Faculty of Health and Society, Malmö University, Malmö, Sweden.
Int J Ment Health Nurs. 2010 Feb;19(1):62-70. doi: 10.1111/j.1447-0349.2009.00639.x.
Research related to oral health in people with mental health problems may deepen our understanding of the quality of life of such individuals. This study aimed to investigate the relationship between oral status, health perceptions and life satisfaction, and their impacts on oral health-related quality of life (OHQoL). Data were collected from 113 patients in outpatient psychiatric care using a structured interview and an oral examination. Six multivariate models (one comprising the total population, three separate diagnostic groups, and two sex groups) investigated the variance in OHQoL. In the total population, the number of teeth, subjective life satisfaction, perception of physical health, sex, and relying on chance accounted for 40% of the variance. In the group consisting of patients diagnosed with schizophrenia 41% of the variance was explained by the variables 'number of teeth' and 'perception of physical health'. In the group diagnosed with mood disorders, the variable 'number of teeth' accounted for 58% of the variance. The variance in the remaining group of diagnoses was explained, up to 38%, by life satisfaction and reliance on chance. The sex models revealed significant differences: men considered the responsibility of caring for their oral health as a health matter, while women saw oral health as a more subjective issue. The perception of OHQoL was found to be dependent on the particular psychiatric diagnosis and sex. Such findings can be of use in the development of rehabilitation, as well as preventive strategies that could be individually tailored to maintain OHQoL and oral health.
研究心理健康问题人群的口腔健康状况可能会加深我们对这类人群生活质量的理解。本研究旨在调查口腔状况、健康感知和生活满意度之间的关系及其对口腔健康相关生活质量（OHQoL）的影响。通过结构化访谈和口腔检查，从 113 名门诊精神科患者中收集数据。使用六个多元模型（一个包含总人口，三个单独的诊断组和两个性别组）来研究 OHQoL 的差异。在总人口中，牙齿数量、主观生活满意度、对身体健康的感知、性别和依赖机会解释了 OHQoL 方差的 40%。在被诊断为精神分裂症的患者组中，“牙齿数量”和“对身体健康的感知”这两个变量解释了 41%的方差。在被诊断为情绪障碍的患者组中，“牙齿数量”变量解释了 58%的方差。其余诊断组的方差则通过生活满意度和依赖机会解释，最高可达 38%。性别模型揭示了显著差异：男性认为照顾口腔健康的责任是健康问题，而女性则将口腔健康视为更主观的问题。OHQoL 的感知取决于特定的精神科诊断和性别。这些发现可用于制定康复和预防策略，这些策略可以根据个人情况量身定制，以维持 OHQoL 和口腔健康。
