成人骨性错牙合畸形患者社会心理及人格特征与治疗方案选择的相关性研究
Correlation between social psychology and personality characteristics and treatment options for adult patients with skeletal malocclusion
作者：张冠凝, 刘艺, 李雯玥, 范甜甜, 王佳, 赵震锦
Author：Zhang Guanning, Liu Yi, Li Wenyue, Fan Tiantian, Wang Jia, Zhao Zhenjin
收稿日期：2019-09-15 年卷（期）页码：2020,38(3):308-308-313
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：成人,错牙合畸形,正畸治疗,牙科审美社会心理影响量表,正畸治疗需要指数,艾森克人格问卷简式量表中国版,
Key words：adult,malocclusion,orthodontic treatment,psychosocial impact of dental aesthetics questionnaire,index of orthodontic treatment need,Eysenck personality questionnaire-revised short scale for Chinese,
基金项目：2019年中国医科大学大学生创新创业训练计划项目(20-1910159036)
中文摘要
目的 探讨影响骨性错牙合畸形患者牙科审美社会心理的因素,衡量客观正畸需求与患者主观治疗需要之间的关系,为医生把握患者需求提供参考。方法 以骨性错牙合畸形成年患者为研究对象,通过问卷调查方式分析牙科审美社会心理影响量表（PIDAQ）、正畸治疗需要指数（IOTN）、艾森克人格问卷简式量表中国版（EPQ-RSC）的影响因素,研究PIDAQ、IOTN、EPQ-RSC与治疗方案选择的关系。结果 研究共收集有效问卷72份。1）不同职业人群的PIDAQ得分存在统计学差异（P<0.05）,而性别、年龄等因素对PIDAQ得分无影响。2）不同牙齿健康因素（DHC）等级、不同年龄段患者的美观因素（AC）自评得分存在统计学差异（P<0.01,P<0.05）,AC自评得分与PIDAQ得分存在正相关性（P<0.05）。3）男性患者接受治疗者比例更高,年龄较低患者（18~28岁）自我牙齿审美较差时更易接受治疗,月支出较多患者接受手术的比例更高。4）不同PIDAQ得分的患者接受手术与否无统计学差异（P>0.05）,教育程度较低患者牙科审美社会心理影响较严重时更易接受手术治疗。5）EPQ-RSC精神质量表得分与受教育程度共同影响PIDAQ得分（P<0.01）,神经质量表得分与AC自评得分共同影响PIDAQ得分（P<0.05）。不同人格倾向与治疗方案选择无关。结论 患者自然情况、对自我牙齿美观评价、牙科审美社会心理影响等因素均会对选择治疗方案造成影响。人格特征在牙科审美社会心理影响中具有一定作用。
英文摘要
ObjectiveThis study aims to explore factors affecting the dental aesthetic social psychology of patients with skeletal malocclusion and to measure the relationship between the objective orthodontic requirements and the subjective treatment requirements of patients. This work provides a reference for doctors to measure patients’ orthodontic treatment needs.MethodsAdult patients with skeletal malocclusion were chosen as the research object. Questionnaire survey was used to analyze factors influencing the psychosocial impact of dental aesthetics questionnaire (PIDAQ), index of orthodontic treatment need (IOTN), and Eysenck personality questionnaire-revised short scale for Chinese (EPQ-RSC). The relationship among PIDAQ, IOTN, EPQ-RSC, and treatment options was also evaluated.ResultsSeventy-two valid questionnaires were collected from adult patients with skeletal malocclusion. 1) The PIDAQ scores significantly differed among different occupations (P<0 .05) but were not affected by other general conditions such as gender and age. 2) patients of different dental health component (dhc) grade and ages had different ac self-assessment scores (P<0 .01,P<0 .05). the ac self-assessment score was positively correlated with the pidaq score (P<0 .05). 3) males accounted for a higher proportion of patients who received treatment. younger patients (18-28 years old) were more likely to receive treatment when their own dental aesthetics were poor. people with the higher monthly expenditure accounted for the larger proportion of surgical patients. 4) the pidaq score had no significant effects on the choice of operation (P>0.05). People with low educational level were more likely to receive surgery if their psychosocial impacts of dental aesthetics were serious. 5) The score of psychoticism scale of EPQ-RSC and the educational level had a mutual influence on the PIDAQ score (P<0 .01). moreover, the neuroticism scale and ac self-assessment scores had a mutual influence on the pidaq score (P<0 .05). however, this study did not find a correlation between personality traits and treatment options.ConclusionMany factors, such as personal natural conditions, subjective aesthetic evaluation of teeth, and psychosocial impacts of dental aesthetics, affect patients’ treatment options. Personality characteristics can play a certain role in dental aesthetics social psychology.
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