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人格特质与口腔矫治器:提高阻塞性睡眠呼吸暂停低通气综合征及打鼾患者对下颌前移矫治器治疗依从性的新挑战。

Personality traits and oral device: a new challenge to increase compliance with MAD therapy for OSAS and snoring.

作者信息

Mezzofranco Luca, Gracco Antonio Luigi Tiberio, Milano Francesca, Di-Bernardo Gian Antonio, Vezzali Loris, Giovannini Dino

机构信息

University of Padua, Department of Neurosciences - Padova - Italy.

Private practice, Private practice - Bologna - Italy.

出版信息

Sleep Sci. 2020 Jan-Mar;13(1):10-17. doi: 10.5935/1984-0063.20190124.

Abstract

Obstructive Sleep Apnea Syndrome (OSAS) is a respiratory syndrome and oral devices can be used for its treatment. This study aimed to evaluate the opinions of a generic subject about being treated by a dentist for a general health problem and the association between personality traits and the predisposition to use a MAD for the treatment of OSAS and snorting. One hundred and forty-eight participants were enrolled in the study and were asked to fill in the questionnaires. Personality traits were evaluated using NFC (Need for Closure), PER (openness to new experiences), STAI-Trait and STAI-Stat questionnaires (State-Trait Anxiety Inventory). The propensity to be treated with dental devices for a general health problem such as OSAS and snoring was evaluated with a specific questionnaire. Eight out of ten participants would accept to use dental device to be kept at night for the solution of a health problem or the treatment of a disease that does not affect the teeth. A positive opinion on device used to treat OSAS was associated with higher PER and lower Mad-related distress, while the opinion of usefulness of the device was positively associated with higher PER and STAI-Trait. A positive opinion about treatment of snorting and OSAS using dental devices was associated with higher PER, while lower STAI-Trait was associated with positive opinion on treatment of snorting using dental-devices. The results suggest that some personality traits are associated with the propensity to use MAD to treat a general pathology as OSAS.

摘要

阻塞性睡眠呼吸暂停综合征(OSAS)是一种呼吸综合征,口腔矫治器可用于其治疗。本研究旨在评估普通受试者对于因一般健康问题接受牙医治疗的看法,以及人格特质与使用下颌前移矫治器(MAD)治疗OSAS和打鼾倾向之间的关联。148名参与者被纳入研究,并被要求填写问卷。使用闭合需求(NFC)、对新体验的开放性(PER)、状态-特质焦虑量表(STAI)特质问卷和STAI状态问卷来评估人格特质。使用一份特定问卷评估因OSAS和打鼾等一般健康问题而接受牙科矫治器治疗的倾向。十分之八的参与者会接受使用夜间佩戴的牙科矫治器来解决健康问题或治疗不影响牙齿的疾病。对用于治疗OSAS的矫治器的积极看法与较高的PER和较低的与MAD相关的痛苦有关,而对该矫治器有用性的看法与较高的PER和STAI特质呈正相关。对使用牙科矫治器治疗打鼾和OSAS的积极看法与较高的PER有关,而较低的STAI特质与对使用牙科矫治器治疗打鼾的积极看法有关。结果表明,一些人格特质与使用MAD治疗如OSAS等一般疾病的倾向有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e47b/7347371/3a5e0d20988b/ssci-13-01-0010-g01.jpg

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