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女性灼口综合征患者的性欲、情绪障碍及睡眠障碍:一项对照研究。

Sexual desire, mood disorders and sleep disturbances in female BMS patients: A controlled study.

作者信息

Leuci Stefania, Coppola Noemi, Adamo Daniela, Crocetto Felice, Barone Biagio, Baldares Stefania, Canfora Federica, Mignogna Michele Davide

机构信息

Department of Neuroscience, Reproductive and Odontostomatological Sciences, Oral Medicine Unit, University of Naples Federico II, Naples, Italy.

Department of Neuroscience, Reproductive and Odontostomatological Sciences, Urology and Andrology Unit, University of Naples Federico II, Naples, Italy.

出版信息

J Oral Pathol Med. 2023 Mar;52(3):276-282. doi: 10.1111/jop.13362. Epub 2022 Oct 3.

Abstract

BACKGROUND

Burning mouth syndrome is a chronic orofacial pain with intraoral burning and other oral dysaesthetic symptoms that significantly affects the quality of life. The aim of this study is to evaluate the sexual desire in women with BMS and to investigate the possible related factors.

METHODS

A case-control study was performed. BMS patients were enrolled according to the International Classification of OroFacial Pain criteria. Demographic variables were collected. We evaluated pain with the Numeric Rating Scale (NRS), Visual Analogue Scale (VAS) and Total Pain Rating Index (T-PRI), anxiety and depression using the Hospital Anxiety and Depression Scale (HADS-A e HADS-D), sleep disturbances with Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS), and sexual desire using Sexual Desire Inventory (SDI).

RESULTS

A total of 50 BMS women and 50 healthy controls were enrolled. Compared with the controls, the BMS patients showed higher scores in the NRS (7,81 ± 1,71 vs. 0,14 ± 0.40; p < 0.0001), TPR-I (10,50 ± 4,86 vs. 0,36 ± 1,06; p < 0.0001), HADS-A (11,86 ± 2,85 vs. 3,90 ± 2,81; p < 0.0001), HADS-D (8,04 ± 3,18 vs. 1,42 ± 1,86; p < 0.0001) and PSQI (9,04 ± 2,62 vs. 4,64 ± 3,27; p < 0.0001). The mean SDI in the study group was significantly lower compared to healthy controls (32,36 ± 14,45 vs. 69,70 ± 19,94; p < 0.0001). No correlation was found between SDI and others items explored.

CONCLUSION

In line with previous studies, anxiety, depression and sleep disturbances are more common in BMS patients than in healthy population. This pilot study demonstrates for the first time an association between BMS and low sexual desire.

摘要

背景

灼口综合征是一种慢性口面部疼痛,伴有口腔内烧灼感及其他口腔感觉异常症状,严重影响生活质量。本研究旨在评估灼口综合征女性患者的性欲,并探究可能的相关因素。

方法

进行了一项病例对照研究。根据国际口面部疼痛分类标准纳入灼口综合征患者。收集人口统计学变量。我们使用数字评分量表(NRS)、视觉模拟量表(VAS)和总疼痛评分指数(T-PRI)评估疼痛,使用医院焦虑抑郁量表(HADS-A和HADS-D)评估焦虑和抑郁,使用匹兹堡睡眠质量指数(PSQI)和爱泼华嗜睡量表(ESS)评估睡眠障碍,使用性欲量表(SDI)评估性欲。

结果

共纳入50例灼口综合征女性患者和50例健康对照。与对照组相比,灼口综合征患者在NRS(7.81±1.71 vs. 0.14±0.40;p<0.0001)、TPR-I(10.50±4.86 vs. 0.36±1.06;p<0.0001)、HADS-A(11.86±2.85 vs. 3.90±2.81;p<0.0001)、HADS-D(8.04±3.18 vs. 1.42±1.86;p<0.0001)和PSQI(9.04±2.62 vs. 4.64±3.27;p<0.0001)上得分更高。研究组的平均SDI显著低于健康对照组(32.36±14.45 vs. 69.70±19.94;p<0.0001)。未发现SDI与其他所探究项目之间存在相关性。

结论

与先前研究一致,灼口综合征患者中焦虑、抑郁和睡眠障碍比健康人群更常见。这项初步研究首次证明了灼口综合征与低性欲之间的关联。

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