初戴固定矫治器时青少年患者的心理变化分析  

Psychological impact on the adolescent patients at the beginning of the fixed orthodontic treatment

作　　者：侯景秋[1,2] 闫征斌[1] 张晔[3] 彭惠[1] 赖文莉[2] 

机构地区：[1]大庆油田总医院口腔正畸科,黑龙江大庆163001 [2]四川大学华西口腔医院正畸科,四川成都610041 [3]哈尔滨医科大学附属口腔医院正畸科,黑龙江哈尔滨150001

出　　处：《华西口腔医学杂志》2008年第6期644-647,共4页West China Journal of Stomatology

摘　　要：目的探讨初戴固定矫治器是否会对青少年错畸形患者产生一定的心理负面影响。方法选取150例青少年错畸形患者,分别在就诊当日(T1期)与固定矫治器戴入1周后(T2期)填写心理调查问卷,该问卷包含焦虑自评量表和抑郁自评量表,调查患者的焦虑和抑郁情绪。根据T1与T2期2个量表的评分,比较固定矫治器戴入前后患者的心理变化。结果129例患者完成了调查。女性患者T2期的焦虑与抑郁评分均较T1期有明显升高;非自愿就诊和拔牙矫治患者在T2期焦虑与抑郁评分升高,与T1期相比差异有统计学意义(P<0.05)。结论初戴固定矫治器所引起的不适与不便可使青少年女性患者、非自愿就诊和拔牙矫治患者产生一定的焦虑与抑郁情绪。Objective To assess whether there is a short negative psychological influence on adolescent patients at the beginning of the fixed orthodontic treatment. Methods 150 patients （average 14.8 years old） were selected. All the patients accepted the fixed appliance treatment. They completed a questionnaire regarding anxiety and depression at the first day when they came to the hospital （T1） and 7 days after fixed appliance insertion （T2）. 129 effective questionnaires were received. The scales of anxiety and depression of subjects were assessed according to the questionnaires. Results Comparing the scales of questionnaires before treatment（T1） and 7 days after placement of fixed appliance （T2）, there was a significant increase in anxiety and depression scales in female patients, extraction cases and patients who were unwilling to see an orthodontist. Conclusion There is a certain extent of negative psychological influence on adolescent patients during fixed orthodontic treatment. At the first week after the placement of fixed appliance, three kinds of subjects, female patients, extraction cases and patients who were unwilling to see an orthodontist would suffer from anxiety and depression in emotional reflection.

关 键 词：固定矫治器 焦虑 抑郁 

分 类 号：R783.5[医药卫生—口腔医学]