伴颞下颌关节紊乱病的成人正畸患者的心理社会因素研究  

The Effect of Psycho-social Factors on Adult Orthodontic Patients with Temporomandibular Disorders

作　　者：庞兰[1] 唐璐[1] 李宇[1] 何莉君[1] 韩亚男[1] 

机构地区：[1]成都大学附属医院口腔科,成都610081

出　　处：《华西医学》2013年第8期1232-1234,共3页West China Medical Journal

摘　　要：目的探讨伴颞下颌关节紊乱病(TMD)的成人正畸患者的心理社会因素。方法 2009年5月-2011年12月伴TMD的成人正畸患者42例为观察组,无矫正要求、伴TMD的错牙合患者50例为对照组。采用九十项症状清单(SCL-90)、艾森克人格问卷(EPQ)进行测试,同时进行TMD调查。结果观察组与对照组相比,得分较高的有强迫、焦虑、抑郁、人际关系敏感等因素,差异有统计学意义(P<0.05);观察组患者P量表、N量表得分高于对照组,差异有统计学意义(P<0.05)。结论伴TMD的成人正畸患者心理健康问题普遍存在,倾向于神经质和精神质的人格特征。Objective To study the effect of psycho-social factors on adult orthodontic patients with temporomandibular disorders（TMD）.Methods Forty-two orthodontic patients with TMD and fifty malocclusion patients participated in this study.All subjects were evaluated by Symptom Check list-90 scale（SCL-90） and Eysenek Personality Questionnaire（EPQ）.Results For SCL-90,orthodontic patients with TMD scored significantly higher in obsessive-compulsive symptoms,anxiety,depression and interpersonal sensitivity（P0.05）.There was a statistically significant difference between the control group and experimental group by EPQ,and orthodontic patients had higher scores on Psychoticism and Neuroticism（P0.05）.Conclusion Adult orthodontic patients with TMD have psychological problems commonly and are inclined to psychoticism and neuroticism.

关 键 词：成人正畸治疗 颞下颌关节紊乱病 九十项症状清单 艾森克人格问卷 心理健康 

分 类 号：R782.6[医药卫生—口腔医学]