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伴牙周炎正畸患者的心理学特征:人格对焦虑的调节作用

Psychological characteristic of periodontal disease on orthodontic patients:the moderating effect of personality on the anxiety

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【作者】 黄宇菲肖丹娜

【Author】 HUANG Yu-fei;XIAO Dan-na;Clinical School of Stomatology,Tianjin Medical University;No.1 Department,Tianjin Heping District Dental Hospital;Department of Orthodontics,Tianjin Stomatological Hospital;

【通讯作者】 肖丹娜;

【机构】 天津医科大学口腔临床学院天津市和平区口腔医院一诊室天津市口腔医院正畸科

【摘要】 目的:调查伴牙周炎正畸患者的人格与焦虑情况,分析人格因素对成人正畸患者焦虑的影响。方法:在天津市口腔医院正畸科2021年4—9月的成人复诊患者中,依据牙周炎诊断标准分组,收集牙周组(试验组)57例及牙周健康组(对照组)63例,共计120例患者。用艾森克人格简式量表(EPQ-RSC)和状态特质焦虑量表(STAI)进行封闭式自我评定,对两组人格及焦虑得分进行比较,采用相关分析及层次回归分析对全部人格及焦虑得分进行分析。结果:(1)与对照组相比,试验组掩饰性人格得分较高(Z=-3.317,P<0.01),其余人格及焦虑得分无显著差异(P>0.05)。(2)神经质人格(r=0.499,P<0.001)、状态焦虑(r=0.805,P<0.001)与特质焦虑呈正相关,内外向人格(r=-0.316,P<0.01)、掩饰性人格(r=-0.219,P<0.05)、文化程度(r=-0.188,P<0.05)与特质焦虑呈负相关。(3)伴牙周炎正畸患者中神经质人格高分组对焦虑有预测作用(β=0.415,P<0.01),使牙周炎正畸患者导致特质焦虑的神经质人格得分临界值为48.70。结论:伴牙周炎正畸患者掩饰性人格显著,神经质人格对特质焦虑起部分调节作用。

【Abstract】 Objective:To investigate personality and anxiety situation of periodontal disease on adult orthodontic patients and analyze the impact of personality factors on adult orthodontic patients′ anxiety. Methods:According to the diagnostic criteria of periodontitis,57 cases in the periodontal group(test group)and 63 cases in periodontal healthy group(control group)were selected,a total of 120 patients,among the adult follow-up patients in the Department of Orthodontics,Tianjin Stomatological Hospital from April to September 2021.The Eysenck Personality Questionnaire-Revised-Short Scale for Chinese(EPQ-RSC)and the State Trait Anxiety Inventory(STAI)were used for independent self-assessment. The personality and anxiety scores of the two groups were compared,and all personality and anxiety scores were analyzed by correlations and hierarchical regressions. Results:(1)Participants with periodontal disease scaled higher for lie than those without periodontal disease(Z=-3.317,P<0.01),and there was no significant difference in the other personality and anxiety scores(P>0.05).(2)Neuroticism(r=0.499,P<0.001)and state anxiety(r=0.805,P<0.001)was positively related to patients′ trait anxiety.Extraversion(r=-0.316,P<0.01),lie(r=-0.219,P<0.05)and education level(r=-0.188,P<0.05)were negatively correlated to patients′trait anxiety.(3)Orthodontic patients with periodontal disease were prone to anxiety when they had high neurotic personality scores(β=0.415,P<0.01).The critical value of neuroticism that let periodontal disease led to higher trait anxiety was 48.70. Conclusion:The orthodontic patients with periodontal disease have significant lie personality,neuroticism moderates the impact of periodontal disease on trait anxiety.

【基金】 天津市临床重点培育学科项目子项目(ZDPY-08)
  • 【文献出处】 天津医科大学学报 ,Journal of Tianjin Medical University , 编辑部邮箱 ,2022年03期
  • 【分类号】R783.5;R395.6
  • 【下载频次】83
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