摘要
目的:了解成人颌面部错合畸形患者在矫形治疗前后心理状况,为心理干预提供依据。方法:采用症状自评量表(SCL-90)对沈阳市口腔医院治疗的成人颌面部错合畸形患者105例进行测查,分析其人口学特征及心理状况。结果:成人错合畸形患者的强迫、抑郁、焦虑、精神病性和总分高于全国成人常模,差异均有显著性(P<0.05～0.01);男性在总分及抑郁,焦虑,恐惧等因子都显著低于成人女性患者,差异均有显著性(P<0.05～0.01);高中以下成人错合畸形患者除躯体化及精神病性的评分高于大专以上成人错合畸形患者,其余各因子及总分均低于大专以上成人错合畸形患者,差异有显著性(P<0.05～0.01)。结论:成人错合畸形患者心理状况低于全国成人水平,女性、大专以上文化程度患者的心理健康状况较男性、高中以下患者差。针对成人颌面部错合畸形患者心理特点,应给予全程的心理干预。
AIM:To study the psychological status of adult patients with maxillofacial malocclusion before and after orthodontic therapy,so as to provide evidence for psychological intervention. METHODS:Totally 105 adult patients with maxillofacial malocclusion treated in the Shenyang Hospital of Stomatology were investigated with the symptom checklist 90(SCL 90),their demographic characteristics and psychological status were analyzed. RESULTS:The scores of compulsion,depression,anxiety,psychosis and total score were significantly higher in the adult patients with maxillofacial malocclusion than the national adult norms(P< 0.05 to 0.01).Male patients had significantly lower total score and scores of depression,anxiety and panic than female patients(P< 0.05 to 0.01).Patients below senior middle school had markedly higher scores of somatization and psychosis than those above universities,but significantly lower scores of other factors and the total score(P< 0.05 to 0.01). CONCLUSION:The psychological status of adult patients with maxillofacial malocclusion is lower than the national adult level,it is worse in female patients and those above universities than in male patients and those below senior high middle school.It is necessary to carry out full course psychological intervention according to the psychological characteristics of the adult patients with maxillofacial malocclusion.
出处
《中国临床康复》
CSCD
北大核心
2005年第8期38-39,共2页
Chinese Journal of Clinical Rehabilitation
