Is depressive symptomatology associated with worse oral functioning and well-being among older adults?
Is depressive symptomatology associated with worse oral functioning and well-being among older adults?
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DOI：
10.1111/j.1752-7325.2002.tb03414.x
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发表时间：
2002-12-01
影响因子：
2.3
通讯作者：
Jones, JA
中科院分区：
文献类型：
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作者：
Kressin, NR;Spiro, A;Jones, JA
目标：尽管抑郁症会对个人的身体功能和健康产生负面影响，但以前尚未研究过它与口腔功能和健康的关系。本研究的目的是检查抑郁症状与口腔生活质量之间的关联。方法：我们利用了两个老年人样本的数据：在洛杉矶使用社区初级保健医生的社区居民参与者 (n=1,653) 和通过波士顿大都市区的四个退伍军人事务部设施寻求门诊护理的个人 (n=212)。使用 CES-D 量表测量抑郁症状；口腔生活质量通过老年口腔健康评估仪器和口腔健康相关生活质量测量来测量。我们进行了层次回归分析，以检查抑郁症对口腔生活质量的影响，控制自我报告的口腔健康、年龄、教育、收入和婚姻状况。结果：在控制社会人口因素和自我报告的口腔健康状况的情况下，抑郁症状较重的个体口腔生活质量较差。这一发现在多个样本和两性中持续存在，并使用两种口腔生活质量衡量标准。结论：这些发现进一步强调了治疗老年人抑郁症的重要性，并表明牙医和医生在识别和转诊患者接受此类治疗方面都发挥着作用。
Objectives: Although depression negatively affects individuals' physical functioning and well-being, its association with oral functioning and well-being has not been examined previously. The objective of this study was to examine the association between depressive symptomatology and oral quality of life. Methods: We utilized data from two samples of older adults: community-dwelling participants who used community primary care physicians in Los Angeles (n=1,653) and individuals who sought ambulatory care through four Department of Veterans Affairs facilities in the Boston metropolitan area (n=212). Depressive symptomatology was measured with the CES-D scale; Oral Quality of Life was measured with the Geriatric Oral Health Assessment Instrument and the Oral Health-related Quality of Life measure. We conducted hierarchical regression analyses to examine the effects of depression on oral quality of life, controlling for self-reported oral health, age, education, income, and marital status. Results: Individuals with more depressive symptoms reported worse oral quality of life, controlling for sociodemographic factors and self-reported oral health. This finding persisted across multiple samples and both sexes, and using two measures of oral quality of life. Conclusion: These findings further emphasize the importance of treating depression among older adults, and suggest that both dentists and physicians have a role in recognizing and referring patients for such treatment.