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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
引用本文:黄宇菲1,2,肖丹娜3$. 伴牙周炎正畸患者的心理学特征:人格对焦虑的调节作用[J]. 天津医科大学学报, 2022, 0(3)
作者姓名:黄宇菲1  2  肖丹娜3$
作者单位:(1.天津医科大学口腔临床学院,天津300041;2.天津市和平区口腔医院一诊室,天津300021 ;3.天津市口腔医院正畸科,天津300041)
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。

关 键 词:成人正畸  牙周炎  人格  焦虑  调节作用

Psychological characteristic of periodontal disease on orthodontic patients:the moderating effect ofpersonality on the anxiety
HUANG Yu-fei1,' target="_blank" rel="external">2,XIAO Dan-na3. Psychological characteristic of periodontal disease on orthodontic patients:the moderating effect ofpersonality on the anxiety[J]. Journal of Tianjin Medical University, 2022, 0(3)
Authors:HUANG Yu-fei1,' target="  _blank"   rel="  external"  >2,XIAO Dan-na3
Affiliation:(1.Clinical School of Stomatology,Tianjin Medical University,Tianjin 300041,China;2.No.1 Department,Tianjin Heping District DentalHospital,Tianjin 300021,China;3.Department of Orthodontics,Tianjin Stomatological Hospital,Tianjin 300041,China )
Abstract:Objective:To investigate personality and anxiety situation of periodontal disease on adult orthodontic patients and analyze theimpact of personality factors on adult orthodontic patients′ anxiety. Methods:According to the diagnostic criteria of periodontitis,57 casesin the periodontal group(test group)and 63 cases in periodontal healthy group(control group)were selected,a total of 120 patients,amongthe adult follow-up patients in the Department of Orthodontics,Tianjin Stomatological Hospital from April to September 2021.The EysenckPersonality Questionnaire-Revised-Short Scale for Chinese(EPQ-RSC)and the State Trait Anxiety Inventory (STAI)were used forindependent self-assessment. The personality and anxiety scores of the two groups were compared,and all personality and anxiety scoreswere analyzed by correlations and hierarchical regressions. Results:(1)Participants with periodontal disease scaled higher for lie thanthose 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:Theorthodontic patients with periodontal disease have significant lie personality,neuroticism moderates the impact of periodontal disease ontrait anxiety.
Keywords:adult orthodontic treatment  periodontitis  personality index  anxiety  moderating effect
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