Bergdahl J, Ostman P O, Anneroth G, Perris H, Skoglund A
Department of Oral Pathology, Umeå University, Sweden.
Acta Odontol Scand. 1995 Aug;53(4):236-41. doi: 10.3109/00016359509005979.
Psychologic aspects of 49 patients with oral lichenoid reactions (OLR) in contact with amalgam fillings were studied and compared with an age- and sex-matched control group. Psychologic factors such as personality, psychologic functioning, and quality of life were determined by using the Karolinska Scales of Personality (KSP), an additional Personality Scale (PS), a Psychological Functioning Scale (PFS), and a Quality of Life Scale (QLS). With regard to personality the OLR patients had significantly higher scores on the muscular tension and suspicion scales and significantly lower scores on the indirect aggression scale. In addition, the OLR patients were significantly more worried about their health and more helpful. With regard to psychologic functioning the OLR patients had significantly more sad thoughts, became dizzy more easily, found it harder to imagine themselves free from anxiety, and had more difficulty in concentrating. The results indicated that OLR patients had a tendency to be depressive. The need for a systemic investigation including odontologic, medical, and psychologic aspects was expressed.
对49例接触汞合金填充物后出现口腔苔藓样反应（OLR）的患者的心理方面进行了研究，并与年龄和性别匹配的对照组进行了比较。通过使用卡罗林斯卡个性量表（KSP）、另一个个性量表（PS）、心理功能量表（PFS）和生活质量量表（QLS）来确定个性、心理功能和生活质量等心理因素。在个性方面，OLR患者在肌肉紧张和怀疑量表上的得分显著更高，而在间接攻击量表上的得分显著更低。此外，OLR患者对自己的健康明显更担忧且更乐于助人。在心理功能方面，OLR患者有更多悲伤的想法，更容易头晕，发现更难想象自己没有焦虑，并且集中注意力更困难。结果表明，OLR患者有抑郁倾向。文中表达了进行包括牙科学、医学和心理学方面的系统调查的必要性。
