成年正畸患者心理状况与ICON指数的相关性研究

Correlation Study between malocclusion severity and psychological state of adolescent malocclusion patients

目的:通过分析成年正畸患者的心理状况和错畸形的严重程度,初步探求二者的关联性,为临床工作提供指导。方法:以100例(男50例,女50例)成年正畸患者为研究对象,利用精神症状自评量表(Symptom Checklist 90,SCL-90)获取数据,采用反映错畸形严重程度的评分标准(Index of compl exity,outcome and need,ICON)对正畸治疗前的模型进行评分,SPSS软件统计学分析。结果:成年正畸患者除恐怖和敌对外,其它因子均高于全国常模;偏执和人际关系敏感因子存在性别差异。患者ICON值与躯体化、人际关系敏感和抑郁因子存在显著正相关性;与偏执因子存在负相关性。结论:成年正畸患者存在不同程度的心理问题,与错畸形的严重程度存在一定程度的关联性,在临床治疗中应注意鉴别并辅助心理治疗。

Objective To identify the correlation between malocclusion severity and psychological state of adolescent malocclusion patients.Methods 100 initial visited malocclusion patients（25.2±3.4 years old;Female 50,Male 50） were contained in this study.The psychological state of adolescent malocclusion patients and ICON index were evaluated from the SCL-90 scale and study models.Correlations between them were analyzed by the independent-T test,Kendall test and Spearman test in SPSS 16.0.Results Except for the factors of forcing and hostile,the other factor marks of SCL-90 were higher significantly in experiment group than those in normal pattern.Paranoia and interpersonal sensitivity have sex differences.ICON value in patients were significantly positively correlated with somatization,interpersonal sensitivity and depression factors,and negatively correlated with paranoid ideation.Conclusion Most adult orthodontic patients have mental problems.There is some correlation with malocclusion severity,we should be attention to identify and take some corresponding steps.