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Article: The associations between psychological factors, clinical subgroup of orofacial pain and oral health-related quality of life

TitleThe associations between psychological factors, clinical subgroup of orofacial pain and oral health-related quality of life
精神因素及疼痛的臨床分組對口腔健康相關生活質量的影響
Authors
KeywordsOral health-related quality of life (口腔健康相關生活質量)
Orofacial pain (口腔頜面部疼痛)
Elderly Chinese (老年人)
Issue Date2010
PublisherChinese Medical Association (中華醫學會). The Journal's web site is located at http://www.zhkqyxyj.com
Citation
Chinese Journal of Stomatological Research, 2010, v. 4 n. 5, p. 487-493 How to Cite?
中華口腔醫學研究雜誌, 2010, v. 4 n. 5, p. 487-493 How to Cite?
AbstractObjectives To investigate key factors associated with poorer oral health related quality of life(OHRQOL)of elderly Chinese people in Hong Kong who had orofacial pain(OFP)symptoms. Methods A cross-sectional study was conducted using the University of Hong Kong′s Family Medicine Unit as the sampling frame. People aged 55-70 years with recent OFP symptoms were included. The oral health-related quality of life (OHRQOL) was assessed using the Hong Kong Chinese version of Oral Health Impact Profile (OHIP-14). Poorer OHRQOL was defined as there was at least one response of ′fairly often′ or ′very often′ to an OHIP-14 question . Standard questions were asked about OFP symptoms and characteristics in the previous month . The psychological factors were assessed using the depression / non-specific physical symptoms (NSP) scales of the Research Diagnostic Criteria for Temporomandibular Disorder (RDC / TMD). Questions on dental attendance were administered prior to a standard clinical assessment. Multiple logistic regression with a forward stepwise selection method was used to investigate the key factors associated with poorer OHRQOL. Results One hundred people with OFP symptoms participated in the definitive study. The mean OHIP-14 additive score was 10.1 (SD 9.7). Results from the multiple logistic regression revealed that two independent factors were significantly related to poorer OHRQOL: moderate / severe RDC /TMD depression (OR=7.1, P<0.001) and OFP clinical classification as dentoalveolar compared to neurological / vascular (OR=4.8, P=0.016). Conclusions The study showed that psychological depression and clinical classification as dentoalveolar were significantly associated with poorer OHRQOL in the elderly Chinese people with OFP symptoms in the community of Hong Kong. The finding provides implication for effective management of OFP and improvement of OHRQOL of elderly people with OFP symptoms in Hong Kong.
目的探討影響香港老年口腔頜面部疼痛人群口腔健康相關生活質量(OHRQOL)的相關因素。方法本研究為橫斷面研究。研究對象為在香港醫院管理局/香港大學家庭醫學部注冊,有口腔頜面部疼痛的香港居民,年齡55~70歲。OHRQOL由香港中文版14條口腔健康影響程度量表(OHIP-14)評估。精神因素采用顳下頜關節紊亂綜合征(TMD)研究用診斷標準(RDC/TMD)中使用的抑郁(Depression)及軀體化(NPS)分量表進行評估。調查受訪者在過去1個月中各種口腔頜面部疼痛的程度、頻率等情況。了解受訪者看牙醫的習慣并對受訪者進行標準的臨床檢查。采用向前逐步回歸的方法分析影響OHRQOL的主要因素。結果共100人次參加了本研究。口腔健康影響程度量表總分(OHIP-ADD)的均數為10.1(SD9.7)。回歸分析顯示中等或重度的抑郁(OR=7.1,P<0.001)及牙或骨來源的口腔頜面部疼痛(OR=4.8,P=0.016)與較差的OHRQOL顯著相關。結論在有口腔頜面部痛癥的香港老年人中,OHRQOL與精神因素和痛癥的臨床分組顯著相關。本研究結果對口腔頜面部疼痛的防治提供必要的理論依據。
Persistent Identifierhttp://hdl.handle.net/10722/142269
ISSN

 

DC FieldValueLanguage
dc.contributor.authorZheng, Jen_US
dc.contributor.authorWong, MCMen_US
dc.date.accessioned2011-10-28T02:41:57Z-
dc.date.available2011-10-28T02:41:57Z-
dc.date.issued2010en_US
dc.identifier.citationChinese Journal of Stomatological Research, 2010, v. 4 n. 5, p. 487-493zh_HK
dc.identifier.citation中華口腔醫學研究雜誌, 2010, v. 4 n. 5, p. 487-493-
dc.identifier.issn1674-1366-
dc.identifier.urihttp://hdl.handle.net/10722/142269-
dc.description.abstractObjectives To investigate key factors associated with poorer oral health related quality of life(OHRQOL)of elderly Chinese people in Hong Kong who had orofacial pain(OFP)symptoms. Methods A cross-sectional study was conducted using the University of Hong Kong′s Family Medicine Unit as the sampling frame. People aged 55-70 years with recent OFP symptoms were included. The oral health-related quality of life (OHRQOL) was assessed using the Hong Kong Chinese version of Oral Health Impact Profile (OHIP-14). Poorer OHRQOL was defined as there was at least one response of ′fairly often′ or ′very often′ to an OHIP-14 question . Standard questions were asked about OFP symptoms and characteristics in the previous month . The psychological factors were assessed using the depression / non-specific physical symptoms (NSP) scales of the Research Diagnostic Criteria for Temporomandibular Disorder (RDC / TMD). Questions on dental attendance were administered prior to a standard clinical assessment. Multiple logistic regression with a forward stepwise selection method was used to investigate the key factors associated with poorer OHRQOL. Results One hundred people with OFP symptoms participated in the definitive study. The mean OHIP-14 additive score was 10.1 (SD 9.7). Results from the multiple logistic regression revealed that two independent factors were significantly related to poorer OHRQOL: moderate / severe RDC /TMD depression (OR=7.1, P<0.001) and OFP clinical classification as dentoalveolar compared to neurological / vascular (OR=4.8, P=0.016). Conclusions The study showed that psychological depression and clinical classification as dentoalveolar were significantly associated with poorer OHRQOL in the elderly Chinese people with OFP symptoms in the community of Hong Kong. The finding provides implication for effective management of OFP and improvement of OHRQOL of elderly people with OFP symptoms in Hong Kong.-
dc.description.abstract目的探討影響香港老年口腔頜面部疼痛人群口腔健康相關生活質量(OHRQOL)的相關因素。方法本研究為橫斷面研究。研究對象為在香港醫院管理局/香港大學家庭醫學部注冊,有口腔頜面部疼痛的香港居民,年齡55~70歲。OHRQOL由香港中文版14條口腔健康影響程度量表(OHIP-14)評估。精神因素采用顳下頜關節紊亂綜合征(TMD)研究用診斷標準(RDC/TMD)中使用的抑郁(Depression)及軀體化(NPS)分量表進行評估。調查受訪者在過去1個月中各種口腔頜面部疼痛的程度、頻率等情況。了解受訪者看牙醫的習慣并對受訪者進行標準的臨床檢查。采用向前逐步回歸的方法分析影響OHRQOL的主要因素。結果共100人次參加了本研究。口腔健康影響程度量表總分(OHIP-ADD)的均數為10.1(SD9.7)。回歸分析顯示中等或重度的抑郁(OR=7.1,P<0.001)及牙或骨來源的口腔頜面部疼痛(OR=4.8,P=0.016)與較差的OHRQOL顯著相關。結論在有口腔頜面部痛癥的香港老年人中,OHRQOL與精神因素和痛癥的臨床分組顯著相關。本研究結果對口腔頜面部疼痛的防治提供必要的理論依據。-
dc.languagechien_US
dc.publisherChinese Medical Association (中華醫學會). The Journal's web site is located at http://www.zhkqyxyj.com-
dc.relation.ispartofChinese Journal of Stomatological Researchzh_HK
dc.relation.ispartof中華口腔醫學研究雜誌-
dc.subjectOral health-related quality of life (口腔健康相關生活質量)zh_HK
dc.subjectOrofacial pain (口腔頜面部疼痛)zh_HK
dc.subjectElderly Chinese (老年人)zh_HK
dc.titleThe associations between psychological factors, clinical subgroup of orofacial pain and oral health-related quality of lifeen_US
dc.title精神因素及疼痛的臨床分組對口腔健康相關生活質量的影響zh_HK
dc.typeArticleen_US
dc.identifier.emailWong, MCM: mcmwong@hkucc.hku.hken_US
dc.identifier.authorityWong, MCM=rp00024en_US
dc.identifier.hkuros184284en_US
dc.identifier.volume4en_US
dc.identifier.issue5-
dc.identifier.spage487en_US
dc.identifier.epage493en_US
dc.publisher.placeChina (中國)-

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