正畸治疗前焦虑、抑郁水平与完美主义倾向的相关性  

Correlation between anxiety, depression and pefectionistic tendencies in patients before orthodontic treatment

作　　者：罗恒[1,2] 冯云枝[2] 许雪飞[3] 张积标[4] 

机构地区：[1]中山大学孙逸仙纪念医院口腔科,广东广州510120 [2]中南大学湘雅第二医院口腔医学中心,湖南长沙410011 [3]中南大学湘雅第二医院临床药学研究所,湖南长沙410011 [4]中南大学湘雅第二医院医学心理学研究所,湖南长沙41001

出　　处：《上海口腔医学》2014年第5期609-613,共5页Shanghai Journal of Stomatology

摘　　要：目的:探讨正畸患者治疗前的焦虑、抑郁水平和完美主义倾向之间的关系。方法 :采用修改版Corah牙科焦虑量表(MDAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、中文版《Frost多维度完美主义心理量表》(CFMPS)对170例口腔正畸初诊患者进行测试,采用SPSS16.0软件包对数据进行独立样本t检验、相关分析和多元逐步回归分析。结果:明显患有牙科焦虑症(MDAS得分≥11)的患者42例,占24.71%,在SAS、SDS得分上均显著高于无明显牙科焦虑症组(MDAS得分<11)(P<0.01);在CFMPS的担心错误(CM)、个人标准(PS)、行动的疑虑(DA)和条理性(OR)4个维度上与无明显牙科焦虑症组存在显著差异(P<0.05)。牙科焦虑症患者在CM、PS、DA与SAS和SDS得分之间均呈显著正相关(P<0.01);OR与SDS得分呈显著负相关(P<0.05);回归分析显示,CFMPS的CM、OR维度得分以及年龄对SAS和SDS得分均具有较强的预测作用。结论:正畸治疗前牙科焦虑症患者的焦虑和抑郁水平较高,且与其完美主义倾向之间具有显著相关性。针对牙科焦虑症的早期干预,应结合患者的年龄和不同完美主义个性特征而区别对待。PURPOSE： To discuss the relationships between the level of anxiety, depression and perfectionism in dental patients before orthodontic treatment. METHODS： A modified Corah Dental Anxiety Scale （MDAS）, Self-Rating Depression Scale （SDS）, Self-Rating Anxiety Scale （SAS） and Chinese Frost Multidimensional Perfectionism Scale （CFMPS） were used in 170 patients before orthodontic treatment. The data was analyzed by independent sample t test, correlation and multiple regression analysis using SPSS16.0 software package. RESULTS： 24.71% of the patients had obvious dental anxiety with MDAS scores ≥ 11, there was significant difference in the scores of SAS, SDS between dental anxiety group and non-dental anxiety group （P〈0.01）, the scores of concern over mistakes （CM）, personal standards （PS）, doubts about actions （DA） and organization （OR） of dental anxiety patients were of significant difference compared with that in the non-dental anxiety group （P〈0.05）. Concern over mistakes （CM）, personal standards （PS） and doubts about actions （DA） had significant positive correlations with the scores of SAS and SDS （P〈0.01）; while organization （OR） had negative correlation with the scores of SDS （P〈0.05）; Regression analysis showed that the scores of concern over mistakes （CM）, organization （OR） and age seemed to be a strong predictor of the scores of SAS and SDS. CONCLUSIONS： Thelevel of anxiety and depression of dental anxiety patients before orthodontic treatment is higher than non-dental anxiety group, and it has significant correlation with perfectionistic tendencies, for dental anxiety of patients with early intervention should be combined with different age and perfectionism personality characteristics.

关 键 词：正畸 牙科焦虑症 焦虑 抑郁 完美主义倾向 

分 类 号：R783.5[医药卫生—口腔医学]