摘要
目的了解成人正畸治疗患者牙科畏惧症、牙科焦虑、社交焦虑的发病情况和心理行为干预的作用,为成人正畸患者进行心理行为干预提供科学依据。方法选择于山东省济宁市第一人民医院口腔正畸科就诊,符合直丝弓矫治适应证的牙畸形成人患者226例,随机分为心理干预组和对照组,对照组接受一般正畸知识教育,心理行为干预组在正畸治疗前和每次正畸检查治疗操作中进行焦虑紧张情绪干预、心理行为干预"家庭作业"安排、认知教育以及社交焦虑问题干预。首次正畸治疗时和治疗1月、1年时分别进行改良柯氏牙科焦虑量表、交往焦虑量表评定。结果首次正畸治疗时,改良柯氏牙科焦虑量表评分:干预组10.24±3.67,对照组12.43±3.75;发生焦虑人数的比例:干预组10.5%,对照组26.8%。正畸治疗1月,Liebowitz社交焦虑量表评分:干预组36.71±10.42,对照组58.23±9.74;社交焦虑发生人数的比例:干预组21.0%,对照组33.0%;正畸治疗1年,社交焦虑量表评分:干预组24.73±10.62,对照组35.42±12.83;社交焦虑发生的比例:干预组2.6%,对照组12.5%。组间两两比较均有统计学意义。结论成人正畸患者牙科焦虑、社交焦虑的发生率较高,心理行为干预对其有良好的干预效果。
Objective To investigate the prevalence of dental fear, dental and social anxiety, also observe the efficacy of psychological behavioral intervention in adult orthodontic patient. Methods 226 adult patients with dentognathic deformity who had the indication of orthodontic treatment with straight wire appliance, were randomly divided into the psychological behavioral intervention＇ group and the control group. The former received psychologi- cal behavioral intervention, and the latter received common orthodontic knowledge education. A modified Corah dental anxiety scale （MDAS） was adopted to evaluate the dental anxiety in all patients after the first orthodontic treatment, and the Liebowitz social anxiety scale （LSAS） was adopted to evaluate the social anxiety in all patients after 1 month treatment, 1 year treatment, respectively. Results After the first orthodontic treatment, there were significant difference between two groups in total score of MDAS（10.24±3.67, 12.43±3.75）and the prevalence of anxiety（10.5%, 26.8%）. After 1 month orthodontic treatment, there were significant difference between two groups in total score of LSAS（36.71±10A2, 58.23±9.74） and the prevalence of social anxiety（21.0%, 33.0%）. After 1 year treatment, there were also significant difference between two groups in total score of LSAS（24.73±10.62, 35.42± 12.83）and the prevalence of social anxiety（2.6%, 12.5%）. Conclusion There was higher prevalence of dental and social anxiety in adult orthodontic patient, and the psychological behavioral intervention had good efficacy on it.
出处
《国际口腔医学杂志》
CAS
2009年第5期515-518,共4页
International Journal of Stomatology
基金
山东省教育厅基金资助项目(J07YE11)
关键词
心理行为干预
正畸
牙科焦虑
社交焦虑
psychological intervention
orthodontic： dental anxiety
social anxiety
