牙颌面畸形患者的问题性互联网使用：一项初步研究。
Problematic internet use among people with dentofacial deformity: a preliminary study.
作者信息
Kożybska Marta, Szpyt Justyna, Pajor Kacper, Radlińska Iwona, Wojtkowska Anna, Karakiewicz Beata
机构信息
Subdepartment of Medical Law, Department of Social Medicine, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Student Research Group, Independent Subdepartment of Medical Law, Department of Social Medicine, Pomeranian Medical University in Szczecin, Szczecin, Poland.
出版信息
Front Psychiatry. 2025 Mar 5;16:1481739. doi: 10.3389/fpsyt.2025.1481739. eCollection 2025.
OBJECTIVE
Class III malocclusion represents one type of anterior malocclusions, characterised by a longer face and a more prominent chin. Class III malocclusions are a type of malocclusion related to the relationship between the maxilla and mandible. They are often characterized by mandibular protrusion relative to the maxilla, and in some cases, features such as elongation of the lower facial third or a more prominent chin may also be present. Due to their appearance, patients experience a range of psychosocial and emotional difficulties, which have also been identified as risk factors for problematic internet use (PIU), including depression, negative body image, and lower self-esteem.
METHODS
A cross-sectional study was conducted and 170 fully completed questionnaires were obtained, 85 from people with Class III malocclusions aged between 18 and 42 years, and 85 from individuals without Class III malocclusions aged between 18 and 40 years.
RESULTS
Participants with Class III malocclusions obtained statistically significantly more PIU points than participants without Class III malocclusions (p < 0.001). Among people with Class III malocclusions 45.9% showed a high or very high risk of Internet addiction, while in the comparison group, it was only 9.4% (p < 0.001). Among participants with Class III malocclusions, there was a statistically significant, although weak, correlation between the PIU score and feeling uncomfortable when being the centre of attention (rho = 0.284; p < 0.01), and between the PIU score and concern with appearance (rho = 0.272; p < 0.05).
CONCLUSION
Individuals with Class III malocclusion are at a much higher risk of problematic Internet use than people without the disorder. This problem especially concerns patients who feel discomfort when being the centre of attention and are more concerned about their appearance. Therefore, it seems that people suffering from disorders that cause changes in appearance should have access to extensive psychological support, including the prevention of problematic Internet use.
目的
Ⅲ类错牙合是前牙错牙合的一种类型，其特征为面部较长且下巴更为突出。Ⅲ类错牙合是一种与上颌骨和下颌骨关系相关的错牙合类型。它们通常以下颌相对于上颌前突为特征，在某些情况下，还可能出现面下三分之一拉长或下巴更突出等特征。由于其外观，患者会经历一系列心理社会和情感方面的困难，这些困难也被确定为网络使用问题（PIU）的风险因素，包括抑郁、负面身体形象和较低的自尊。
方法
进行了一项横断面研究，共获得170份完整填写的问卷，其中85份来自年龄在18至42岁之间的Ⅲ类错牙合患者，85份来自年龄在18至40岁之间的非Ⅲ类错牙合个体。
结果
Ⅲ类错牙合参与者获得的PIU分数在统计学上显著高于非Ⅲ类错牙合参与者（p < 0.001）。在Ⅲ类错牙合患者中，45.9%表现出高或非常高的网络成瘾风险，而在对照组中，这一比例仅为9.4%（p < 0.001）。在Ⅲ类错牙合参与者中，PIU分数与成为关注焦点时感到不适之间存在统计学上显著的（尽管较弱）相关性（rho = 0.284；p < 0.01），与对外表的关注之间也存在相关性（rho = 0.272；p < 0.05）。
结论
Ⅲ类错牙合个体出现网络使用问题的风险比无该病症的人高得多。这个问题尤其涉及那些在成为关注焦点时感到不适且更关注自己外表的患者。因此，似乎患有导致外表变化病症的人应获得广泛的心理支持，包括预防网络使用问题。
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