不同人格特质对成人隐形矫治患者口腔健康相关生活质量的影响

曾志敏; 彭松娟; 陈雅莉; 杨琪琦; 胡江天

不同人格特质对成人隐形矫治患者口腔健康相关生活质量的影响

昆明医科大学附属口腔医院口腔正畸科

基金项目:

基金：国家自然科学基金资助项目 (81860200); 昆明医科大学科技创新团队基金资助项目 (CXT021607);

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出版历程
- 收稿日期: 2018-10-13

The Impact of Different Personality Traits on the Oral Health Related Life Quality for Adult Orthodontic Patients

Funds:

基金：国家自然科学基金资助项目 (81860200); 昆明医科大学科技创新团队基金资助项目 (CXT021607);

摘要

摘要: 目的研究隐形矫治治疗初期不同人格特质对患者口腔健康相关生活质量 (OHRQOL) 的影响。方法随机抽取成人隐形矫治患者82例。运用艾森克人格问卷中国简式量表问卷 (EPQ-RSC) 将患者分为内向型、中间型及外向型3组。收集患者矫治前 (T0) 、矫治1周 (T1) 、矫治1个月 (T2) 3个时期的口腔健康影响程度量表 (OHIP-14) 问卷, 比较不同人格特质患者隐形矫治治疗初期口腔健康相关生活质量的差异。结果隐形矫治治疗后, 患者的生活质量受到一定的影响, OHRQOL评分升高, 在T1期达到峰值, T2期分值均有下降, 内向组T2期与T0期比较在心理不适、心理障碍方面差异有统计学意义 (P<0.01) ;T2期与T1期比较在心理不适方面差异有统计学意义 (P<0.01) ;外向组T2期与T0期比较仅在心理不适方面有差异 (P<0.05) 。不同人格特质患者, 在T0期外向组与内向组比较, 在社交障碍、残障差异有统计学意义 (P<0.01) ;心里不适、生理疼痛、功能障碍方面差异有统计学意义 (P<0.05) ;与中间组比较, 外向组在生理疼痛、生理障碍、残障等方面有统计学意义 (P<0.01) 。在T1期内向组得分明显高于外向组, 与内向组比较, 中间组仅心理不适方面差异有统计学意义 (P<0.01) ;外向组在生理疼痛, 残障方面差异有统计学意义 (P<0.05) 。在T2期外向组和中间组在生理疼痛、生理障碍方面差异有统计学意义 (P<0.01) 。结论隐形矫治治疗对患者口腔健康相关生活质量有影响, 内向型患者较外向型受影响程度更重, 主要表现在疼痛及心理不适。
- 成人 /
- 隐形矫治 /
- 人格特质 /
- 口腔健康相关生活质量
Abstract: Objective To study the impact of different personality traits on oral health related life quality (OHRQOL) of adult orthodontic patients in early stage of treatment. Methods According to the Eysenck Personality Questionnaire-Revised short Scale for Chinese (EPQ-RSC) , 82 adult orthodontic patients treated with clear aligner were divided into introvert group, middle group, and extravert group. OHIP-14 questionnaires were collected for 3 times: before treatment (T0) , 1 week after bonding (T1) , 1 month after bonding (T2) to compare the influence of different personality traits on oral health-related quality of life (OHRQOL) for adult orthodontic patients in the early stage of treatment. Results The patient's quality of life was affected to some extent by clear aligner treatment, as the OHRQOL score increased, peaking at 1 week of treatment. Introvert group : the period T2 was decreased in psychological discomfort, psychological disability and the total score which had significant difference compared with the period T0 (P < 0.01) ; the period T2 was decreased in psychological discomfort and the total score which had significant difference compared with the period T1 (P < 0.01) . Extravert group : compared with each other, only the period T0 and T2 had difference in psychological discomfort (P <0.05) . Middle group : the scores of all fields varied in different periods, but there was no statistical significance (P> 0.05) . Patients with different personality traits had differences. The period T0: there was a significant difference in psychological discomfort and the total score between introvert group and middle group (P < 0.01) ; compared introvert group with extravert group, there were significant differences in social disability, disability and the total score (P < 0.01) except for psychological disability; there was a significant difference in physical pain, psychological discomfort and disability between middle group and extravert group (P < 0.01) . The period T1: there was a significant difference only in the field of psychological discomfort between introvert group and middle group (P< 0.01) ;compared introvert group with extravert group, there were differences in physical pain, disability and the total score (P < 0.05) , and the score of the introvert group was significantly higher than that of the extravert group;there was a significant difference only in the field of psychological disability between extravert group and middle group (P < 0.01) . There was no significant difference in psychological discomfort, disability or other fields, among the three groups in T2 period, merely between extravert group and middle group there were significant differences in pain and physiological disorders during this period. Conclusions Clear aligner treatment has impact on the oral health-related quality of life for patients, the impact is related to the personality traits. The treatment has more negative influence for the introvert group on the OHRQOL than the extravert group, mainly in pain and psychological discomfort.
- Adult /
- Clear aligner treatment /
- Personality traits /
- Oral health-related quality of life

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参考文献(19)

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