Evidence map›Paper›PMID 36961591›Full record

ArticleClinical oral investigations2023

Effect of psychosocial stress and coping strategies on non-surgical periodontal therapy in patients with generalized stage III/IV periodontitis: a longitudinal intervention study.

Federica Romano, Ahmad Bebars, Valentina Ortu, Michele Bottone, Marta Giraudi, Giulia Maria Mariani, Giacomo Baima, Mario Aimetti

Registry-linked trialOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical oral investigations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04739475 (Association of Stress and Non-surgical Periodontal Therapy), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04739475 nacompletednot on this map

Association of Stress and Non-surgical Periodontal Therapy (NPT) Outcome in Patients With Periodontitis Stage III/V Grade A/B Generalised

TypeinterventionalSponsorUniversity of Turin, ItalyRan2021 to 2021Enrolled89ConditionsStress, Psychological, Periodontal Diseases, Periodontitis, Non Surgical Periodontal TherapyArmsNon Surgical Periodontal Therapy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Federica RomanoDepartment of Surgical Sciences, C.I.R. Dental School, Section of Periodontology, University of Turin, via Nizza, 230, Turin, Italy.ORCID https://orcid.org/0000-0002-5172-299X
Ahmad BebarsDepartment of Surgical Sciences, C.I.R. Dental School, Section of Periodontology, University of Turin, via Nizza, 230, Turin, Italy.ORCID https://orcid.org/0000-0003-4622-028X
Valentina OrtuPrivate Practice, Turin, Italy.ORCID https://orcid.org/0000-0002-4217-8208
Michele BottoneDepartment of Surgical Sciences, C.I.R. Dental School, Section of Periodontology, University of Turin, via Nizza, 230, Turin, Italy.
Marta GiraudiDepartment of Surgical Sciences, C.I.R. Dental School, Section of Periodontology, University of Turin, via Nizza, 230, Turin, Italy.ORCID https://orcid.org/0000-0003-4553-7234
Giulia Maria MarianiDepartment of Surgical Sciences, C.I.R. Dental School, Section of Periodontology, University of Turin, via Nizza, 230, Turin, Italy.ORCID https://orcid.org/0000-0002-5740-698X
Giacomo BaimaDepartment of Surgical Sciences, C.I.R. Dental School, Section of Periodontology, University of Turin, via Nizza, 230, Turin, Italy. giacomo.baima@unito.it.ORCID https://orcid.org/0000-0002-9395-4967
Mario AimettiDepartment of Surgical Sciences, C.I.R. Dental School, Section of Periodontology, University of Turin, via Nizza, 230, Turin, Italy.ORCID https://orcid.org/0000-0003-0657-0787
University of Turin · ITPolitecnico di Torino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this longitudinal intervention study was to assess the impact of psychosocial stress and coping response strategies on the clinical outcomes in periodontitis patients treated with non-surgical periodontal therapy (NSPT). MATERIALS AND

methodsAfter the administration of psychological questionnaires, patients diagnosed with generalized stage III-IV periodontitis were categorized into different groups depending on their stress levels (10-item perceived stress level (PSS-10)) and coping response strategies (coping responses inventory (CRI)). Clinical data were collected 1 week before and 3 months after the completion of NSPT.

resultsOf the 90 patients included at baseline, 27 presented major and 63 minor stress levels, while 40 had avoidance and 50 approach coping behavior. All clinical parameters were similar at the baseline across different categories. At re-evaluation, full-mouth bleeding score (FMBS), mean probing pocket depth (PPD), and number of residual pathological pockets were significantly superior in groups with higher stress levels (p <0.001, p =0.001, and p =0.020, respectively), while higher full-mouth plaque scores (FMPS) and FMBS were found in patients with avoidance coping strategies (p =0.009 and p <0.001, respectively). When jointly evaluated, an added detrimental effect of coping styles on allostatic load was observed. Multivariate analysis confirmed a significant effect of stress levels and coping strategies on final FMBS, but not of coping on mean PPD.

conclusionPsychosocial stress and avoidance coping strategy seem to negatively influence the clinical outcomes of NSPT at short term (NCT04739475; 9/1/2017). PRACTICAL IMPLICATIONS: Based on these findings, patients reflecting these psychological profiles should be considered at greater risk for poor NSPT response and may benefit from complementary stress management strategies.

Indexed as

Chronic PeriodontitisPeriodontitisAdaptation, PsychologicalHumansLongitudinal StudiesStress, PsychologicalCopingPeriodontal diseasePeriodontal therapyPsychosocial factorsStress

Identifiers

PMID36961591
PMCPMC10329596
OpenAlexW4360805047

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.