High prevalence of stress and suicidal ideation in women with temporomandibular disorder: A population-based cross-sectional survey

High prevalence of stress and suicidal ideation in women with temporomandibular disorder: A population-based cross-sectional survey
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DOI:
10.1080/08869634.2020.1721174
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发表时间:
2020-02-01
影响因子:
1.6
通讯作者:
Pyo, Sung Woon
Pyo, Sung Woon
中科院分区:
医学4区
文献类型:
--
作者:
Park, Suhyun;Heo, Hyun A.;Pyo, Sung Woon

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目的:在具有代表性的大样本中,按性别探讨颞下颌关节紊乱病(TMD)与心理因素的关系。方法:参与者提供人口统计学、社会经济和行为信息,并回答问卷,评估心理健康状况,包括感知的压力、情绪障碍、自杀意念和抑郁症的诊断。统计分析性别与TMD及其危险因素的关系,以及心理因素与TMD的关系。结果:在男性中,感觉到的压力与TMD高度相关。然而,在女性中,不仅是感觉到的压力,还有自杀意念都显示出显著高的TMD发生率。在控制混杂因素后,自杀意念与女性的TMD显著相关。讨论:目前的结果提供证据表明,TMD与男女压力和自杀意念有关,尤其是在女性中。本研究对TMD患者自杀意念的筛查和评估具有重要意义。
Objective: To investigate the association between temporomandibular disorders (TMD) and psychological factors according to gender in a large representative sample. Methods: Participants provided demographic, socio-economic, and behavioral information and responded to questionnaires assessing mental health status regarding perceived stress, mood disturbance, suicidal ideation, and diagnosis of depression. The association between TMD and its risk factors by gender and the association between psychological factors and TMD were statistically analyzed. Results: In men, perceived stress was highly associated with TMD. However, in women, not only perceived stress but suicidal ideation showed significantly high rates of TMD. The suicidal ideation was significantly associated with TMD in women after controlling confounders. Discussion: Current results provide evidence that TMD is associated with stress in both genders and with suicidal ideation, especially in women. This study has important implications for intense screening and evaluation of suicidal ideation among patients with TMD according to gender.