影响正畸患者正性情绪和负性情绪的因素  

Factors influencing positive and negative affects of orthodontic patients

作　　者：林海燕[1] 林佳瑞[1] 王媛媛[1] 范明玲[1] 王伟财[1] 包柏成[1] 

机构地区：[1]广州,中山大学光华VI腔医学院·附属VI腔医院正畸科、广东省口腔医学重点实验室,广州中山510055

出　　处：《中华医学美学美容杂志》2014年第1期48-51,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：广东省科技计划项目（编号：20108080701068）

摘　　要：目的探讨影响正畸患者正性情绪和负性情绪的因素，为对患者进行必要的心理干预提供依据。方法对145例正畸患者进行问卷调查，内容包括患者一般情况、牙科审美社会心理影响量表、正畸治疗需要指数的美观量表、骀感知量表和正性情绪及负性情绪量表。并进行统计学分析。结果末成年患者负性情绪得分比成年患者低（u-1886．500，P〈O．05），正在矫治的患者较尚未矫治的患者正性情绪得分较高（u-2228．000，P〈o．05）。牙科审美社会心理影响量表的分量表“社会影响”（x%2-11．794，P〈0．05）、“审美态度”（X^2-45．853，P〈O．05）、“牙齿自信”（x^2-33．551，P〈0．05）与负性情绪得分的差异均有统计学意义。正畸治疗需要指数的美观量表、l牙科审美社会心理影响量表、殆感知量表得分和负性情绪得分呈正相关（P〈O．05）；“社会影响”与正性情绪得分呈负相关（P〈O．05）。结论成年正畸患者的负性情绪较青少年患者高，正畸治疗可以提高患者的正性情绪，牙科审美负面社会心理影响越多，患者负性情绪越高。Objective To investigate the factors influencing positive and negative affects of or thodontic patients. Methods 145 orthodontic patients were selected and finished questionnaire sur vey. The questionnaires included demographic data, psychosocial impact of dental aesthetic question naire （PIDAQ）, aesthetic content of index of orthodontic treatment need （IOTN-AC）, perception of occlusion scale （P（）S）, and positive affect and negative affect scale （PANAS）. Mann-Whitney U-test, Kruskal Walis H-test, and Spearman correlation analysis were used to analyze the relation between impact of dental aesthetics and positive and negative affects in orthodontic patients. Results The scores of adolescent patients were higher than adult patients in negative affect （U ： 1886. 5（）0, P〈0.05）. The patients under orthodontic treatment scored higher than those before treatment （U= 2228.000, P〈0.05）. The subdomains of PIDAQ, such as social impact （x^2=11. 794, P〈0.05）, aesthetic altitude （~z ：45. 853, P^0.05）, and dental confidence （x^2=33. 551, P〈0.05） were relat- ed with negative affect. The scores of IOTN AC, P1DAQ, POS demonstrated positive correlation with negative affect （P〈0.05）. The scores of social impact showed negative correlation with positive affect （P〈0.05）. Conclusions Adult orthodontic patients suffer more negative affect than adolescent pa tients. Orthodontic treatment could promote patients＇ positive affect. However, the negative psycho- social impact in dental aesthetics would strengthen the negative affect.

关 键 词：正畸学 医学审美 情绪 量表 

分 类 号：R783.5[医药卫生—口腔医学]