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韩国成年人中与生活质量和心理健康相关的牙痛

Dental pain related to quality of life and mental health in South Korean adults.

作者信息

Yang Sung-Eun, Park Yong-Gyu, Han Kyungdo, Min Jung-Ah, Kim Sin-Young

机构信息

a Department of Conservative Dentistry , Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea , Seoul , Republic of Korea.

b Department of Biostatistics , College of Medicine, The Catholic University of Korea , Seoul , Republic of Korea.

出版信息

Psychol Health Med. 2016 Dec;21(8):981-92. doi: 10.1080/13548506.2015.1098781. Epub 2015 Oct 10.

Abstract

High levels of stress, anxiety and depression have been reported in patients with orofacial pain. Dental pain has the potential to reduce quality of life (QOL), and pain relief is important aspect of QOL. The purpose of this study was to assess the relationships of dental pain with QOL and mental health using a nationally representative, population-based study. This study analyzed data from the 2012 Korea National Health and Nutrition Examination Survey (N = 5469). Oral health status was assessed using the oral health questionnaire, and oral examination was performed by trained dentists. Health-related QOL (HRQOL) was evaluated using EQ-5D and EQ-VAS, and mental health was evaluated by questionnaires. Logistic regression was applied to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CI). Among 5469 adults, 1992 (36.42%) presented self-reported dental pain. Participants with anxiety/depression or pain/discomfort, and participants with stress, melancholy, suicidal thought or depression showed significantly higher prevalence of dental pain. After adjusting for covariates, five aspects of QOL and five aspects of mental health were related with dental pain. The AORs (95% CI) for dental pain were 1.39 (1.06-1.81) for mobility, 1.77 (1.19-2.63) for self-care, 1.38 (1.02-1.85) for usual activities, 1.73 (1.43-2.09) for pain/discomfort and 1.50 (1.13-1.98) for anxiety/depression. For mental health status factors, the AORs (95% CI) for dental pain were 1.29 (1.11-1.51) for stress, 1.37 (1.09-1.74) for melancholy, 1.26 (1.01-1.58) for suicidal thoughts, 1.43 (.93-2.19) for consultation to psychiatrist and 1.53 (1.07-2.19) for depression. This study showed that dental pain has an association with lower HRQOL and worse mental health status in South Korean adults.

摘要

据报道,口面部疼痛患者存在高水平的压力、焦虑和抑郁。牙痛有可能降低生活质量(QOL),而缓解疼痛是生活质量的重要方面。本研究旨在通过一项具有全国代表性的基于人群的研究,评估牙痛与生活质量和心理健康之间的关系。本研究分析了2012年韩国国家健康与营养检查调查的数据(N = 5469)。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。使用EQ-5D和EQ-VAS评估健康相关生活质量(HRQOL),并通过问卷评估心理健康。应用逻辑回归来估计调整后的优势比(AOR)和95%置信区间(CI)。在5469名成年人中,1992人(36.42%)自述有牙痛。患有焦虑/抑郁或疼痛/不适的参与者,以及有压力、忧郁、自杀念头或抑郁的参与者,牙痛患病率显著更高。在对协变量进行调整后,生活质量的五个方面和心理健康的五个方面与牙痛有关。牙痛的AOR(95%CI)在活动能力方面为1.39(1.06 - 1.81),自我护理方面为1.77(1.19 - 2.63),日常活动方面为1.38(1.02 - 1.85),疼痛/不适方面为1.73(1.43 - 2.09),焦虑/抑郁方面为1.50(1.13 - 1.98)。对于心理健康状况因素,牙痛的AOR(95%CI)在压力方面为1.29(1.11 - 1.51),忧郁方面为1.37(1.09 - 1.74),自杀念头方面为1.26(1.01 - 1.58),咨询精神科医生方面为1.43(.93 - 2.19),抑郁方面为1.53(1.07 - 2.19)。本研究表明,在韩国成年人中,牙痛与较低的健康相关生活质量和较差的心理健康状况有关。

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