摘要
目的探讨香港人群中口腔颌面部疼痛(OFP)与异常疾病行为的相关性。方法本研究为在社区人群中进行的横断面的病例-对照研究。研究样本为注册在香港医院管理局/香港大学家庭医学部的35~70岁香港居民。通过面对面问诊结合临床检查了解受访者在过去1个月中口腔颌面部疼痛的状况。疾病行为由30条的患病行为问卷(IBQ-30)进行评估。结果 200名有口腔颌面部疼痛症状的人及200名没有痛症的人参加本研究。口腔颌面部疼痛与IBQ-30量表中的5个分量表(一般疑病、疾病信念、情感紊乱、否认心理问题、易激惹)相关性有统计学意义(P<0.001)。在有痛症的人中,在否认心理问题分量表,老年组高分值的人数明显多于中年组(P=0.034)。口腔颌面部疼痛症状不同临床分组的IBQ-30分值差异无统计学意义。结论口腔颌面部疼痛与异常疾病行为显著相关,在治疗口腔颌面部疼痛病症患者时,需考虑衡量精神心理因素所起的作用。
Objective To investigate the associations between orofacial pain(OFP) symptoms and illness behavior in the community-dwelling people in Hong Kong.Methods A community-based,cross-sectional case-control study involving people aged 35-70 registered with the Hospital Authority/University of Hong Kong Family Medicine Clinic served as the sampling frame.People with recent OFP symptoms and a group without such symptoms were participated.Standard questions were asked about OFP conditions in the previous month.Illness behavior was assessed using the 30-item Illness Behavior Questionnaire(IBQ-30).Results Two hundred people with OFP symptoms and 200 without OFP took part.OFP was statistically related to 5 of 7 sub-scales of the IBQ-30(P 0.001):general hypochondriasis,disease conviction,affective disturbance,denial,and irritability.Differences in percentage distribution of IBQ-30 scores between different age groups were only detected in the sub-scale of denial with more elderly respondents with pain(55.0% vs 38.0%,P = 0.034).Illness behaviour did not appear to be related to clinical classification of OFP.Conclusions OFP was significantly associated with illness behavior.Findings have clinical implication for effective management of OFP.
出处
《中华口腔医学研究杂志(电子版)》
CAS
2010年第3期50-54,共5页
Chinese Journal of Stomatological Research(Electronic Edition)
基金
香港大学CRCG基金