摘要
目的:探讨心理因素对16～22岁青年错畸形的正畸需要的影响。方法:应用一般人口调查问卷、正畸需要调查问卷、艾森克人格问卷简式量表(Eysenck Personality Questionnaire-Revised,Short Scalefor Chinese,EPQ-RSC)、症状自评量表(Symptom Checklist90,SCL-90)、多维自我体像关系问卷(Multi-dimensional Body Self-Relations Questionnaire,MBSRQ)和正畸治疗难度、结果、需要指数(Index of Com-plexity,Outcome and Need,ICON),对南京陆军指挥学院门诊部就诊的204名16～22岁青年进行测查。结果:按研究对象是否有正畸需要分为无正畸需要组(n=144)和有正畸需要组(n=60)。两组在EPQ-RSC的各分题得分上差异均无统计学意义(Ps>0.05),而在SCL-90评分上,无正畸需要组的躯体化[(1.47±0.47)vs.(1.67±0.5),P<0.01]、抑郁[(1.46±0.45)vs.(1.66±0.69),P<0.05]、焦虑[(1.51±0.41)vs.(1.66±0.61),P<0.05]、恐怖[(1.32±0.41)vs.(1.45±0.43),P<0.05]和总分[(137.57±38.12)vs.(149.85±37.62),P<0.05]均低于有正畸需要组;在MBSRQ评分上,无正畸需要组的相貌评估[(3.40±0.50)vs.(3.22±0.49),P<0.05]、舒适倾向[(3.75±0.54)vs.(3.56±0.51),P<0.05]、健康评估[(3.99±0.59)vs.(3.72±0.59),P<0.01]和身体部位满意[(4.04±0.68)vs.(3.71±0.63),P<0.01]均高于有正畸需要组,超重[(1.97±0.68)vs.(2.24±0.73),P<0.05]低于有正畸需要组;在ICON评分上,无正畸需要组得分低于有正畸需要组[(45.32±14.49)vs.(50.08±15.82),P<0.05]。Logistic回归分析显示,健康评估(β=-0.677,P<0.05)和身体部位满意(β=-0.840,P<0.01)越低、ICON(β=0.033,P<0.01)越高,正畸需要越强烈。结论:错畸形和体像影响着16～22岁青年的正畸需要。健康评估和身体部位满意越低、ICON越高,正畸需要越强烈。另外,较高的躯体化、抑郁、焦虑、恐怖、总分和超重,以及较低的相貌评估舒适倾向、健康评估和身体部位满意会使青年产生正畸需要。
Objective： To investigate the psychological factors on orthodontic need in young adults. Methods： A sample of 204 young adults, aged.16 to 22 years old, was selected randomly in hospital of Nanjing Army Command College. They were assessed with a general population survey, a questionnaire for orthodontic need, the Eysenck Per- sonality Questionnaire-Revised Short Scale for Chinese （EPQ-RSC）, the Symptom Checklist 90 （SCL-90）, the Mul- tidimensional Body Self-Relations Questionnaire （MBSRQ） and the Index of Complexity, Outcome and Need （ I- CON）. Results： According to the orthodontic needs of participants, participants were classified into two groups that were ＂no orthodontic need＂ （ 144, 70. 59% ） and ＂orthodontic need＂ （ 60, 29. 41% ）. There was no significant difference between two groups in factors of EPQ-RSC（ Ps 〉 0. 05）. For SCL-90, the scores of somatization[ （ 1.47 ± 0. 47） vs. （ 1.67 ± 0. 5）, P 〈 0. 01 ], depression [ （ 1.46 ± 0. 45） vs. （ 1.66± 0. 69）, P 〈 0. 05 ], anxiety [ （ 1.51±0.41 ） vs. （ 1.66 ±0. 61）, P 〈 0. 05 ], phobic anxiety[ （ 1.32 ± 0.41） vs. （ 1.45 ± 0.43）, P 〈 0.05 ], and total scores[ （ 137.57 ± 38.12） vs. （149.85± 37.62）, P 〈 0, 05 ] were significantly lower in ＂No orthodontic need＂ group than in ＂orthodontic need＂ group. For MBSRQ, ＂No orthodontic need＂ group had higher scores of appearance assessments[ （3.40 ± 0. 50） vs. （3.22 ± 0.49）, P 〈 0. 05 ], tendency to comfort[ （3.75 ± 0. 54） vs. （3.56± 0. 51）, P 〈 0. 05 ], health assessments [（3.99±0. 59）vs. （3.72±0. 59）, P 〈0. 01] and satisfaction with body parts[ （4.04±0. 68） vs. （3.71 ±0. 63）, P 〈 0. 01 ], and lower scores of overweight[ （1.97± 0. 68）vs. （ 2. 24 ±0.73）, P 〈 0. 05 ] than ＂orthodontic need＂ group. ＂No orthodontic need＂ group had lower ICON scores than ＂orthodontic need＂ group[ （45. 32 ± 14.49）vs. （50. 08 ± 15.82）, P 〈 0. 05]. Logistic regression showed that the lower health assessments and satisfaction with body parts were associated with the higher scores of ICON, and the stronger orthodontic needs. Conclusion： Malocclusion and body image may strongly affect the orthodontic need of young adults aged 16 to 22 years old. The higher somatiza- tion, depression, anxiety, phobic anxiety and overweight, and the lower appearance assessments, tendency to comfort, health assessments and satisfaction with body parts may be related to orthodontic needs in young adults.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2010年第7期500-504,508,共6页
Chinese Mental Health Journal
