背景:牙医,经常遇到潜在感染的病人,由于COVID-19大流行,全球经历了重大变化。这项研究的目的是评估对COVID-19、抑郁症、对颞下颌关节紊乱病(TMD)的焦虑和压力,考虑到可能的混杂变量,在大流行后时期的秘鲁牙科学生中。方法:这项分析性横断面研究评估了来自秘鲁两个地区的607名秘鲁牙科学生。这项研究利用了抑郁焦虑应激量表-21(DASS-21),对COVID-19的恐惧量表(FCV-19S)和丰塞卡记忆指数(SFAI)的简短形式。可能的混杂变量是性别,年龄,一年的学习,婚姻状况,原产地,居住区,精神病史和与COVID-19易感人群生活在一起。对于多变量分析,我们使用了具有调整后的稳健方差的泊松回归模型。显著性水平设定为p<0.05。结果:抑郁症的发生率,焦虑,压力,对COVID-19和颞下颌关节紊乱病的恐惧率为47.0%,50.4%,35.9%,30.6%和54.2%,分别。此外,该研究显示,与没有抑郁(APR=1.38,95%CI:1.15-1.66)和焦虑(APR=1.75,95%CI:1.44-2.13)的学生相比,有抑郁和焦虑的学生患颞下颌关节紊乱病的可能性分别为38%和75%。分别。同样,女性患颞下颌关节紊乱的可能性比男性高55%(APR=1.55,95%CI:1.28~1.87).此外,我们发现对COVID-19的紧张和恐惧并不能决定颞下颌关节紊乱病的发展(p>0.05)。结论:几乎一半的牙科学生经历过抑郁症,大流行后时期的焦虑和TMD。此外,抑郁和焦虑是TMD发生的影响因素,女性是一个危险因素。然而,对COVID-19的恐惧、压力、年龄,一年的学习,婚姻状况,原产地,居住区,精神病史或与易感染COVID-19的人生活在一起并不显著。
Background: Dentists, who frequently encounter potentially infected patients, have experienced significant changes worldwide due to the COVID-19 pandemic. The aim of this study was to evaluate the impact of the fear of COVID-19, depression, anxiety and stress on the presence of temporomandibular disorders (TMD), taking into account possible confounding variables, in Peruvian dental students during the post-pandemic period. Methods: This analytical cross-sectional study assessed 607 Peruvian dental students from two regions of Peru. The study utilized the Depression Anxiety Stress Scales-21 (DASS-21), the Fear of COVID-19 Scale (FCV-19S) and the Short Form of the Fonseca Anamnestic Index (SFAI). Possible confounding variables were sex, age, year of study, marital status, place of origin, area of residence, history of mental illness and living with people vulnerable to COVID-19. For the multivariable analysis, we utilized a Poisson regression model with an adjusted robust variance. The significance level was set at p < 0.05. Results: The rates of depression, anxiety, stress, fear of COVID-19 and temporomandibular disorders were 47.0%, 50.4%, 35.9%, 30.6% and 54.2%, respectively. Moreover, the study revealed that students with depression and anxiety were 38% and 75% more likely to have temporomandibular disorders compared to those without depression (APR = 1.38, 95% CI: 1.15-1.66) and anxiety (APR = 1.75, 95% CI: 1.44-2.13), respectively. Similarly, the likelihood of presenting temporomandibular disorders was 55% higher in women than in men (APR = 1.55, 95% CI: 1.28-1.87). Furthermore, we found that stress and fear of COVID-19 did not determine the development of temporomandibular disorders (p > 0.05). Conclusions: Almost half of the dental students experienced depression, anxiety and TMD in the post-pandemic period. In addition, depression and anxiety were influential factors in the occurrence of TMDs, with the female gender being a risk factor. However, factors such as fear of COVID-19, stress, age, year of study, marital status, place of origin, area of residence, history of mental illness or living with people vulnerable to COVID-19 were not significant.