Corroborating of Depression, Anxiety, and Stress Scale-21 items (DASS-21) and the Perceived Stress Scale-10 items (PSS-10) and Psychological Features in patients with periodontitis: a questionnaire study


Main Article Content

Yasasvi Kalluri
Y.S.H.S Chakravarthy
D Bharath Simha Reddy
Sri Ram Naidu Nimmala
Sai Satya Sri Pabbineedi
Prathyusha Gathram

Abstract

Background: Periodontitis is a multi-factorial inflammatory disease that, if left untreated, can lead to tooth loss. Stress is considered one of the key contributors that can worsen the condition. Research has shown that psychological factors may activate immune responses in the host, promoting changes that facilitate the progression of periodontitis. Therefore, clinicians need to utilize psychological self-assessment scales to measure anxiety, depression, and stress in patients suffering from periodontitis.


Aim: To investigate the psychometric properties of the Depression, Anxiety, and Stress Scale - 21 Items (DASS-21) and 10-item Perceived Stress Scale (PSS-10) in patients with periodontitis and to evaluate the psychological features of patients with periodontitis.


Materials and methods: This descriptive cross-sectional study involved 300 patients diagnosed with periodontitis, conducted over three months. The participants were given the DASS-21 and PSS-10 questionnaires and completed them independently, responding based on their initial reactions. The DASS-21 comprises 21 items designed to assess levels of depression, anxiety, and stress, whereas the PSS-10 contains 10 items intended to gauge perceived stress levels.


Results: The mean and SD scores of patients using PSS-10 and DASS-21 were 16.79 ± 4.90 and 14.12 ± 5.04, respectively. The T-value was 6.56 with a p-value of 0.000. According to the findings of this study, there was a statistically significant (p=0.000) association between the PSS 10 Scale and the DASS 21 scale.


Conclusion: The DASS-21 and the PSS-10 can be used as general measures for psychological assessment in patients with periodontitis.

Article Details


How to Cite
Kalluri, Y., Chakravarthy, Y., Reddy, D. B. S., Nimmala, S. R. N., Pabbineedi, S. S. S., & Gathram, P. (2024). Corroborating of Depression, Anxiety, and Stress Scale-21 items (DASS-21) and the Perceived Stress Scale-10 items (PSS-10) and Psychological Features in patients with periodontitis: a questionnaire study. International Journal of Dental Materials, 6(3), 58–63. https://doi.org/10.37983/IJDM.2024.6302
Author Biographies

Yasasvi Kalluri, Lenora Institute of Dental Sciences

Postgraduate Student, Department of Periodontics, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.

Y.S.H.S Chakravarthy, Lenore Institute of Dental Sciences

Professor and Head, Department of Periodontics, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.

D Bharath Simha Reddy, Lenore Institute of Dental Sciences

Assistant Professor, Department of Periodontics, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.

Sri Ram Naidu Nimmala, Lenore Institute of Dental Sciences

Assistant Professor, Department of Periodontics, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.

Sai Satya Sri Pabbineedi, Lenore Institute of Dental Sciences

Postgraduate Student, Department of Periodontics, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.

Prathyusha Gathram, Lenore Institute of Dental Sciences

Postgraduate Student, Department of Periodontics, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.

References

  1. Deng Y, He S, Wang J. Validation of the Hospital Anxiety and Depression Scale and the Perceived Stress Scale and psychological features in patients with periodontitis. J Periodontol. 2021;92(11):1601-1612. https://doi.org/10.1002/JPER.20-0756
  2. Osman A, Wong JL, Bagge CL, Freedenthal S, Gutierrez PM, Lozano G. The Depression Anxiety Stress Scales-21 (DASS-21): further examination of dimensions, scale reliability, and correlates. J Clin Psychol.2012;68(12):1322-1338. https://doi.org/10.1002/jclp.21908
  3. Nielsen MG, Ørnbøl E, Vestergaard M, et al. The construct validity of the Perceived Stress Scale. J Psychosom Res. 2016;84:22-30. https://doi.org/10.1016/j.jpsychores.2016.03.009
  4. Nagórska M, Obrzut B, Ulman D, Darmochwa?-Kolarz D. The Need of Personalized Medicine in Coping with Stress during Infertility Treatment. J Pers Med. 2021;11(1):56. https://doi.org/10.3390/jpm11010056
  5. Cao CH, Liao XL, Gamble JH, et al. Evaluating the psychometric properties of the Chinese Depression Anxiety Stress Scale for Youth (DASS-Y) and DASS-21. Child Adolesc Psychiatry Ment Health. 2023;17(1):106. https://doi.org/10.1186/s13034-023-00655-2
  6. Sharma MK, Hallford DJ, Anand N. Confirmatory factor analysis of the Depression, Anxiety, and Stress Scale among Indian adults. Indian J Psychiatry. 2020;62(4):379-383. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_313_19
  7. A Tanveer S, Afaq A, Alqutub MN, et al. Association of Self-Perceived Psychological Stress with the Periodontal Health of Socially Deprived Women in Shelter Homes. Int J Environ Res Public Health. 2021;18(10):5160. https://doi.org/10.3390/ijerph18105160
  8. Coelho JMF, Miranda SS, da Cruz SS, et al. Is there association between stress and periodontitis? Clin Oral Investig. 2020;24(7):2285-2294. https://doi.org/10.1007/s00784-019-03083-9
  9. Croucher R, Marcenes WS, Torres MC, Hughes F, Sheiham A. The relationship between life-events and periodontitis. A case-control study. J Clin Periodontol. 1997;24(1):39-43. https://doi.org/10.1111/j.1600-051X.1997.tb01182.x
  10. Deinzer R, Kleineidam C, Stiller-Winkler R, Idel H, Bachg D. Prolonged reduction of salivary immunoglobulin A (sIgA) after a major academic exam. Int J Psychophysiol. 2000;37(3):219-232. https://doi.org/10.1016/S0167-8760(99)00112-9