Thomson W Murray, Caspi Avshalom, Poulton Richie, Moffitt Terrie E, Broadbent Jonathan M
Department of Oral Sciences, Sir John Walsh Research Institute, School of Dentistry, The University of Otago, Dunedin, New Zealand.
Eur J Oral Sci. 2011 Oct;119(5):366-72. doi: 10.1111/j.1600-0722.2011.00840.x. Epub 2011 Jul 18.
We investigated age-26 personality characteristics and age-32 oral health in a prospective study of a complete birth cohort born in Dunedin, New Zealand. Personality was measured using the Multidimensional Personality Questionnaire (MPQ). Oral health was measured using the short-form Oral Health Impact Profile (OHIP-14), a global measure, and dental examinations. Personality profiles were constructed for 916 individuals (50.8% men) using standardized MPQ scores, and multivariate analyses examined their association with oral health. Those reporting 1+ OHIP-14 impacts had higher Negative Emotionality scores (and lower Constraint and Positive Emotionality MPQ superfactor scores) than those who did not. After controlling for gender, clinical status, and the other two MPQ superfactors, those scoring higher on Negative Emotionality had a greater risk of reporting 1+ OHIP-14 impacts, as well as 3+ OHIP-14 impacts and worse-than-average oral health. They also had a greater risk of having lost at least one tooth from caries and of having 3+ decayed surfaces. Personality characteristics appear to shape self-reports of oral health. Personality is also a risk factor for clinical disease status, at least with respect to dental caries and its sequelae. Because the attitudes and values tapped into by personality tests can be altered by brief cognitive interventions, those might be useful in preventive dentistry.
在一项对新西兰达尼丁出生的完整出生队列的前瞻性研究中,我们调查了26岁时的人格特征和32岁时的口腔健康状况。使用多维人格问卷(MPQ)测量人格。使用简版口腔健康影响程度量表(OHIP - 14,一种综合测量方法)和牙科检查来测量口腔健康。利用标准化的MPQ分数为916名个体(50.8%为男性)构建人格档案,并通过多变量分析研究它们与口腔健康的关联。报告有1项及以上OHIP - 14影响的人比未报告者具有更高的消极情绪得分(以及更低的约束性和积极情绪MPQ超因素得分)。在控制了性别、临床状况和其他两个MPQ超因素后,消极情绪得分较高的人报告有1项及以上OHIP - 14影响、3项及以上OHIP - 14影响以及口腔健康低于平均水平的风险更大。他们患龋齿导致至少掉一颗牙以及有3个及以上龋坏面的风险也更大。人格特征似乎会影响口腔健康的自我报告。人格也是临床疾病状态的一个风险因素,至少在龋齿及其后遗症方面如此。由于人格测试所涉及的态度和价值观可以通过简短的认知干预加以改变,因此这些干预可能在预防牙科中有用。