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35至54岁人群的个性、口干症与口腔健康相关生活质量

Personality, xerostomia and OHRQoL among 35-54-year-olds.

作者信息

Thomson W Murray, Ibrahim Hadeel, Lyons Karl M, Foster Page Lyndie A, Hanlin Suzanne M

机构信息

a Sir John Walsh Research Institute, Faculty of Dentistry , The University of Otago , Dunedin , New Zealand.

出版信息

Acta Odontol Scand. 2019 Mar;77(2):114-118. doi: 10.1080/00016357.2018.1510138. Epub 2019 Jan 9.

Abstract

OBJECTIVE

Personality characteristics mean that people may interpret similar symptoms differently, complicating the measurement of self-reported oral health, and so we tested the hypothesis that controlling for aspects of personality makes a difference to the association between xerostomia and oral-health-related quality of life.

MATERIAL AND METHODS

A cross-sectional study was conducted of a representative adult population sample in Dunedin (New Zealand). Data were collected on xerostomia, OHRQoL and personality characteristics, using (respectively) the 5-item Shortened Xerostomia Inventory (SXI), the OHIP-14 and the Positive and Negative Affect Schedule (PANAS). Negative binomial regression was used to model the association between the SXI and the OHIP-14 scores, and models with and without the PANAS score were compared.

RESULTS

The participation rate was 51.3%, with complete OHIP-14 data available for 250 individuals (56.5% female). The SXI score (mean 6.9, sd 1.8) was strongly and positively associated with the OHIP-14 score (in both models), as was the PANAS negative affect score in the second model, which also explained slightly more of the observed variance than the first model. However, the difference in model deviance fell short of the amount required to reject the hypothesis that adding the PANAS variables to the model made a significant difference.

CONCLUSIONS

Considering aspects of personality in investigating OHRQoL remains a theoretically important undertaking, but adjusting for it in analyses of associations between xerostomia and OHRQoL is unlikely to be necessary.

摘要

目的

人格特征意味着人们可能对相似症状有不同的解读,这使得自我报告的口腔健康测量变得复杂,因此我们检验了这样一个假设,即控制人格因素会对口干症与口腔健康相关生活质量之间的关联产生影响。

材料与方法

对新西兰达尼丁具有代表性的成年人群样本进行了一项横断面研究。分别使用5项简化口干症量表(SXI)、口腔健康影响程度量表(OHIP - 14)和正负性情绪量表(PANAS)收集了有关口干症、口腔健康相关生活质量和人格特征的数据。使用负二项回归对SXI和OHIP - 14得分之间的关联进行建模,并比较了包含和不包含PANAS得分的模型。

结果

参与率为51.3%,有250名个体(56.5%为女性)可获得完整的OHIP - 14数据。SXI得分(均值6.9,标准差1.8)与OHIP - 14得分在两个模型中均呈强正相关,第二个模型中的PANAS负性情绪得分也是如此,且该模型比第一个模型解释的观测方差略多。然而,模型偏差的差异未达到拒绝将PANAS变量添加到模型中会产生显著差异这一假设所需的程度。

结论

在研究口腔健康相关生活质量时考虑人格因素在理论上仍然是一项重要的工作,但在分析口干症与口腔健康相关生活质量之间的关联时对其进行调整不太可能是必要的。

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