颞下颌关节紊乱病患者的人格特征  

Character of Personality of the Patients with Temporomaneibuar Disorder

作　　者：张静莹[1] 张引成[1] 谢中秋[1] 刘为国[1] 张卫民[1] 

机构地区：[1]大连大学医学院,辽宁大连116622

出　　处：《中国社会医学杂志》2007年第4期245-247,共3页Chinese Journal of Social Medicine

摘　　要：目的探讨颞下颌关节紊乱(TMD)与人格特征之间的关系。方法选择门诊颞下颌关节紊乱病患者339例为病例组和健康人群332例为对照组,采用埃森克人格问卷(EPQ)进行调查,同时进行TMD症状调查,按Helkimo指数进行分析。结果TMD病例组比对照组趋于精神质异常、内向、情绪不稳定的人格倾向;精神质异常、内向性格、情绪不稳定的人群发生TMD的可能性高于外向性格、精神质正常、情绪稳定的人群;精神质异常人格倾向的患者抑郁、焦虑症状比精神质正常患者严重。在具有异常人格特征的患者中,女性患者心理障碍发生率高于男性患者,焦虑、抑郁等心理问题更加严重。结论①TMD患者具有精神质异常、内向、情绪不稳定的人格特征;②具有异常人格特征的人群TMD的发病率高;③具有异常人格特征的TMD患者表现出更加严重的心理问题,尤其是女性患者。Objective To study the relation of character of personality and temporomandibular disorder (TMD). Methods A total of 339 patients with TMD and 332 normal subjects of the control group were evaluated. All subjects were required to complete the EPQ questionnaire, and the symptoms of TMD were investigated with Helkimo index. Results The rates of spirit abnormity, introversion and emotion instability in patients were higher than comparisons. The occurrence rate of TMD is higher in the patients with the characters of spirit abnormity, introversion and emotion instability. The symptoms of depression and anxiety were more serious in the patients of spirit abnormity than spirit normal. Among the patients of TMD with abnormal personality character, the psychologic problems were more serious in women than in men Conclusions ①The personality characters of patients with TMD are spirit abnormity, introversion and emotion instability.②The occurrence rate of TMD is higher in the patients with the special personality characters.③The psychologic problems were more serious in the patients with the special personality characters , especially in women.

关 键 词：颞下颌关节紊乱病 人格 

分 类 号：R782[医药卫生—口腔医学]