The Effect of Psycho-social Factors on Adult Orthodontic Patients with Temporomandibular Disorders_West China Medical Journal

Authors：

PANG Lan , TANG Lu ,  LI Yu , He LiJun , HAN Yanan.

Department of Stomatology, the Affiliated Hospital of Chengdu University, Chengdu, Sichuan 610081, P. R. China;

Corresponding?author：

LI Yu, Email: 108428726@163.com

Keywords：

成人正畸治療; 顳下頜關節紊亂病; 九十項癥狀清單; 艾森克人格問卷; 心理健康

DOI：

10.7507/1002-0179.20130384

Video：

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目的　探討伴顳下頜關節紊亂病（TMD）的成人正畸患者的心理社會因素。方法　 2009年5月－2011年12月伴TMD的成人正畸患者42例為觀察組，無矯正要求、伴TMD的錯牙合患者50例為對照組。采用九十項癥狀清單（SCL-90）、艾森克人格問卷（EPQ）進行測試，同時進行TMD調查。結果　觀察組與對照組相比，得分較高的有強迫、焦慮、抑郁、人際關系敏感等因素，差異有統計學意義（P＜0.05）；觀察組患者P量表、N量表得分高于對照組，差異有統計學意義（P＜0.05）。結論　伴TMD的成人正畸患者心理健康問題普遍存在,傾向于神經質和精神質的人格特征。

Citation： PANG Lan,TANG Lu,LI Yu,He LiJun,HAN Yanan.. The Effect of Psycho-social Factors on Adult Orthodontic Patients with Temporomandibular Disorders. West China Medical Journal, 2013, 28(8): 1232-1234. doi: 10.7507/1002-0179.20130384 Copy

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12.	匡斌, 苗丹民, 張銀玲, 等. 正頜手術患者人格特征分析[J]. 臨床口腔醫學雜志, 2007, 23(6): 357-359.
13.	Al-Omiri MK, Abu Alhaija ES. Factors affecting patient satisfaction after orthodontic treatment[J]. Angle Orthod, 2006, 76(3): 422-431.
14.	李麗華, 宋錦璘, 鄧鋒, 等. 成人患者人格特征對正畸治療初期滿意度的影響研究[J]. 重慶醫科大學學報, 2008, 33(2): 216-219.

1. 　Akarslan ZZ, Sadik B, Erten H, et al. Dental esthetic satisfaction, received and desired dental treatments for improvement of esthetics[J]. Indian J Dent Res, 2009, 20(2): 195-200.
2. 　Scott P, Fleming P, Dibiase A. An update in adult orthodontics[J]. Dent Updata, 2007, 34(7): 431-434.
3. 　John MT, Hirsch C, Reiber T, et al. Translating the research diagnostic criteria for temporomandibular disorders into German: evaluation of content and process[J]. J Orofac Pain, 2006, 20(1): 43-52.
4. 　邱蔚六, 張震康. 口腔頜面外科學[M]. 北京: 人民衛生出版社, 2004: 309.
5. 　Derogatis LR, Rickels K, Rock AF. The SCL-90 and the MMPI: a step in the validation of a new self-report scale[J]. Br J Psychiatry, 1976, 128: 280-289.
6. 　Gatchel RJ, Stowell AW, Buschang P. The relationships among depression, pain, and masticatory functioning in temporomandibular disorder patients[J]. J Orofac Pain, 2006, 20(4): 288-296.
7. 　Nifosì F, Violato E, Pavan C, et al. Psychopathology and clinical features in an Italian sample of patients with myofascial and temporomandibular joint pain: preliminary data[J]. Int J Psychiatry Med, 2007, 37(3): 283-300.
8. 　李淑云, 邵玶, 王婕芯. 成人正畸患者心理健康狀態的相關因素分析[J]. 現代口腔醫學雜志, 2007, 21(5): 479-481.
9. 　唐震宇, 張偉一. 成人正畸患者心理健康狀況的調查與研究[J]. 華夏醫學, 2008, 21(2): 230-231.
10. 　Ommerborn MA, Hugger A, Kruse J, et al. The extent of the psychological impairment of prosthodontic outpatients at a German University Hospital[J]. Head Face Med, 2008, 23(4): 23.
11. 　Kino K, Sugisaki M, Ishikawa T, et al. Preliminary psychologic survey of orofacial outpatients. Part 1: Predictors of anxiety or depression[J]. J Orofac Pain, 2001, 15(3): 235-244.
12. 　匡斌, 苗丹民, 張銀玲, 等. 正頜手術患者人格特征分析[J]. 臨床口腔醫學雜志, 2007, 23(6): 357-359.
13. 　Al-Omiri MK, Abu Alhaija ES. Factors affecting patient satisfaction after orthodontic treatment[J]. Angle Orthod, 2006, 76(3): 422-431.
14. 　李麗華, 宋錦璘, 鄧鋒, 等. 成人患者人格特征對正畸治療初期滿意度的影響研究[J]. 重慶醫科大學學報, 2008, 33(2): 216-219.

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West China Medical Journal

The Effect of Psycho-social Factors on Adult Orthodontic Patients with Temporomandibular Disorders

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