【摘要】：目的探討青少年正畸患者的心理因素、身體意象和整體自尊在正畸治療過程中的作用以及對(duì)正畸療效和滿意度的影響。方法研究共納入528名患者,歷時(shí)18~24個(gè)月的正畸治療前后采用正畸治療需要指數(shù)的美學(xué)成分量表(IOTN-AC)、羅森伯格自尊量表(SES)、負(fù)面身體自我量表-整體分量表(NPS-G)等分析量表研究身體意象在青少年正畸治療中的作用。結(jié)果患者牙齒的美學(xué)評(píng)價(jià)在矯正后得到顯著提高,患者IOTN-AC自我評(píng)價(jià)與醫(yī)生評(píng)價(jià)的差異、牙齒美學(xué)的心理影響問卷-牙齒自信心、美學(xué)關(guān)注、心理影響及社會(huì)功能均得到明顯改善;牙齒美學(xué)成分的改善(T2時(shí)IOTN-AC的醫(yī)生評(píng)價(jià))與患者的療效評(píng)價(jià)存在顯著正相關(guān),與患者基線時(shí)的消極情緒呈顯著負(fù)相關(guān)。結(jié)論消極身體意象-牙齒不滿意-認(rèn)知成分和情感成分、整體的消極身體意象以及消極情緒能夠顯著預(yù)測(cè)治療后患者對(duì)療效的滿意度;正畸治療不僅能提高青少年患者自我美學(xué)評(píng)價(jià),對(duì)青少年患者的心理健康也有積極影響。
[Abstract]:Objective to investigate the psychological factors, body image and overall self-esteem of adolescent orthodontic patients in the process of orthodontic treatment, as well as the effect on orthodontic efficacy and satisfaction. Methods A total of 528 patients were enrolled in the study. Before and after orthodontic treatment, the aesthetic score scale (IOTN-AC) of orthodontic treatment needs index (IOTN-AC) and Rosenberg self-esteem scale (SES), negative body self-scale-Global subscale (NPS-G) were used to study the role of body image in orthodontic treatment of adolescents before and after orthodontic treatment. Results the aesthetic evaluation of patients' teeth was significantly improved after correction. The difference between patients' IOTN-AC self-evaluation and doctor's evaluation, the psychological influence questionnaire of tooth aesthetics-tooth self-confidence, aesthetic attention, psychological influence and social function were significantly improved. There was a significant positive correlation between the improvement of dental aesthetic composition (IOTN-AC doctor evaluation at T2) and the curative effect evaluation of patients, and a significant negative correlation between the improvement of dental aesthetic composition and the negative emotion at baseline. Conclusion negative body image-tooth dissatisfaction-cognitive component and emotional component, negative body image and negative emotion can significantly predict the satisfaction of patients after treatment, orthodontic treatment can not only improve the self-aesthetic evaluation of adolescent patients, but also have a positive impact on the mental health of adolescent patients.
【作者單位】： 上海市黃埔區(qū)第二牙病防治所正畸科;重慶醫(yī)科大學(xué)附屬口腔醫(yī)院正畸科口腔疾病與生物醫(yī)學(xué)重慶市重點(diǎn)實(shí)驗(yàn)室重慶市高校市級(jí)口腔生物醫(yī)學(xué)工程重點(diǎn)實(shí)驗(yàn)室;
【分類號(hào)】：R783.5
，

本文編號(hào)：2511574