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学科主题: 口腔医学
题名:
口腔医学本科生颞下颌关节紊乱病症状及其与心理、睡眠关系的问卷调查
作者: 夏文棣; 傅开元; 陆文昕; 赵长铭; 杨怀溢; 叶周熹
关键词: 问卷调查 ; 睡眠 ; 心理学 ; 颞下颌关节紊乱病 ; Questionnaires ; Sleep ; Psychology ; Temporomandibular disorders
刊名: 中华口腔医学杂志
发表日期: 2016
DOI: 10.3760/cma.j.issn.1002-0098.2016.09.003
卷: 51, 期:9, 页:521-525
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 调查口腔医学本科生颞下颌关节紊乱病(temporomandibular disorders,TMD)症状、心理及睡眠状况,并探讨心理、睡眠与TMD症状的关系.方法 2014年11月至2015年1月调查我国5所口腔医学院校在校本科生898人,其中男性342人,女性556人,平均(20.5±1.7)岁.采用2014版国际TMD诊断标准的症状自评问卷评估TMD症状发生率,采用抑郁焦虑压力量表21项评估抑郁、焦虑、压力情况,采用匹茨堡睡眠质量指数量表评估睡眠情况.根据有无TMD症状进行分组,分析伴TMD症状组和不伴TMD症状组心理和睡眠问题发生率差异.结果 61.9%(556/898)的本科生最近1个月至少出现过1项TMD症状,以口面痛和关节弹响多见,分别为42.3%(380/898)和34.2%(307/898),男性发生率[55.0%(188/342)]显著低于女性[66.2%(368/556)](P<0.05).伴TMD症状组抑郁、焦虑、压力和睡眠问题的发生率分别为33.5% (186/556)、63.1%(351/556)、29.5% (164/556)和30.2% (168/556),均显著高于不伴TMD症状组[分别为24.3%(83/342)、48.5%(166/342)、21.6%(74/342)和21.9%(75/342)](P<0.05).Logistic回归分析显示,有焦虑情绪的人群(OR值为1.57,95%可信区间为1.14~2.15)以及女性(OR值为1.57,95%可信区间为1.19~2.08)出现TMD症状的风险更高(P<0.05).结论 口腔医学本科生TMD症状负荷较重,并可能与心理压力,如焦虑情绪相关. Objective To investigate the prevalence of temporomandibular disorders(TMD) symptoms,psychological distress and sleep quality in a population of Chinese university students,and discuss the relationship between psychological distress,sleep quality and TMD symptoms.Methods A total of 898 stomatological university students from 5 Chinese universities(342 males and 556 females with a mean age of 20.5 years) were included in the study.Self-reported TMD symptoms using diagnostic criteria for temporomandibular disorders symptom questionnaire were collected.Depression,anxiety and stress scales-21(DASS-21) and Pittsburgh sleep quality index(PSQI) were used to measure psychological distress and sleep quality.Results 61.9% (556/898) of the stodents had TMD symptoms.The most common symptoms were pain and clicking of joint,with a prevalence of 42.3% (380/898) and 34.2% (307/898),respectively.The prevalence of depression,anxiety,stress and sleep quality among the students who had TMD symptoms was 33.5%(186/556),63.1%(351/556),29.5%(164/556) and 30.2%(243/556),respectively,which was significantly higher than those who had no TMD symptoms(24.3% [83/342],48.5% [166/342],21.6%[74/342] and 21.9%[75/342])(P<0.05).Stepwise logistic regression analysis demonstrated that anxiety (OR 1.57,95%CI 1.14-2.15) and female(OR 1.57,95%CI 1.19-2.08) were possible risk indicators for TMD symptoms(P<0.05).Conclusions Chinese university students reported a high prevalence of TMD symptoms,which may have a correlation with psychological distress symptoms such as anxiety.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
版本: 出版稿
URI标识: http://ir.bjmu.edu.cn/handle/400002259/118083
Appears in Collections:北京大学口腔医学院_口腔颌面外科_期刊论文

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作者单位: 1.100081,北京大学口腔医学院·
2.口腔医院颞下颌关节病口颌面疼痛诊治中心口腔数字化医疗技术和材料国家工程实验室 口腔数字医学北京市重点实验室
3.四川大学华西口腔医学院正畸科, 成都,610041
4.解放军第二一〇医院口腔科, 大连,116000
5.430079,武汉大学口腔医学院牙体牙髓科
6.200011,上海交通大学医学院附属第九人民医院口腔医学院口腔颌面外科上海市口腔医学研究所 上海市口腔医学重点实验室

Recommended Citation:
夏文棣,傅开元,陆文昕,等. 口腔医学本科生颞下颌关节紊乱病症状及其与心理、睡眠关系的问卷调查[J]. 中华口腔医学杂志,2016,51(9):521-525.
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