Yang S E, Park Y G, Han K, Min J A, Kim S Y
Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
J Oral Rehabil. 2016 Jan;43(1):51-8. doi: 10.1111/joor.12343. Epub 2015 Sep 4.
The purpose of this study was to evaluate the relationships between the prevalence of depression and dental pain using a well characterised, nationally representative, population-based study. This study analysed data from the 2012 Korea National Health and Nutrition Examination Survey (n = 4886). Oral health status was assessed using the oral health questionnaire, and oral examination was performed by trained dentists. Depression was defined as the participant having been diagnosed as depression during the previous year. Logistic regression was applied to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CI), controlling for a range of covariates. Results demonstrated that participants included in 'root canal treatment is necessary' showed higher prevalence of self-reported dental pain; in particular, participants with depression presented more dental pain than those without depression. After adjusting for sociodemographic factors, self-reported dental pain increased in participants with depression. The AOR (95% CI) for having self-reported dental pain was 1·58 (1·08-2·33) in dentists' diagnosis of no dental pain/depression group, 1·62 (1·32-1·98) in dentists' diagnosis of dental pain/no depression group and 2·84 (1·10-7·37) in dentists' diagnosis of dental pain/depression group. It was concluded that depression was associated with dental pain after adjustment for potential confounders in Korean adults. Thus, dentists should consider the possible presence of psychopathology when treating patients with dental pain.
本研究旨在通过一项具有充分特征、全国代表性的基于人群的研究，评估抑郁症患病率与牙痛之间的关系。本研究分析了2012年韩国国民健康与营养检查调查（n = 4886）的数据。使用口腔健康问卷评估口腔健康状况，并由经过培训的牙医进行口腔检查。抑郁症定义为参与者在前一年被诊断为患有抑郁症。应用逻辑回归来估计调整后的优势比（AOR）和95%置信区间（CI），并控制一系列协变量。结果表明，被纳入“需要进行根管治疗”的参与者自我报告的牙痛患病率较高；特别是，患有抑郁症的参与者比没有抑郁症的参与者表现出更多的牙痛。在调整社会人口学因素后，患有抑郁症的参与者自我报告的牙痛有所增加。在牙医诊断为无牙痛/无抑郁症组中，自我报告牙痛的AOR（95%CI）为1.58（1.08 - 2.33），在牙医诊断为牙痛/无抑郁症组中为1.62（1.32 - 1.98），在牙医诊断为牙痛/抑郁症组中为2.84（1.10 - 7.37）。得出的结论是，在调整韩国成年人的潜在混杂因素后，抑郁症与牙痛有关。因此，牙医在治疗牙痛患者时应考虑可能存在的精神病理学问题。
