Department of Pediatric Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba/SP, Brazil.
Oral Dis. 2012 Oct;18(7):639-47. doi: 10.1111/j.1601-0825.2012.01914.x. Epub 2012 Mar 1.
To evaluate the associations between oral health-related quality of life (OHRQoL) and emotional statuses in children and preadolescents.
One hundred and forty-five Brazilian students (8-14 years) were clinically examined for caries, gingivitis, fluorosis, malocclusions, and temporomandibular disorders (TMD). OHRQoL was measured using two global ratings of oral health (OH) and overall well-being (OWB). The Revised Children's Manifest Anxiety Scale (R-CMAS) and Children's Depression Inventory (CDI) were used to assess anxiety and depression, respectively. Saliva was collected 30 min after waking and at night to determine the diurnal decline in salivary cortisol (DDSC). The results were analyzed using non-paired t test/one-way ANOVA, Pearson's correlation test, and multiple linear regression analyses.
11-14-year-old participants had higher CDI scores (P < 0.01) and DDSC concentrations (P < 0.001). Participants with fewer caries and without gingivitis had higher DDSC concentrations (P < 0.05). TMD patients had higher DDSC concentrations and OWB ratings (P < 0.001). Girls had higher Revised Children's Manifest Anxiety Scale (RCMAS) scores (P < 0.01). There was positive correlation between RCMAS and CDI scores and OWB ratings (P < 0.05). The OH model retained age (β =0.312; P < 0.001) and the OWB model retained TMD (β = 0.271; P < 0.001) and CDI scores (β=0.175; P < 0.05).
Children and preadolescents with poor emotional well-being are more sensitive to the impacts of OH and its effects on OWB.
评估儿童和青少年的口腔健康相关生活质量（OHRQoL）与情绪状态之间的关联。
对 145 名巴西学生（8-14 岁）进行临床检查，以评估龋齿、牙龈炎、氟斑牙、错颌畸形和颞下颌关节紊乱（TMD）。使用两种口腔健康整体评分（OH）和整体健康状况（OWB）来评估 OHRQoL。使用修订后的儿童 manifest 焦虑量表（R-CMAS）和儿童抑郁量表（CDI）分别评估焦虑和抑郁。收集早晨醒来后 30 分钟和夜间的唾液，以确定唾液皮质醇的日间下降（DDSC）。采用非配对 t 检验/单因素方差分析、Pearson 相关检验和多元线性回归分析进行结果分析。
11-14 岁组的 CDI 评分较高（P<0.01），DDSC 浓度较高（P<0.001）。龋齿较少且无牙龈炎的参与者 DDSC 浓度较高（P<0.05）。TMD 患者 DDSC 浓度和 OWB 评分较高（P<0.001）。女孩的修订儿童 manifest 焦虑量表（RCMAS）评分较高（P<0.01）。RCMAS 和 CDI 评分与 OWB 评分之间呈正相关（P<0.05）。OH 模型保留了年龄（β=0.312；P<0.001），OWB 模型保留了 TMD（β=0.271；P<0.001）和 CDI 评分（β=0.175；P<0.05）。
情绪健康状况不佳的儿童和青少年对口腔健康的影响及其对 OWB 的影响更为敏感。
