2g - RFOP - Psychosocial Flashcards
1
Q
what is a psychosocial stress?
A
“Physiological and psychological changes that occur in the body when an external demand or stressor taxes an individual’s adaptive capacity”
- Overarching socioeconomic and environmental factors
- Acute or chronic – based upon duration of exposure
2
Q
how to measure stress?
A
- hard to do objectively
- Questionnaires/interviews – environmental and self-perceived stress
- Biomarkers or neuroendocrine measures – quantify physiological effects
- Increased cortisol, adrenaline,
noradrenaline, dopamine levels
- Increased cortisol, adrenaline,
3
Q
Psychosocial stress and depression link
A
- Chronic psychosocial stress closely linked with depressive disorders
- Stress and depression increase risk of chronic systemic conditions and worsen them
- CVD, diabetes - Depression associated with poorer periodontal treatment outcomes and tooth loss
4
Q
are Stress and necrotising periodontal diseases linked?
A
- WW1 - Trench mouth showed evidence of this
- BUT Difficult to assess impact of confounding factors – poor OH, smoking, poor diet
5
Q
How does stress affect periodontal tissues?
A
6
Q
Biological responses to stress?
effects of cortisol?
A
7
Q
Behavioral responses to stress
A
- More likely to smoke
- Poorer oral hygiene
- Less likely to visit a dentist
- Perhaps less to do with stress rather than socioeconomic and environmental factors
8
Q
are stress and periodontitis linked?
A
- very few studies of this nature as expensive and long to run
9
Q
Influence of coping style (Genco, 1989 study) result?
A
10
Q
SUMMARY
A
