---

Background and purpose: This study investigates variables such as illness perception, depression, anxiety, stress coping strategies and perceived social support as predictors of treatment adherence and health related quality of life in hemodialysis patients in city of Isfahan. Materials and methods: In the cross-sectional study, 200 end stage renal disease patients selected by convenience sampling. Brief-Illness Perception Questionnaire, Hospital Anxiety and Depression Scale, Multidimensional Scale for Perceived Social Support, Coping Inventory for Stressful Situations were used to collect the data. Objective and subjective assessments were used to evaluate treatment compliance. Also, canonical correlation analysis was applied to interpret the data. Results: Findings from canonical correlation analysis showed that a linear combination of adherence and quality of life for renal patients is predictable by linear combination of psychological factors. So a pattern of high scores treatment adherence (subjective index) and quality of life is correlated with a pattern of low scores on the perceived consequences of illness, anxiety, emotional representations, nature of the illness, depression, anxiety and emotion-focused coping style and also with a pattern of high scores on social support and problem-focused coping style. Conclusion: Results of this study showed that psychological variables in hemodialysis patients can predict adherence and especially health related quality of life. Also, they determine considerable variance of survival index.

---

Background and purpose: Health literacy can be defined as the ability to read, understand and act on health advice. The aim of this study was to determine health literacy and its relationship with medical adherence and health-related quality of life in diabetic community-residing elderly. Material and Methods: This descriptive- analytical study was conducted on 300 elderly diabetics (60 years old and older) who referred to health centers in Mashhad. Multi-stage stratified cluster sampling is used. Data were collected using Brief-TOFHLA health literacy, standardized health-related quality of life, HbA1c, BMI and MMAS medication adherence questionnaires. Furthermore, diet and exercise adherence questionnaire was developed by the researchers. Data analyses were done by using One-Way Analysis of Variance (ANOVA), T-student test, and Pearson's correlation test using SPSS (Version 21). Results: In this study, 70% of elderly with diabetes had inadequate health literacy. Older adult with sufficient health literacy had a higher-quality of life. There was a significant relationship between health literacy and physical and psychological dimensions of quality of life (P<0.05). However, there was not a marked correlation between health literacy and social dimension (P>0.05). The individuals with adequate health literacy had significantly higher medication, diet and exercise adherence with lower HbA1c (P<0.05). It is important to mention that, there was not a considerable relation between health literacy and BMI (P>0.05). Conclusion: According to the relationship between health literacy with medical adherence and elderly quality of life, there is a need to pay attention to health literacy in health promotion programs.

---

Background and purpose: Elderly’s quality of life can be easily threatened by some factors. Therefore, it is crucial to have enough information about elderly’s quality of life and its influencing factors so that actions could be taken to improve their quality of life. The purpose of this study was to determine the elderly’s quality of life of people resident at Mashhad’s nursing homes and its influencing factors. Material and methods: In this cross-sectional correlational study census sampling method was used. The research population included 220 nursing home residents in Mashhad aged > 60 years old with a minimum of 6 months residency at nursing home and the ability to understand and respond to questions. To collect the data Nursing Home Quality of life Questionnaire and demographic questionnaire were used in face to face interview. Data was analyzed in SPSS V.15 using descriptive statistics and linear regression tests. P value less than 0.05 was considered statistically significant. Results: Findings showed that the mean total score of quality of life was (56.7±10.8). Also, the mean of quality of life domains were 54.7±13.8 in health and functioning, 57.4±14.7 in spiritual, 55.4±11.4 in economic and social, and 63.5±12.8 in family. All scores were at intermediate level of quality of life. Age, educational level, length of stay in nursing home, pervious residential status, and living arrangements were the main predictors of quality of life, respectively (P<0.05). Conclusion: The results of this study showed intermediate levels in total score of elderly’s quality of life and its dimensions and indicates some of the important predictors for quality of life. More focus on these factors could reduce some aging problems and enhance the older people’s quality of life.

---

Abstract Background and purpose: Drug abuse is a catastrophe for abusers, their families and the society. Increasing trends of opioid dependence has raised the concern of authorities and is considered as an important public health problem. Many developed countries use pharmacological treatments for opioid dependence, however, this is not accepted in many developing countries. Methadone maintenance treatment is one of the most frequently used methods to treat such patients. This study aimes at investigating the impact of MMT on the quality of life of patients under treatment. Materials and methods: In a quasi-experimental study, 203 opioid dependent under MMT program were studied in Omid treatment centre in Babol. EQ-5D questionnaire was used to evaluate the quality of life of patients before treatment, one and six month after treatment and then comparisons were made. Some information was also collected from the patient’s treatment record. All data were analyzed using SPSS. Results: Based on the findings of this study, among 5 dimensions of quality of life, the results showed that the health statues of individuals on two of them (pain/discomfort and anxiety/depression) were lower than the other dimensions. Methadone therapy significantly improved the quality of life of patients and this improvement was considerable at the end of first month. Conclusion: Pharmacological treatment and use of methadone therapy could be a useful method to treat opioid dependence in Iran. Furthermore, it could significantly improve the patients’ quality of life.

---

Background and purpose: Quality of life by definition is "The individual`s perception of his/her position in life within the cultural context and value system he/she lives in. This study aimed at assessing the quality of life enjoyment and satisfaction in medical students of Mazandaran University of Medical Sciences in comparison with Natural Resources students of Sari University of Agricultural Sciences and Natural Resources and also identifying the most important factors influencing the quality of life enjoyment and satisfaction. Materials and methods: The research population included 853 students of whom 356 were medical students and 497 were natural resources students. In this descriptive cross-sectional study "Quality of Life Enjoyment & Satisfaction Questionnaire – Short Form" was used. To analyze the data descriptive statistics, t-test and ANOVA were used in SPSS 17. Results: The quality of life enjoyment and satisfaction in medical students was significantly less than that in non-medical students (p=0.002). Students of better economic status (p=0.03), those who lived with their parents (p=0.009), first year medical students (p=0.019) and natural resources (p=0.000) and also younger students (p=0.001) had significantly better scores. Conclusion: Decreasing quality of life enjoyment and satisfaction during acquisition in university could be a warning to those responsible for students' education and welfare. Unsatisfactory life situation may decrease medical students working efficiency and make them poor role models for their patients regarding physical and mental health.

---

Background and purpose: Health related quality of life (HRQOL) is a main outcome in irritable bowel syndrome (IBS). Several psychological factors are mentioned as effective factors in determining HRQOL in IBS patients. The aim of this study is to determine the association between patient’s illness perceptions and HRQOL in IBS sufferers. Materials and methods: In this cross-sectional study 160 patients with IBS who were referred to psycho-somatic clinic (related to Noor hospital of Isfahan) were participated. Patients’ illness perceptions and HRQOL were assessed by Brief Illness Perception Questionnaire (Brief-IPQ) and IBS specific quality of life questionnaire (IBS-QOL-34). Information gathered from questionnaires was finally analyzed by descriptive statistic methods, Pearson correlation and Canonical correlation method. Results: Results of analysis performed by canonical correlation method showed significant association between patient’s illness perception and HRQOL in IBS sufferers (Canonical correlations: 0.84, P<0.001). Among illness perception subscales, Emotions (P<0.001, r=0.69), Consequence (P<0.001, r=0.67), Identity (P<0.001, r=52), Concern (P<0.001, 0.51), Timeline (P<0.001, r=49) and Personal Control (P<0.001, r=0.19), respectively, had the most significant correlation with HRQOL, and there was no relation found between Illness Comprehensibility or treatment control and HRQOL. Conclusion: Patient’s illness perceptions seem to play a role in determining HRQOL in IBS sufferers. Therefor [psychological interventions based on patients’ Illness perceptions are recommended for these patients.

---

Background and purpose: One of the factors affecting quality of life is health and illness. Including diseases that affect quality of life is tuberculosis. This study was done in order to evaluated quality of life patients with pulmonary tuberculosis during treatment course Materials and methods: This study is a cross-sectional study that was done in 1390 on 50 patients with pulmonary tuberculosis covered by health centers in Zahedan during three stage of treatment (beginning of treatment, end of attack stage, end of maintenance phase). Samples were chosen to participate in the study by accessible sampling. TBQOL-Version 2 was used to data collection. Data were analyzed by correlation coefficient, independent t, and ANOVA tests. Results: The majority of subjects (68%) were Female with mean age of 58.60 ± 17.50 years. Results showed that the mean overall quality of life scores of 66.6 at the beginning of treatment to 92.4 at the end of attack stage and 102.5 in the end of maintenance phase is increased (maximum score was 120). Also finding showed significant increases in quality of life scores in physical, psychological, functional, environment and spiritual dimensions during three stages of treatment but significant increases in mean score on the social and family health were not observed Conclusion: In addition, treatment of pulmonary tuberculosis control disease and reduce of symptoms, it can promote quality of life patients particularly in physical, psychological, functional, environment and spiritual dimensions. Thus the importance of complete treatment for tuberculosis should be emphasized more than before

---

Background and purpose: Asthma is the most common chronic disease of childhood and adolescence resulting in variable restrictions in most aspects of patients’ life and decreases their quality of life (QOL). Control of the triggers could be of great benefit in the management of asthma. This study was conducted to assess the effect of education on asthma triggers and controlling them on QOL among adolescents suffering from asthma. Materials and methods: This randomized clinical trial was performed in 60 adolescents aged between 12-18 years. They were randomly assigned into intervention and control groups. Mini Pediatric Asthma Quality of Life Questionnaire (Juniper 1997) was used prior to intervention and five weeks post-intervention in both groups. The intervention group was educated regarding asthma triggers, then they were followed up through telephone calls. The data was analyzed using SPSS V.13, Chi square and t-tests. Results: Significant differences were found in the scores of QOL among both groups. Therefore, education on triggers of asthma and controlling them was effective in enhancing QOL (P≤0.001). Conclusion: This intervention was found potent in improving the QOL of adolescents with asthma. Hence, educational programs should be carried out in outpatient clinics on triggers of asthma with the participation of adolescents instead of their parents. (Clinical Trial Registry Number: IRCT201112078315N1)

---

Background and purpose: Quality of life is considered as a comprehensive issue of health. As life expectancy continues to rise, one of the greatest challenges of public health is to improve the quality of later years of life. Considering the effect of socio-environment factors on health of elderly people, the aim of the present study was to analyze the quality of life of the elderly living in Sari, Iran. Materials and methods: A cross-sectional study was conducted involving 153 individuals aged 60 years or more living in nursing home (60) and homes (93) in Sari. Health-related quality of life (HRQOL) was assessed using the Iranian version of short form 36 (SF-36) health survey questionnaire. Data were analyzed using t, analysis of variance and correlation tests. Results: HRQOL was found to be worse in elderly living in nursing in compared to whom living in home. Moreover, HRQOL was found to be worse among women and in individuals at advanced age. Conclusion: A relatively high level of HRQOL was found among elderly living in home compared with residents in nursing home. The results suggest that healthcare programs for the elderly should take into account the multi-dimensionality of health and social inequalities of elderly people.

---

Backgound and purpose: Recent rise in elderly population points to the need for social support, and focusing on these people’s relationships and quality of life. Social support acts as a mechanism to tackle isolation and loneliness, and high level of quality of life results in more joy, satisfaction, healthy life, economic prosperity, educational opportunities and creativity. This study aimed at assessing the quality of life of the elderly attending rehabilitation centers considering demographic variables such as the elderly’s marital status, sex, educational background and the type of rehabilitation center being admitted to. Material & methods: This descriptive study was performed in 281 individuals referring to rehabilitation centers in Mazandaran province. A researcher made questionnaire was used to assess the status of social support and to investigate the elderly’s quality of life the standardized questionnaire (36-SF) was used. Results: The results indicate a significant difference between the mean scores of social support and its components and the mean score of the test. The overall qualities of life for elderly were higher than average. We also observed a significant correlation between social support and the elderly’s marital status, educational background, and the type of rehabilitation center. Conclusion: According to the services offered by studied rehabilitation centers the quality of life of elderly was in satisfactory condition. There was no significant difference between quality of life, marital status, and educational background. However, we found a significant relationship between the type of rehabilitation center and quality of life of elderly.

---

Background and purpose: Psychiatric disorders as a chronic illness lead to the exacerbation of physical symptoms and controlling them is very difficult. Respiratory chemical damaged veterans have many different psychiatric problems and low health-related quality of life. In this study, we evaluated the relations of spirometry parameters and health- related quality of life with mental health. Material and methods: This was a descriptive- co relational study done on 41 respiratory chemical veterans (Iran-Iraq war) selected with randomized available sampling in Tehran City. We used Spirometry test, St. George's Respiratory Questionnaire (SGRQ) & General Health Questionnaire (GHQ) for assessing the patients and Pearson's correlation matrix for analyzing the data. Results: There were significant negative correlations between the total score of GHQ and depression subscale with FVC & FEV1. There were significant positive correlations between the total score of GHQ and depression & anxiety subscales with total score of SGRQ. There were significant positive correlations between the total score of GHQ and depression & anxiety subscales with "symptoms" score of SGRQ. There were significant positive correlations between the total score of GHQ and depression & anxiety subscales with "impacts" score of SGRQ. Conclusion: Poor mental health condition with increased level of depression & anxiety leads to the decrease in FVC & FEV1 in spirometry and health-related quality of life, and increase in respiratory symptoms such as cough, breathless and sneezing. Totally, there were significant correlations between spirometry and health-related quality of life with mental health. It seems that in rehabilitation programs for mustard gas exposed veterans with chronic respiratory diseases, the psychological and psychiatric interventions should be considered.

---

Background and purpose: Nowadays, quality of life (QOL) has become an important issue because of the development of societies and the improvement of living standards. The aim of this study was to survey the Health-related QOL in Kermanshah rural women and some related factors. Material and methods: Our target community was selected among 20-50 years old women from 20 villages of Kermanshah county by multistage cluster sampling (n: 394), and our tool was WHOQOL-BREF questionnaire. The data were analyzed by SPSS software and ANOVA, Independent t-test and Linear Regression test. Results: The mean age of respondents was 32.94±8.98 years. The mean of QOL in Physical, Psychological, Social and Environmental domains was (61.55, 53.22, 60.58, 47.94), respectively. Based on linear regression test, the most effective factors on the four domains of women's QOL were as follows: Physical Health domain (illness status, age, developmental level of the village (DLV), marriage status) (R2=0.236), Psychological Health (illness status, marriage status, educational level, DLV) (R2=0.185), Social Health (illness status, DLV) (R2=0.105) and Environmental Health (illness status, DLV, educational level, marriage status) (R2=0.170). Conclusion: Based on our data, the level of quality of life was moderate. This study is the first research about Health-related QOL in rural women of Iran therefore, its findings can provide useful information in this group and be used for designing later studies.

---

Background and purpose: The present study aimed to review honesty-humility, emotionality, ‎extraversion, agreeableness, conscientiousness and openness to experience (HEXACO) personality ‎dimensions emotion regulation and stress coping strategies’ role in predicting the quality of life (QoL) in ‎migraine peoples.‎ Materials and methods: This was a descriptive research and the research design was correlative. The ‎statistical population included all migraine patients referring to therapeutic centers at Shiraz, Iran in 2013. The ‎available sampling method was used. Therefore, 100 migraine patients referring to centers were selected and ‎filled in the research questionnaires. The Quality of Life Questionnaire, shorten form of HEXACO Personality ‎Questionnaire, Gross and John Emotion Regulation Scale and stress coping strategies questionnaires were used ‎to collect the data.‎ Results: The data were analyzed by Pearson’s correlation index and multivariable regression analysis. ‎The results showed that a correlation have of emotionality (r = -0.298), extraversion (r = 0.276), ineffective ‎coping strategy (r = 0.111), emotional coping strategy (r = -0.216), re-evaluation strategies (r = 0.129) and ‎suppressing emotions (r = -0.152) with the QoL in migraine patients. In addition, the results showed that 28% ‎of QoL variance was elaborated using HEXACO personality dimensions, type D personality and positive and ‎negative emotions.‎ Conclusion: It can be concluded that HEXACO personality dimensions, type D personality and ‎positive and negative emotions play a major role in quality of life in migraine patients based on these findings.‎

---

Background and purpose: One of the important concepts in diabetic mellitus as a chronic disease is quality of life that it has extensive effects on social and individual performance.Due to the short-term and long- term effects and expensive costs of these diseases,the present study was carried out to determine the quality of life of these patients and finally was presented a structural model. Material and Methods: This study was performed on250patients with type IIdiabetes in Yazd.it was used from the questionnaire of standard quality of life(QOLID)as the data collection tool that contains a total of34questions and8domains Role Limitation Due to Physical Health,Physical Endurance,General Healt,Treatment Satisfaction,Symptom Bothe,Financial Worries,Emotional/Mental Health,Diet Satisfaction . Data were analyzed by using from spss(16) and amos(21)softwares. Results: in this study درصد 42 of the patients were male and درصد 58 were female.Betweenquality of lifeandage groupsEducation,income and smoking,there was significant relationship(P<0.05).According to the study, domains general health and physical endurance had the lowest mean.according to the result, diabetes in the domains on quality of life of diseases had the most influence.in structural model,Direct effect of endurance physically on general health,role limitation,mental healthand treatment satisfaction,was(0.69, 0.57, -0.29,0.19)respectively.Direct effect of general health and role limitations on Treatment Satisfaction was(0.30,-0.13) respectively.All of the direct effects were significanted at the level of 0.05.Indirect effect physical endurance on treatment satisfaction was0.28that it was significanted at the level of0.05. Conclusion: Diabetes is a chronic disease that severely effects on the patient's quality of life.Every attempt in predicting structural models of quality of life play a meaningful role in the solution of patient's problems.

---

Background and purpose: As aging increases throughout the world the number of menopausal women is increasing too. Their quality of life is considered important in all societies. This study aimed at assessing the efficacy of nutrition education alone or combined with aerobic exercise on quality of life in perimenopausal and postmenopausal women. Material and Methods: This randomized controlled trial was performed in 81 healthy married women aged 45-60 years old in Kaleibar (west north of Iran) during March- June 2013. Using block randomization the subjects were allocated into three groups (n=27 per group). Group I received nutrition education and group II received nutrition education and also performed aerobic exercises, while the control group received no intervention. Menopausal quality of life questionnaire (MENQOL) was applied at baseline, 8, and 12 weeks after the intervention. Data was analyzed using ANCOVA test Results: Quality of life significantly improved after 8 and 12 weeks in group I while this improvement was observed after 12 weeks in group II. The mean total MENQOL scores in group I was 59.5 before the intervention and 40.1 after 8 weeks [adjusted mean difference: −13.9 (95% CI: −19.3 to −8.5)] and 35.4 after 12 weeks [−22.1 (−27.3 to -17.0]. Also, in group II this score was 58.4 before the intervention, 49.2 after 8 weeks [−4 (−10.2 to 2.2)], and 49.5 after 12 weeks [−6.3 (−11.8 to -0.8)]. No side effects were reported. Conclusion: Nutrition education combined with physical exercise is more effective than the nutrition education alone in improving the quality of life in perimenopausal and postmenopausal women.

---

Background and purpose: Quality of life is a very important concept in health care. This study was designed in order to translate and validate the Persian version of the Quality of Life Index (QLI) questionnaire. Material and Methods: Permission was asked and a forward-backward translation procedure was followed to develop the Persian version of the questionnaire. Questionnaire was administered to 130 students in Social Welfare and Rehabilitation Sciences University. These students were selected on the basis of systematic random sampling. The QLI and SF-36 quality of life questionnaire and Vaux social support questionnaire were used in pretest. After two weeks interval only QLI questionnaire was used. Reliability of the questionnaire was estimated using internal consistency. Test re test reliability, concomitant validity and construct validity was assessed using coefficient of concordance and spearman's correlation. Results: The internal consistency for the global score was 0.934 indicating that all domains met the minimum reliability standard, the Cranach's alpha ranged from 0.74 to 0.90 except for family subscale (α= 0.58). Test re test reliability showed good results for global score (spearman's correlation=0.89, ICC= 0.887) and for other domains except for family subscale (ICC= 0.255). The concomitant validity and construct validity revealed significant correlation between QLI with SF-36 questionnaire and Vaux questionnaire, respectively. Confirmatory factor analysis using EQS software also revealed that factor structure of the questionnaire in sample survey is repeated. Conclusion: The Persian version of the Quality of Life Index is a reliable and valid tool. However, further research is required to reduce the problems associated with reliability of family subscale.

---

Background and purpose: One of the major complications in diabetes mellitus is lower extremity amputation. Amputation can affect different aspect of patient’s life and cause various morbidities. The purpose of this study was to observe the effect of amputation on quality of life and determining the frequency and causes of mortality in these patients. Material and Methods: This study was performed in Rasool Hospital in Tehran from 2011 to 2013. The study population included 121 known cases type II diabetic patients with amputation of lower extremity in different levels who were followed for four years. SF-12 questionnaire has been used for quality of life and causes of mortality in this period were recorded. Data was analyzed using Chi square and T test in SPSS. Values less than 0.05 were considered significant. Results: Four years mortality of diabetic patients with amputation has been determined about 36%. The most common causes of mortality were cardiovascular diseases (63.4%), renal diseases (14.6%), cerebrovascular accidents (12.2%), and infection (9.8%). There was no correlation between rate of mortality and numbers and site of amputations but direct correlation was found with daily insulin dose. Quality of life scores in both physical and mental components were lower in dead patients compared with those of the alive patients (P= 0.03 and 0.009, respectively) but considering the numbers of amputations, only different in mental components were statistically significant (P=0.00). Conclusion: Diabetic patients must be carefully followed for different complications, especially mental components. So, paying more attention to this component and adding psychiatric and psychological consultations in routine follow ups could be highly beneficial.

---

Abstract Background and purpose: Awareness on quality of life of infertile couple and their level of marriage satisfaction is an important issue which could be also helpful in planning effective health programs. This study investigated the relationship between quality of life and marriage satisfaction in infertile couples attending Hazrat-e Maryam Fertility Center and Imam Khomeini Hospital in Sari. Materials and methods: This descriptive-analytical study was done in 138 couples. Data was collected using ENRICH questionnaire and WHOQOL (quality of life assessment). Descriptive and inferential statistics were performed to analyze the data. Results: In factor analysis physical dimensions had a strong load on marital satisfaction (0.41,T-value=4.58). But the factor loading for mental dimensions was not significant (-0.038, T-value=-0.03). Conclusion: In this study no correlation was found between mental and environmental dimensions with marital satisfaction, however, these dimensions could indirectly influence other dimensions, thereby affecting marital satisfaction. Hence, health system should implement efficient interventions to enhance the quality of life in infertile couples.

---

Background and purpose: In recent years quality of life is regarded an important issue in both health and clinical investigations. Many instruments such as SF-36 were provided for assessing quality of life in general population and rheumatoid arthritis (RA) patients. The purpose of this article was to determine the quality of life in patients with RA in west of Mazandaran. Material and methods: This cross-sectional study was performed in 165 RA patients attending rheumatology clinics in Ramsar and Tonekabon who were selected by random sampling. Data was collected through self-reports, interview and observation. The SF-36 Persian version questionnaire of quality of life including 8 components was completed. Data was analyzed in SPPS V.17 applying descriptive statistics and T-test, ANOVA and Regression analysis. Results: Among the subjects 145 (87.9%) were female, 126 (76.3%) were urban, and 140 (84.8%) were married. Mean age of the patients was 51.5 years. Mean of physical function, vitality and general health were different between male and female but in other components no significant differences were observed. Mean of quality of life in bodily pain (BP), physical role and general health in women were lower than other components. No significant differences were seen in urban and rural women regarding the studied components. We found significant correlations between age and the studied components, however, this correlation was not found for emotional role and BP (p<0.05). Correlation and regression analyses have shown that duration of disease and age were negatively correlated with all components of quality of life (r= -0.32 to -0.22). Conclusion: This study showed RA patients with low scores in physical components and higher scores in mental and social components. Quality of life is highly influenced by chronic RA, therefore, it is necessary to have appropriate plans in order to improve the patients’ quality of life by controlling the disease and its side effects.

---

Background and purpose: This study aimed at determining the oral health condition and oral health-related quality of life in thalassemia major patients attending Amirkola Thalassemia Center. Materials and methods: In this cross-sectional study a total of 250 patients with beta thalassemia major, was evaluated for mucosa condition and dental health (DMFT index). Oral health-related quality of life (OHIP-14, GOHAI) questionnaires and xerostomia questionnaire were completed by patients. Data was analyzed applying T-test and Chi-square in SPSS. Results: The mean age of patients was 25.55±8.7 and there were 55.2% female. Among the subjects 17.6% were suffering from xerostomia. The patients reported 26% good oral health, 57.2% moderate and 16.8% reported poor oral health. The need for treatment was seen in 39.6% of the participants. Patients' DMFT was 8.84±6.2. The main problems among the cases were mucosal pallor (38%), tooth discoloration (30%), recurrent aphthuos (20.4%), and pigmentation (11.6%). ADD mean of OHIP-14 was 59.54±10.52 (14 to 70) and ADD mean of GOHAI was 48.01±8.56 (12 to 60). We found that the oral health status affects psychological aspects of OHRQoL more than functional aspects. Patients with better self-rated oral heath were younger, had lower DMFT average and better oral health related quality of life Conclusion: Despite having a weak oral health, the patient’s oral health related quality of life is not influenced by this concept