{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T18:41:41Z","timestamp":1788633701661,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T00:00:00Z","timestamp":1330560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:p><jats:italic>Oral Diseases<\/jats:italic> (2012) <jats:bold>18<\/jats:bold>, 639\u2013647<\/jats:p><jats:p><jats:bold>Objectives:\u2002<\/jats:bold> To evaluate the associations between oral health\u2010related quality of life (OHRQoL) and emotional statuses in children and preadolescents.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> One hundred and forty\u2010five Brazilian students (8\u201314\u2003years) were clinically examined for caries, gingivitis, fluorosis, malocclusions, and temporomandibular disorders (TMD). OHRQoL was measured using two global ratings of oral health (OH) and overall well\u2010being (OWB). The Revised Children\u2019s Manifest Anxiety Scale (R\u2010CMAS) and Children\u2019s Depression Inventory (CDI) were used to assess anxiety and depression, respectively. Saliva was collected 30\u2003min after waking and at night to determine the diurnal decline in salivary cortisol (DDSC). The results were analyzed using non\u2010paired <jats:italic>t<\/jats:italic> test\/one\u2010way ANOVA, Pearson\u2019s correlation test, and multiple linear regression analyses.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> 11\u201314\u2010year\u2010old participants had higher CDI scores (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01) and DDSC concentrations (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001). Participants with fewer caries and without gingivitis had higher DDSC concentrations (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05). TMD patients had higher DDSC concentrations and OWB ratings (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001). Girls had higher Revised Children\u2019s Manifest Anxiety Scale (RCMAS) scores (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01). There was positive correlation between RCMAS and CDI scores and OWB ratings (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05). The OH model retained age (<jats:italic>\u03b2<\/jats:italic> =0.312; <jats:italic>P<\/jats:italic>\u2003&lt;<jats:italic>\u2003<\/jats:italic>0.001) and the OWB model retained TMD (<jats:italic>\u03b2<\/jats:italic>\u2003=\u20030.271; <jats:italic>P<\/jats:italic>\u2003&lt;<jats:italic>\u2003<\/jats:italic>0.001) and CDI scores (<jats:italic>\u03b2<\/jats:italic>=0.175; <jats:italic>P<\/jats:italic>\u2003&lt;<jats:italic>\u2003<\/jats:italic>0.05).<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> Children and preadolescents with poor emotional well\u2010being are more sensitive to the impacts of OH and its effects on OWB.<\/jats:p>","DOI":"10.1111\/j.1601-0825.2012.01914.x","type":"journal-article","created":{"date-parts":[[2012,2,4]],"date-time":"2012-02-04T15:21:37Z","timestamp":1328368897000},"page":"639-647","source":"Crossref","is-referenced-by-count":31,"title":["Associations between oral health\u2010related quality of life and emotional statuses in children and 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