Minghui Peng, Jing Kang, Xiao Deng
Dept. of Orthodontics, Shanghai Huangpu Second Dental Clinic, Shanghai 200023, China.
Dept. of Orthodontics, Stomatological Hospital of Chongqing Medical University, Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Oct 1;35(5):489-493. doi: 10.7518/hxkq.2017.05.008.
This study was designed to probe the psychological factors adolescent orthodontic patients, the role of body image and self-esteem in the whole process of orthodontic treatment and the impact on the efficacy and satisfaction of orthodontic.
Five hundred and twenty-eight patients were selected in this study. The Aesthetic Component of the Index of Orthodontic Treatment Need (IOTN-AC) , Rosenberg Self-Esteem Scale (SES), Negative Physical Self-General (NPS-G) and other body analysis scale study after orthodontic lasted 18-24 months were used to investigate the role of body image in adolescent orthodontic treatment.
Esthetic evaluation of patients teeth after correction had been significantly improved, patient self-evaluation difference IOTN-AC doctor evaluation, Psychosocial Impact of Dental Aesthetics Questionnaire-tooth confidence, aesthetic concerns, psychological impact and social function were significantly improved. The improvement of the dental aesthetics component (T2 when doctors evaluate IOTN-AC) was positively correlated with the evaluation of the efficacy, and was significantly negatively correlated with the negative emotions of patients at baseline.
Negative body image-dental dissatisfied-cognitive component and the affective component, the overall negative body image and negative emotions can predict patient satisfaction with treatment efficacy. Orthodontic treatment not only improves the self-aesthetic evaluation of adolescent patients, but also has a positive effect on the mental health of adolescent patients.
本研究旨在探讨青少年正畸患者的心理因素、身体意象和自尊在正畸治疗全过程中的作用以及对正畸疗效和满意度的影响。
本研究选取528例患者。使用正畸治疗需求指数美学成分(IOTN-AC)、罗森伯格自尊量表(SES)、负面身体自我-总体(NPS-G)及其他身体分析量表,在正畸治疗持续18 - 24个月后,调查身体意象在青少年正畸治疗中的作用。
患者矫治后牙齿美观评价有显著改善,患者自我评价与IOTN-AC医生评价有差异,牙科美学心理影响问卷-牙齿自信、美学关注、心理影响和社会功能均有显著改善。牙齿美学成分的改善(医生评价IOTN-AC时的T2)与疗效评价呈正相关,与基线时患者的负面情绪呈显著负相关。
负面身体意象-牙齿不满意-认知成分和情感成分,整体负面身体意象和负面情绪可预测患者对治疗疗效的满意度。正畸治疗不仅提高了青少年患者的自我美学评价,而且对青少年患者的心理健康有积极作用。