华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

初戴固定矫治器时青少年患者的心理变化分析

侯景秋1,2, 闫征斌1, 张晔3, 彭惠1, 赖文莉2   

  1. 1.大庆油田总医院口腔正畸科, 黑龙江大庆163001; 2.四川大学华西口腔医院正畸科, 四川成都610041;3.哈尔滨医科大学附属口腔医院正畸科, 黑龙江哈尔滨150001
  • 收稿日期:2008-12-25 修回日期:2008-12-25 出版日期:2008-12-20 发布日期:2008-12-20
  • 通讯作者: 赖文莉,Tel:028-61153380
  • 作者简介:侯景秋(1971-),女,黑龙江人,副主任医师,硕士

Psychological impact on the adolescent patients at the beginning of the fixed orthodontic treatment

HOU Jing-qiu1,2, YAN Zheng-bin1, ZHANG Ye3, PENG Hui1, LAI Wen-li2   

  1. 1. Dept. of Orthodontics, Daqing Oilfields General Hospital, Daqing 163001, China; 2. Dept. of Orthodontics, West China College of Stomatology, Sichuan University, Chengdu 610041, China; 3. Dept. of Orthodontics, Stomatology College of Harbin Medical University, Harbin 150001, China
  • Received:2008-12-25 Revised:2008-12-25 Online:2008-12-20 Published:2008-12-20
  • Contact: LAI Wen-li,Tel:028-61153380

摘要:

目的探讨初戴固定矫治器是否会对青少年错畸形患者产生一定的心理负面影响。方法选取150例青少年错畸形患者,分别在就诊当日(T1期)与固定矫治器戴入1周后(T2期)填写心理调查问卷,该问卷包含焦虑自评量表和抑郁自评量表,调查患者的焦虑和抑郁情绪。根据T1与T2期2个量表的评分,比较固定矫治器戴入前后患者的心理变化。结果129例患者完成了调查。女性患者T2期的焦虑与抑郁评分均较T1期有明显升高;非自愿就诊和拔牙矫治患者在T2期焦虑与抑郁评分升高,与T1期相比差异有统计学意义(P<0.05)。结论初戴固定矫治器所引起的不适与不便可使青少年女性患者、非自愿就诊和拔牙矫治患者产生一定的焦虑与抑郁情绪。

关键词: 固定矫治器, 焦虑, 抑郁

Abstract:

Objective To assess whether there is a short negative psychological influence on adolescent patients at the beginning of the fixed orthodontic treatment. Methods 150 patients(average 14.8 years old) were selected. All the patients accepted the fixed appliance treatment. They completed a questionnaire regarding anxiety and depression at the first day when they came to the hospital(T1) and 7 days after fixed appliance insertion(T2). 129 effective questionnaires were received. The scales of anxiety and depression of subjects were assessed according to the questionnaires. Results Comparing the scales of questionnaires before treatment(T1) and 7 days after placement of fixed appliance(T2), there was a significant increase in anxiety and depression scales in female patients, extraction cases and patients who were unwilling to see an orthodontist. Conclusion There is a certain extent of negative psychological influence on adolescent patients during fixed orthodontic treatment. At the first week after the placement of fixed appliance, three kinds of subjects, female patients, extraction cases and patients who were unwilling to see an orthodontist would suffer from anxiety and depression in emotional reflection.

Key words: fixed appliance, anxiety, depression