Woods Craig D
UCLA School of Dentistry, Box 951668, Los Angeles, CA 90095-1668, USA.
J Dent Educ. 2003 May;67(5):500-4.
The purpose of this study is to assess the prevalence of mental illness in a university-based dental clinic population. Dentists routinely review the patient's medical history to identify any physical disease or condition that may impact dental treatment. Mental illness may also affect dental treatment and patient management. This study examined the degree to which patients seeking routine dental care report these diagnoses. Data was gathered from records of 508 consecutive new patients whose treatment plans were submitted for faculty approval. The patient's self-reported mental illness was obtained from the patient questionnaire and physical evaluation forms of the dental record. One hundred thirty-six patients (26.77 percent) reported at least one mental illness. Of all diseases and disorders recorded in the medical history, self-reported depression was second only to hypertension in frequency. Substance abuse, anxiety, anorexia, bulimia, insomnia, bipolar disorder, and post-traumatic stress disorder were also common findings. This study establishes the need for training of dental students to recognize and manage psychologically compromised patients. The dental curriculum must address these issues.
本研究的目的是评估大学牙科诊所人群中精神疾病的患病率。牙医会定期查看患者的病史，以识别任何可能影响牙科治疗的身体疾病或状况。精神疾病也可能影响牙科治疗和患者管理。本研究调查了寻求常规牙科护理的患者报告这些诊断的程度。数据收集自508名连续新患者的记录，这些患者的治疗计划已提交给教员审批。患者自我报告的精神疾病来自患者问卷和牙科记录的体格检查表。136名患者（26.77%）报告至少患有一种精神疾病。在病史中记录的所有疾病和病症中，自我报告的抑郁症在出现频率上仅次于高血压。药物滥用、焦虑症、厌食症、贪食症、失眠症、双相情感障碍和创伤后应激障碍也是常见的病症。本研究确定了对牙科学生进行培训以识别和管理心理受损患者的必要性。牙科课程必须解决这些问题。
