Vali Armita, Roohafza Hamidreza, Keshteli Ammar Hassanzadeh, Afghari Parastoo, Javad Shirani Mohamad, Afshar Hamid, Savabi Omid, Adibi Peyman
Endodontics Department, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Int Dent J. 2015 Jun;65(3):120-6. doi: 10.1111/idj.12153. Epub 2015 Mar 6.
Subjective halitosis is a growing concern in the fields of dentistry and psychology. This study was designed to determine the association between subjective halitosis and contributing psychological factors.
Data for this cross-sectional study were gathered from 4,763 participants who had answered questions on subjective halitosis and psychological factors (depression, anxiety, stress and personality traits) in the study on the epidemiology of psychological, alimentary health and nutrition (SEPAHAN). Binary logistic regression was used for data analysis.
The mean age of all subjects was 36.58 years; and the majority of subjects were female (55.8%), married (81.2%) and graduates (57.2%). The prevalence of subjective halitosis was 52.8%. The majority of subjects with the complaint of subjective halitosis were married (P<0.001) and young (P=0.07). Participants with subjective halitosis were significantly more anxious [odds ratio (OR)=1.76, 95% confidence interval (95% CI): 1.38-2.24], stressed (OR=1.41, 95% CI: 1.17-1.71) and depressed (OR=1.31, 95% CI: 1.09-1.57). Among personality traits, neuroticism was a risk factor (tertile 1 vs. tertile 2: OR=1.29, 95% CI: 1.09-1.51; and tertile 1 vs. tertile 3: OR=1.74, 95% CI: 1.43-2.13) and conscientiousness was revealed to be a protective factor (tertile 1 vs. tertile 2: OR=0.82, 95% CI: 0.70-0.98; and tertile 1 vs. tertile 3: OR=0.65, 95% CI: 0.53-0.80).
It seems that psychological factors, such as anxiety, depression and stress, as well as some personality traits, can be considered as risk factors for subjective halitosis. Multidisciplinary efforts by dental and psychological professionals must be considered to address this problem.
主观口臭在牙科和心理学领域日益受到关注。本研究旨在确定主观口臭与相关心理因素之间的关联。
本横断面研究的数据来自4763名参与者，他们在心理、饮食健康与营养流行病学研究（SEPAHAN）中回答了有关主观口臭和心理因素（抑郁、焦虑、压力和人格特质）的问题。采用二元逻辑回归进行数据分析。
所有受试者的平均年龄为36.58岁；大多数受试者为女性（55.8%）、已婚（81.2%）且为毕业生（57.2%）。主观口臭的患病率为52.8%。主诉主观口臭的大多数受试者已婚（P<0.001）且年轻（P=0.07）。有主观口臭的参与者焦虑程度显著更高[比值比（OR）=1.76，95%置信区间（95%CI）：1.38 - 2.24]、压力更大（OR=1.41，95%CI：1.17 - 1.71）且抑郁程度更高（OR=1.31，95%CI：1.09 - 1.57）。在人格特质方面，神经质是一个风险因素（第一三分位数与第二三分位数比较：OR=1.29，95%CI：1.09 - 1.51；第一三分位数与第三三分位数比较：OR=1.74，95%CI：1.43 - 2.13），而尽责性是一个保护因素（第一三分位数与第二三分位数比较：OR=0.82，95%CI：0.70 - 0.98；第一三分位数与第三三分位数比较：OR=0.65，95%CI：0.53 - 0.80）。
似乎焦虑、抑郁和压力等心理因素以及一些人格特质可被视为主观口臭的风险因素。必须考虑牙科和心理学专业人员的多学科努力来解决这一问题。
