成年正畸患者心理状况与ICON指数的相关性研究(1)
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[摘要]目的：通过分析成年正畸患者的心理状况和错牙合畸形的严重程度，初步探求二者的关联性，为临床工作提供指导。方法：以100例(男50例，女50例)成年正畸患者为研究对象，利用精神症状自评量表(Symptom Checklist 90，SCL-90)获取数据，采用反映错牙合畸形严重程度的评分标准(Index of complexity,outcome and need，ICON)对正畸治疗前的模型进行评分，SPSS软件统计学分析。结果：成年正畸患者除恐怖和敌对外，其它因子均高于全国常模；偏执和人际关系敏感因子存在性别差异。患者ICON值与躯体化、人际关系敏感和抑郁因子存在显著正相关性；与偏执因子存在负相关性。结论：成年正畸患者存在不同程度的心理问题，与错牙合畸形的严重程度存在一定程度的关联性，在临床治疗中应注意鉴别并辅助心理治疗。
[关键词]心理状况；正畸治疗；错牙合畸形；ICON指数
[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2011)03-0467-03
Correlation Study between malocclusion severity and psychological state of adolescent malocclusion patients
XU Qing,ZHANG Yan-xiao,ZANG Ai-ping,TANG Li-qin
(Department of Orthodontics,Wuxi Stomatology Hospital,Wuxi 214001,Jiangsu,China)
Abstract:ObjectiveTo identify the correlation between malocclusion severity and psychological state of adolescent malocclusion patients.Methods100 initial visited malocclusion patients (25.2±3.4 years old; Female 50,Male 50) were contained in this study.The psychological state of adolescent malocclusion patients and ICON index were evaluated from the SCL-90 scale and study models.Correlations between them were analyzed by the independent-T test, Kendall test and Spearman test in SPSS 16.0.Results Except for the factors of forcing and hostile, the other factor marks of SCL-90 were higher significantly in experiment group than those in normal pattern. Paranoia and interpersonal sensitivity have sex differences.ICON value in patients were significantly positively correlated with somatization, interpersonal sensitivity and depression factors, and negatively correlated with paranoid ideation.ConclusionMost adult orthodontic patients have mental problems.There is some correlation with malocclusion severity,we should be attention to identify and take some corresponding steps.
Key words:psychological state;orthodontic treatment;malocclusion;ICON
随着单一的生物医学模式向生物-心理-社会医学模式的转变，错牙合畸形对患者心理状况的影响愈来愈被正畸医师所重视。许多患者性格偏执，表现为焦虑不安、 抑郁自卑而缺乏勇气等[1]，成年正畸患者尤为明显。国内外很多学者分析了成年正畸患者的心理行为特点[2-3]，但对于错牙合畸形与心理状况的关系研究较少，本文拟通过分析成年正畸患者的心理状况与反映错牙合畸形严重程度的ICON指数，了解二者的相关性，为临床工作提供一定的指导。
1资料和方法
1.1 研究对象：随机选择在无锡口腔医院进行正畸治疗的成年患者100例(男50例，女50例)，平均年龄(25.2±3.4)岁。经知情同意后，志愿参与本项研究者。
1.2 方法：用藻酸盐印模材料制取牙列印模，然后石膏灌注、打磨，制成研究模。由两名对ICON指数熟悉的正畸医师按照ICON评分标准对患者正畸治疗前的模型进行评分 ......
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