한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제21권11호
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  • Pages.193-200
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  • 2020
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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고등학생의 구강 악습관과 스트레스가 턱관절 장애에 미치는 영향 분석

Analysis on the Effect of Oral habits and Stress on Temporomandibular disorder in High school students

  • 이가령 (울산과학대학교 치위생학과)
  • 투고 : 2020.09.10
  • 심사 : 2020.11.06
  • 발행 : 2020.11.30
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초록

본 연구는 고등학생의 구강 악습관과 스트레스가 턱관절 장애에 미치는 영향을 분석하고자 울산지역 고등학교에 재학 중인 학생 중에서 연구 참여에 동의한 339명을 대상으로 구조화된 설문지를 이용하여 시행되었다. 자료 분석은 SPSS Statistics ver 18.0 for windows 프로그램을 이용하여 t-test, one-way ANOVA, 상관분석, 회귀분석을 실시하였다. 연구 결과, 턱관절 장애지수는 구강 악습관 지수, 학교생활 스트레스 지수, 가정생활 스트레스 지수, 대인관계 스트레스 지수, 자아 영역 스트레스 지수와 정적인 상관관계가 있었다(p≤0.01). 구강 악습관 및 각종 스트레스가 턱관절 장애에 미치는 영향을 분석하기 위하여 단계선택형 다중회귀분석을 실시한 결과, 구강 악습관 지수가 턱관절 장애지수에 가장 많은 영향을 미치고 있었고 자아 영역에서 높은 스트레스를 나타내는 학생일수록 턱관절 장애지수가 높았으며 이는 유의한 차이가 있는 것으로 나타났다(p≤0.01). 즉, 구강 악습관이 지속되고 스트레스에 적절하게 대처하지 못하는 학생일수록 성인이 되었을 때 턱관절 장애를 경험하는 것으로 예측할 수 있었다. 이는 Y(턱관절 장애지수)=2.563+.550X1(구강악습관지수)+.134X2(자아영역 스트레스지수) 의 회귀식으로 나타났다. 따라서 청소년기에 구강 악습관과 스트레스가 성인으로 이어지는 턱관절 장애의 잠재적인 원인이 될 수 있음을 인식하고 적극적으로 구강 악습관을 개선하고 스트레스에 적절하게 대처할 수 있는 방안이 필요하다고 본다.

This study used a structured questionnaire to analyze the effects of oral habits and stress on temporomandibular disorders in high school students. A total of 339 students attending high schools in Ulsan agreed to participate in the study. Data was analyzed using the SPSS Statistics ver. 18.0 for Windows program, t-test, one-way ANOVA, correlation, and regression analysis. Our results reveal that the temporomandibular disorder index is statistically correlated with the oral habit index, school life stress index, family life stress index, interpersonal stress index, and egosphere stress index (p≤0.01). The oral habit index had maximum influence on the temporomandibular disorder index. Moreover, higher the stress level in egosphere stress, greater significant differences were observed in the temporomandibular disorder index (p≤0.01). In other words, persistence of oral habits and non-addressal of stress increased the likelihood of experiencing temporomandibular disorders in adulthood. This was determined by the regression formula Y (temporomandibular disorder index) = 2.563 + 0.550X1 (oral habit index) + 0.134X2 (egosphere stress index). Thus, bad oral habits and stress in adolescence can be the potential cause of jaw joint disorders in adulthood. We believe that measures are needed to actively recognize and improve oral habits, and properly cope with stress during adolescence.

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참고문헌

  1. E. S. Lee, "The Function and Quantitative Somatosensory Correlation Analysis of Temporomendibular joint according to Forward Head Posture", Journal of the Korea Academia-Industrial cooperation Society, Vol.20, No.12, pp.645-651, 2019. DOI: http://dx.doi.org/10.5762/KAIS.2019.20.12.645
  2. S. M. Hong, S. H. Jeong. "Oral Medicine for the Dental Hygienist", DaehanNarae Publishing, pp.131-149, 2008.
  3. H. J. Lee, Y.G.Kim, S. T. Kim, "Diagnosis of headaches in dental clinic", Journal of the Dental Rehabilitation and Applied Science, Vol.32, No.2, pp.102-108. 2016. DOI: http://dx.doi.org/10.14368/jdras.2016.32.2.102
  4. W. C. Kee, J. K. Choi, M. J. Ko, "Temporomandibular disorders: guidelines for classification, assessment, and management", Jisung Publishing, pp.123-152, 1993.
  5. M. H. Hong, "Effects of Mental Health Levels and Oral habits on Temporomandibular Joint symptom in some adolescents", Journal of the Korea Academia-Industrial cooperation Society, Vol.21, No.2, pp.381-387, 2020. DOI: http://dx.doi.org/10.5762/KAIS.2020.21.2.381
  6. H. Jeong, S. H. Jung, "Oral medicine for the dental hygienist", DaehanNarae Publishing, pp.131, 2012.
  7. K. N. Kim, "Factors related to mental health of juveniles-using the Korea youth risk behavior web-based survey 2019", Journal of the Korea Academia-Industrial cooperation Society, Vol.21, No.6, pp.475-481, 2020. DOI: http://dx.doi.org/10.5762/KAIS.2020.21.6.475
  8. J. J. Lee, J. H. Kang, S. K. Rhie, K. Y. Chae, "Impact of sleep duration on emotional status on adolescents", Journal of Korea child neurology society, Vol.21, No.3, pp.100-110, 2013.
  9. S. B. Kim, N, M, Seong, J. S. Kang, "Moderating Effects of Ego-Resilience on the Relationship between Academic Stress and School Adjustment of Adolescent", Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.8, pp.145-151, 2017. DOI: http://dx.doi.org/10.5762.KAIS.2017.18.145 https://doi.org/10.5762.KAIS.2017.18.145
  10. S. A. Kim, "A Relationship Study of Adolescents' Various Stress, School-life Adjustment, and Happiness: mediating effects", Journal of the Korea Academia-Industrial cooperation Society, Vol.21, No.9, pp.161-169. 2015. DOI: http://dx.doi.org/10.5762/KAIS.2020.21.9.161
  11. S. Y. Han, "A study of Relationship among physical symptoms, mental health according to stress factors of middle school students", Journal of the Korea Academia-Industrial cooperation Society, Vol.13, No.12, pp.5800-5807. 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.12.5800
  12. E. G. Seo, "Prevalence of Temporomandibular disorders and its factors among office workers, service workers and teachers", Master's degree, Korea Univ, 2010.
  13. S. K. Kim, Y. J. Kim, J. M. Nam, J. S. Park, M. Y. Sim, S. J. Yun, E. S. Jung, "Subjective symptoms for Temporomandibular disorder and related factors", Journal of Korean society of Dental Hygiene, Vol.17, No.4, pp.589-600, 2017. DOI: http://dx.doi.org/10.13065/jksdh.2017.04.589
  14. S. K. Kim, S. R. Kim, H. K. Park, J. S. Lee, Y. J. Cho, M. S. Seo, E. S, Jung, "Factors affecting subjective symptoms of Temporomandibular joint disorders in adults", Journal of Korean society of Dental Hygiene, Vol.17, No.4, pp.601-611, 2017. DOI: http://dx.doi.org/10.13065/jksdh.2017.17.04.601
  15. G. A. Zarb, G. E. Carlsson, "Temporomandibular disorders: osteoarthritis", The Journal of Oral & Facial Pain and Headache. Vol.13, No.4, 1999.
  16. M. W. Kim, M. J. Kim, J. S, Kim, L. J. Nam, J. O. ark, S. Y. Sim, E. K. Kim, S. Y. Kim, "The relationship between stomatognathic habit and Temporomandibular joint dysfunction", The journal of Korean academy of physical therapy science, Vol.7. No.1, pp.295-310, 2000.
  17. I. A. Kim, "A study on the effects of Psychosocial Stress on Temporomandibular disorders", Master's degree, Dankook Univ, 2012.
  18. K. I. Moon, "Effects of stress, self-resilience, and depression on suicide ideation among teenage", Master's degree, Korea Univ, 2012.
  19. O. Y. Wi, J. H. Lee, "Structural Equation Model for the Subjective Happiness of Adolescents: Focused on Perceived Stress, Activities and Practices", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.7, pp.585-896. 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.7.585
  20. H. S. Kim, "A study on correlation between the prevalence rate of Temporomandibular disorder and oral habits", The Journal of Korean academy of dental technology, Vol.37, No.4, pp.261-270, 2015. DOI: http://dx.doi.org/10.14347/kadt.2015.37.4.261
  21. H. S. Park, "An epidemiologic study of symptoms of Temporomandibular disorders in Korean college students", Journal of Oral Medicine and Pain, Vol.32, No.1, 2007.
  22. I. Y. Ku, "The Relationship between Job Stress and the Subjective Oral Health Status of Firefighters in Selected Rural Areas", The Journal of Korean Island, Vol.30, No.3, pp.161-175. 2018. DOI: http://dx.doi.org/10.26840/JKI.2018.30.3.161
  23. J. M. Kim, Y. H. Jang, "Effects of adolescent stress on somatic symptoms: The moderating effects of social support", The Korean Journal of Stress Research, Vol.23, No.4, pp.187-196, 2015. https://doi.org/10.17547/kjsr.2015.23.4.187
  24. H. O. Lee, S. M. Kim, "A Study of the Relation of Perceived Stress to Oral Parafunctional Habits in University Students", The Korean Society of Dental Hygiene Science, Vol.15, No.6, pp.721-727. 2015. DOI: http://dx.doi.org/10.17135/jdhs.2015.15.6.721
  25. J. S. Choi, "The relationship between stress perception and oral health status", Journal of Korean society of Dental Hygiene, Vol.14, No.4, pp.555-561, 2014. DOI: http://doi.org/10.13065/jksdh.2014.14.04.555
  26. S. S. Choi, "Relevance of academic stress with High school girl Temporomandibular joint syndrome", The Journal of Korean Society for School & Community Health Education, Vol.15, No.3, pp.31-41, 2014.
  27. M. H. Hong, "Relationship of stress, Oral habits and TMJ symptoms in 20-30 ages adults", Journal of Korean Society of Dental Hygiene, Vol.14, No.5, pp.739-746, 2014. DOI: https://doi.org/10.13065/jksdh.2014.14.05.739
  28. J. H. Kim, C. H. Kim, "Relationship between stress, oral parafunctional habits, and temporomandibular joint disorders among college students", The Korean Academy of Dental Technology, Vol.42, No.3, pp.254-261, 2020 DOI: http://dx.doi.org/10.14347/kadt.2020.42.3.254
  29. A. H. Kim, H. D. Lim, S. Y. An, J. W. Lee, J. Y. Ra, "Symptoms of Temporomandibular disorders in the Korean Children and Adolescents", Journal of Oral Medicine and Pain, Vol.41, No.2, pp.35-40, 2016. DOI: http://dx.doi.org/10.14476/jomp.2016.41.2.35
  30. C. M. Park, H. S. Yoon, "Perceived Oral Subjective Symptoms According to Stress Level of Adult Female", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.8, No.9, pp.837-846, 2018. DOI: http://dx.doi.org/10.35873/ajmahs.2018.8.9.082