口腔正畸患者躯体变形障碍影响因素的调查分析  

Studies on body dysmorphic disorder and its correlation with influential factors in orthodontic patients

作　　者：戴非[1] 蔡中[1] 

机构地区：[1]上海交通大学附属第九人民医院口腔正畸科,200011

出　　处：《中华口腔正畸学杂志》2009年第2期79-82,共4页Chinese Journal of Orthodontics

摘　　要：目的研究口腔正畸患者躯体变形障碍的影响因素。方法使用自编的《口腔颌面部躯体变形障碍自评量表》随机对191例口腔正畸初诊患者进行心理评估。结果正畸临床患者中40．32％存在一般体像心理问题，15．18％存在躯体变形障碍倾向，3．14％有心理障碍。较高学历（本科及以上）及自评分低（≤6分）患者的阳性检出率高于较低学历（大专及以下）及自评分高（≥7分）患者，且均有显著性差异（P〈0．05）；而性别、社会经历、婚姻对阳性检出率的影响无显著性差异。结论在正畸临床中应重视患者的体像心理问题；有必要在治疗前对患者作出有效的心理评估。Objective To invesgate the correlation of body dysmorphic disorder and its influential factors in orthodontic clinic. Methods The self-edited oral-facial body dysmorphic disorder self-scale（OFBDDSS） is used to assess the psychological states of 191 new patients in orthodontic department. Results General psychological problems of body image may exist in orthodontic patients. The educational level and the score of self-evaluation have statistical significance to influence the screening of positive rate（P〈0. 05）; while the gender and the social experience have no statistic significance to do so. Conclusions It is essential to pay more attentions to the psychological problems of body image in orthodontic patients , and it is necessary to assess the psychological states of the patients correctly before orthodontic treatment.

关 键 词：躯体变形障碍 口腔正畸 心理测试 评定量表 

分 类 号：R783[医药卫生—口腔医学]