成年正畸患者心理状况及ICON指数相关性探究.docVIP

成年正畸患者心理状况及ICON指数相关性探究[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