颞下颌关节紊乱病患者的症状自评量表调查

目的通过对颞下颌关节紊乱病（TMD）患者的症状自评量表（SCL-90）各因子进行分析，了解其精神心理状态。方法338例就诊于北京大学口腔医学院颞下颌关节病及口颌面痛诊治中心的TMD患者填写SCL-90，采用t检验和单组设计定量资料的多元方差分析，将患者和普通人群的SCL-90各因子得分进行比较。结果①TMD患者SCL-90中的躯体化、强迫、焦虑、敌意、恐怖、精神病性因子得分高于普通人群，差异有统计学意义（P〈0．05）；②伴有精神心理障碍的TMD患者比例为23％；③对338份患者SCL-90进行可靠性分析，得出可靠系数为0．958。结论我国TMD患者的精神心理障碍问题不容忽视。SCL-90作为判断TMD患者是否伴有某些精神心理障碍的量表，在我国同样具有较好的适用性。

Psychological status in patients with temporomandibular disorders

OBJECTIVE: To evaluate levels of psychosocial incapacity in patients with temporomandibular disorders (TMD) by using the Symptom Checklist 90 (SCL-90). METHODS: Three hundred and thirty-eight patients who came to the Center for TMD and Orofacial Pain of Peking University School of Stomatology, from March to September of 2004 were included in the present study. All of them were evaluated by SCL-90. The one-sample t-test and multivariate analysis of variance were performed to find the psychological difference between the normal and TMD groups. RESULTS: (1) There was a statistically significant difference (P < 0.05) in the scores of Symptom Checklist 90 between healthy controls and TMD group, and TMD patients got higher scores on somatization, obsessive compulsive, anxiety, hostility, phobic anxiety, psychoticism. (2) Twenty-three percent of 338 TMD patients had some psychological symptoms. (3) All patients were evaluated by analysis of reliability, and the reliability coefficients was 0.958. CONCLUSIONS: The psychological problems of TMD patients should be emphasized and SCL-90 instrument was also suitable to screen the psychological symptoms of TMD patients in China.