慢性牙周炎患者A型人格行为特征分布的调查分析

doi:10.13481/j.1671-587x.20160239

摘要/Abstract

摘要：

目的: 探讨A型人格行为对慢性牙周炎发生发展的影响,比较不同类型人格行为人在慢性牙周病发生发展过程中的差异,阐明心理社会因素对慢性牙周炎发病的影响。方法: 选取于门诊就诊的慢性牙周炎患者132例(牙周炎组)和牙周健康患者126例(牙周健康组)。牙周炎诊断标准采用世界卫生组织1987版"Oral Surveys Basic Methods"以及美国牙周病学会(AAP)2000年制订的牙周病诊治参照标准。指导受试者填写A型人格行为类型问卷(1983年张伯源标准,1985年修订版)及SCL-90症状自评量表。分别记录受试者各项得分,各独立变量采用t检验进行分析。结果: 相比于M型和B型人格,A型人格行为者在牙周炎组(68.94%)所占比例明显高于牙周健康组(27.78%)(P<0.05);且牙周炎组患者敌对(1.54±0.38)、焦虑(1.47±0.39)、抑郁(1.41±0.37)、人际关系敏感(1.23±0.39)、强迫症状(1.72±0.46)和躯体化(1.47±0.38)等项目得分明显高于牙周健康组(1.32±0.30、1.29±0.24、1.25±0.23、1.04±0.17、1.41±0.35、1.25±0.24)(P<0.05),且该类人群牙石指数(CI)高于其他人群(P<0.05),并更需要牙周治疗。结论: A型人格行为比其他人格类型更易罹患慢性牙周炎。

关键词: A型人格, 慢性牙周炎, 心理社会因素, 抑郁

Abstract:

Objective: To investigate the influence of type A behavior in the occurrence and development of chromic periodontitis and compare the differences among people with different behavior types in the occurrence and development of chronic periodontitis, and to explore the influence of psychological factors in the process of periodontitis.Methods: According the same standard, 132 patients with periodontitis were selected as periodontitis group, and 126 patients without periodontitis were used as control group. Oral Surveys Basic Methods proposed by WHO in 1987 and Reference Standard of Diagnosis and Treatment of Periodontitis made by AAP in 2000 were used to dignose the periodontitis.All subjects finished type A behavior and SCL-90 questionnaire(ZHANG Boyuan 1983, revision in 1985), their scores were recorded and the results were analyzed by t test.Results: The proportion of type A behavior in periodontits group(68.94%) was higher than that in control group(27.78%) (P<0.05) compared with type M and type B behavior.The scores of hostility(1.54±0.38), anxiety(1.47±0.39), depression(1.41±0.37), interpersonal sensitivity (1.23±0.39), compulsive (1.72±0.46), and somatizition(1.47±0.38) were significantly higher than those in control group (1.32±0.30, 1.29±0.24, 1.25±0.23, 1.04±0.17, 1.41±0.35, 1.25±0.24). The calculus index(CI) of the people with type A behavior was higher than those of the people with other types of behavior(P<0.05).Conclusion: The people with tyep A behawior is easier to get periodontitis than other people.

Key words: type A behavior, periodontits, psychological-social factors, depression

中图分类号:

R781.4

于艳, 韩亚琨, 张颖丽. 慢性牙周炎患者A型人格行为特征分布的调查分析[J]. 吉林大学学报(医学版), 2016, 42(02): 395-399.

YU Yan, HAN Yakun, ZHANG Yingli. Survey analysis on distribution of type A behavior characteristics in patients with periodontitis[J]. Journal of Jilin University Medicine Edition, 2016, 42(02): 395-399.

参考文献

[1] Preferansow E,Sawczuk B,Golçbiewska M,et al.Pathologies of the oral cavity in patients with non-controlled diabetes type 1 and type 2-analysis of periodontal status and periodontal treatment needs[J].Endokrynol Pol,2015,66(5):428-433.

[2] Muluke M,Gold T,Kiefhaber K,et al.Diet-induced obesity and its differential impact on periodontal bone loss[J].J Dent Res,2015,10(8):1-7.

[3] Chauvet-Gélinier JC,Trojak B,Lemogne C,et al.Potential influence of type A personality on plasma C-reactive protein levels in people with diabetes[J].Diabetes Metab,2015,9(15):16-21.

[4] Lee WC.Estimation of a common effect parameter from follow-up data when there is no mechanistic interaction[J].PLoS One,2014,9(1):e86374.

[5] World Health Organization.Oral Health Surveys Basic Methods[M].3th ed.Geneva:World Health Organization,1987.

[6] American Association of Periodontitis.Parameter on chronic periodontitis with advanced loss of periodontal support[J].J Periodontol,2000,71(5 Suppl):856-858.

[7] Murphy MP,Siegel RM.Mitochondrial ROS fire up T cell activation[J]. Immunity,2013,38(2):201-202.

[8] Sena LA,Li S,Jairaman A,et al.Mitochondria are required for antigen-specific T cell activation through reactive oxygen species signaling[J].Immunity,2013,38(2):225-236.

[9] Nayak SU,Nayak DG.Evaluation of cortisol levels in gingival crevicular fluid and saliva in anxious and non-anxious patients with chronic periodontitis[J].Dent Res J,2013,10(4):474-481.

[10] Negrato CA,Tarzia O,Jovanovic L,et al.Periodontal disease and diabetes mellitus[J].J Appl Oral Sci,2013,21(1):1-12.

[11] Silva N,Abusleme L,Bravo D,et al.Host response mechanisms in periodontal diseases[J].J Appl Oral Sci,2015,23(3):329-355.

[12] Mariotti A,Hefti AF.Defining periodontal health[J].BMC Oral Health,2015,15(Suppl 1):S6.

[13] 陈湛情,麦校卫,王志海,等.人格个性因素对癌症患者疼痛行为和情感障碍的影响[J].中国临床神经科学,2008,16(1):71-79.

[14] Shi H,Yang X,Wang J,et al.Type A personality,hostility,time urgency and unintentional injuries among Chinese undergraduates:a matched case-control study[J]. BMC Public Health,2013,13:1066-1067.

[15] Zhang L,Wang T,Lu Y,et al.Tumor necrosis factor receptor-associated factor 6 plays a role in the inflammatory responses of human periodontal ligament fibroblasts to enterococcus faecalis[J].J Endod,2015,41(12):1997-2001.

[16] Lakschevitz FS,Aboodi GM,Glogauer M,et al.Oral Neutrophil transcriptome changes result in a pro-survival phenotype in periodontal diseases[J].PLoS One,2013,8(7):e68983.

[17] Mohamadi Hasel, Bcsharat MA, Abdolhoscini A, et al.Relationships of personality factors to perceived stress depression,and oral lichen planus severity[J].Int J Behav Med,2013,20(2):286-292.

[18] 姜秀荣,杨艳杰,王丽娜,等.焦虑性神经症患者心理健康状况与人格特征相关分析[J].中国健康心理学杂志,2011,19(2):140-142.

[19] Sassi N,Mattarei A,Azzolini M,et al.Cytotoxicity of mitochondria-targeted resveratrol derivatives:Interactions with respiratory chain complexes and ATP synthase[J].Biochim Biophys Acta,2014,1837(5):1781-1789.

[20] Tamaki N,Cristina Orihuela-Campos R,Inagaki Y,et al.Resveratrol improves oxidative stress and prevents the progression of periodontitis via the activation of the Sirt1/AMPK and the Nrf2/antioxidant defense pathways in a rat periodontitis model[J].Free Radic Biol Med,2014,75:222-229.

[21] Shah B,Ashok L,Sujatha GP.Evaluation of salivary cortisol and psychological factors in patients with oral lichen planus[J].Indian J Dent Res,2009,20(3):288-292.

[22] San Miguel SM,Opperman LA,Allen EP,et al.Bioactive polyphenol antioxidants protect oral fibroblasts from ROS-inducing agents[J].Arch Oral Biol,2012,57(12):1657-1667.

[23] Gonzalcz Moles A,Esteban F,Ruiz-Avila I,et al.A role for the substance P/NK-1 receptor complex in cell proliferation and apoptosis in oral lichen planus[J].Oral Dis,2009,15(2):162-169.