title: Impact of depressive symptoms on prosthetic status--results of the study of health in Pomerania (SHIP).
abstract: OBJECTIVE
  Previous investigations have confirmed that every fifth dental patient suffers from clinically significant depressive symptoms. However, the putative impact of depressive symptoms on the prosthetic status has not been addressed in these studies. The objective of this study was to investigate the association between depressive symptoms and prosthetic status based on data from the Study of Health in Pomerania (SHIP-0).
  
  
  METHODS
  Data from 2,135 participants aged 30 to 59 years were analyzed. A classification (six classes regarding the number and position of missing teeth per jaw) was used to identify the degree of prosthetic status (no/suboptimal/optimal tooth replacement). The presence of depressive symptoms was assessed with a modified version of von Zerssen's complaints scale. Screening for lifetime diagnoses of mental disorders was performed with the Composite International Diagnostic-Screener (CID-S). Multivariable logistic regressions including several confounders were calculated.
  
  
  RESULTS
  A significant protective dose-response effect of depressive symptoms on prosthetic status was found only in men for the lower jaw [0-1 depressive symptoms: odds ratio (OR) = 3.84, 95 % confidence interval (CI, 1.65-8.92), p < 0.01; 2-3: OR = 2.87 (CI, 1.22-6.74), p < 0.05; reference, ≥8; adjusted for age, school education, smoking status, household income, marital status, living without a partner, risky alcohol consumption, obesity, diabetes, and physical activity]. There was no such association in women or for the upper jaw. The analyses using the CID-S confirmed these results.
  
  
  CONCLUSIONS
  In the lower jaw, men with depressive symptoms had a better prosthetic status than men without depressive symptoms suggesting a higher level of concern regarding their personal health.
  
  
  CONCLUSIONS
  If dentists might have an opportunity to identify men with depressive symptoms they can provide a wide range of treatment options that may enhance patients' self-esteem and contribute to the patient' well-being. Furthermore, depressive symptoms could indicate a discrepancy between self-perception of the dental health and the actual status which influence the dentists' treatment decision making.
authors.affiliation: Department of Prosthetic Dentistry, Gerodontology and Biomaterials, Center of Oral Health, University of Greifswald, Rotgerberstrasse 8, 17475, Greifswald, Germany. samietzs@uni-greifswald.de
authors.forename: Stefanie A
authors.initials: SA
authors.lastname: Samietz
authors.forename: Stefan
authors.initials: S
authors.lastname: Kindler
authors.forename: Christian
authors.initials: C
authors.lastname: Schwahn
authors.forename: Ines
authors.initials: I
authors.lastname: Polzer
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hoffmann
authors.forename: Thomas
authors.initials: T
authors.lastname: Kocher
authors.forename: Hans Jörgen
authors.initials: HJ
authors.lastname: Grabe
authors.forename: Torsten
authors.initials: T
authors.lastname: Mundt
authors.forename: Reiner
authors.initials: R
authors.lastname: Biffar
mesh_terms: D000328:Adult; D001294:Attitude to Health; D017266:Dental Prosthesis / Q000523:psychology*; D003863:Depression; D005260:Female; D005858:Germany; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008334:Mandible; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012649:Self Concept; D012680:Sensitivity and Specificity; D012737:Sex Factors; D018709:Statistics, Nonparametric; D016388:Tooth Loss / Q000523:psychology* / Q000534:rehabilitation