Albino J E, Lawrence S D, Tedesco L A
Department of Applied Dentistry and Psychology, University of Colorado, Boulder 80309.
J Behav Med. 1994 Feb;17(1):81-98. doi: 10.1007/BF01856884.
Adolescents with commonly occurring forms of malocclusion often are presumed to be at risk for negative self-esteem and social maladjustment. A randomized control group design was used to assess the psychosocial effects of orthodontic treatment for esthetic impairment. Ninety-three participants, 11 to 14 years old, with mild to moderate malocclusions, were randomly assigned to receive orthodontic treatment immediately or after serving as delayed controls. A battery of psychological and social measures was administered before treatment, during treatment, and three times after completion of treatment, the last occurring one year after termination. Repeated measures analyses of variance assessed group differences at the five time points. Parent-, peer-, and self-evaluations of dental-facial attractiveness significantly improved after treatment, but treatment did not affect parent- and self-reported social competency or social goals, nor subjects' self-esteem. In summary, dental-specific evaluations appear to be influenced by treatment, while more general psychosocial responses are not.
患有常见错牙合畸形的青少年通常被认为有自尊心受损和社会适应不良的风险。采用随机对照组设计来评估正畸治疗对美观损害的心理社会影响。93名年龄在11至14岁之间、患有轻度至中度错牙合畸形的参与者被随机分配立即接受正畸治疗或作为延迟对照组在之后接受治疗。在治疗前、治疗期间以及治疗完成后三次进行一系列心理和社会测量，最后一次测量在治疗结束一年后进行。重复测量方差分析评估了五个时间点的组间差异。治疗后，父母、同伴和自我对牙面部美观的评价显著改善，但治疗并未影响父母和自我报告的社交能力或社交目标，也未影响受试者的自尊心。总之，特定于牙齿的评价似乎受治疗影响，而更一般的心理社会反应则不受影响。
