{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:17:50Z","timestamp":1790893070610,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T00:00:00Z","timestamp":1736380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The complex association between COVID\u201019 and psychological factors may significantly impact oral health, including oral health\u2010related quality of life (OHRQoL). Despite their interconnected nature, literature regarding their collective impact on OHRQoL is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to assess the independent and interactive effects of COVID\u201019 infection and psychological factors on OHRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The cross\u2010sectional study included 158 participants from a health centre in Yangon city. Participants were categorised into three groups based on their COVID\u201019 infection history, hospitalisation and oxygen supply: \u2018not experienced\u2019, \u2018experienced, non\u2010hospitalised\u2019 and \u2018experienced, hospitalised\u2019. Validated instruments, including Depression, Anxiety and Stress Scale\u201021 (DASS\u201021) to measure emotional states and the Oral Health Impact Profile\u201014 (OHIP\u201014) to assess OHRQoL, were employed. Descriptive statistics, Mann\u2013Whitney U test, Kruskal\u2013Wallis test, linear regressions and interaction analysis were computed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median OHIP\u201014 score was 7.2. Among 85 confirmed COVID\u201019 cases, 38.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200933) received hospitalisation and oxygen supply. Multivariable regression analysis identified \u2018experienced, hospitalised\u2019 (95% CI: 6.36, 11.76), difficulty falling asleep (95% CI: 2.65, 7.18), depressive symptoms (95% CI: 7.38, 12.44), anxiety symptoms (95% CI: 2.93, 7.52) and stress symptoms (95% CI: 4.55, 11.11) as predictors of OHIP\u201014. Interaction analysis revealed their associations varied by hospitalisation history. In non\u2010hospitalised individuals, depressive symptoms were positively interacted with OHRQoL (95% CI: 1.34, 9.02). Significant associations were observed between \u2018experienced, hospitalised\u2019\u2009\u00d7\u2009\u2018depressive, anxiety and stress symptoms\u2019 and OHRQoL in both univariable and multivariable analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A COVID\u201019 infection history and psychological distress significantly affect OHRQoL in Myanmar participants. Moreover, a strong interactive association was observed between hospitalisation during infection and symptoms of psychological distress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13928","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T01:34:51Z","timestamp":1736472891000},"page":"775-782","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Interactive Effects of\n                    <scp>COVID<\/scp>\n                    \u201019 Infection and Psychological Factors on Oral Health\u2010Related Quality of Life in Myanmar"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0350-7977","authenticated-orcid":false,"given":"Kaung Myat","family":"Thwin","sequence":"first","affiliation":[{"name":"Division of Preventive Dentistry, Faculty of Dentistry &amp; Graduate School of Medical and Dental Sciences Niigata University  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachiko","family":"Takehara","sequence":"additional","affiliation":[{"name":"Division of Preventive Dentistry, Faculty of Dentistry &amp; Graduate School of Medical and Dental Sciences Niigata University  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wa Than","family":"Lin","sequence":"additional","affiliation":[{"name":"Committee for Oral Health Education Myanmar Dental Association  Yangon Myanmar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Division of Preventive Dentistry, Faculty of Dentistry &amp; Graduate School of Medical and Dental Sciences Niigata University  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.08.001"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.12.05003"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-020-10143-y"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2023.07.031"},{"key":"e_1_2_11_6_1","unstructured":"World Health Organization \u201cCOVID\u201019 Pandemic Triggers 25% Increase in Prevalence of Anxiety and Depression Worldwide\u201d(2022) https:\/\/www.who.int\/news\/item\/02\u201003\u20102022\u2010covid\u201019\u2010pandemic\u2010triggers\u201025\u2010increase\u2010in\u2010prevalence\u2010of\u2010anxiety\u2010and\u2010depression\u2010worldwide."},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-023-01130-5"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-04405-0"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-022-02028-2"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40471-017-0107-y"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-8209-8"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-88621-w"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12585"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2023.550"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lansea.2024.100396"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/7862923"},{"issue":"9","key":"e_1_2_11_17_1","article-title":"Impact of Oral Diseases and Conditions on Oral Health\u2010Related Quality of Life: A Narrative Review of Studies Conducted in the Kingdom of Saudi Arabia","volume":"13","author":"Mulla M.","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511399918"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520250075037"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00394.x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000135"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2021.732882"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jobcr.2023.06.003"},{"key":"e_1_2_11_24_1","unstructured":"The World Bank \u201cFact Sheet: An Adjustment to Global Poverty Lines\u201d(2022) https:\/\/www.worldbank.org\/en\/news\/factsheet\/2022\/05\/02\/fact\u2010sheet\u2010an\u2010adjustment\u2010to\u2010global\u2010poverty\u2010lines."},{"key":"e_1_2_11_25_1","volume-title":"Manual for the Depression, Anxiety & Stress Scales","author":"Lovibond S. 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