confirm the significance of inappropriate coping styles with respect to the advancement of periodontal disease. <jats:italic>J Periodontol 2002;73:1343‐1351.</jats:italic></jats:p> Coping With Stress: Its Influence on Periodontal Disease Journal of Periodontology
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title Coping With Stress: Its Influence on Periodontal Disease
title_unstemmed Coping With Stress: Its Influence on Periodontal Disease
title_full Coping With Stress: Its Influence on Periodontal Disease
title_fullStr Coping With Stress: Its Influence on Periodontal Disease
title_full_unstemmed Coping With Stress: Its Influence on Periodontal Disease
title_short Coping With Stress: Its Influence on Periodontal Disease
title_sort coping with stress: its influence on periodontal disease
topic Periodontics
General Earth and Planetary Sciences
General Environmental Science
url http://dx.doi.org/10.1902/jop.2002.73.11.1343
publishDate 2002
physical 1343-1351
description <jats:p><jats:bold>Background:</jats:bold> Various forms of stress behavior were documented and in patients with periodontitis their relationship with periodontal disease was investigated.</jats:p><jats:p><jats:bold>Methods:</jats:bold> Eighty‐nine patients with different forms of chronic periodontitis were included in this retrospective case‐control study. They were all undergoing periodontal treatment at the Department of Dental Prosthetics, University of Graz, or a private dental practice. The control group consisted of 63 persons employed in health care at the Clinic of Graz. All participants completed a stress coping questionnaire of 114 items and 19 actional and intrapsychic stress coping modes. The questionnaire served as a psychodiagnostic survey aimed at collecting data on stress coping strategies. Clinical attachment loss (CAL) served as the clinical parameter.</jats:p><jats:p><jats:bold>Results:</jats:bold> With the help of a factor analysis with α factorization and Varimax rotation, 5 factors were extracted from the 19 subtests. The reliability of the questionnaire was less than 0.70 only for subtests “escape” and “pharmaceutical drugs.” Otherwise the internal consistency ranged between 0.74 and 0.92, and the retest reliability between 0.72 and 0.84. Subsequent assessment with the <jats:italic>t</jats:italic> test for independent random samples at the 5% level showed that patients differ significantly from controls in regard of factor 2 (active coping, <jats:italic>P</jats:italic> = 0.40) and 3 (distractive coping, <jats:italic>P</jats:italic> = 0.033), and that they differ very significantly from controls in regard of factor 4 (defensive coping, <jats:italic>P</jats:italic> = 0.000) and 5 (coping through aggression and pharmaceutical drugs, <jats:italic>P</jats:italic> = 0.007). In the statistical analysis of factors with regard to the severity of periodontal disease, the patients were divided into 2 groups (mild to moderate and severe). The t test for independent random samples showed significance for factor 4 (defensive coping) in that patients with a defensive coping style had greater attachment loss (<jats:italic>p<jats:sub>F4</jats:sub></jats:italic> = 0.04).</jats:p><jats:p><jats:bold>Conclusions:</jats:bold> The data corroborate the thesis that periodontitis patients with inadequate stress behavior strategies (defensive coping) are at greater risk for severe periodontal disease. However, further investigations are required to confirm the significance of inappropriate coping styles with respect to the advancement of periodontal disease. <jats:italic>J Periodontol 2002;73:1343‐1351.</jats:italic></jats:p>
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author Wimmer, Gernot, Janda, Michaela, Wieselmann‐Penkner, Karin, Jakse, Norbert, Polansky, Raoul, Pertl, Christof
author_facet Wimmer, Gernot, Janda, Michaela, Wieselmann‐Penkner, Karin, Jakse, Norbert, Polansky, Raoul, Pertl, Christof, Wimmer, Gernot, Janda, Michaela, Wieselmann‐Penkner, Karin, Jakse, Norbert, Polansky, Raoul, Pertl, Christof
author_sort wimmer, gernot
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description <jats:p><jats:bold>Background:</jats:bold> Various forms of stress behavior were documented and in patients with periodontitis their relationship with periodontal disease was investigated.</jats:p><jats:p><jats:bold>Methods:</jats:bold> Eighty‐nine patients with different forms of chronic periodontitis were included in this retrospective case‐control study. They were all undergoing periodontal treatment at the Department of Dental Prosthetics, University of Graz, or a private dental practice. The control group consisted of 63 persons employed in health care at the Clinic of Graz. All participants completed a stress coping questionnaire of 114 items and 19 actional and intrapsychic stress coping modes. The questionnaire served as a psychodiagnostic survey aimed at collecting data on stress coping strategies. Clinical attachment loss (CAL) served as the clinical parameter.</jats:p><jats:p><jats:bold>Results:</jats:bold> With the help of a factor analysis with α factorization and Varimax rotation, 5 factors were extracted from the 19 subtests. The reliability of the questionnaire was less than 0.70 only for subtests “escape” and “pharmaceutical drugs.” Otherwise the internal consistency ranged between 0.74 and 0.92, and the retest reliability between 0.72 and 0.84. Subsequent assessment with the <jats:italic>t</jats:italic> test for independent random samples at the 5% level showed that patients differ significantly from controls in regard of factor 2 (active coping, <jats:italic>P</jats:italic> = 0.40) and 3 (distractive coping, <jats:italic>P</jats:italic> = 0.033), and that they differ very significantly from controls in regard of factor 4 (defensive coping, <jats:italic>P</jats:italic> = 0.000) and 5 (coping through aggression and pharmaceutical drugs, <jats:italic>P</jats:italic> = 0.007). In the statistical analysis of factors with regard to the severity of periodontal disease, the patients were divided into 2 groups (mild to moderate and severe). The t test for independent random samples showed significance for factor 4 (defensive coping) in that patients with a defensive coping style had greater attachment loss (<jats:italic>p<jats:sub>F4</jats:sub></jats:italic> = 0.04).</jats:p><jats:p><jats:bold>Conclusions:</jats:bold> The data corroborate the thesis that periodontitis patients with inadequate stress behavior strategies (defensive coping) are at greater risk for severe periodontal disease. However, further investigations are required to confirm the significance of inappropriate coping styles with respect to the advancement of periodontal disease. <jats:italic>J Periodontol 2002;73:1343‐1351.</jats:italic></jats:p>
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spelling Wimmer, Gernot Janda, Michaela Wieselmann‐Penkner, Karin Jakse, Norbert Polansky, Raoul Pertl, Christof 0022-3492 1943-3670 Wiley Periodontics General Earth and Planetary Sciences General Environmental Science http://dx.doi.org/10.1902/jop.2002.73.11.1343 <jats:p><jats:bold>Background:</jats:bold> Various forms of stress behavior were documented and in patients with periodontitis their relationship with periodontal disease was investigated.</jats:p><jats:p><jats:bold>Methods:</jats:bold> Eighty‐nine patients with different forms of chronic periodontitis were included in this retrospective case‐control study. They were all undergoing periodontal treatment at the Department of Dental Prosthetics, University of Graz, or a private dental practice. The control group consisted of 63 persons employed in health care at the Clinic of Graz. All participants completed a stress coping questionnaire of 114 items and 19 actional and intrapsychic stress coping modes. The questionnaire served as a psychodiagnostic survey aimed at collecting data on stress coping strategies. Clinical attachment loss (CAL) served as the clinical parameter.</jats:p><jats:p><jats:bold>Results:</jats:bold> With the help of a factor analysis with α factorization and Varimax rotation, 5 factors were extracted from the 19 subtests. The reliability of the questionnaire was less than 0.70 only for subtests “escape” and “pharmaceutical drugs.” Otherwise the internal consistency ranged between 0.74 and 0.92, and the retest reliability between 0.72 and 0.84. Subsequent assessment with the <jats:italic>t</jats:italic> test for independent random samples at the 5% level showed that patients differ significantly from controls in regard of factor 2 (active coping, <jats:italic>P</jats:italic> = 0.40) and 3 (distractive coping, <jats:italic>P</jats:italic> = 0.033), and that they differ very significantly from controls in regard of factor 4 (defensive coping, <jats:italic>P</jats:italic> = 0.000) and 5 (coping through aggression and pharmaceutical drugs, <jats:italic>P</jats:italic> = 0.007). In the statistical analysis of factors with regard to the severity of periodontal disease, the patients were divided into 2 groups (mild to moderate and severe). The t test for independent random samples showed significance for factor 4 (defensive coping) in that patients with a defensive coping style had greater attachment loss (<jats:italic>p<jats:sub>F4</jats:sub></jats:italic> = 0.04).</jats:p><jats:p><jats:bold>Conclusions:</jats:bold> The data corroborate the thesis that periodontitis patients with inadequate stress behavior strategies (defensive coping) are at greater risk for severe periodontal disease. However, further investigations are required to confirm the significance of inappropriate coping styles with respect to the advancement of periodontal disease. <jats:italic>J Periodontol 2002;73:1343‐1351.</jats:italic></jats:p> Coping With Stress: Its Influence on Periodontal Disease Journal of Periodontology
spellingShingle Wimmer, Gernot, Janda, Michaela, Wieselmann‐Penkner, Karin, Jakse, Norbert, Polansky, Raoul, Pertl, Christof, Journal of Periodontology, Coping With Stress: Its Influence on Periodontal Disease, Periodontics, General Earth and Planetary Sciences, General Environmental Science
title Coping With Stress: Its Influence on Periodontal Disease
title_full Coping With Stress: Its Influence on Periodontal Disease
title_fullStr Coping With Stress: Its Influence on Periodontal Disease
title_full_unstemmed Coping With Stress: Its Influence on Periodontal Disease
title_short Coping With Stress: Its Influence on Periodontal Disease
title_sort coping with stress: its influence on periodontal disease
title_unstemmed Coping With Stress: Its Influence on Periodontal Disease
topic Periodontics, General Earth and Planetary Sciences, General Environmental Science
url http://dx.doi.org/10.1902/jop.2002.73.11.1343