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KMID : 1157520110070010025
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International Journal of Clinical Preventive Dentistry
2011 Volume.7 No. 1 p.25 ~ p.32
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Relationship between Social Anxiety Disorder and Halitosis
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Zaitsu Takashi
Ueno Masayuki
Shinada Kayoko
Wright Clive
Kawaguchi Yoko
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Abstract
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Objective: The objective of this study was to investigate the nature of social anxiety disorder in halitosis patients.
Methods: The 472 halitosis patients were divided into genuine halitosis and pseudohalitosis groups based upon an organoleptic test. The Japanese version of the Liebowitz Social Anxiety Scale (LSAS), was used to evaluate the clinical impact of social anxiety disorder in the patients.
Results: More than half of subjects had a score of 30 or more on the LSAS, indicating a high risk of social anxiety disorder; and more than 20% of subjects had a score of 60 or more on the LSAS, indicating a high risk of generalized social anxiety disorder. Pseudohalitosis patients had significantly higher “performance scores” compared to genuine halitosis patients. However, there was no significant difference in “social interaction scores” between those with genuine halitosis and pseudohalitosis.
Conclusion: Halitosis patients have a high risk of social anxiety disorder, especially pseudohalitosis patients. Our results suggest that the LSAS could be a valuable screening tool for assessing social anxiety in halitosis patients.
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KEYWORD
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genuine halitosis, pseudohalitosis, social anxiety disorder, the Liebowitz Social Anxiety Scale
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