Servicio de Rehabilitación, Hospital de Zamudio, Osakidetza, Zamudio, Vizcaya, Spain.
Psychiatry Res. 2011 Jun 30;188(1):24-8. doi: 10.1016/j.psychres.2010.09.012. Epub 2010 Nov 4.
The objectives of this study were to evaluate the oral health of a group of schizophrenic outpatients and a control group without psychiatric illness. The study also aimed to assess the influence of positive and negative symptomatology on oral health among outpatients with schizophrenia. The DMF-T Index (sum of decayed, missing and filled teeth) and the Community Periodontal Index of Treatment Needs (CPITN) were assessed in both groups. We evaluated the psychopathological state of the patient group using the Positive and Negative Syndrome Scale (PANSS). The schizophrenic patients had higher scores than the control group with respect to decayed teeth (4.39 vs. 0.72), missing teeth (5.66 vs. 1.50), the DMF-T index (13.51 vs. 7.8) and CPITN (2.32 vs. 1.04); and lower scores for filled teeth (3.53 vs. 5.54). The PANSS negative subscale score correlated positively with the oral health variables studied, whereas the PANSS positive subscale score correlated negatively and exclusively with the number of missing teeth. Age and smoking status affected oral health in both groups, but even when the influence of these factors was considered, the oral health of the patients was poorer than that of the control group.
本研究旨在评估一组精神分裂症门诊患者和一组无精神疾病的对照组的口腔健康状况。此外，还评估了阳性和阴性症状学对精神分裂症门诊患者口腔健康的影响。DMF-T 指数（龋失补牙数）和社区牙周治疗需要指数（CPITN）在两组中均进行了评估。使用阳性和阴性症状量表（PANSS）评估患者组的精神病理状态。与对照组相比，精神分裂症患者的龋齿（4.39 比 0.72）、缺牙（5.66 比 1.50）、DMF-T 指数（13.51 比 7.8）和 CPITN（2.32 比 1.04）得分更高；而补牙（3.53 比 5.54）得分较低。PANSS 阴性量表评分与所研究的口腔健康变量呈正相关，而 PANSS 阳性量表评分与缺牙数量呈负相关且具有排他性。年龄和吸烟状况均影响两组的口腔健康，但即使考虑到这些因素的影响，患者的口腔健康仍比对照组差。
