口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (11): 1228-1231.DOI: 10.13701/j.cnki.kqyxyj.2018.11.019

• 口腔正畸学研究 • 上一篇    下一篇

青年大学生不同错牙合类型与体像障碍的相关度探讨

伍廷芸1*, 杨栋2, 王德堂1, 伍爱民1, 阮琼3, 何尚群1, 李洋3   

  1. 1. 荆楚理工学院医学院 湖北 荆门 448000;
    2. 武汉大学口腔医学院 湖北 武汉 430079;
    3. 荆门市康复医院口腔科 湖北 荆门 448000
  • 收稿日期:2018-04-30 出版日期:2018-11-28 发布日期:2018-11-23
  • 通讯作者: 伍廷芸,E-mail:wu_tingyun@sohu.com
  • 作者简介:伍廷芸(1981~ ),男,贵州安顺人,硕士,主治医师,主要从事釉质脱矿后的再矿化及大学生心理学研究。
  • 基金资助:
    2016年度湖北省教育厅科学研究计划指导性项目(编号:B2016266)

Relevance of Malocclusion Type and Body Dysmorphic Disorder in Young University Students

WU Ting-yun1*,YANG Dong2,WANG De-tang1,WU Ai-min1,RUAN Qiong3,HE Shang-qun1,LI Yang3   

  1. 1. Medical College,Jingchu Institute of Technology,Jinmen 448000,China;
    2. School of Stomatology,Wuhan University,Wuhan 430079,China;
    3. Department of Stomatology,Jinmen Rehabilitation Hospital,Jinmen 448000,China.
  • Received:2018-04-30 Online:2018-11-28 Published:2018-11-23

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摘要： 目的:探讨青年大学生不同错牙合类型与体像障碍发生率的相关性,为引导大学生积极面对错牙合畸形的形成以及对患有体像障碍的错牙合畸形学生提供临床治疗依据。方法:随机抽取荆楚理工学院的1628名在校大学生,之后对存在错牙合畸形的学生进行筛查,按照Angle分类法确定3种不同类型错牙合畸形的人数,采用体像障碍自评量表(SSBI)进行调查分析,评定大学生不同类型错牙合与体像障碍之间的联系。结果:Ⅰ、Ⅱ、Ⅲ类错牙合在青年大学生中的发病率分别为64.41%、19.52%、16.07%;有体像障碍的学生在Ⅰ、Ⅱ、Ⅲ类错牙合青年大学生中的检出率分别为11.13%、19.73%、28.93%。在体像障碍自评量表8个维度的分值比较中,Ⅰ、Ⅱ、Ⅲ类错牙合的体像障碍(BDD)量表各维度分值依次增高,其中情绪受损度、社会交往度、体貌改变度这3个维度的得分差异均有统计学意义( P＜0.05)。结论:Ⅰ、Ⅱ、Ⅲ类错牙合畸形青年大学生发生体像障碍的比例依次上升,其中心理情绪、社会交往和体貌改变是体像障碍大学生中最为希望迫切解决的问题,尤其要特别重视Ⅲ类错牙合畸形的学生在心理需求上的评估,为临床上正畸治疗过程中青年大学生的心理干预提供理论依据。

关键词: 错牙合畸形, 体像障碍, 青年大学生

Abstract: Objective: To explore the correlation between malocclusion types and the incidence of body dysmorphic disorder in young university students, and to guide university students to actively face the formation of malocclusion and provide a clinical treatment basis for students with both body dysmorphic disorder and malocclusion. Methods: A total of 1628 students in Jingchu University of Technology were randomly selected to screen students with malocclusion. Angle's classification of malocclusion was used to determine the number of three types of malocclusion. The Scale of Satisfaction with the Body Image (SSBI) was used to investigate, analyze, and rate the relationship between different types of malocclusion and body dysmorphic disorder. Results: The incidences of Classes I, II, and III malocclusion in young university students were 64.41%, 19.52%, and 16.07%, respectively. The detection rates of students with body dysmorphic disorder in those with Classes I, II, and III malocclusion were 11.13%, 19.73%, and 28.93%, respectively. In the 8 dimensions of the SSBI, the scores of students with Classes I, II, and III malocclusion in each dimension went higher successively. Among these dimensions, the differences in scores of emotional impairment, social interaction and changes in physical appearance were statistically significant (P<0.05). Conclusion: The incidence of body dysmorphic disorder in young university students with Classes I, II, and III malocclusion went higher successively. Emotional impairment, social interaction, and changes in physical appearance were the most urgent problems for university students with body dysmorphic disorder, and psychological assessment in students with Class III malocclusion should be particularly emphasized. This study provides a theoretical basis for the psychological intervention of young university students in clinical orthodontic treatment.

Key words: Malocclusion, Body dysmorphic disorder, Young university students