Kloostra Paul W, Eber Robert M, Inglehart Marita Rohr
School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA.
J Periodontol. 2007 Jan;78(1):64-71. doi: 10.1902/jop.2007.060069.
Anxiety, stress, and depression affect the use of health care services, treatment decision-making, and responses to periodontal treatment. This study explored periodontists' confidence in detecting patient anxiety, stress, or depression, as well as their knowledge concerning the relationships between these factors and patients' pain, use of pain medication, and wound healing after periodontal treatment. In addition, this research surveyed if (and which) special accommodations were offered when treating patients with high levels of anxiety, stress, or depression.
Data were collected from 171 members of the American Academy of Periodontology (response rate = 34.41%). Most respondents were male (82.2%), white (88.2%), and practiced in solo practices (60.9%).
The respondents were more knowledgeable about the effects of anxiety and stress on pain, the use of pain medication, and wound healing than about the impact of depression on these outcomes. They agreed more strongly with statements that they were more confident in their ability to perceive when patients were anxious and stressed than when they were depressed. They also offered more special accommodations for patients with anxiety and stress than for patients with depression.
The respondents were significantly less knowledgeable about the impact of depression on patients' responses to periodontal treatment than about the effect of anxiety and stress. Given the evidence concerning the relationships among depression, pain, pain medication use, and wound healing, it is important to educate periodontists about the role of anxiety and stress and the significance of depression on their patients' responses to periodontal therapy.
焦虑、压力和抑郁会影响医疗服务的使用、治疗决策以及对牙周治疗的反应。本研究探讨了牙周病医生在识别患者焦虑、压力或抑郁方面的信心，以及他们对这些因素与患者疼痛、止痛药使用和牙周治疗后伤口愈合之间关系的了解。此外，本研究调查了在治疗焦虑、压力或抑郁程度较高的患者时是否（以及提供了哪些）特殊照顾。
从美国牙周病学会的171名成员中收集数据（回复率 = 34.41%）。大多数受访者为男性（82.2%），白人（88.2%），且从事单人执业（60.9%）。
与抑郁对这些结果的影响相比，受访者对焦虑和压力对疼痛、止痛药使用和伤口愈合的影响了解更多。他们更强烈地认同以下说法，即他们对感知患者焦虑和压力时的能力比对感知患者抑郁时更有信心。他们为焦虑和压力患者提供的特殊照顾也比对抑郁患者更多。
与焦虑和压力的影响相比，受访者对抑郁对患者牙周治疗反应的影响了解明显较少。鉴于有关抑郁、疼痛、止痛药使用和伤口愈合之间关系的证据，重要的是要让牙周病医生了解焦虑和压力的作用以及抑郁对其患者牙周治疗反应的重要性。
