Relationship of depressive symptoms to edentulousness, dental health, and dental health behavior
Relationship of depressive symptoms to edentulousness, dental health, and dental health behavior
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抑郁症状与无牙颌、牙齿健康和牙齿健康行为的关系
DOI：
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发表时间：
2001
影响因子：
2
通讯作者：
T. Sakki
中科院分区：
文献类型：
--
作者：
Sirpa Sisko Anttila;M. Knuuttila;T. Sakki
我们调查了欧卢（一个中等规模的芬兰城镇）的55岁人群中无牙、牙齿健康和牙齿健康行为与抑郁症状的关系，其中780人（78%）参与了调查。牙科检查包括口腔健康状况评估。抑郁症状采用Zung抑郁自评量表（Zung Self-Rating Depression Scale，ZEDS）进行评定。参与者还被问及他们的牙齿健康行为，吸烟习惯，健康，生活满意度以及与工作相关的因素。在不吸烟的男性中，抑郁症状与无齿症有关。当进一步进行logistic回归分析评估时，在调整混杂因素后，无牙症与该亚群中的抑郁症状独立相关（比值比= 6.4，置信区间= 1.4-29.2）。抑郁症状与龋齿、牙周状况或牙齿数量无关。有高比率的抑郁症状的女性有一个更消极的态度，以保护他们的天然牙齿，使用含糖产品更频繁，报告了更长的时间，因为他们的最后一次牙科访问，往往有一个较低的百分比填充牙齿表面比非抑郁的女性。牙科医生在治疗无牙颌患者时，应考虑到抑郁症的影响。另一方面，某些亚组的抑郁症患者可能会受益于牙科种植治疗。因此，强调了临床医生、精神科医生和牙医之间团队合作的重要性。
We investigated the relationship of edentulousness, dental health, and dental health behavior to depressive symptoms in the 55-year-old population of Oulu (a medium-sized Finnish town), 780 of whom (78%) participated. The dental examination included an assessment of oral health status. Depressive symptoms were determined with the Zung Self-Rating Depression Scale (ZSDS). The participants were also asked about their dental health behavior, smoking habits, health, life satisfaction, and factors related to their work. Depressive symptoms were associated with edentulousness among non-smoker men. When further evaluated by logistic regression analysis, edentulousness was independently associated with depressive symptoms in this subpopulation (odds ratio = 6.4, confidence interval = 1.4–29.2) after adjusting for confounding factors. Depressive symptoms were not associated with dental caries, periodontal status, or number of teeth. The dentate women with high rates of depressive symptoms had a more negative attitude towards preserving their natural teeth, used sugary products more frequently, reported a longer time since their last dental visit, and tended to have a lower percentage of filled tooth surfaces than the non-depressed dentate women. The aspect of depression should be borne in mind by dentists when treating edentulous patients. On the other hand, certain subgroups of depressed patients might benefit from dental implant therapy. Thus, the importance of teamwork between clinicians, psychiatrists, and dentists is emphasized.
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DOI：
10.1111/j.1741-2358.1995.tb00139.x
发表时间：
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期刊：
Gerodontology.
影响因子：
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作者：
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DOI：
10.14219/jada.archive.1999.0029
发表时间：
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影响因子：
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作者：
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