Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
권호 표지
DOI QR코드

DOI QR Code

Association of Suicidal Ideation With Dental Pain among Korean Adolescents

한국 청소년에서 치통과 자살 생각의 연관성

  • Baek, Ju Won (Dental Clinic Center, ChungBuk National University Hosptial) ;
  • Lee, Kuy Haeng (Departments of Psychiatry, School of Medicine, Wonkwang University) ;
  • Yang, Chan-Mo (Departments of Psychiatry, School of Medicine, Wonkwang University)
  • 백주원 (충북대학교병원 치과) ;
  • 이귀행 (원광대학교 의과대학 정신건강의학교실) ;
  • 양찬모 (원광대학교 의과대학 정신건강의학교실)
  • Received : 2022.06.21
  • Accepted : 2022.06.24
  • Published : 2022.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study aimed to assess the possible association of dental pain with suicidal ideation among adolescents by analysing data from the 2018 Korean Youth Risk Behavior Survey, a nationwide online survey. Methods : Of 62,823 adolescent middle and high school students in Korea, 60,040 participants were selected for analysis, after excluding cases with missing values. Participants were given a questionnaire about their self-evaluation of health including dental pain and suicidal ideation. Logistic regression analysis demonstrated the relationships between dental pain and suicidal ideation after controlling for potential confounding factors. Results : The proportion of Korean adolescents reporting suicidal ideation was 13.3%. The proportion of adolescents who experienced dental pain was 23.4%. Compared to adolescents who did not report dental pain, adolescents who reported experiencing dental pain were significantly more likely to experience suicidal ideation (OR=1.94, p<0.001). In two multivariate models, the relationships between dental pain and suicidal ideation (AOR=1.24, p<0.001) were statistically significant. Conclusions : Dental pain was associated with increased risk of suicidal ideation among Korean adolescents, even when controlling for sociodemographic factors and other health conditions. It is necessary to consider screening adolescent patients who present with dental pain for suicidal ideation.

연구목적 이 연구는 전국 온라인 설문 조사인 2018 청소년 건강 행태 조사의 데이터를 분석하여 청소년의 치통과 자살 생각의 연관성을 평가하고자 하였다. 방 법 국내 중·고등학생 62,823명을 대상으로 하였으며, 치통과 자살생각을 포함한 건강 행태에 대한 온라인 자가 보고형 설문 조사에 60,040명이 참여하였다. 다중 로지스틱 회귀 분석을 시행하여 치통과 자살 생각 사이의 관계를 분석하였다. 결 과 자살 생각을 보고한 한국 청소년의 비율은 13.3%이었고, 치통을 경험한 청소년의 비율은 23.4 %였다. 치통을 경험하지 않은 청소년과 비교할 때, 치통을 경험한 청소년이 자살 생각을 경험할 확률이 높았다(OR=1.94, p<0.001). 다중 로지스틱 회귀 모델에서 치통과 자살 생각(AOR=1.24, p<0.001) 의 연관성은 통계적으로 유의하였다. 결 론 한국 청소년의 치통은 사회 인구 통계학적 요인 및 기타 신체적 정신적 건강 요인을 고려해도 자살 생각 증가와 연관되었다. 우울감을 동반한 치통환자의 진료에 있어 자살 위험성의 선별검사가 고려되어야 한다.

Keywords

References

  1. Statistics Korea MoGEaF. 2019 Statistics on the Youth. [cited 2020 May 17]. Available from https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=374493.
  2. Jin JH, Go H. The Korean suicide rate trend by population group comparing with the OECD countries and its policy implications. Health-Welfare Policy Forum 2013;195:141-154.
  3. Ministry of Education MoHaW, Korea Centers for Disease Control and Prevention. The 14th Korea Youth Risk Behavior Survey, 2018. [cited 2020 May 17]. Available from http://www.cdc.go.kr/yhs/.
  4. Kim H, Kim H. Risk factors for suicide attempts among Korean adolescents. Child Psychiatry Hum Dev 2008;39:221-235. https://doi.org/10.1007/s10578-007-0083-4
  5. Brent D, Perper JF , Moritz GF, Allman CF, Friend AF, Roth CF, Schweers J, Balach L, Baugher M. Psychiatric risk factors for adolescent suicide: a case-control study. J Am Acad Child Adolesc Psychiatry 1993;32:521-529. https://doi.org/10.1097/00004583-199305000-00006
  6. Andersen S. Trajectories of brain development: point of vulnerability or window of opportunity? Neurosci Biobehav Rev 2003;27:3-18. https://doi.org/10.1016/S0149-7634(03)00005-8
  7. Selemon L. A role for synaptic plasticity in the adolescent development of executive function. Transl Psychiatry 2013;3:e238. https://doi.org/10.1038/tp.2013.7
  8. Do K, Lee K. Relationship between mental health risk factors and oral symptoms in adolescents: Korea Youth Risk Behavior Web-based Survey, 2013. Community Dental Health 2017;34:88-92.
  9. Delgado-Angulo EK, Sabbah W, Suominen AL, Vehkalahti MM, Knuuttila M, Partonen T, Nordblad A, Sheiham A, Watt RG, Tsakos G. The association of depression and anxiety with dental caries and periodontal disease among Finnish adults. Community Dent Oral Epidemiol 2015;43:540-549. https://doi.org/10.1111/cdoe.12179
  10. Marques-Vidal P, Milagre V. Are oral health status and care associated with anxiety and depression? A study of Portuguese health science students. J Public Health Dent 2006;66:64-66. https://doi.org/10.1111/j.1752-7325.2006.tb02553.x
  11. Kim Y, Kim H, Lee J, Kim S, Jun E, Kim J. Association of stress, depression, and suicidal ideation with subjective oral health status and oral functions in Korean adults aged 35 years or more. BMC Oral Health 2017;17:101. https://doi.org/10.1186/s12903-017-0391-4
  12. Yang CM, Baek JW. Association of depression with chewing problems in Koreans: a cross-sectional study using the Korea National Health and Nutrition Examination Survey 2016. Journal of Dental Rehabilitation and Applied Science 2020;36:12-20. https://doi.org/10.14368/jdras.2020.36.1.12
  13. Zucoloto ML, Maroco J, Campos JA. Impact of oral health on health-related quality of life: a cross-sectional study. BMC Oral Health 2016;16:55. https://doi.org/10.1186/s12903-016-0211-2
  14. Riley J, Gilbert G, Heft M. Socioeconomic and demographic disparities in symptoms of orofacial pain. J Public Health Dent 2003;63:166-173. https://doi.org/10.1111/j.1752-7325.2003.tb03495.x
  15. Goes P, Watt R, Hardy R, Sheiham A. Impacts of dental pain on daily activities of adolescents aged 14-15 years and their families. Acta Odontol Scand 2008;66:7-12. https://doi.org/10.1080/00016350701810633
  16. Deinzer R HD, Bach K, Schawacht M, Herforth A. Effects of academic stress on oral hygiene--a potential link between stress and plaque-associated disease? J Clin Periodontol 2001;28:459-464. https://doi.org/10.1034/j.1600-051x.2001.028005459.x
  17. Jamieson L, Paradies Y, Gunthorpe W, Cairney S, Sayers S. Oral health and social and emotional well-being in a birth cohort of Aboriginal Australian young adults. BMC Public Health 2011;11:656. https://doi.org/10.1186/1471-2458-11-656
  18. Kurer JR, Watts TL, Weinman J, Gower DB. Psychological mood of regular dental attenders in relation to oral hygiene behaviour and gingival health. J Clin Periodontol 1995;22:52-55. https://doi.org/10.1111/j.1600-051X.1995.tb01770.x
  19. Rosania AE, Low KG, McCormick CM, Rosania DA. Stress, depression, cortisol, and periodontal disease. J Periodontol 2009;80:260-266. https://doi.org/10.1902/jop.2009.080334
  20. Johannsen A RG, Soder B, Asberg M. Dental plaque, gingival inflammation, and elevated levels of interleukin-6 and cortisol in gingival crevicular fluid from women with stress-related depression and exhaustion. J Periodontol 2006;77:1403-1409. https://doi.org/10.1902/jop.2006.050411
  21. Penninx B, Kritchevsky S, Yaffe K, Newman A, Simonsick E, Rubin S, Ferrucci L, Harris T, Pahor M. Inflammatory markers and depressed mood in older persons: results from the health, aging and body composition study. Biol Psychiatry 2003;54:566-572. https://doi.org/10.1016/S0006-3223(02)01811-5
  22. LeResche L, Dworkin S. The role of stress in inflammatory disease, including periodontal disease: review of concepts and current findings. Periodontol 2000 2002;30:91-103. https://doi.org/10.1034/j.1600-0757.2002.03009.x
  23. Holsboer F. The corticosteroid receptor hypothesis of depression. Neuropsychopharmacology 2000;23:477-501. https://doi.org/10.1016/S0893-133X(00)00159-7