华西口腔医学杂志

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青少年唇腭裂患者焦虑症及影响因素的研究

刘超  冉浩  蒋常委  周猛   

  1. 徐州医学院附属徐州口腔医院颌面外科,徐州 221002
  • 收稿日期:2015-03-26 修回日期:2015-07-10 出版日期:2015-10-01 发布日期:2015-10-01
  • 通讯作者: 周猛,主治医师,硕士,E-mail:pavel88@126.com
  • 作者简介:刘超,副主任医师,学士,E-mail:liuchao2299@163.com

Anxiety disorders and influence factors in adolescent patients with cleft lip and palate

Liu Chao, Ran Hao, Jiang Changwei, Zhou Meng.   

  1. Dept. of Oral and Maxillofacial Surgery, Xuzhou Stomatological Hospital, Xuzhou Medical College, Xuzhou 221002, China
  • Received:2015-03-26 Revised:2015-07-10 Online:2015-10-01 Published:2015-10-01

摘要:

目的  探讨青少年唇腭裂患者焦虑症的发生情况及影响因素。方法  选取120例青少年唇腭裂患者作为研究对象,采用一般人口学问卷、焦虑自评量表、社会支持评定量表(SSRS)进行问卷调查,分析各因素对焦虑症发生的影响。结果  回收有效问卷119份。青少年唇腭裂患者焦虑症的发生率为49.6%(59/119),其中轻度、中度、重度焦虑症发生率分别为41.2%(49/119)、7.6%(9/119)、0.8%(1/119)。不同的性别、居住地区、疾病类别、是否独生子女,其焦虑症的发生率有统计学差异(P<0.05)。焦虑症患者SSRS得分低于无焦虑症患者(P<0.05)。社会支持与性别对患者焦虑症的发生有预测作用(R=0.318)。结论  青少年唇腭裂患者焦虑症发病率较高,性别与社会支持是其重要的影响因素,应针对好发人群早期进行心理干预。

关键词: 唇腭裂, 焦虑症, 心理健康

Abstract:

Objective  To investigate the anxiety disorders and influence factors that occur in adolescent patients with cleft lip and palate and to provide theoretical foundation for mental intervention. Methods  A total of 120 adolescent patients with cleft lip and palate were investigated using a general information questionnaire, the self-rating anxiety scale, and the social support rating scale (SSRS). The influence factors of anxiety disorders were analyzed. Results  The effective questionnaires were 119. The occurrence rate of anxiety disorder in adolescent patients was 49.6% (59/119), and the occurrence rates of mild, moderate, and severe anxieties were 41.2% (49/119), 7.6% (9/119), and 0.8% (1/119), respectively. The gender, residential area, disease category, family status (one child or no children), and incidence rate of anxiety disorder in patients were statistically different (P<0.05). The SSRS scores of patients with anxiety disorder were lower than those of patients without anxiety disorder (P<0.05). Multiple regression analysis showed that gender and social support were predictive factors of the occurrence of anxiety disorder (R=0.318). Conclusion  A high anxiety disorder rate occurred in adolescent patients with cleft lip and palate. Gender and social support were important influencing factors for anxiety disorder. In the after-mental intervention, considerable attention should be given to the anxiety disorders of patients and improve their mental health.

Key words: cleft lip and palate, anxiety disorder, mental health