口腔正畸者治疗依从性与心理健康的关系研究

Study on The Relationship Between Treatment Compliance and Mental Health in Patients with Orthodontics

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

河南省商丘市中心医院口腔科 ;

摘要
研究口腔正畸者治疗依从性与心理健康的关系。方法 选择本院2016年7月到2018年6月150例口腔正畸者作为研究对象,根据其治疗依从性分为依从性良好组、依从性一般组、依从性差组,另选择同期的60例口腔健康者设为对照组。比较四组的心理健康量表(SCL-90),包括身体不适、强迫症状、人际敏感、抑郁情绪、焦虑情绪、敌对态度、恐怖症状、偏执思维、言行反常、生活不适10个维度。结果 150例口腔正畸者中,得分≥80分65例,依从性良好率43.33%;得分79~60分60例,依从性一般率40.00%;得分<60分25例,依从性差率16.67%。在SCL-90评分中,依从性良好组的身体不适、强迫症状、人际敏感、抑郁情绪、焦虑情绪、敌对态度、恐怖症状、偏执思维、言行反常、生活不适维度得分显著低于依从性一般组和依从性差组,显著高于对照组,差异均有统计学意义(P<0.05)。治疗依从性与SCL-90中的身体不适、人及敏感、敌对态度、恐怖症状、偏执思维无相关性(P>0.05);与SCL-90中的强迫症状、抑郁情绪、焦虑情绪、言行反常、生活不适呈正相关(P<0.05)。结论 口腔正畸者治疗依从性主要与强迫症状、抑郁及焦虑情绪等心理健康问题相关,临床可针对性采取干预措施,以提高患者依从性,促进口腔正畸效果。
Abstract
Objective To study the relationship between treatment compliance and mental health in patients with orthodontics. Methods A total of 150 patients with orthodontics from July 2016 to June 2018 were selected as subjects. According to their treatment compliance, they were divided into the good compliance group, the general compliance group, and the poor compliance group. Another 60 cases of oral health in the same period were selected as the control group. The four groups of mental health scales (SCL-90) were compared including physical discomfort, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostile attitudes, horror symptoms, paranoid thinking, abnormal words and deeds, and discomfort in life. Results Among 150 patients with orthodontics, the score was ≥80 points in 65 cases, the compliance rate was 43.33%; the score was 79-60 points in 60 cases, the general rate of compliance was 40.00%; the score was <60 points in 25 cases, and the compliance rate was 16.67%. In the SCL-90 score, the physical discomfort, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostile attitude, horror symptoms, paranoid thinking, abnormal behavior, and discomfort dimensions were significantly lower in the compliance group than in the general group. The poor adherence group was significantly higher than the control group, and the difference was statistically significant (P<0.05). Treatment adherence was not associated with physical discomfort, human and sensitive, hostile attitude, horrible symptoms, and paranoid thinking in SCL-90 (P>0.05); obsessive-compulsive symptoms, depression, anxiety, abnormal behaviors in SCL-90 There was a positive correlation between life discomfort (P<0.05). Conclusion The compliance of orthodontic treatment is mainly related to mental health problems such as obsessive-compulsive symptoms, depression and anxiety. Clinically, intervention measures can be taken to improve patient compliance and promote orthodontic effects.
关键词
口腔正畸者;依从性;心理健康;强迫症状;抑郁、焦虑
KeyWord
Orthodontic Patients; Compliance; Mental Health; Obsessive-Compulsive Symptoms; Depression; Anxiety
基金项目
页码 890-892
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唐棠*. 口腔正畸者治疗依从性与心理健康的关系研究 [J]. 国际精神病学杂志. 2019; 46; (5). 890 - 892.

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