本文選題：顳下頜關(guān)節(jié)紊亂病 + 大學(xué)生�。� 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:通過(guò)采用SCL-90評(píng)估在校大學(xué)生心理狀態(tài),探討其與顳下頜關(guān)節(jié)紊亂病(TMD)之間的聯(lián)系,旨在為疾病的早期心理干預(yù)提供依據(jù)。方法:1.選取648名山西醫(yī)科大學(xué)在校學(xué)生(男性207人,女性441人,平均年齡21.89±2.06歲)作為研究對(duì)象,使用口腔體檢表對(duì)受試者進(jìn)行顳下頜關(guān)節(jié)檢查,出現(xiàn)陽(yáng)性體征者為TMD組,其余為對(duì)照組;2.指導(dǎo)受試者填寫癥狀自評(píng)量表(SCL-90),將量表得分同口腔體檢表記錄結(jié)合,分析TMD同心理狀態(tài)之間的關(guān)聯(lián)性。結(jié)果:1.對(duì)所有填寫SCL-90的學(xué)生進(jìn)行信度檢驗(yàn),9個(gè)維度除去偏執(zhí),其他維度信度Cronbach'sα均在0.7以上,量表具有良好信度(P0.01)。2.將受試者以SCL-90總分160為界分為兩組,兩組受試者的TMD發(fā)病率無(wú)明顯統(tǒng)計(jì)學(xué)差異;3.TMD組與對(duì)照組各因子得分對(duì)比分析發(fā)現(xiàn),TMD組在焦慮與軀體化得分明顯高于對(duì)照組(P0.01),多元線性回歸顯示,開(kāi)口受限、彈響、咬肌壓痛均為軀體化的影響因素,開(kāi)口受限、咬肌壓痛為焦慮的影響因素;4.采用回歸樹(shù)分析法探究TMD不同癥狀組合對(duì)心理狀態(tài)的影響程度,最終納入彈響、開(kāi)口受限、性別三個(gè)變量,其中,雙側(cè)彈響患者SCL-90得分均值最高(209.7±35.8),其次為具有單側(cè)彈響與開(kāi)口受限的女性(177.3±9.3)。經(jīng)logistic回歸分析,軀體化(OR=6.613,P0.01)、焦慮(OR=3.987,P0.01)均為TMD的獨(dú)立危險(xiǎn)因素。結(jié)論:1、在大學(xué)生人群中,TMD相關(guān)癥狀如彈響、疼痛可引起焦慮與軀體化,焦慮與軀體化同時(shí)也是TMD發(fā)病的危險(xiǎn)因素。2、出現(xiàn)雙側(cè)彈響癥狀的大學(xué)生以及彈響與開(kāi)口受限同時(shí)出現(xiàn)的女大學(xué)生更易出現(xiàn)心理障礙,可針對(duì)其采取心理干預(yù)。
[Abstract]:Objective: to evaluate the psychological status of college students by using SCL-90 and to explore the relationship between it and temporomandibular joint disorder (TMJ) in order to provide evidence for early psychological intervention. Method 1: 1. A total of 648 students (male 207, female 441, mean age 21.89 鹵2.06) from Shanxi Medical University were selected to perform temporomandibular joint (TMJ) examination using oral physical examination. The positive signs were found in TMD group. The rest were the control group. The subjects were instructed to fill out SCL-90, and the scores of SCL-90 were combined with the records of oral physical examination to analyze the correlation between TMD and mental state. The result is 1: 1. All the students who filled in SCL-90 were tested for reliability. Except for paranoid ideation, the reliability of Cronbach's 偽 in other dimensions was more than 0.7. The scale had good reliability (P 0.01). The subjects were divided into two groups according to the total SCL-90 score of 160. There was no significant difference in the incidence of TMD between the two groups. 3. The scores of anxiety and somatization in the TMD group were significantly higher than those in the control group (P 0.01). Masseter tenderness is the influence factor of somatization, the opening is limited, the tenderness of masseter muscle is the influence factor of anxiety. The regression tree analysis was used to explore the influence of different symptom combinations on mental state of TMD, which included three variables: bounce, restricted opening and gender. The mean SCL-90 score of patients with bilateral bouncing was the highest (209.7 鹵35.8g), followed by women with unilateral bouncing and limited opening (177.3 鹵9.3). By logistic regression analysis, 6.613P 0.01and 3.987P0.01were independent risk factors of TMD. Conclusion: 1. TMD related symptoms such as bounce and pain can cause anxiety and somatization in college students. Anxiety and somatization are also the risk factors of TMD. College students with bilateral bouncing symptoms and female college students with both bouncing and limited opening are more likely to appear psychological disorders. Psychological intervention can be taken against them.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R782.6

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