Department of Psychology, Indiana University-Purdue University Indianapolis, 402 N. Blackford Street, Indianapolis, IN 46202, USA.
Ann Behav Med. 2013 Jun;45(3):393-7. doi: 10.1007/s12160-013-9471-0.
Depression and anxiety have been linked to periodontal disease, an emerging risk factor for chronic diseases. However, this literature is mixed, and few studies have concurrently evaluated depression and anxiety.
We simultaneously examined the associations of depressive and anxiety disorders with periodontal disease prevalence and explored tobacco use as a mediator.
Participants were 1,979 young adults from the National Health and Nutrition Examination Survey 1999-2004 who underwent a diagnostic interview and a dental examination.
Adults with panic disorder had a threefold higher odds of having periodontal disease than those without this disorder (OR = 3.07, 95 % CI 1.17-8.02). This relationship was partially mediated by tobacco use and remained after adjustment for major depressive disorder and generalized anxiety disorder, which were not related to periodontal disease.
Young adults with panic disorder may have greater odds of having periodontal disease, in part, due to increased tobacco use.
抑郁和焦虑与牙周病有关，牙周病是慢性病的一个新出现的危险因素。然而，这方面的文献存在差异，很少有研究同时评估抑郁和焦虑。
我们同时检查了抑郁和焦虑障碍与牙周病患病率的关联，并探讨了吸烟作为中介因素的作用。
参与者为 1999-2004 年国家健康和营养调查中的 1979 名年轻成年人，他们接受了诊断性访谈和口腔检查。
与没有这种障碍的成年人相比，患有惊恐障碍的成年人患牙周病的几率高出三倍（OR=3.07，95%CI 1.17-8.02）。这种关系部分是由吸烟引起的，并且在调整了主要抑郁障碍和广泛性焦虑障碍后仍然存在，这两种障碍与牙周病无关。
年轻的惊恐障碍成年人可能有更高的牙周病患病几率，部分原因是吸烟增加。
