错颌畸形对成人心理健康状况的影响

Effects of malocclusion on the psychological status of adults

目的了解错颌畸形对成人心理健康的影响,为正畸医师对成人正畸患者的诊疗工作提供参考。方法选取91例成人错颌畸形患者(患者组),在其进行正畸治疗前1周采用90项症状自评量表(SCL-90)问卷进行调查。另外选取70例非正畸成人门诊患者为对照组,使用SCL-90问卷进行心理状况测评。结果患者组人际敏感、焦虑、精神病性因子分高于对照组(P<0.05);男、女成人错颌畸形患者相比,各因子分差异无统计学意义(P>0.05)。57.15%的成人错颌畸形患者至少一项因子分≥2,提示有亚健康心理状态;6.59%的成人错颌畸形患者至少一项因子分>3,提示存在心理健康问题。结论错颌畸形由于严重影响患者容貌美观和口颌系统功能健康,对成人心理健康造成不良影响。正畸医师在对成人患者的诊疗过程中应重视其可能存在的心理健康问题,并适时给予必要的心理辅导。

Objective To investigate the effect of malocclusion on the psychological status of adults.Methods A total of 91 adult patients with malocclusion were selected, and Symptom Checklist 90 （SCL-90） was employed to evaluate their mental health status before orthodontic treatment.Psychological status of 70 adult patients （ non-malocclusion pa-tients） in Stomatology Hospital of Shandong University was also assessed with SCL-90.Results Patients with maloc-clusion scored significantly higher than the control group on factors of interpersonal sensitivity, anxiety and schizophre-nia （P0.05）.57.14%of maloc-clusion patients had at least one factor scored 2 or over, and 6.59%of them had at least one factor scored more than 3, which meant that 57.14%of malocclusion patients had mild psychological problem and 6.59%had moderate or severe psychological problem.Conclusion Malocclusion can not only cause disorder of stomatognathic function and facial de-fects, but also do harm to the mental health of adults.It is very important for orthodontists to value such patients’ men-tal problem, and provide necessary psychological rehabilitation at appropriate time.