关节障碍与精神和行为障碍之间的关联 - 一项基于全国人口的横截面研究
Younjung Park1,2, Sora Yoon3, Joon-Ho Yoon4
1Department of Orofacial Pain and Oral Medicine, Yonsei University College of Dentistry, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Clinical oral investigations
|April 8, 2025
概括
部疾病 (TMDs) 与精神和行为障碍 (MBDs) 有关. TMD患者需要对MBD症状进行监测,以改善综合护理和治疗结果.
科学领域:
- 精神病学和行为科学
- 口腔和牙面部外科手术
- 流行病学 流行病学
背景情况:
- 以前的研究表明,关疾病 (TMD) 与心理健康状况之间存在联系.
- 之前研究的方法限制,如缺乏对照组和依赖自我报告,阻碍了最终的结论.
研究的目的:
- 在被诊断为TMD的患者中调查特定精神和行为障碍 (MBD) 的发生率.
- 利用一个大规模的国家数据集与倾向得分匹配的控制来进行可靠的分析.
主要方法:
- 一项使用韩国国家健康保险服务 (NHIS) 数据库 (2006-2019) 的回顾性队列研究.
- 包括713,473个人在TMD和非TMD组中,通过倾向分数匹配.
- 考克斯比例危险回归分析,以计算与TMD诊断相关的MBD的调整危险比率 (aHR) 和95%置信区间 (CI).
主要成果:
- TMD患者表现出与神经性,压力相关和体形疾病 (aHR=1.65),情绪障碍 (aHR=1.58) 和行为综合征 (aHR=1.50) 的相关性显著更高.
- 具有最强烈关联的特定MBD包括体形疾病 (aHR=1.79),焦虑 (aHR=1.65),抑郁症 (aHR=1.61) 和睡眠障碍 (aHR=1.50).
结论:
- 部疾病 (TMDs) 与精神和行为障碍 (MBDs) 的发病率增加有关.
- 在TMD患者中,对MBD症状的临床监测至关重要,因为这些情况可能会加剧TMD.
- 建议采用多学科的管理,包括MBD查和及时的心理干预,以改善TMD治疗结果.
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