title: Anxiety, stress, depression, oral health status and behaviours in Romanian hemodialysis patients.
abstract: OBJECTIVES. Our aim was to examine the self-reported anxiety, stress and depression, oral health status and behaviors among Romanian adults individuals on renal dialysis.
  
  
  METHODS
  A cross-sectional study design was used. The sample consisted of 161 Romanian adults (mean age 53.9 years; 44% women; 66% married). The questionnaire included information about socio-demographic factors, behavioral factors, self-reported oral health status, anxiety, stress and depression.
  
  
  RESULTS
  99.4% of the participants reported to have current non-treated caries, 94.4% were not satisfied by appearance of own teeth, 97.5% presented extracted teeth and 64.6% of them reported to have gum bleeding. 34.5% of the individuals brushed once a day or less, 92.5% of them never used dental floss and 78.3% never used mouthrinse. Only 13% of participants were regular users of the dental-care system (i.e. they had at least one dental visit in the last year) and 89.4% had seen the dentist only when treatment is needed or when in pain. The reasons for not visiting the dentist were in 51.6% of the participants the dental anxiety and in 37.3% the financial problems. A high percentage of dialysis patients presented anxiety (85.1%), stress (60.9%) and depression in everyday life (61.5%). No influence of duration of hemodialysis was noted among the study variables.
  
  
  CONCLUSIONS
  The results support the view that there is an increased risk for anxiety, stress, depression and impaired dental/gingival health and behaviours among individuals on renal dialysis. Early dental treatment and psychological interventions should be intensified in these subjects, and are of interdisciplinary importance.
authors.affiliation: Institute of Clinical Dentistry, University of Tromsø, Norway. alexandrina_l_dumitrescu@yahoo.co.uk
authors.forename: Alexandrina Lizica
authors.initials: AL
authors.lastname: Dumitrescu
authors.forename: Liliana
authors.initials: L
authors.lastname: Gârneaţă
authors.forename: Olga
authors.initials: O
authors.lastname: Guzun
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000150:complications / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000150:complications / Q000453:epidemiology*; D003863:Depression / Q000150:complications / Q000453:epidemiology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D015995:Prevalence; D006435:Renal Dialysis / Q000523:psychology* / Q000706:statistics & numerical data; D012383:Romania / Q000453:epidemiology; D013315:Stress, Psychological / Q000150:complications / Q000453:epidemiology*