真性口臭患者的社交焦虑障碍。
Social anxiety disorder in genuine halitosis patients.
机构信息
Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan.
出版信息
Health Qual Life Outcomes. 2011 Nov 3;9:94. doi: 10.1186/1477-7525-9-94.
BACKGROUND
There is a possibility that genuine halitosis patients' anxiety do not recover after oral malodor treatment due to their social anxiety disorder. The objective of this study was to investigate the influence of social anxiety disorder on the level of anxiety in genuine halitosis patients before and after treatment for oral malodor.
METHODS
The subjects were 262 genuine halitosis patients who visited the Fresh Breath Clinic from March, 2008 to October, 2009. The subjects who had score 2 or higher by the organoleptic test were diagnosed as genuine halitosis patients. Gas chromatography (GC) was conducted before and after oral malodor treatment for the oral malodor measurement. Based on their risk of social anxiety disorder, subjects were divided into low- and high-risk groups using the Liebowitz Social Anxiety Scale (LSAS). The questions related to oral malodor and the clinical oral examination were both conducted before oral malodor treatment. The level of anxiety before and after oral malodor treatment was evaluated using the Visual Analogue Scale of Anxiety (VAAS).
RESULTS
More than 20% of subjects had a score of 60 or more on the LSAS (high LSAS group). The mean age and the percentage of females were significantly higher in the high LSAS group compared to the low LSAS group. The high LSAS group was more likely to have problems associated with oral malodor and to adopt measures against oral malodor compared to the low LSAS group. The mean concentrations of H2S and CH3SH by GC significantly decreased after the oral malodor treatment in both LSAS groups. VAAS scores also significantly decreased after treatment in both LSAS groups. The logistic regression analysis indicated that the high LSAS group had a 2.28 times higher risk of having a post-VAAS score of 50 or more compared to the low LSAS group.
CONCLUSIONS
This study revealed that genuine halitosis patients with a strong trait of social anxiety disorder have difficulty overcoming their anxiety about oral malodor. Oral malodor treatment of genuine halitosis patients requires not only regular oral malodor treatment but also attention to social anxiety disorder.
背景
由于社交焦虑障碍，真正口臭患者的焦虑可能不会在接受口腔异味治疗后恢复。本研究的目的是调查社交焦虑障碍对接受口腔异味治疗前后真正口臭患者焦虑程度的影响。
方法
研究对象为 2008 年 3 月至 2009 年 10 月期间在清新口气诊所就诊的 262 名真正口臭患者。经嗅觉测试评分≥2 分者诊断为真正口臭患者。对口腔异味进行治疗前后进行气相色谱（GC）检测。根据他们的社交焦虑障碍风险，使用 Liebowitz 社交焦虑量表（LSAS）将受试者分为低风险组和高风险组。在口腔异味治疗前进行与口腔异味相关的问题和临床口腔检查。使用焦虑视觉模拟量表（VAAS）评估口腔异味治疗前后的焦虑程度。
结果
LSAS 得分≥60 分的受试者占 20%以上（高 LSAS 组）。与低 LSAS 组相比，高 LSAS 组的平均年龄和女性比例明显更高。与低 LSAS 组相比，高 LSAS 组更有可能出现与口腔异味相关的问题，并采取措施预防口腔异味。两组 LSAS 患者的 GC 检测 H2S 和 CH3SH 浓度在口腔异味治疗后均显著降低。VAAS 评分在两组 LSAS 患者治疗后均显著降低。Logistic 回归分析表明，与低 LSAS 组相比，高 LSAS 组治疗后 VAAS 评分≥50 的风险增加 2.28 倍。
结论
本研究表明，具有强烈社交焦虑障碍特征的真正口臭患者难以克服对口腔异味的焦虑。真正口臭患者的口腔异味治疗不仅需要常规的口腔异味治疗，还需要关注社交焦虑障碍。
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