心理因素对16～22岁青年错畸形的正畸需要的影响  

Effects of psychological factors on orthodontic need in young adults

作　　者：尹璐[1,2] 陈文静[1,2,3] 陆树林[3] 喻建[3] 郑雷[3] 余新洲[3] 

机构地区：[1]南京医科大学口腔医学研究所 [2]南京医科大学附属口腔医院正畸科,南京210029 [3]南京陆军指挥学院

出　　处：《中国心理卫生杂志》2010年第7期500-504,508,共6页Chinese Mental Health Journal

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]. Logi

关 键 词：错[牙合]畸形 正畸需要 体像 人格 心理测量 

分 类 号：R749.94[医药卫生—神经病学与精神病学] R783.5[医药卫生—临床医学]