Delayed orthodontic care and its association with depression among Chinese adolescents: a cross-sectional study
ObjectiveAdolescents undergoing orthodontic treatment often face psychological challenges, and delays in treatment may exacerbate these issues. This study explores the prevalence of depressive symptoms among Chinese adolescents receiving orthodontic care and examines the potential link between treat...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1541160/full |
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| author | Yang Li Mengshan Yang Botang Guo Lusi Yang Cui Xiaotian Jiaxing Zhou Kun Wang Shouli Wang Ping Tang Shitao Dong |
| author_facet | Yang Li Mengshan Yang Botang Guo Lusi Yang Cui Xiaotian Jiaxing Zhou Kun Wang Shouli Wang Ping Tang Shitao Dong |
| author_sort | Yang Li |
| collection | DOAJ |
| description | ObjectiveAdolescents undergoing orthodontic treatment often face psychological challenges, and delays in treatment may exacerbate these issues. This study explores the prevalence of depressive symptoms among Chinese adolescents receiving orthodontic care and examines the potential link between treatment delays and depressive symptoms.MethodsA cross-sectional study was conducted among adolescent orthodontic patients in Chengde, Hebei Province. Data on demographic factors, treatment delays, and depressive symptoms were collected through structured questionnaires. The Beck Depression Inventory for Youth (BDI-Y) was used to assess depressive symptoms. Logistic regression analysis was performed to evaluate the association between delayed treatment and the risk of depressive symptoms.ResultsThe study found that 32% of adolescent orthodontic patients exhibited depressive symptoms, a rate notably higher than the general adolescent population. Furthermore, 82% of the patients experienced treatment delays. Factors such as age, gender, family income, parental marital status, treatment type, and malocclusion severity (IOTN score) were significantly associated with depressive symptoms. Logistic regression showed that delays of 181–360 days (OR=4.26, 95%CI: 1.37–13.28) and over 360 days (OR=3.40, 95%CI: 1.02–11.37) were significantly associated with a higher risk of depressive symptoms.ConclusionAdolescents undergoing orthodontic treatment are at a heightened risk of developing depressive symptoms, particularly when facing significant treatment delays. Early intervention, including psychological support, education on treatment importance, and financial assistance, is essential to mitigate these risks and improve both oral and mental health outcomes. |
| format | Article |
| id | doaj-art-ff5fd4914d0142fcaa5b212bf7852307 |
| institution | DOAJ |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-ff5fd4914d0142fcaa5b212bf78523072025-08-20T02:55:16ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-05-011610.3389/fpsyt.2025.15411601541160Delayed orthodontic care and its association with depression among Chinese adolescents: a cross-sectional studyYang Li0Mengshan Yang1Botang Guo2Lusi Yang3Cui Xiaotian4Jiaxing Zhou5Kun Wang6Shouli Wang7Ping Tang8Shitao Dong9Department of Stomatology, The Chengde Stomatological Hospital, Hebei, Chengde, ChinaSchool of Economics, Zhejiang Gongshang University, Zhejiang, Hangzhou, ChinaDepartment of General Practice, Shenzhen Luohu People’s Hospital (Luohu Clinical College of Shantou University Medical College), Guangdong, Shenzhen, ChinaDepartment of Education, Qingdao Municipal Hospital, Qingdao, Shandong, ChinaDepartment of Education, Qingdao Municipal Hospital, Qingdao, Shandong, ChinaDepartment of Stomatology, The Chengde Stomatological Hospital, Hebei, Chengde, ChinaDepartment of Stomatology, The Xianxian Hospital of Traditional Chinese Medicine (TCM), Hebei, Cangzhou, ChinaDepartment of Stomatology, The Chengde Stomatological Hospital, Hebei, Chengde, ChinaDepartment of General Practice, Shenzhen Luohu People’s Hospital (Luohu Clinical College of Shantou University Medical College), Guangdong, Shenzhen, ChinaDepartment of Stomatology, The Chengde Stomatological Hospital, Hebei, Chengde, ChinaObjectiveAdolescents undergoing orthodontic treatment often face psychological challenges, and delays in treatment may exacerbate these issues. This study explores the prevalence of depressive symptoms among Chinese adolescents receiving orthodontic care and examines the potential link between treatment delays and depressive symptoms.MethodsA cross-sectional study was conducted among adolescent orthodontic patients in Chengde, Hebei Province. Data on demographic factors, treatment delays, and depressive symptoms were collected through structured questionnaires. The Beck Depression Inventory for Youth (BDI-Y) was used to assess depressive symptoms. Logistic regression analysis was performed to evaluate the association between delayed treatment and the risk of depressive symptoms.ResultsThe study found that 32% of adolescent orthodontic patients exhibited depressive symptoms, a rate notably higher than the general adolescent population. Furthermore, 82% of the patients experienced treatment delays. Factors such as age, gender, family income, parental marital status, treatment type, and malocclusion severity (IOTN score) were significantly associated with depressive symptoms. Logistic regression showed that delays of 181–360 days (OR=4.26, 95%CI: 1.37–13.28) and over 360 days (OR=3.40, 95%CI: 1.02–11.37) were significantly associated with a higher risk of depressive symptoms.ConclusionAdolescents undergoing orthodontic treatment are at a heightened risk of developing depressive symptoms, particularly when facing significant treatment delays. Early intervention, including psychological support, education on treatment importance, and financial assistance, is essential to mitigate these risks and improve both oral and mental health outcomes.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1541160/fulladolescentsorthodontic treatmentdepressionmental healthtreatment interventions |
| spellingShingle | Yang Li Mengshan Yang Botang Guo Lusi Yang Cui Xiaotian Jiaxing Zhou Kun Wang Shouli Wang Ping Tang Shitao Dong Delayed orthodontic care and its association with depression among Chinese adolescents: a cross-sectional study Frontiers in Psychiatry adolescents orthodontic treatment depression mental health treatment interventions |
| title | Delayed orthodontic care and its association with depression among Chinese adolescents: a cross-sectional study |
| title_full | Delayed orthodontic care and its association with depression among Chinese adolescents: a cross-sectional study |
| title_fullStr | Delayed orthodontic care and its association with depression among Chinese adolescents: a cross-sectional study |
| title_full_unstemmed | Delayed orthodontic care and its association with depression among Chinese adolescents: a cross-sectional study |
| title_short | Delayed orthodontic care and its association with depression among Chinese adolescents: a cross-sectional study |
| title_sort | delayed orthodontic care and its association with depression among chinese adolescents a cross sectional study |
| topic | adolescents orthodontic treatment depression mental health treatment interventions |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1541160/full |
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