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牙周健康及其与心理压力的关系:一项横断面研究。

Periodontal Health and Its Relationship with Psychological Stress: A Cross-Sectional Study.

作者信息

Macrì Monica, D'Albis Giuseppe, D'Albis Vincenzo, Antonacci Anna, Abbinante Antonia, Stefanelli Riccardo, Pegreffi Francesco, Festa Felice

机构信息

Department of Innovative Technologies in Medicine & Dentistry, University "G. D'Annunzio" of Chieti-Pescara, 66100 Chieti, Italy.

Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.

出版信息

J Clin Med. 2024 May 16;13(10):2942. doi: 10.3390/jcm13102942.

Abstract

: Studies suggest that chronic psychological stress can lead to oral health deterioration, alter the immune response, and possibly contribute to increased inflammation, which can impact the physiological healing of periodontal tissues. This cross-sectional study seeks to assess and improve clinical understanding regarding the relationship between perceived stress, mindfulness, and periodontal health. : A total of 203 people were analyzed from December 2022 to June 2023. The Periodontal Screening and Recording (PSR) score and Gingival Bleeding Index (GBI), and Plaque Control Record (PCR) of every patient were registered. Subsequently, participants completed the Sheldon Cohen Perceived Stress Scale (PSS) and the Mindfulness Awareness Attention Scale (MAAS) questionnaires. The collected data underwent statistical analysis, encompassing the evaluation of correlations and dependencies. Applying Welch's -test to assess the relationship between MAAS and the variable indicating the presence or absence of periodontitis, a noteworthy -value of 0.004265 was obtained. : This underscores a significant distinction in MAAS scores between patients affected by periodontitis and those unaffected by the condition. Additionally, Pearson correlations were computed for GBI and perceived stress, PCR and perceived stress, PCR and MAAS. The resulting -values of 2.2-16, 3.925-8, and 2.468-8, respectively, indicate a statistically significant correlation in each instance. : These findings contribute valuable insights into the interconnectedness of these variables, emphasizing the significance of their associations in the study context. Despite the limitations, the findings of this study suggest a significant relationship between psychological stress, mindfulness, and periodontal tissue health. Clinical trials are necessary to incorporate the assessment of a patient's psychological status as a new valuable tool in the management of periodontal health.

摘要

研究表明,慢性心理压力会导致口腔健康恶化,改变免疫反应,并可能导致炎症增加,进而影响牙周组织的生理愈合。这项横断面研究旨在评估并增进对感知压力、正念与牙周健康之间关系的临床理解。

2022年12月至2023年6月期间,共对203人进行了分析。记录了每位患者的牙周筛查与记录(PSR)评分、牙龈出血指数(GBI)以及菌斑控制记录(PCR)。随后,参与者完成了谢尔顿·科恩感知压力量表(PSS)和正念意识注意力量表(MAAS)问卷。对收集到的数据进行了统计分析,包括相关性和依存性评估。应用韦尔奇t检验评估MAAS与表明是否患有牙周炎的变量之间的关系,得出了一个值得注意的p值0.004265。

这凸显了患有牙周炎的患者与未患该疾病的患者在MAAS评分上的显著差异。此外,还计算了GBI与感知压力、PCR与感知压力、PCR与MAAS之间的皮尔逊相关性。所得的p值分别为2.2 - 16、3.925 - 8和2.468 - 8,表明在每种情况下均存在统计学上的显著相关性。

这些发现为这些变量之间的相互联系提供了有价值的见解,强调了它们在研究背景下关联的重要性。尽管存在局限性,但本研究结果表明心理压力、正念与牙周组织健康之间存在显著关系。有必要进行临床试验,将评估患者心理状态作为牙周健康管理中的一种新的有价值工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6068/11122378/9d27196d9443/jcm-13-02942-g001.jpg

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