华西口腔医学杂志

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青少年唇腭裂患者自我意识心理特征的初步研究

廖  锐,郑  谦,石  冰,王  ,李  灵,董  瑞,石  晋,杨  超   

  1. 四川大学华西口腔医学院  口腔颌面外科学教研室,四川  成都 610041
  • 收稿日期:2006-06-25 修回日期:2006-06-25 出版日期:2006-06-20 发布日期:2006-06-20
  • 通讯作者: 郑 谦,Tel:13036670410
  • 作者简介:廖 锐(1979-),女,四川人,硕士研究生

reliminary Study on Self-concept Psychological Feature of Cleft Lip and Palate Adolescents

 LIAO Rui, ZHENG Qian, SHI Bing,WANG Yan, LI Ling, DONG Rui, SHI Jin, YANG Chao   

  1. Dept. of Oral and Maxillofacial  Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2006-06-25 Revised:2006-06-25 Online:2006-06-20 Published:2006-06-20

摘要:

目的  探讨青少年唇腭裂患者的自我意识心理特征,便于对其消极心理状态进行及时的、有针对性的心理干预。方法  根据心理量表的编制流程和要求,自行设计出针对唇腭裂患者的专用心理量表,对唇腭裂患者组和对照组行问卷调查,采用0—9级的半定量方式记分,然后行统计分析。结果  ①唇腭裂组自我意识总体得分为5.91分,与对照组得分5.66分间无统计学差异。②男女患者间自我意识总体上无明显差别。但男性患者的人格更外向,而女性在坚强、释放压力等方面优于男性。③唇腭裂患者的心理调节能力优于正常青少年。在承受失败方面,明显优于对照组。唇腭裂患者具有更明显的保护性的行为抑制:较少与人交往。④唇腭裂患者总体亲子关系良好。⑤多数患者对生活质量的期望值不高。⑥较多的唇腭裂患者认为语音比容貌更重要。结论  青少年唇腭裂患者的自我意识大体处于正常水平,而且较正常青少年具有更好的心理调节和防卫能力。

关键词: 唇腭裂, 心理学, 自我意识, 量表

Abstract:

Objective To obtain the self-concept psychological feature of cleft lip and palate(CLP) adolescents further and accurately, and offer reasons for timely and pointed psychological intervention. Methods Based on the procedure and criteria of development of psychological questionnaire, a psychological questionnaire for CLP adoles- cents was designed. 93 CLP and 88 healthy adolescents were studied by using it and their half-quantified score raging 0-9 were analyzed statistically. Results ①There was no statistical difference between CLP and normal ado- lescents, scored 5.91 and 5.66 respectively, which demonstrated that the self-concept of CLP adolescents was at a normal level without obvious passive tendency. ②There was no significant difference between genders, but boys were more extroversion while girls did better on being unyielding and releasing strain. ③CLP adolescents had a higher ability of psychological regulation and could face failure more bravely. CLP patients were in a tendency of protective behavior inhibition, companied less, and maximized delight mood unconsciously to decrease harm from enviroment. ④CLP adolescents had a good parentage. ⑤A majority of patients had low expectation of life-quality. ⑥Much of CLP patients considered that speech was more important than appearance. Conclusion Self-concept of CLP adolescents have normal self-concept and do better in psychological regulation and dependence than normal ones.

Key words:  cleft lip and palate, psychology, self-concept, questionnaire