Kiyak H A, McNeill R W, West R A
Am J Orthod. 1985 Sep;88(3):224-34. doi: 10.1016/s0002-9416(85)90217-9.
Previous research by the authors has pointed to depressive reactions among orthognathic surgery patients during the fixation-removal stage and up to 9 months later. However, less is known about emotional shifts among persons who choose to undergo conventional orthodontic treatment after considering surgical orthodontics. In the current study, a standard measure of mood states was applied to 90 surgical patients and 66 who had considered surgery but decided against it. Of these, 33 were undergoing orthodontic treatment and 33 were having no treatment. The mood scale and measures of personality were first applied before surgery and then during orthodontic treatment, just after surgery, at fixation removal, and 6 months after surgery. Nonsurgical respondents completed questionnaires at the same time as their matched surgical respondents. Scores on tension and fatigue increased significantly among surgical patients from before surgery to immediately after surgery and dropped to presurgical levels when fixation was removed. Anger-hostility increased at fixation removal but declined within 5 months. Postsurgical discomfort, pain, and paresthesia, and interpersonal and oral function problems were correlated with postsurgery emotional state. On the later questionnaires, which corresponded to the later periods of orthodontic treatment, patients who had opted for conventional orthodontic treatment reported that they experienced greater depression, anger, and tension. These patients may be particularly vulnerable to emotional problems because their orthodontic treatment may be more complex and of longer duration than that of the typical orthodontic patient. These results point to the importance of continued psychological support for both orthodontic and surgical patients throughout their course of treatment.
作者之前的研究指出，正颌手术患者在固定装置拆除阶段及之后长达9个月的时间里会出现抑郁反应。然而，对于那些在考虑外科正畸治疗后选择接受传统正畸治疗的人的情绪变化，我们了解得较少。在当前的研究中，一种标准的情绪状态测量方法应用于90名接受手术的患者和66名考虑过手术但决定不做的患者。其中，33人正在接受正畸治疗，33人未接受治疗。情绪量表和人格测量在手术前、正畸治疗期间、刚手术后、固定装置拆除时以及手术后6个月时首次应用。非手术受访者与配对的手术受访者同时完成问卷调查。手术患者从手术前到刚手术后，紧张和疲劳得分显著增加，在固定装置拆除时降至手术前水平。愤怒-敌意情绪在固定装置拆除时增加，但在5个月内下降。术后不适、疼痛和感觉异常，以及人际和口腔功能问题与术后情绪状态相关。在与正畸治疗后期相对应的后期问卷中，选择传统正畸治疗的患者报告称他们经历了更大程度的抑郁、愤怒和紧张。这些患者可能特别容易出现情绪问题，因为他们的正畸治疗可能比典型正畸患者的治疗更复杂、持续时间更长。这些结果表明，在整个治疗过程中，持续为正畸和手术患者提供心理支持非常重要。
