口腔颌面创伤后的早期心理测评及心理干预

目的：探讨性格因素对口腔颌面创伤患者心理干预临床效果的影响。方法：采用暴露疗法、催眠等方式，对72例不同程度口腔颌面创伤住院患者进行心理干预．通过SCL-90症状自评清单对患者干预前后的心理状态进行评估，采用SPSS18．0软件包对数据进行统计学分析。结果：干预前，口腔颌面创伤患者SCL-90因子得分普遍高于常模（P〈O．001）．干预后创伤患者的心理健康水平与常模无显著差异。不同创伤严重等级患者心理干预效果差异显著（P〈0．001），性格因素对干预效果的影响在强迫、人际关系、抑郁和偏执4个因子上差异显著。结论：心理干预的效果与性格因素有关，早期心理干预对内向性格类型的口腔颌面创伤患者的治疗效果优于外向性格类型的患者：创伤严重程度对心理干预的影响与性格因素有关。

Comparative study of early psychological evaluation and intervention in oral and maxillofacial trauma patients

PURPOSE： To explore the impact of personality factors on the clinical effect of psychological intervention in patients with oral and maxillofacial trauma. METHODS： Seventy-two patients with various degrees of oral and maxillofacial trauma were examined by SCL-90 scale before and after psychological intervention, including exposure therapy and hypnosis to assess their psychological states. The data was analyzed with SPSS18.0 software package. RESULTS： The SCL-90 factor scores of oral and maxillofacial trauma patients were significantly higher than the norm （P〈0.001） before psychological treatments, while there was no significant difference between oral and maxillofacial trauma patients and the norm after treatments. Intervention results were affected by different level of injury （P〈0.001）. Personality had the influence on four factors, including obsessions, interpersonal sensitivity, depression and paranoid. CONCLUSION： The effect of psychological intervention was impacted by personality factors. Early psychological treatments were more effective on outgoing people than on patients with introverted personality. The influence of injury level on psychological intervention was related to personality factors.