Kim Sun-Jong, Kim Myung-Rae, Shin Sang-Wan, Chun Yoon-Sik, Kim Eui-Jung
Department of Oral and Maxillofacial Surgery, Ewha Woman's University, Seoul, Korea.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Dec;108(6):828-32. doi: 10.1016/j.tripleo.2009.07.044.
This study was performed to evaluate the psychosocial status of orthognathic surgery patients through the Minnesota Multiphasic Personality Inventory (MMPI) and the Symptom Checklist 90-Revision (SCL-90-R).
A total of 34 patients were enrolled in the study. They were assessed with the MMPI and the SCL-90-R before surgery and followed-up for 6 months after the operation with the MMPI. Comparisons between the personality characteristics of preoperative and postoperative patients and a total of 30 dental students with class I occlusion were made with the t test.
The majority of patients showed no abnormal findings in the MMPI psychologic status. Significant differences in personality characteristics were noticed after orthognathic surgery.
The results of this study suggest that surgical treatment of dentofacial deformities may induce psychologic changes, such as depression, and that the improvement in facial deformities and enhanced sense of esthetic satisfaction may have a positive influence on psychosocial aspects.
本研究旨在通过明尼苏达多相人格调查表（MMPI）和症状自评量表90修订版（SCL-90-R）评估正颌外科手术患者的心理社会状况。
共有34例患者纳入本研究。术前对他们进行MMPI和SCL-90-R评估，并在术后6个月用MMPI进行随访。采用t检验对术前和术后患者以及30名I类咬合的牙科学生的人格特征进行比较。
大多数患者在MMPI心理状态方面未显示异常结果。正颌外科手术后，人格特征出现显著差异。
本研究结果表明，牙颌面畸形的手术治疗可能会引发如抑郁等心理变化，面部畸形的改善和审美满意度的提高可能会对心理社会方面产生积极影响。
