Relationship of Stress, Distress, and Inadequate Coping Behaviors to Periodontal Disease
Background: The association of stress, distress, and coping behaviors with periodontal disease was assessed. Methods: A cross‐sectional study of 1,426 subjects between the ages of 25 and 74 years in Erie County, New York, was carried out to assess these relationships. Subjects were asked to complete...
Uloženo v:
| Vydáno v: | Journal of periodontology (1970) Ročník 70; číslo 7; s. 711 - 723 |
|---|---|
| Hlavní autoři: | , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
737 N. Michigan Avenue, Suite 800, Chicago, IL 60611‐2690, USA
American Academy of Periodontology
01.07.1999
|
| Témata: | |
| ISSN: | 0022-3492, 1943-3670 |
| On-line přístup: | Získat plný text |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Background: The association of stress, distress, and coping behaviors with periodontal disease was assessed.
Methods: A cross‐sectional study of 1,426 subjects between the ages of 25 and 74 years in Erie County, New York, was carried out to assess these relationships. Subjects were asked to complete a set of 5 psychosocial questionnaires which measure psychological traits and attitudes including discrete life events and their impact; chronic stress or daily strains; distress; coping styles and strategies; and hassles and uplifts. Clinical assessment of supragingival plaque, gingival bleeding, subgingival calculus, probing depth, clinical attachment level (CAL) and radiographic alveolar crestal height (ACH) was performed, and 8 putative bacterial pathogens from the subgingival flora measured.
Results: Reliability of subjects' responses and internal consistencies of all the subscales on the instruments used were high, with Cronbach's alpha ranging from 0.88 for financial strain to 0.99 for job strain, uplifts, and hassles. Logistic regression analysis indicated that, of all the daily strains investigated, only financial strain was significantly associated with greater attachment and alveolar bone loss (odds ratio, OR = 1.70, 95% CI = 1.09 to 2.65 and OR = 1.68, 95% CI = 1.20 to 2.37, respectively) after adjusting for age, gender, and cigarette smoking. When coping behaviors were evaluated, it was found that those with more financial strain who were high emotion‐focused copers (a form of inadequate coping) had a higher risk of having more severe attachment loss (OR = 2.24, 95% CI = 1.15 to 4.38) and alveolar bone loss (OR = 1.91, 95% CI = 1.15 to 3.17) than those with low levels of financial strain within the same coping group, after adjustment for age, gender, and cigarette smoking. Similar results were found among the low problem‐focused copers for AL (OR = 2.21, 95% CI = 1.11 to 4.38) and ACH (OR = 2.12, 95% CI = 1.28 to 3.51). However, subjects with high levels of financial strain who reported high levels of problem‐based coping (considered adequate or good coping) had no more periodontal disease than those with low levels of financial strain, suggesting that the effects of stress on periodontal disease can be moderated by adequate coping behaviors.
Conclusions: We find that psychosocial measures of stress associated with financial strain and distress manifest as depression, are significant risk indicators for more severe periodontal disease in adults in an age‐adjusted model in which gender (male), smoking, diabetes mellitus, B. forsythus, and P. gingivalis are also significant risk indicators. Of considerable interest is the fact that adequate coping behaviors as evidenced by high levels of problem‐based coping, may reduce the stress‐associated risk. Further studies also are needed to help establish the time course of stress, distress, and inadequate coping with respect to the onset and progression of periodontal disease, and the mechanisms that explain this association. J Periodontol 1999;70: 711‐723. |
|---|---|
| AbstractList | Background: The association of stress, distress, and coping behaviors with periodontal disease was assessed.
Methods: A cross‐sectional study of 1,426 subjects between the ages of 25 and 74 years in Erie County, New York, was carried out to assess these relationships. Subjects were asked to complete a set of 5 psychosocial questionnaires which measure psychological traits and attitudes including discrete life events and their impact; chronic stress or daily strains; distress; coping styles and strategies; and hassles and uplifts. Clinical assessment of supragingival plaque, gingival bleeding, subgingival calculus, probing depth, clinical attachment level (CAL) and radiographic alveolar crestal height (ACH) was performed, and 8 putative bacterial pathogens from the subgingival flora measured.
Results: Reliability of subjects' responses and internal consistencies of all the subscales on the instruments used were high, with Cronbach's alpha ranging from 0.88 for financial strain to 0.99 for job strain, uplifts, and hassles. Logistic regression analysis indicated that, of all the daily strains investigated, only financial strain was significantly associated with greater attachment and alveolar bone loss (odds ratio, OR = 1.70, 95% CI = 1.09 to 2.65 and OR = 1.68, 95% CI = 1.20 to 2.37, respectively) after adjusting for age, gender, and cigarette smoking. When coping behaviors were evaluated, it was found that those with more financial strain who were high emotion‐focused copers (a form of inadequate coping) had a higher risk of having more severe attachment loss (OR = 2.24, 95% CI = 1.15 to 4.38) and alveolar bone loss (OR = 1.91, 95% CI = 1.15 to 3.17) than those with low levels of financial strain within the same coping group, after adjustment for age, gender, and cigarette smoking. Similar results were found among the low problem‐focused copers for AL (OR = 2.21, 95% CI = 1.11 to 4.38) and ACH (OR = 2.12, 95% CI = 1.28 to 3.51). However, subjects with high levels of financial strain who reported high levels of problem‐based coping (considered adequate or good coping) had no more periodontal disease than those with low levels of financial strain, suggesting that the effects of stress on periodontal disease can be moderated by adequate coping behaviors.
Conclusions: We find that psychosocial measures of stress associated with financial strain and distress manifest as depression, are significant risk indicators for more severe periodontal disease in adults in an age‐adjusted model in which gender (male), smoking, diabetes mellitus, B. forsythus , and P. gingivalis are also significant risk indicators. Of considerable interest is the fact that adequate coping behaviors as evidenced by high levels of problem‐based coping, may reduce the stress‐associated risk. Further studies also are needed to help establish the time course of stress, distress, and inadequate coping with respect to the onset and progression of periodontal disease, and the mechanisms that explain this association. J Periodontol 1999;70: 711‐723. The association of stress, distress, and coping behaviors with periodontal disease was assessed. A cross-sectional study of 1,426 subjects between the ages of 25 and 74 years in Erie County, New York, was carried out to assess these relationships. Subjects were asked to complete a set of 5 psychosocial questionnaires which measure psychological traits and attitudes including discrete life events and their impact; chronic stress or daily strains; distress; coping styles and strategies; and hassles and uplifts. Clinical assessment of supragingival plaque, gingival bleeding, subgingival calculus, probing depth, clinical attachment level (CAL) and radiographic alveolar crestal height (ACH) was performed, and 8 putative bacterial pathogens from the subgingival flora measured. Reliability of subjects' responses and internal consistencies of all the subscales on the instruments used were high, with Cronbach's alpha ranging from 0.88 for financial strain to 0.99 for job strain, uplifts, and hassles. Logistic regression analysis indicated that, of all the daily strains investigated, only financial strain was significantly associated with greater attachment and alveolar bone loss (odds ratio, OR = 1.70, 95% CI = 1.09 to 2.65 and OR = 1.68, 95% CI = 1.20 to 2.37, respectively) after adjusting for age, gender, and cigarette smoking. When coping behaviors were evaluated, it was found that those with more financial strain who were high emotion-focused copers (a form of inadequate coping) had a higher risk of having more severe attachment loss (OR = 2.24, 95% CI = 1.15 to 4.38) and alveolar bone loss (OR = 1.91, 95% CI = 1.15 to 3.17) than those with low levels of financial strain within the same coping group, after adjustment for age, gender, and cigarette smoking. Similar results were found among the low problem-focused copers for AL (OR = 2.21, 95% CI = 1.11 to 4.38) and ACH (OR = 2.12, 95% CI = 1.28 to 3.51). However, subjects with high levels of financial strain who reported high levels of problem-based coping (considered adequate or good coping) had no more periodontal disease than those with low levels of financial strain, suggesting that the effects of stress on periodontal disease can be moderated by adequate coping behaviors. We find that psychosocial measures of stress associated with financial strain and distress manifest as depression, are significant risk indicators for more severe periodontal disease in adults in an age-adjusted model in which gender (male), smoking, diabetes mellitus, B. forsythus, and P. gingivalis are also significant risk indicators. Of considerable interest is the fact that adequate coping behaviors as evidenced by high levels of problem-based coping, may reduce the stress-associated risk. Further studies also are needed to help establish the time course of stress, distress, and inadequate coping with respect to the onset and progression of periodontal disease, and the mechanisms that explain this association. The association of stress, distress, and coping behaviors with periodontal disease was assessed.BACKGROUNDThe association of stress, distress, and coping behaviors with periodontal disease was assessed.A cross-sectional study of 1,426 subjects between the ages of 25 and 74 years in Erie County, New York, was carried out to assess these relationships. Subjects were asked to complete a set of 5 psychosocial questionnaires which measure psychological traits and attitudes including discrete life events and their impact; chronic stress or daily strains; distress; coping styles and strategies; and hassles and uplifts. Clinical assessment of supragingival plaque, gingival bleeding, subgingival calculus, probing depth, clinical attachment level (CAL) and radiographic alveolar crestal height (ACH) was performed, and 8 putative bacterial pathogens from the subgingival flora measured.METHODSA cross-sectional study of 1,426 subjects between the ages of 25 and 74 years in Erie County, New York, was carried out to assess these relationships. Subjects were asked to complete a set of 5 psychosocial questionnaires which measure psychological traits and attitudes including discrete life events and their impact; chronic stress or daily strains; distress; coping styles and strategies; and hassles and uplifts. Clinical assessment of supragingival plaque, gingival bleeding, subgingival calculus, probing depth, clinical attachment level (CAL) and radiographic alveolar crestal height (ACH) was performed, and 8 putative bacterial pathogens from the subgingival flora measured.Reliability of subjects' responses and internal consistencies of all the subscales on the instruments used were high, with Cronbach's alpha ranging from 0.88 for financial strain to 0.99 for job strain, uplifts, and hassles. Logistic regression analysis indicated that, of all the daily strains investigated, only financial strain was significantly associated with greater attachment and alveolar bone loss (odds ratio, OR = 1.70, 95% CI = 1.09 to 2.65 and OR = 1.68, 95% CI = 1.20 to 2.37, respectively) after adjusting for age, gender, and cigarette smoking. When coping behaviors were evaluated, it was found that those with more financial strain who were high emotion-focused copers (a form of inadequate coping) had a higher risk of having more severe attachment loss (OR = 2.24, 95% CI = 1.15 to 4.38) and alveolar bone loss (OR = 1.91, 95% CI = 1.15 to 3.17) than those with low levels of financial strain within the same coping group, after adjustment for age, gender, and cigarette smoking. Similar results were found among the low problem-focused copers for AL (OR = 2.21, 95% CI = 1.11 to 4.38) and ACH (OR = 2.12, 95% CI = 1.28 to 3.51). However, subjects with high levels of financial strain who reported high levels of problem-based coping (considered adequate or good coping) had no more periodontal disease than those with low levels of financial strain, suggesting that the effects of stress on periodontal disease can be moderated by adequate coping behaviors.RESULTSReliability of subjects' responses and internal consistencies of all the subscales on the instruments used were high, with Cronbach's alpha ranging from 0.88 for financial strain to 0.99 for job strain, uplifts, and hassles. Logistic regression analysis indicated that, of all the daily strains investigated, only financial strain was significantly associated with greater attachment and alveolar bone loss (odds ratio, OR = 1.70, 95% CI = 1.09 to 2.65 and OR = 1.68, 95% CI = 1.20 to 2.37, respectively) after adjusting for age, gender, and cigarette smoking. When coping behaviors were evaluated, it was found that those with more financial strain who were high emotion-focused copers (a form of inadequate coping) had a higher risk of having more severe attachment loss (OR = 2.24, 95% CI = 1.15 to 4.38) and alveolar bone loss (OR = 1.91, 95% CI = 1.15 to 3.17) than those with low levels of financial strain within the same coping group, after adjustment for age, gender, and cigarette smoking. Similar results were found among the low problem-focused copers for AL (OR = 2.21, 95% CI = 1.11 to 4.38) and ACH (OR = 2.12, 95% CI = 1.28 to 3.51). However, subjects with high levels of financial strain who reported high levels of problem-based coping (considered adequate or good coping) had no more periodontal disease than those with low levels of financial strain, suggesting that the effects of stress on periodontal disease can be moderated by adequate coping behaviors.We find that psychosocial measures of stress associated with financial strain and distress manifest as depression, are significant risk indicators for more severe periodontal disease in adults in an age-adjusted model in which gender (male), smoking, diabetes mellitus, B. forsythus, and P. gingivalis are also significant risk indicators. Of considerable interest is the fact that adequate coping behaviors as evidenced by high levels of problem-based coping, may reduce the stress-associated risk. Further studies also are needed to help establish the time course of stress, distress, and inadequate coping with respect to the onset and progression of periodontal disease, and the mechanisms that explain this association.CONCLUSIONSWe find that psychosocial measures of stress associated with financial strain and distress manifest as depression, are significant risk indicators for more severe periodontal disease in adults in an age-adjusted model in which gender (male), smoking, diabetes mellitus, B. forsythus, and P. gingivalis are also significant risk indicators. Of considerable interest is the fact that adequate coping behaviors as evidenced by high levels of problem-based coping, may reduce the stress-associated risk. Further studies also are needed to help establish the time course of stress, distress, and inadequate coping with respect to the onset and progression of periodontal disease, and the mechanisms that explain this association. |
| Author | Ho, A.W. Dunford, R.G. Genco, R.J. Tedesco, L.A. Grossi, S.G. |
| Author_xml | – sequence: 1 givenname: R.J. surname: Genco fullname: Genco, R.J. email: rjgenco@acsu.buffalo.edu – sequence: 2 givenname: A.W. surname: Ho fullname: Ho, A.W. – sequence: 3 givenname: S.G. surname: Grossi fullname: Grossi, S.G. – sequence: 4 givenname: R.G. surname: Dunford fullname: Dunford, R.G. – sequence: 5 givenname: L.A. surname: Tedesco fullname: Tedesco, L.A. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/10440631$$D View this record in MEDLINE/PubMed |
| BookMark | eNqFkMtKxDAUQIMoOj4-wI105cqOSZMmZKnjG0HxAe7CTXqrkU5Tk47i39vREUEQV7mBc-6Fs06W29AiIduMjpmmxf5z6IZB67GiYzVWjC2REdOC51wqukxGlBZFzoUu1sh6Ss_DlwlOV8kao0JQydmIPNxgA70PbXryXRbq7LaPmNJeduTTYoK2ys5bqPBlBj1mk9D59jE7xCd49SGmrA_ZNUYfqtD20MxFhISbZKWGJuHW4t0g9yfHd5Oz_PLq9HxycJk7UQqWI0DBbSHqQkIpXUmpAGalKqQVWluOtALLnXROW6UV57KmygpbVbqstQO-QXa_9nYxvMww9Wbqk8OmgRbDLBmptVBUlgO4swBndoqV6aKfQnw33y0GQH0BLoaUItbG-f6zTR_BNwNo5tXNUN3MqxtFjTJD9cFkv8yf5X87i2tvvsH3_wVzcX18Q-fmB2sUlvI |
| CitedBy_id | crossref_primary_10_1016_j_jebdp_2017_10_005 crossref_primary_10_1067_mpr_2000_107084 crossref_primary_10_1111_ger_70016 crossref_primary_10_1111_jcpe_12510 crossref_primary_10_1128_CMR_14_4_727_752_2001 crossref_primary_10_1111_j_1600_0528_2006_00267_x crossref_primary_10_1111_cdoe_12889 crossref_primary_10_1111_prd_12448 crossref_primary_10_1186_s12903_016_0198_8 crossref_primary_10_1111_prd_12326 crossref_primary_10_1902_jop_2011_100481 crossref_primary_10_1007_s00787_023_02259_9 crossref_primary_10_1111_j_1600_0528_2006_00282_x crossref_primary_10_11144_Javeriana_uo37_79_frmi crossref_primary_10_1111_j_1600_0757_2012_00451_x crossref_primary_10_2147_CCIDE_S455831 crossref_primary_10_1034_j_1600_051X_2003_00289_x crossref_primary_10_1111_idh_12669 crossref_primary_10_1111_j_1365_2842_2012_02341_x crossref_primary_10_2105_AJPH_94_5_748 crossref_primary_10_1016_j_pdj_2017_06_001 crossref_primary_10_1186_s12903_020_01120_8 crossref_primary_10_1097_PSY_0000000000000774 crossref_primary_10_4103_jisp_jisp_16_24 crossref_primary_10_1902_jop_2006_050302 crossref_primary_10_1016_j_gene_2012_12_108 crossref_primary_10_1111_j_1600_0528_2011_00637_x crossref_primary_10_1034_j_1600_0765_2003_20390_x crossref_primary_10_1111_j_1600_051X_2005_00878_x crossref_primary_10_1111_prd_12452 crossref_primary_10_1097_01_PSY_0000074759_71084_AB crossref_primary_10_1111_odi_12297 crossref_primary_10_1038_srep11667 crossref_primary_10_1111_j_1600_0757_2006_00184_x crossref_primary_10_1155_2018_7534937 crossref_primary_10_1111_j_1399_302X_2004_00196_x crossref_primary_10_1111_adj_12053 crossref_primary_10_1111_j_1600_0765_2007_00980_x crossref_primary_10_56373_2004_1_5 crossref_primary_10_1111_odi_12973 crossref_primary_10_4103_jpbs_jpbs_464_23 crossref_primary_10_14219_jada_archive_2000_0400 crossref_primary_10_14219_jada_archive_2003_0104 crossref_primary_10_1034_j_1600_0722_2002_11153_x crossref_primary_10_1177_154411130401500203 crossref_primary_10_2105_AJPH_2007_119495 crossref_primary_10_1111_j_1600_0765_2008_01177_x crossref_primary_10_1016_j_jdent_2005_01_004 crossref_primary_10_1186_1472_6831_14_79 crossref_primary_10_1034_j_1600_051X_2003_10271_x crossref_primary_10_1016_j_heliyon_2022_e12631 crossref_primary_10_1016_j_job_2017_01_002 crossref_primary_10_1046_j_1365_2788_2003_00446_x crossref_primary_10_1111_jcpe_13039 crossref_primary_10_1111_ors_12074 crossref_primary_10_1111_prd_12238 crossref_primary_10_1177_0022034520969129 crossref_primary_10_1111_jcpe_13395 crossref_primary_10_1111_prd_12239 crossref_primary_10_1016_S0011_8532_22_00540_7 crossref_primary_10_1590_S1413_81232013000700022 crossref_primary_10_1111_prd_12110 crossref_primary_10_1007_s00784_019_03083_9 crossref_primary_10_1111_prd_12356 crossref_primary_10_1111_prd_12355 crossref_primary_10_1111_adj_13017 crossref_primary_10_1111_j_1600_0714_2010_00933_x crossref_primary_10_1002_JPER_22_0460 crossref_primary_10_1007_s00784_018_2569_9 crossref_primary_10_3390_jcm13237326 crossref_primary_10_1038_sj_bdj_4801252 crossref_primary_10_1111_j_1600_051X_2006_00897_x crossref_primary_10_1111_j_1600_0757_2006_00204_x crossref_primary_10_1111_j_1600_051X_2010_01657_x crossref_primary_10_1034_j_1600_0757_2002_290109_x crossref_primary_10_1111_jre_12939 crossref_primary_10_1111_scd_12576 crossref_primary_10_1080_00016350802683822 crossref_primary_10_1111_j_1600_051X_2005_00803_x crossref_primary_10_1111_j_1600_0757_2005_00130_x crossref_primary_10_1016_j_jobcr_2020_07_020 crossref_primary_10_1111_j_1600_0757_2005_00115_x crossref_primary_10_1007_s40496_020_00256_4 crossref_primary_10_1111_j_1365_2842_2007_01799_x crossref_primary_10_1111_j_0909_8836_2003_00083_x crossref_primary_10_1902_jop_2014_130787 crossref_primary_10_1016_j_sbspro_2013_04_337 crossref_primary_10_1034_j_1399_302X_2002_170506_x crossref_primary_10_1038_sj_bdj_4809880 crossref_primary_10_3389_fpsyg_2016_00347 crossref_primary_10_1002_cre2_258 crossref_primary_10_1111_j_1600_051X_2005_00838_x crossref_primary_10_1034_j_1600_051X_2002_291106_x crossref_primary_10_1371_journal_pone_0179298 crossref_primary_10_1902_jop_2014_140450 crossref_primary_10_12688_f1000research_150837_1 crossref_primary_10_1007_s40496_020_00282_2 crossref_primary_10_1038_sj_bdj_2008_653 crossref_primary_10_1902_jop_2010_090663 crossref_primary_10_2174_0115672050361661250327061024 crossref_primary_10_1080_000163501317153275 crossref_primary_10_1539_joh_43_351 crossref_primary_10_1007_BF02976867 crossref_primary_10_1111_adj_12623 crossref_primary_10_12998_wjcc_v13_i23_105762 crossref_primary_10_1111_j_1600_0757_2011_00428_x crossref_primary_10_1177_154405910708601205 crossref_primary_10_1034_j_1600_0722_2001_109001002_x crossref_primary_10_1902_jop_2013_130356 crossref_primary_10_1002_JPER_22_0241 crossref_primary_10_1016_j_jts_2014_10_002 crossref_primary_10_1111_j_1600_051X_2006_00935_x crossref_primary_10_1111_j_1834_7819_2005_tb00355_x crossref_primary_10_1037_0735_7028_33_2_176 crossref_primary_10_1902_jop_2011_110145 crossref_primary_10_1348_135910705X26858 crossref_primary_10_1007_s00482_006_0475_6 crossref_primary_10_1186_s12903_024_04603_0 crossref_primary_10_1111_j_1752_7325_2002_tb03428_x crossref_primary_10_1111_j_1600_0765_2008_01194_x crossref_primary_10_1038_s41598_024_56849_x crossref_primary_10_1034_j_1600_051X_2003_00360_x crossref_primary_10_1016_j_je_2016_09_002 crossref_primary_10_1902_jop_2007_060225 crossref_primary_10_1111_prd_12381 crossref_primary_10_1111_j_1600_0757_2010_00340_x crossref_primary_10_1007_s12144_023_04924_3 crossref_primary_10_1186_s12905_021_01480_5 crossref_primary_10_1007_s00784_013_1047_7 crossref_primary_10_1117_1_JBO_27_5_056005 crossref_primary_10_1111_jcpe_12142 crossref_primary_10_1371_journal_pone_0305130 crossref_primary_10_1111_j_1600_051X_2005_00771_x crossref_primary_10_1902_jop_2010_100610 crossref_primary_10_1007_s00784_018_2611_y crossref_primary_10_1007_s11325_015_1160_8 crossref_primary_10_1080_000163502753740124 crossref_primary_10_1111_prd_12036 crossref_primary_10_1111_joor_12343 crossref_primary_10_1002_JPER_18_0028 crossref_primary_10_21815_JDE_017_016 crossref_primary_10_3390_ijerph18010324 crossref_primary_10_1111_j_1600_0528_2007_00412_x crossref_primary_10_1111_j_1875_595X_2006_tb00108_x crossref_primary_10_1007_s00784_023_04956_w crossref_primary_10_1007_s40615_017_0459_5 crossref_primary_10_1902_jop_2006_050037 crossref_primary_10_1016_j_jtemb_2021_126754 crossref_primary_10_1016_j_archoralbio_2010_04_002 crossref_primary_10_1902_jop_2012_110604 crossref_primary_10_1111_jphd_12293 crossref_primary_10_1177_00220345010800080301 crossref_primary_10_2478_anre_2018_0037 crossref_primary_10_1016_S1043_2760_01_00407_6 crossref_primary_10_1016_j_cden_2004_10_006 crossref_primary_10_1902_jop_2007_070044 crossref_primary_10_1111_j_1748_720X_2002_tb00426_x crossref_primary_10_1111_j_1600_0722_2006_00334_x crossref_primary_10_1007_s10266_022_00768_8 crossref_primary_10_1902_jop_2006_050389 crossref_primary_10_1902_jop_2010_100593 crossref_primary_10_1177_154405910608500408 crossref_primary_10_1034_j_1600_051X_2003_01266_x crossref_primary_10_1111_j_1600_0528_2010_00581_x crossref_primary_10_1111_jre_12605 crossref_primary_10_1111_prd_12610 crossref_primary_10_4103_jiaomr_jiaomr_38 crossref_primary_10_1111_j_1600_051X_2005_00799_x crossref_primary_10_1097_MD_0000000000026757 crossref_primary_10_1111_j_1600_051X_2004_00538_x crossref_primary_10_1136_bmjopen_2020_046532 crossref_primary_10_1186_s12872_021_01878_x crossref_primary_10_1111_jphd_12036 crossref_primary_10_1016_j_bbih_2022_100450 crossref_primary_10_1111_j_1600_051X_2005_00704_x crossref_primary_10_1111_j_1600_051X_2008_01319_x crossref_primary_10_1186_s12903_024_04288_5 crossref_primary_10_1902_jop_2011_110344 crossref_primary_10_1155_2012_465698 crossref_primary_10_1016_j_archoralbio_2011_10_018 crossref_primary_10_7717_peerj_13792 crossref_primary_10_1080_07399332_2013_840636 crossref_primary_10_1023_A_1010630801589 crossref_primary_10_1016_S0749_3797_02_00497_X crossref_primary_10_1016_j_cyto_2012_05_014 crossref_primary_10_1902_jop_2007_060371 crossref_primary_10_1111_j_1600_051X_2005_00716_x crossref_primary_10_1111_j_1601_5037_2007_00267_x crossref_primary_10_1177_0022034519876559 crossref_primary_10_1111_j_1600_0528_2007_00388_x crossref_primary_10_1034_j_1600_051X_2002_290408_x crossref_primary_10_1111_j_1600_0528_2004_00169_x crossref_primary_10_3390_ijerph20032452 crossref_primary_10_1111_j_1600_051X_2005_00852_x crossref_primary_10_1002_JPER_19_0557 crossref_primary_10_56373_2012_8_10 crossref_primary_10_1046_j_0906_6713_2003_003428_x crossref_primary_10_1902_jop_2013_130383 crossref_primary_10_1111_jcpe_13645 crossref_primary_10_1111_jcpe_12552 crossref_primary_10_1016_j_mvr_2018_10_010 crossref_primary_10_1007_s00784_024_05692_5 crossref_primary_10_1902_jop_2008_070369 crossref_primary_10_1002_cre2_526 crossref_primary_10_3390_biology11111664 crossref_primary_10_1111_j_1600_0757_2012_00457_x crossref_primary_10_1902_jop_2009_080334 crossref_primary_10_1902_jop_2010_100444 crossref_primary_10_3390_ijerph16193540 crossref_primary_10_2188_jea_JE20220221 crossref_primary_10_3389_fpsyt_2021_814177 crossref_primary_10_1016_j_archoralbio_2011_07_014 crossref_primary_10_1111_j_1875_595X_2008_tb00207_x crossref_primary_10_1111_scd_12292 crossref_primary_10_15171_joddd_2016_037 crossref_primary_10_1111_j_1600_0757_2007_00211_x crossref_primary_10_1111_jre_70003 crossref_primary_10_1111_j_1600_051X_2008_01281_x crossref_primary_10_1016_j_jstrokecerebrovasdis_2019_104413 crossref_primary_10_1155_2014_182513 crossref_primary_10_1111_j_1600_051X_2012_01919_x crossref_primary_10_3390_ijerph19138139 crossref_primary_10_1016_j_lfs_2021_119776 crossref_primary_10_1155_2020_7934892 crossref_primary_10_1016_j_archoralbio_2010_09_014 crossref_primary_10_3390_jcm11061584 crossref_primary_10_1034_j_1600_0757_2002_03009_x crossref_primary_10_1111_j_1600_051X_2006_00903_x crossref_primary_10_1111_j_1601_5037_2009_00397_x crossref_primary_10_1902_jop_2010_100319 crossref_primary_10_1177_154405910508401114 crossref_primary_10_1016_S0140_6736_05_67728_8 crossref_primary_10_1111_j_1600_0765_2005_00833_x crossref_primary_10_3389_fpubh_2015_00278 crossref_primary_10_1097_01_psy_0000188485_65153_7b crossref_primary_10_1097_PSY_0b013e3181835bf3 crossref_primary_10_1111_jfd_12934 crossref_primary_10_1902_jop_2006_050411 crossref_primary_10_1002_JPER_20_0105 crossref_primary_10_4103_0975_7406_163501 crossref_primary_10_1111_j_1600_0757_2009_00334_x crossref_primary_10_1046_j_0906_6713_2002_003425_x crossref_primary_10_1111_j_1600_0765_2006_00901_x crossref_primary_10_13109_zptm_2005_51_3_277 crossref_primary_10_1590_S0102_86502013000900005 crossref_primary_10_1111_j_1875_595X_2008_tb00195_x crossref_primary_10_1186_1472_6831_12_17 crossref_primary_10_1902_jop_2007_060069 crossref_primary_10_1016_j_biopsycho_2003_10_008 crossref_primary_10_1111_jre_12082 crossref_primary_10_14219_jada_archive_2004_0194 crossref_primary_10_1111_j_1601_5037_2012_00572_x crossref_primary_10_1038_sj_bdj_4800428 crossref_primary_10_1046_j_0906_6713_2003_03210_x crossref_primary_10_1186_s12903_025_05996_2 crossref_primary_10_1111_cdoe_12179 crossref_primary_10_1111_jre_12189 crossref_primary_10_3389_fphys_2022_1072215 crossref_primary_10_1016_j_anaerobe_2013_09_001 crossref_primary_10_1159_000093317 crossref_primary_10_1590_S0034_8910_2013047004422 crossref_primary_10_1111_j_1754_4505_2008_00045_x crossref_primary_10_3892_etm_2012_675 crossref_primary_10_2105_AJPH_98_Supplement_1_S95 crossref_primary_10_1111_j_1600_051X_2005_00835_x crossref_primary_10_1111_j_1600_0757_2011_00425_x |
| ContentType | Journal Article |
| Copyright | 1999 American Academy of Periodontology |
| Copyright_xml | – notice: 1999 American Academy of Periodontology |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1902/jop.1999.70.7.711 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | CrossRef MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Dentistry |
| EISSN | 1943-3670 |
| EndPage | 723 |
| ExternalDocumentID | 10440631 10_1902_jop_1999_70_7_711 JPER0711 |
| Genre | article Research Support, U.S. Gov't, P.H.S Journal Article |
| GrantInformation_xml | – fundername: NIDCR NIH HHS grantid: DE07034 – fundername: NIDCR NIH HHS grantid: DE00158 – fundername: NIDCR NIH HHS grantid: DE04898 |
| GroupedDBID | --- -Y1 .55 0R~ 1OB 1OC 33P 34H 53G 5GY 5RE AAEUS AAHQN AAIPD AAMNL AANLZ AAQQT AASGY AAWTL AAXRX AAYCA AAZKR ABCUV ABDQB ABJNI ABLJU ABOCM ABQWH ABXGK ACAHQ ACCZN ACGFO ACGFS ACGOF ACMXC ACPOU ACXBN ACXQS ADBBV ADBTR ADEOM ADKYN ADMGS ADOZA ADXAS ADZMN AEIGN AENEX AEUYR AFFNX AFFPM AFGKR AFPWT AFWVQ AHBTC AIACR AITYG AIURR ALMA_UNASSIGNED_HOLDINGS ALUQN ALVPJ AMYDB BFHJK C45 CS3 CWXXS DCZOG DRFUL DRMAN DRSTM DU5 EBS EJD F5P FUBAC GK1 HGLYW KBYEO L7B LATKE LEEKS LUTES LYRES MEWTI MSFUL MSMAN MSSTM MXFUL MXMAN MXSTM O9- OVD P2P P2W PER RJQFR ROL SAMSI SJN SUPJJ TEORI UCV UMD USG W99 WH7 WOHZO WXSBR X7M XZL YOJ ZE2 ZGI ZVN ZZTAW AAMMB AAYXX AEFGJ AEYWJ AGHNM AGXDD AGYGG AIDQK AIDYY AIQQE CITATION LH4 CGR CUY CVF ECM EIF NPM VXZ 7X8 |
| ID | FETCH-LOGICAL-c4541-eaa23b24f26a56c5004a1b6726b499b3e0dab3c6cc9b797336f07b4bdd95f9ca3 |
| IEDL.DBID | DRFUL |
| ISICitedReferencesCount | 315 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000081601000001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 0022-3492 |
| IngestDate | Fri Sep 05 13:22:44 EDT 2025 Wed Feb 19 01:22:31 EST 2025 Sat Oct 25 06:07:29 EDT 2025 Tue Nov 18 21:03:43 EST 2025 Wed Jan 22 16:19:57 EST 2025 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 7 |
| Language | English |
| License | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c4541-eaa23b24f26a56c5004a1b6726b499b3e0dab3c6cc9b797336f07b4bdd95f9ca3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | https://hdl.handle.net/2027.42/141682 |
| PMID | 10440631 |
| PQID | 69947065 |
| PQPubID | 23479 |
| PageCount | 13 |
| ParticipantIDs | proquest_miscellaneous_69947065 pubmed_primary_10440631 crossref_citationtrail_10_1902_jop_1999_70_7_711 crossref_primary_10_1902_jop_1999_70_7_711 wiley_primary_10_1902_jop_1999_70_7_711_JPER0711 |
| PublicationCentury | 1900 |
| PublicationDate | July 1999 1999-07-00 1999-Jul 19990701 |
| PublicationDateYYYYMMDD | 1999-07-01 |
| PublicationDate_xml | – month: 07 year: 1999 text: July 1999 |
| PublicationDecade | 1990 |
| PublicationPlace | 737 N. Michigan Avenue, Suite 800, Chicago, IL 60611‐2690, USA |
| PublicationPlace_xml | – name: 737 N. Michigan Avenue, Suite 800, Chicago, IL 60611‐2690, USA – name: United States |
| PublicationTitle | Journal of periodontology (1970) |
| PublicationTitleAlternate | J Periodontol |
| PublicationYear | 1999 |
| Publisher | American Academy of Periodontology |
| Publisher_xml | – name: American Academy of Periodontology |
| SSID | ssj0021430 |
| Score | 2.1329033 |
| Snippet | Background: The association of stress, distress, and coping behaviors with periodontal disease was assessed.
Methods: A cross‐sectional study of 1,426 subjects... The association of stress, distress, and coping behaviors with periodontal disease was assessed. A cross-sectional study of 1,426 subjects between the ages of... The association of stress, distress, and coping behaviors with periodontal disease was assessed.BACKGROUNDThe association of stress, distress, and coping... |
| SourceID | proquest pubmed crossref wiley |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 711 |
| SubjectTerms | Adaptation, Psychological - physiology adaption, physiological Adult Age Factors Aged Alveolar Bone Loss - diagnostic imaging Alveolar Bone Loss - etiology Attitude to Health Bacteria - growth & development Cross-Sectional Studies Dental Calculus - etiology Dental Plaque - etiology Female Gingiva - microbiology Gingival Hemorrhage - etiology Humans Life Change Events Logistic Models Male Middle Aged Odds Ratio Periodontal Attachment Loss - etiology Periodontal diseases Periodontal Diseases - etiology Periodontal Pocket - etiology Radiography Reproducibility of Results Sex Factors Smoking - adverse effects Socioeconomic Factors stress Stress, Physiological - complications Stress, Psychological - complications |
| Title | Relationship of Stress, Distress, and Inadequate Coping Behaviors to Periodontal Disease |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1902%2Fjop.1999.70.7.711 https://www.ncbi.nlm.nih.gov/pubmed/10440631 https://www.proquest.com/docview/69947065 |
| Volume | 70 |
| WOSCitedRecordID | wos000081601000001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVWIB databaseName: Wiley Online Library Full Collection 2020 customDbUrl: eissn: 1943-3670 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0021430 issn: 0022-3492 databaseCode: DRFUL dateStart: 19970101 isFulltext: true titleUrlDefault: https://onlinelibrary.wiley.com providerName: Wiley-Blackwell |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1LT9wwEB7RBalcypsu5eEDp6pZktix42O1ywoQQiso1d4s23EECCXbXba_n3GSjUBIVJW4RDlkJtE8km8yns8Ax8xpk6TcBZprigWK4YExMQtymlHE58K4irfg96W4ukrHYzlagv5iFqbmh2h_uPnMqN7XPsG1qXchkRVp6EM58aN2sifCnugJP9-7HGP8Jh1YHlwPby_bugshQdiShjMZN81NVHPyRsnrz9MbzPkawlbfoOHahzz9OnxpICj5WcfMBiy5YhM-D_yyIb_z2xaM2xVyd_cTUubkphoo-UEG97PmTBcZOS905v7MEaySfjV2RRqyxemMPJVkhLGNNa-ftvSCvg20DbfD01_9s6DZgSGwLGFR4LSOKbouj7lOuE0wo3RkuIi5wUrJUBdm2lDLrZVGSM-smIfCMJNlMsml1XQHOkVZuK9ADGU8DWWapYYxy3NNM2O9Sunw6NIuhAvDK9vQk_tdMh6VL1PQaApNprzJlAiVUGiyLnxvRSY1N8d7Fx8tvKkwg3xbRBeunM8Ul5L5Zm8Xdmsnv1DGEO9QlA0rX_77LupidHqNqC3a-3-Rb7Bac0KIIIr2ofM0nbsDWLF_0fvTQ_gkxulhE9rPWT_5xg |
| linkProvider | Wiley-Blackwell |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3dT9swED8hQGIv7INtdF_4gSe0dGns2PHjRKmAlapiMPXNsh1HY5qSrqX7-3eXpNEQ0iYkXqI85C7RfcS_s30_AxyKYF2ayRBZaTkWKE5GziUiKnjOEZ8rF2regm9jNZlks5mebsBw3QvT8EN0E26UGfX_mhKcJqTrLNc1a-iPak69drqv4r7qK2rw3RIYThjnW8PL0fW4K7wQE8Qda7jQSbu6iWo-3VNyd3y6BzrvYth6EBo9fZzPfwa7LQhln5uoeQ4boXwBO0PaOERnv-3BrNsj9_1mzqqCfa1bSj6y4c2yvbNlzs5Km4dfK4Sr7LhuvGIt3eJiyW4rNsXoxqqX-i1JkBaCXsL16OTq-DRqz2CIvEjFIArWJhydVyTSptKnmFN24KRKpMNayfEQ59ZxL73XTmniVixi5YTLc50W2lv-CjbLqgz7wBwXMot1lmdOCC8Ly3PnSaUOeA1ZD-K15Y1vCcrpnIyfhgoVNJpBkxkymVGxUQZN1oOjTmTesHP86-GDtTsN5hAtjNgyVKulkVoLWu7twevGy38pE4h4OMrGtTP__xZzPj25RNw2ePNwkQPYOb26GJvx2eTLW3jSMETQzuB3sHm7WIX3sO1_YyQsPrQR_gdvN_zN |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3db9MwED9NHYK9MD5HYTA_8IRIl8aOHT-iZRWDqqoGQ32zbMcRQygp7crfz12SRpsmMSHxEuUhd4nuI_ldzvczwFsRrEszGSIrLccCxcnIuUREJS844nPlQsNb8G2qZrNssdDzHci3szAtP0T_w40yo3lfU4KHZVE2Wa4b1tAf9ZJm7fRIxSM1UjTguytoM5kB7Obnk4tpX3ghJoh71nChk667iWqObym5-X26BTpvYtjmIzTZ_z-P_wgediCUfWij5jHshOoJPMhp4RDt_fYUFv0aue-XS1aX7EszUvKe5Zfr7sxWBTurbBF-bRCuspNm8Ip1dIurNbuq2RyjG6temrckQWoEPYOLyenXk49RtwdD5EUqxlGwNuHovDKRNpU-xZyyYydVIh3WSo6HuLCOe-m9dkoTt2IZKydcUei01N7y5zCo6iq8AOa4kFmssyJzQnhZWl44Typ1wGPIhhBvLW98R1BO-2T8NFSooNEMmsyQyYyKjTJosiG860WWLTvH3y4-2rrTYA5RY8RWod6sjdRaULt3CAetl68pE4h4OMrGjTPvvov5ND89R9w2fvnvIkdwf55PzPRs9vkV7LUEEbQw-BAGV6tNeA33_G8MhNWbLsD_AP6-_Eg |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Relationship+of+Stress%2C+Distress%2C+and+Inadequate+Coping+Behaviors+to+Periodontal+Disease&rft.jtitle=Journal+of+periodontology+%281970%29&rft.au=Genco%2C+R.J.&rft.au=Ho%2C+A.W.&rft.au=Grossi%2C+S.G.&rft.au=Dunford%2C+R.G.&rft.date=1999-07-01&rft.pub=American+Academy+of+Periodontology&rft.issn=0022-3492&rft.eissn=1943-3670&rft.volume=70&rft.issue=7&rft.spage=711&rft.epage=723&rft_id=info:doi/10.1902%2Fjop.1999.70.7.711&rft.externalDBID=10.1902%252Fjop.1999.70.7.711&rft.externalDocID=JPER0711 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0022-3492&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0022-3492&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0022-3492&client=summon |