CAJ | 학술논문

目的:探讨慢性牙周炎(chronic periodontitis, CP)与抑郁-焦虑心理因素的关系.方法:选择CP患者31例,另选择与CP组年龄、性别匹配的健康体检者及志愿者29名为对照组.以问卷方式调查2组受试者的一般资料和口腔卫生习惯及抑郁症状自评量表CES-D和焦虑自评量表ASA;对受试者进行临床牙周检查,记录反映牙周状况的各参数;采用方差分析、χ2检验和多因素Logistic逐步回归分析进行统计学分析.结果:临床附着丧失(clinical attachment loss,CAL)对照组为(0.46±0.16) mm,中度CP为(2.84±0.12) mm,高度CP为(3.51±0.34) mm,重度CP为(4.71±0.51) mm.各组间CAL差异有统计学意义(P＜0.01).对照组,中度CP组,高度CP组,重度CP组抑郁心理指数依次为30.52±3.73,35.83±7.76,37.25±6.16,37.82±5.94;焦虑心理指数依次为26.69±3.55,37.67±6.31,32.87±5.54,35.94±6.30.CP组抑郁、焦虑心理指数高于对照组,差异有统计学意义(P＜0.01),CP组间的抑郁、焦虑心理指数差异无统计学意义(P>0.05).经CP与抑郁-焦虑心理因素的多因素Logistic回归分析显示:抑郁心理指数在回归方程中B=2.301,OR=9.988;而积极乐观的心理应对方式在回归方程中B=-5.174,OR=0.006. 结论:抑郁、焦虑心理因素与CP发生发展相关,积极乐观的心理应对方式对CP则起保护作用.
목적:탐토만성아주염(chronic periodontitis, CP)여억욱-초필심리인소적관계.방법:선택CP환자31례,령선택여CP조년령、성별필배적건강체검자급지원자29명위대조조.이문권방식조사2조수시자적일반자료화구강위생습관급억욱증상자평량표CES-D화초필자평량표ASA;대수시자진행림상아주검사,기록반영아주상황적각삼수;채용방차분석、χ2검험화다인소Logistic축보회귀분석진행통계학분석.결과:림상부착상실(clinical attachment loss,CAL)대조조위(0.46±0.16) mm,중도CP위(2.84±0.12) mm,고도CP위(3.51±0.34) mm,중도CP위(4.71±0.51) mm.각조간CAL차이유통계학의의(P＜0.01).대조조,중도CP조,고도CP조,중도CP조억욱심리지수의차위30.52±3.73,35.83±7.76,37.25±6.16,37.82±5.94;초필심리지수의차위26.69±3.55,37.67±6.31,32.87±5.54,35.94±6.30.CP조억욱、초필심리지수고우대조조,차이유통계학의의(P＜0.01),CP조간적억욱、초필심리지수차이무통계학의의(P>0.05).경CP여억욱-초필심리인소적다인소Logistic회귀분석현시:억욱심리지수재회귀방정중B=2.301,OR=9.988;이적겁악관적심리응대방식재회귀방정중B=-5.174,OR=0.006. 결론:억욱、초필심리인소여CP발생발전상관,적겁악관적심리응대방식대CP칙기보호작용.