Cortisol and dehydroepiandrosterone salivary levels, stress and anxiety in patients with recurrent aphthous stomatitis

Objective: In the present study we investigated salivary concentrations of the hormones cortisol and dehydroepiandrosterone (DHEA), stress and anxiety levels in patients with recurrent aphthous stomatitis (RAS).Methods: The sample consisted of 60 individuals of both sexes, aged between 18 and 50 yea...

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Detalles Bibliográficos
Autores: Michel, Anete Rejane, Luz, Clarice, Wudarcki, Sílvia, Cherubini, Karen, Figueiredo, Maria Antonia Z. de, Salum, Fernanda G.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
Repositorio:Revista odonto ciência (Online)
Idioma:inglés
OAI Identifier:oai:ojs.revistaseletronicas.pucrs.br:article/14541
Acceso en línea:https://revistaseletronicas.pucrs.br/fo/article/view/14541
Access Level:acceso abierto
Palabra clave:Aphthous stomatitis
Cortisol
Dehydroepiandrosterone
Stress
Anxiety
Estomatite aftosa
Dehidroepiandrosterona
Estresse
Ansiedade
Descripción
Sumario:Objective: In the present study we investigated salivary concentrations of the hormones cortisol and dehydroepiandrosterone (DHEA), stress and anxiety levels in patients with recurrent aphthous stomatitis (RAS).Methods: The sample consisted of 60 individuals of both sexes, aged between 18 and 50 years: 30 patients with RAS and 30 controls. Stress and anxiety were assessed using the Lipp’s Adult Stress Symptom Inventory and the Beck’s Anxiety Inventory, respectively. The saliva samples were collected in the morning and in the afternoon on the same day. In the RAS group, the samples were collected in the presence of active lesions and after remission. The salivary levels of cortisol and DHEA were determined by radioimmunoassay.Results: RAS patients exhibited significantly higher anxiety scores (P=0.001) and prevalence of stress (P=0.004). There was no significant difference in DHEA and cortisol levels between RAS and control groups. Cortisol levels (P=0.008 and P=0.001) and the cortisol/DHEA ratio (P=0.054 and P=0.007) were significantly increased in the RAS patients with active lesions comparing with the remission phase (P=0.007).Conclusion: The present study demonstrates an association of stress and anxiety with RAS. However cortisol and DHEA did not differ between patients with RAS and controls.