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The effect of job stress in jobholders on xerostomia

직장인의 직무스트레스가 구강건조감에 미치는 영향

  • Received : 2011.10.21
  • Accepted : 2012.02.20
  • Published : 2012.02.28

Abstract

Objectives : The purpose of this study was to examine the effect between job stress in jobholders and xerostomia. Methods : 250 jobholders living in Jecheon city were the subjects of this questionnaire. The questionnaire was made up of three contents and 37 items: general characteristic(13), job stress(14), degree & behavior of xerostomia(10). The data were analyzed by two-sample t-test, one-way ANOVA to examine the subjects general characteristics, job stress and degree of xerostomia and were analyzed by Chi-square test to examine the subjects general characteristics, job stress and behavior of xerostomia. Results : Only 215 jobholders were evaluated due to inadequate responses. The results were as follow. 1. As general characteristic of jobholder, male(83.7%) were more than women(16.3%), 30~39 year-old(47%) in age variable, university graduation(63.7%) in the last educational background variable, 2~3 million won(31.2%) in the month average income variable, 1~5 year(33.5%) in tour of duty variable, non-smoker(47.9%) in smoking variable were most. Married(58.6%) were more than unmarried(39.5%). Alcoholic(69.8%) were more than non-alcoholic(30.2%). 2. As classification of job stress, high strain group was 28.4%, active group was 26%, low strain group was 24.2%, passive group was 21.4%. 3. Analysis of effect between general characteristic and degree & behavior of xerostomia showed smoker were statistical significantly higher than non-smoker on 'dry eat', 'Am-sal', 'Night awake', 'Slip-liq'and 'Gumcandy'(p<0.05) and showed alcoholic were statistical significantly higher than non-alcoholic on 'Dry PM', 'Night awake, $H_2O$-bed'(p<0.05). 4. Analysis of effect between job stress and degree & behavior of xerostomia showed hight strain group were statistical significantly higher than low strain group on 'Dry PM', 'Dry-day', 'Am-sal', 'Eff-life'and 'Night awake'(p<0.05). Conclusions : As high strain group were higher than other groups on degree & behavior of xerostomia, stress would be factor that have an effect on xerostomia. Thus consider and management of stress is necessary for diagnosis and treatment of xerostomia.

Keywords

References

  1. Lamkin MS, Oppenheim FG. Structural features of salivary function. Crit. Rev. Oral Biol. Med. 1993;4(3):251-259.
  2. Edgar WM, Higham SM. Role of saliva in caries models. Adv Dent Res 1995;9(3):235-238. https://doi.org/10.1177/08959374950090030701
  3. Stookey GK. The effect of saliva on dental caries. J Am Dent Assoc 2008;139(suppl_2):11-17 https://doi.org/10.14219/jada.archive.2008.0347
  4. Garcia-Godoy F, Hicks MJ. Maintaining the integrity of the enamel surface: The role of dental biofilm, saliva and preventive agents in enamel demineralization and remineralization. J Am Dent Assoc 2008;139(suppl_2):25-34. https://doi.org/10.14219/jada.archive.2008.0352
  5. 전국치과대학(원)생리학교수협의회. 치의학을 위한 생리학. 2판. 서울:대한나래출판사;2009:245.
  6. Dreizen S, Brown LR, Daly TE, Drane JB. Prevention of xerostomia-related dental caries in irradiated cancer patients. J Dent Res 1977;56(2):99-104. https://doi.org/10.1177/00220345770560022101
  7. Hillman JD. Principles of microbial ecology and their application to xerostomia-associated opporunistic infections of the oral cavity. Adv Dent Res 1996;10(1):66-68. https://doi.org/10.1177/08959374960100011301
  8. Loeshce WJ, Bromberg J, Terpenning MS, et al. Xerostomia, Xerostomic medications and food avoidances in selected geriatric groups. J Am Geriatr Soc 1995;43(4):401-407. https://doi.org/10.1111/j.1532-5415.1995.tb05815.x
  9. Sreebny LM, Valdini A. Xerostomia- a neglected symptom. Arch Intern Med 1987;147(7):1333-1337. https://doi.org/10.1001/archinte.1987.00370070145022
  10. 장종화, 김숙향. 노인의 구강건조증과 우울과의 관계. 보건교육.건강증진학회지 2007;24(3):51-60.
  11. James G., Paul AM. Xerostomia: Etiology, recognition and treatment. J Am Dent Assoc 2003;134(1):61-69. https://doi.org/10.14219/jada.archive.2003.0018
  12. Fox PC, van der Ven PF, Sonies BC, Weiffenbach JM, Baum BJ. Xerostomial: evaluation of a symptom with increasing significance. J Am Dent Assoc 1985;110(4):519-525. https://doi.org/10.14219/jada.archive.1985.0384
  13. Ben-Aryeh H, Spielman A, Szargel R, et al. Sialochemistry for the diagnosis of sjogren's syndrome in xerostomic patients. Oral Surg Oral Med Oral Pathol 1981;52(5):487-490. https://doi.org/10.1016/0030-4220(81)90359-5
  14. 이정윤, 이영옥, 고홍섭. 구강건조증 증상 평가를 위한 설문지의 신뢰도에 관한 연구. 대한구강내과학회지 2005;30(4):383-389.
  15. Pedersen AM, Bardow A, Nauntofte B. Salivary changes and dental caries as potential oral markers of autoimmune salivary gland dysfunction in primary sjogren's syndrome. BMC Clin Pathol 2005;5(1):4. https://doi.org/10.1186/1472-6890-5-4
  16. Solans R, Bosch JA, Galofre P, et al. Salivary and Lacrimal gland dysfunction(sicca syndrome) after radioiodine therapy. J Nucl Med 2001;42(5):738-743.
  17. Spielman A, Ben-Aryh H, Gutman D, Szargel R, Deutsch EM. Xerostomia -diagnosis and treatment. Oral Surg Oral Med Oral Pathol 1981;51(2):144-147. https://doi.org/10.1016/0030-4220(81)90031-1
  18. Bergdahl M, Bergdahl J. Low unstimulated salivary flow and subjective oral dryness; association with medication, anxiety, depression and stress. J Dent Res 2000;79(9):1652-1658. https://doi.org/10.1177/00220345000790090301
  19. Eli I, Kleinhauz M, Baht R, Littner M. Antecedents of burning mouth syndrome recent life event vs psychopathologic aspects. J Dent Res 1994;73(2):567-572. https://doi.org/10.1177/00220345940730021301
  20. 이정화. 치과위생사의 스트레스가 타액 코티졸 농도에 미치는 영향[박사학위 논문]. 경북:영남대학교 대학원;2010.
  21. 한국산업안전보건공단. 한국인 직무스트레스 측정 도구의 개발 및 표준화 연구. 서울:산업안전보건연구원;2003:5.
  22. House JS, Strecher V, Metzner HL, Robbins CA. Occupational stress and health among men and women in the Tecumseh Community Health Study. J health Soc Behav 1986;27(1): 62-77. https://doi.org/10.2307/2136503
  23. 최영수, 백국현, 조성욱 외 4인. 직장인의 직무 스트레스가 불안성향에 미치는 영향. 가정의학회지 2004;25(3):224-232.
  24. Karasek RA. Job demands, job decision latitude, and mental strain; implication for job redesign. Adm Sci Q 1979;24(2):285-308. https://doi.org/10.2307/2392498
  25. 장세진, 차봉석, 원종욱, 고상백. 우리나라 직장인 들의 스트레스 수준의 파악, 스트레스 감소 프로그램의 개발 및 인프라 구축에 관한 연구. 보건복지부 연구보고서 2001:1-173.
  26. 이석근, 이영준, 김세호, 김연숙. 구강건조증 증상과 원인 및 치료에 관한 문헌 고찰. 한국노화학회지 2002;12(2):1-14.
  27. 김기석. 구강질환의 감별진단. 4판. 서울:지성출판사;1991:62,117.
  28. Browining S, Hislop S, Scully C, Shirlaw P. The association between burning mouth syndrome and psychosocial disorders. Oral Surg Oral Med Oral Pathol 1987;64(2):171-174. https://doi.org/10.1016/0030-4220(87)90085-5
  29. 오정규, 김연중, 고홍섭. 구강건조증 환자의 임상적 특징에 관한 연구. 대한구강내과학회지 2001;24(4): 331-343.
  30. 정운봉, 조한국, 홍정표. 스트레스가 백서 타액선조직내의 clusterin(sulfated glycoprotein-2)변화에 미치는 영향. 대한구강내과학회지 1997;22(2): 395-406.
  31. Ben-Aryeh H, Roll R, Kahana L, et al. Saliva as an indicator of stress. Int J Psychosom 1985;32(3):3-8.
  32. Rahe RH, Karson S, Howard NS Jr, Rubin RT, Poland RE. Psychological and physiological assessments on american hostages freed from captivity in Iran. Psychosom Med. 1990;52(1):1-16. https://doi.org/10.1097/00006842-199001000-00001
  33. Fox R. Howell F. Oral problems in patients with Sjogren's syndrome. Scand. J. Rheumatol 1986;61(suppl):194-200.
  34. Krasek RA, Theorell T, Schwartz JE, et al. Job charateristics in relation to the prevalance of myocardial infarction in the US health examination survey and the health and nutrition survey. Am. J public health 1988;78(8):910-918. https://doi.org/10.2105/AJPH.78.8.910
  35. Fox PC. Management of dry mouth. Dent Clin North Am 1997;41(4):863-875.
  36. Navazesh M, Christensen CM. A comparison of whole mouth resting and stimulated salivary measurement procedures. J Dent Res 1982;61(10):1158-1162. https://doi.org/10.1177/00220345820610100901
  37. Field EA, Longman LP, Bucknall R, et al. The establishment of a xerostomia clinic: a prospective study. Br J Oral Maxillofac Surg 1997;35(2):96-103. https://doi.org/10.1016/S0266-4356(97)90683-5
  38. Longman LP, Higham SM, Rai K, Edgar WM, Field EA. Salivary gland hypofuction in elderly patients attending a xerostomia clinic. Gerodontology 1995;12(2):67-72. https://doi.org/10.1111/j.1741-2358.1995.tb00133.x
  39. 박명숙, 루세앙. 지역사회 노인의 구강건조증 정도 및 구강건강관련 삶의 질 영향요인. 대한간호학회지 2010;40(5):747-755.
  40. Avcu Nihal, Ozbek Murat, Kurtoglu Demet et al. Oral findings and health status among hospitalized patients with physical disabilities, aged 60 or above. Arch Gerontol Geriatr 2005;41(1):69-79. https://doi.org/10.1016/j.archger.2004.11.005
  41. Ship JA. Diagnosing, managing and preventing salivary gland disorders. Oral Dis 2002;8(2):77-89. https://doi.org/10.1034/j.1601-0825.2002.2o837.x
  42. Fox FC, Busch K, Baum BJ. Subjective reports of xerostomia and objective measures of salivary gland performance. J Am Dent Assoc 1987;115(4):581-584. https://doi.org/10.1016/S0002-8177(87)54012-0
  43. Williams RB, Barefoot JC, Blumenthal JA et al. Psychosocial correlates of job strain in sample of working women. Arch Gen Psychiatry 1997;54(6):543-548. https://doi.org/10.1001/archpsyc.1997.01830180061007
  44. Friedlander AH, Mahler ME. Major depressive disorder. Psychopathology, medical management and dental implications. J Am Dent Assoc 2001;132(6):629-638. https://doi.org/10.14219/jada.archive.2001.0240

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