골격성 Ⅲ급 부정교합자의 임상적 특성에 따른 심리상태
Psychological state of the patients according to skeletal class Ⅲ malocclusion symptoms
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: The purpose of the study is to investigate the psychological state of the patients according to skeletal class Ⅲ malocclusion symptoms. Methods: The subjects were 200 skeletal class Ⅲ malocclusion patients. The questionnaire consisted of general characteristics, clinical manifestation, and T score of Korean version of self-rated Symptom Checklist-90-Revision modified by Jae-hwan Kim. The data were analyzed using SAS version 9.2 and t-test, ANOVA, and ANCOVA were used. Clinical manifestation included subjective recognition and radiological analysis. The subjective recognition of the patients consisted of self-satisfaction of the appearance, phonation, mastication, and temporomandibular joint pain. T score consisted of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. Results: The most serious factor in 9 scales was the severe TMJ pain by ANCOVA. Male patients had a higher T score in phobic anxiety, psyochoticism, somatization and depression than female patients. Those having low appearance satisfaction had the problem in interpersonal sensitivity. Obsessive-compulsive symptoms were conspicuous in phonation difficulty and temporomandibular pain. Conclusions: The patients with skeletal class Ⅲ malocclusion have more satisfaction with appearance, pronunciation, and phonation than those with skeletal class Ⅲ malocclusion and overjet. Proper dental treatment will improve the communication and quality of life.
Abstract
Objectives: The purpose of the study is to investigate the psychological state of the patients according to skeletal class Ⅲ malocclusion symptoms. Methods: The subjects were 200 skeletal class Ⅲ malocclusion patients. The questionnaire consisted of general characteristics, clinical manifestation, and T score of Korean version of self-rated Symptom Checklist-90-Revision modified by Jae-hwan Kim. The data were analyzed using SAS version 9.2 and t-test, ANOVA, and ANCOVA were used. Clinical manifestation included subjective recognition and radiological analysis. The subjective recognition of the patients consisted of self-satisfaction of the appearance, phonation, mastication, and temporomandibular joint pain. T score consisted of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. Results: The most serious factor in 9 scales was the severe TMJ pain by ANCOVA. Male patients had a higher T score in phobic anxiety, psyochoticism, somatization and depression than female patients. Those having low appearance satisfaction had the problem in interpersonal sensitivity. Obsessive-compulsive symptoms were conspicuous in phonation difficulty and temporomandibular pain. Conclusions: The patients with skeletal class Ⅲ malocclusion have more satisfaction with appearance, pronunciation, and phonation than those with skeletal class Ⅲ malocclusion and overjet. Proper dental treatment will improve the communication and quality of life.
참고문헌 (22)
- Son WS, "Evaluation on the psychosocial status of the orthognathic surgery patient before surgery", J Korea Orthod, 28(2), pp.231~236 (1998)
- Helm S, "Psychosocial implications of malocclusion; A 15-year follow up study in 30-year-old Danes", J Am Orthod, 87, pp.110~118 (1985)[DOI]
- 임동혁, "서울대학교 치과병원 교정과에 내원한 부정교합 환자의 최근 경향", 대한치과교정학회지, 33(1), pp.63~72 (2003), 대한치과교정학회
- Yu HS, "A study on the distributions and trends in malocclusion patients from department of orthodontics. College of Yonsei University", J Korea Orthod, 29(2), pp.267~276 (1999)
- Chung SH, "Trends in malocclusion patients of Yeungnam University Hospital", Korea: Yeungnam Univ J of Med, 23(1), pp.71~81 (2006)
- Park CJ, "Characteristics of craniofacial structures in severe adult class Ⅲ malocclusion", J Korea Orthod, 28(2), pp.219~229 (1998)
- 황대석, "III급 부정교합에서 선수술 교정치료를 통한 양악 수술 후 안정성", Maxillofacial Plastic Reconstructive Surgery, 33(5), pp.407~412 (2011), 대한악안면성형재건외과학회
- Lee KH, "A clinical study of orthognathic surgery patient's satisfaction and psychologic change", KAOMS, 25(2), pp.151~164 (1999)
- Park WK, "A study on the personality characteristics of orthognathic surgery patients through the MMPI", J Korea Orthod, 28(5), pp.1~15 (1998)
- 이지영, "악교정 수술 환자의 주관적 만족도 조사 연구", 대한구강악안면외과학회지, 35(2), pp.94~100 (2009), 대한구강악안면외과학회
- Kim KI, "SCL-90-R test", Korea Testing Center, 6~34 (1984)
- Kim KI, "Standardization study of symptom check List-90 in korea Ⅲ", 2(2), pp.278~311 (1984), Korea: Institute of Mental Health, Hanyang Univ
- 박영남, "교정환자의 자아존중감과 구강건강영향지수(OHIP)에 영향을 미치는 요인", 한국치위생학회지, 10(3), pp.513~522 (2010), 한국치위생학회
- Kim YH, "A Study on the attitudes of the orthodontic patient", J Korean Dent Assoc, 93(5), pp.383~392 (1993)
- 고효진, "간이정신진단검사를 이용한 치과교정환자의 심리분석", 한국치위생학회지, 12(1), pp.37~46 (2012), 한국치위생학회[DOI]
- 장용석, "간이정신진단검사를 이용한 구강작열감 환자의 심리학적 분석", Journal of Oral Medicine and Pain, 33(1), pp.49~57 (2008), 대한안면통증∙구강내과학회
- Kim BG, "Psychologic evaluation with SCL-90-R in orthognathic surgical patients", Oral Biology Research, 24(1), pp.37~43 (2000)
- Kim NY, "A comparative study on the body image, self esteem, depression between male and female college student", Korea: Ehwa Nurses J, 44, pp.47~57 (2010)
- Sung KH, "A comparative study on chewing movement in normal occlusion and skeletal class III malocclusion", J Korea Orthod, 27(5), pp.801~813 (1997)
- 김영호, "III급 부정교합 환자의 한국어 모음 발음에 관한 음향학적 분석", 대한구강악안면외과학회지, 35(4), pp.221~228 (2009), 대한구강악안면외과학회
- 김철, "Comparison of Psychological Profiles between Temporomandibular Disorder and Burning Mouth Syndrome Patients using SCL-90-R", Journal of Oral Medicine and Pain, 28(3), pp.347~355 (2003), 대한안면통증∙구강내과학회
- 차봉근, "III급 부정교합의 진단과 악정형치료", 대한치과의사협회지, 44(4), pp.220~228 (2006), 대한치과의사협회