The Relationship between Xerostomia and Depression in Elderly People

노인의 구강건조증과 우울과의 관계

  • 장종화 (한서대학교 치위생학과) ;
  • 김숙향 (한서대학교 치위생학과)
  • Published : 2007.09.30

Abstract

Objectives: This study was to investigate the level of xerostomia and depression in the elderly people and to determine the relationship between xerostomia and depression. Methods: The subjects were 238 subjects(86.5%), who were 65 years or older with mean age of 73.6 years. Data was collected using a self administrated questionnaire from September 14 to September 23, 2005. Perception of xerostomia was measured by questionnaire, and depression was measured using the 20-items CES-D. The data were analysed with t-test, one-way ANOVA, pearson correlation coefficient and multiple regression using the SPSS 12.0 Windows. Results: Regarding xerostomia, the subjects was a mean of 7.87 out of a maximum 12 points. The level of depression in the group of people 65 years or older was 21.51 out of a maximum 60 points. Xerostomia was positive related depression in this study. Perceived oral health and xerostomia had a significant impact on depression. Conclusion: Based on the findings, the perception of xerostomia is strongly associated with depression. These results suggest that oral health promotion should be considered various psychological factors related xerostomia in elders.

Keywords

References

  1. 권호근, 김영남, 김백일, 유자혜. 기초생활수급 대상 노인들의 구강건강상태 조사연구. 대한구강 보건학회지 2004;28(1):87-96
  2. 김영남, 권호근. 저소득층 노인의 주관적 구강건강 인식도에 관한 조사연구. 대한구강보건학회지 2004;28(2):257-265
  3. 박문수, 이승우, 정성창, 김영구, 염광원. 구강건조증 환자에서 필로카핀 함유 껌 사용에 따른 전타액내 항균성분의 변화. 대한구강내과학회지 1999;24(4):347-359
  4. 박영애, 정성화, 윤수홍, 최연희, 송근배. 포항시 일부지역 노인의 전신건강 및 식생활 습관과 구강건강과의 관련성. 대한구강보건학회지 2006;30(2):183-192
  5. 박정순, 전주연, 박인숙. 노인들의 구강건강 관리실태에 관한 연구. 보건교육.건강증진학회지 1999;16(2):93-104
  6. 백성희. 자이리톨과 솔비톨이 노인의 구강건강과 구강불편감에 미치는 효과 [박사학위논문] . 서울:이화여자대학교 대학원,2003
  7. 오정규, 김연중, 고홍섭. 구강건조증환자의 임상적 특정에 관한 연구. 대한구강내과학회지 2001; 26(4):331-343
  8. 이선경, 현기용, 이승우. 필로카핀 투여방법에 따른 구강건조증 환자의 치료 효과에 관한 연구. 대한구강내과학회지 1994;19(2):25-44
  9. 원선희. 구강내 잔존 타액 및 소타액선 분비 타액의 분석 [박사학위 논문] . 서울:서울대학교 대학원, 1999
  10. 장종화 외 5인. 의치장착노인의 구강건조증이 주관적 구강건강인지도에 미치는 영향. 대한구강 보건학회지 2006;34( 4) :438-446
  11. 소종섭, 정진우, 정성창. 한국노령인구에서 구강건조증이 구강안면 동통에 미치는 영향. 대한 구강내과학회지 2004;29(3):249-256
  12. Avcu N 외 5인. Oral findings and health status among hospitalized patients with physical disabilities, aged 60 or above. Arch Gerontol Geriatr 2005;41:69-79 https://doi.org/10.1016/j.archger.2004.11.005
  13. Alexopolou GS. Depression in the elderly. Lancet 2005;21:365(9475):1961-7190
  14. Baum BJ, Ship JA, Wu A. Salivary gland function and aging: a model for studying the interaction of aging and systemic disease. Crit Rev Oral Biol Med 1992;4:53-64 https://doi.org/10.1177/10454411920040010401
  15. Bergdahl M, Bergdahl J. Low unstimulated salivary flow and subjective oral dryness: association with medication, anxiety, depression, and stress. J Dent Res 2000; 79:1652-1658 https://doi.org/10.1177/00220345000790090301
  16. Billings RJ, Proskin HM, Moss ME. Xerostomia and associated factors in a community-dwelling adults population. Community Dent Oral Epidemiol 1996;24: 312-316 https://doi.org/10.1111/j.1600-0528.1996.tb00868.x
  17. Bephage G. Health professionals need to be able to identify depression in older people. J Nursing 2005;14:14-27
  18. Cassolato SF, Turnbull RS. Xerostomia: clinical aspects and treatment. Gerodontology 2003;20:64-77 https://doi.org/10.1111/j.1741-2358.2003.00064.x
  19. Chiriboga, DG, Black SA, Aranda M, Markides K. Stress and depressive symptoms among Mexican American elders. J Gerontol B Psychol Soc Sci 2002;57(6):559-568 https://doi.org/10.1093/geronb/57.6.P559
  20. Fox PC, Busch KA, Baum BJ. Subjective reports of xerostomia and objective measures of salivary gland performance. J Am Dent Assoc 1987;115:581-584 https://doi.org/10.1016/S0002-8177(87)54012-0
  21. Fox PC. Management of dry mouth. Dent Clin North Am 1997;41(4):863-875
  22. Ghezzi EM, Ship JA. Aging an secretory reserve capacity of major salivary glands. J Dent Res 2003;82(10):844-848 https://doi.org/10.1177/154405910308201016
  23. Ikebe K 외 6인. Impact of dry mouth and hyposalivation on oral health-related Quality of life of elderly Japanese. Oral Surg Oral Med Oral pathol Oral Radiol Endod 2007; 1:216-222
  24. Ikebe K, Morii K, Kashiwagi J, Nokubi T, Ettinger RL. Impact of dry mouth on oral symptoms and function in removable denture wearers in Japan. Oral Surg Oral Med Oral pathol Oral Radiol Endod 2005;99:704-710 https://doi.org/10.1016/j.tripleo.2004.09.008
  25. Jeon KK, Lee MK. Preliminary development of korean version of CES-D. Korean J Clin Psychol 1992;11(1):65-76
  26. Kathleen DV. The biology salivary glands. CRS Press 1994:201-227
  27. Lamkin MS, Oppenheim FG. Structural features of salivary function. Crit Rev Oral Biol Med 1993;4:251-259
  28. Mandel ID. The functions of saliva. J Den Res 1987;66(Spec Iss):623-627 https://doi.org/10.1177/00220345870660S103
  29. Mandel ID. The role of saliva in maintaining oral homeostasis. J Am Dent Assoc 1987;119(2): 298-304
  30. Mynatt SL. Depression in the older adults: recognition and nursing intervention. Tenn Nurse 2004;67(4):8-10
  31. Percival RS, Challacombe SJ, Marsh PD. Flow rates of resting whole and stimulated parotid saliva in relation to age and gender. J Dent Res 1994;73:1416-1420 https://doi.org/10.1177/00220345940730080401
  32. Scannapieco FA. Saliva-bacterium interactions in oral microbial ecology. Crit Rev Oral Biol Med 1994;5:203-248 https://doi.org/10.1177/10454411940050030201
  33. Sreebny LM, Schwartz SS. A reference guide to drugs and dry mouth. Gerodontology 1986;5:75-102 https://doi.org/10.1111/j.1741-2358.1986.tb00055.x
  34. Wada T, Ishine M, Sakagami, Depression, activities of daily living, and quality of life to community-dwelling elderly in three asian countries; Indonesia, Vietnam, and Japan. Arch Gerontol Geriatr 2005;23