Abstract:

Abstract：Objective To explore the influence of psychological intervention on juvenile patients in psychology and orthodontic treatment. Methods A total of 62 juvenile patients receiving orthodontic treatment were divided equally into two groups. Patients in control group only received routine orthodontic treatment and were told something to be noted，while patients in experimental group received psychological intervention and orthodontic treatment. A comparative study was carried out according to the Self-rating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS）. Results There were higher prevalence of anxiety and depression in juvenile patients before receiving orthodontic treatment，and there was no significant difference between two groups. The psychological intervention patients in experimental group had lower scores than the control group in both SAS and SDS（P＜0.05），and there was significant difference between two groups. After nearly 2 years of treatment，there was also significant difference between two groups in the treatment effect. Conclusion Psychological intervention can reduce the anxiety and depression of patients receiving orthodontic treatment and has greatly improved the curative effect of orthodontic treatment.

Key words: psychological intervention, malocclusion, juvenile, orthodontic treatment

摘要：

目的 探讨心理干预对于青少年正畸患者心理及疗效的影响。方法 选择2008年7月至2010年7月江苏省连云港市第二人民医院口腔科就诊的错牙合畸形患者62例，随机分为干预组及对照组，每组各31例，均采用标准直丝弓固定矫治。干预组予以正畸治疗同时辅以心理干预，对照组则仅进行常规正畸治疗。治疗前后根据抑郁自评量表（SDS）与焦虑自评量表（SAS）评分以及疗效标准进行评定。结果 青少年错牙合畸形患者正畸治疗前均有不同程度的焦虑或抑郁心理。干预组心理状况改善明显，两组SAS、SDS评分差异均有统计学意义（均P＜0.05）。两组治疗后疗效差异有统计学意义（P＜0.05）。结论 心理干预可明显降低青少年错牙合畸形患者焦虑抑郁心理，进而影响正畸治疗效果。

关键词: 心理干预, 错牙合, 青少年, 正畸治疗