心理因素对老年人牙周炎的影响:系统性审查
Reghunathan S Preethanath1, Wael I Ibraheem1, Abdullah A Meshni2
1Department of Preventive Dentistry, College of Dentistry, Jazan University, Jazan, Saudi Arabia.
European journal of dentistry
|July 7, 2025
概括
压力和认知障碍等心理因素与老年人牙周炎有关. 将心理健康护理纳入老年口腔保健是预防和治疗的关键.
科学领域:
- 老年医学 老年医学
- 牙周病学 牙周病学
- 心理学 心理学 心理学
背景情况:
- 牙周炎和心理因素在老年人中很常见.
- 有证据表明,这些条件之间存在潜在的双向关系.
研究的目的:
- 在60岁及以上的成年人中,系统地审查和评估心理因素和牙周炎之间的双向关系.
主要方法:
- 在多个数据库 (PubMed,Google Scholar,Scopus,Embase,Web of Science) 进行系统的文献搜索,遵循PRISMA指南.
- 用于研究问题制定的PECO框架;用于质量评估的纽卡斯尔-太华尺度;用于证据确定性的GRADE.
- 13项研究的定性综合包括专注于抑郁症,压力和认知障碍的研究.
主要成果:
- 在抑郁症和牙周炎之间发现了不一致的关联;在压力和牙周炎之间始终观察到积极的关联.
- 认知障碍与牙周炎有显著的独立关联.
- 一项纵向研究表明,在6个月和1年的随访期间,患有抑郁症的老年人牙周炎风险增加.
- 由于方法异质性,证据确定性被评为非常低.
结论:
- 在老年人中,牙周病的严重程度和心理因素之间存在显著的关联,特别是压力和认知障碍.
- 建议将心理评估整合到老年口腔保健中.
- 需要进一步的纵向研究来确定因果关系,特别是在低收入和中等收入国家.
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