Povezanost između nivoa depresije i samoprocene oralnog zdravlja kod studenata medicine
Ključne reči:
depresija, oralno zdravlje, student medicine, mentalno zdravlje, Srbija
Sažetak
Cilj studije je određivanje povezanost između nivoa depresije i oralnog zdravlja, oralnih navika i subjektivnih osećaja u regiji usta i zuba kod studenata završne godine studija medicine.
Ukupno 103 studenata završne godine studija medicine Fakulteta medicinskih nauka, Univerziteta u Kragujevcu je učestvovalo u istraživanju. Dva upitnika su korišćena u istraživanju – Bekov inventor depresije II i upitnik oralnog zdravlja za odrasle. Statistička analiza je urađena programom SPSS, verzija 21. Hi kvadratni test je korišćen za procenu i statistički značajni rezultati su bili oni sa p vrednošću manjom od 0,05.
Nije bilo statistički značajne razlike između nivoa depresije kod muškaraca i žena. Procentualno je 21,4% studenata imalo depresiju. Korelacija između depresivnih nivoa i oralnih pokazatelja je pokazala da su učestalost pranja zuba i izbegavanje osmehivanja bili značajno različiti među ženskim studentima sa procenjenim različitim nivoima depresije.Problemi sa odgrizanjem hrane i problem u socijalnoj interakciji su bili značajno različiti kod muškaraca i žena.
Depresija je prisutna kod studenata završnih godina studija medicine i utiče na samoprocenu oralnog zdravlja studenata. Programi promocije usmereni na populaciju mladih mogu pomoći u unapređenju njihovih stavova i ponašanja vezanih za oralno zdravlje.
Reference
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Sani M, Mahfouz M, Bani I, et al.. Prevalence of stress among medical students in Jizan University, Kingdom of Saudi Arabia. Gulf Med J 2012; 1(1): 19-25.
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Zhang AY, Gary F. Discord of Measurements in Assessing Depression among African Americans with Cancer Diagnoses. Int J Cult Ment Health 2013; 6(1): 58-71.
https://doi.org/10.1080/17542863.2011.623042
https://doi.org/10.24966/CMPH-1978/100001
Aktekin M, Karaman T, Senol YY, Erdem S, Erengin H, Akaydin M. Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ 2001; 35(1): 12-7.
https://doi.org/10.1046/j.1365-2923.2001.00726.x
Alregal EN, Abdelgawad F, Sasahara H, El Motayam K. The level of education and oral health attitudes of the dental students in a governmental university - A crosssectional study. Int Dent Med J Adv Res 2018; 4: 1-7.
https://doi.org/10.15713/ins.idmjar.90
Alzahem A, Van Der Molen H, Alaujan A, et al.. Stress amongst dental students: A systematic review. Eur J Dent Educ2011; 15(1): 8-18.
https://doi.org/10.1111/j.1600-0579.2010.00640.x
Anttila S, Knuuttila M, Ylostalo P, Joukamaa M. Symptoms of depression and anxiety in relation to dental health behavior and self-perceived dental treatment need. Eur J Oral Sci 2006; 114(2): 109-114.
https://doi.org/10.1111/j.1600-0722.2006.00334.x
Bachmann S. Epidemiology of Suicide and the Psychiatric Perspective. Int J Environ Res Public Health 2018; 15: 1425.
https://doi.org/10.3390/ijerph15071425
Burckhardt CS, Anderson KL. The Quality of Life Scale (QOLS): Reliability, Validity, and Utilization. Health Qual Life Outcomes 2003; 1(1): 60.
https://doi.org/10.1186/1477-7525-1-60
Delgado-Angulo EK, Sabbah W, Suominen Al, et al. The association of depression and anxiety with dental caries and periodontal disease among Finnish adults. Community Dent Oral Epidemiol 2015; 43: 540-9.
https://doi.org/10.1111/cdoe.12179
Dyrbye L, Thomas M, Shanafelt T. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med 2006; 81(4): 354-73.
https://doi.org/10.1097/00001888-200604000-00009
Elani H, Allison P, Kumar R, et al.. A Systematic Review of Stress in Dental Students. J Dent Educ 2014; 78(2): 226-42.
Halonen H, Salo T, Hakko H, Räsänen P. The Association between Dental Anxiety, General Clinical Anxiety and Depression among Finnish University Students. Oral Health Dent Manag 2014; 13(2):320-5.
Hybels CF, Bennett JM, Landerman LR, et al.. Trajectories of depressive symptoms and oral health outcomes in a community sample of older adults. Int J Geriatr Psychiatry 2015; 31: 83-91.
https://doi.org/10.1002/gps.4292
Ishak W, Nikravesh R, Lederer S, et al. Burnout in medical students: a systematic review. Clin Teach 2013; 10(4): 242-5.
https://doi.org/10.1111/tct.12014
Jadoon N, Yaqoob R, Raza A, et al. Anxiety and depression among medical students: a cross-sectional study. J Pak Med Assoc 2010; 60(8): 699-702.
Kim YS, Kim H-N, Lee JH, et al. 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
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(1): 64-6.
https://doi.org/10.1111/j.1752-7325.2006.tb02553.x
Niemi P, Vainiomäki P. Medical students' distress-quality, continuity and gender differences during a six-year medical programme. Med Teach 2006; 28(2): 136-41.
https://doi.org/10.1080/01421590600607088
Peltzer K, Pengpid S. Oral Health Behaviour and Social and Health Factors in University Students from 26 Low, Middle and High Income Countries. International Int J Environ Res Public Health 2014; 11(12): 12247-60.
https://doi.org/10.3390/ijerph111212247
Quince T, Wood D, Parker R, Benson J. Prevalence and persistence of depression among undergraduate medical students: a longitudinal study at one UK medical school. BMJ Open 2012; 2(4).
https://doi.org/10.1136/bmjopen-2012-001519
Reddy DV, Prabu NN, Manipal S, Preethi AA. The Evaluation of Perceived Stress and Depression in Dental Undergraduates. Intern Dent J Stud Res 2013; 1: 4.
Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students. JAMA 2016; 316(21): 2214.
https://doi.org/10.1001/jama.2016.17324
Salgar S. Stress in first year medical students. IJBAR 2014; 5(1): 05-06.
https://doi.org/10.7439/ijbar.v5i1.580
Samaranayake C, Fernando A. Satisfaction with life and depression among medical students in Auckland, New Zealand. N Z Med J 2011; 124(1341): 12-7.
Sani M, Mahfouz M, Bani I, et al.. Prevalence of stress among medical students in Jizan University, Kingdom of Saudi Arabia. Gulf Med J 2012; 1(1): 19-25.
Sharda AJ, Shetty S. A comparative study of oral health knowledge, attitude and behaviour of first and final year dental students of Udaipur city, Rajasthan, India. Int J Dent Hyg 2008; 6: 347-53.
https://doi.org/10.1111/j.1601-5037.2008.00308.x
Silverstein S, Kritz-Silverstein D. A longitudinal study of stress in first-year dental students. J Dent Educ 2010; 74(8): 836-48
Sravani A, Doshi D, Kulkarni S, et al.. Depression, anxiety, and stress among undergraduate dental students in Hyderabad City, Telangana, India: A cross-sectional study. J Indian Assoc Public Health Dent 2018; 16: 26-9.
https://doi.org/10.4103/jiaphd.jiaphd_10_17
Strunk KK, Lane FC. The Beck Depression Inventory, Second Edition (BDI-II). Measurement and Evaluation in Counseling and Development 2016.
https://doi.org/10.1177/0748175616664010
World Health Organization. Depression. Geneva: WHO; (2018) Available online at: http://www.who.int/news-room/fact-sheets/detail/depression (Accessed May, 12 2019)
World Health Organization. Oral Health Questionnaire for Adults. Geneva: WHO (2013) Available online at: https://www.who.int/oral_health/publications/pepannex7sohqbasicmethods.pdf?ua=1 (Accessed May, 12 2019)
Zhang AY, Gary F. Discord of Measurements in Assessing Depression among African Americans with Cancer Diagnoses. Int J Cult Ment Health 2013; 6(1): 58-71.
https://doi.org/10.1080/17542863.2011.623042
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2025/12/22
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Originalni rad / Original article