基于SCL-90的大学生心理状态与颞下颌关节紊乱病相关性的探究

发布时间：2018-04-21 21:54

本文选题：颞下颌关节紊乱病 + 大学生　；参考：《山西医科大学》2017年硕士论文

【摘要】：目的:通过采用SCL-90评估在校大学生心理状态,探讨其与颞下颌关节紊乱病(TMD)之间的联系,旨在为疾病的早期心理干预提供依据。方法:1.选取648名山西医科大学在校学生(男性207人,女性441人,平均年龄21.89±2.06岁)作为研究对象,使用口腔体检表对受试者进行颞下颌关节检查,出现阳性体征者为TMD组,其余为对照组;2.指导受试者填写症状自评量表(SCL-90),将量表得分同口腔体检表记录结合,分析TMD同心理状态之间的关联性。结果:1.对所有填写SCL-90的学生进行信度检验,9个维度除去偏执,其他维度信度Cronbach'sα均在0.7以上,量表具有良好信度(P0.01)。2.将受试者以SCL-90总分160为界分为两组,两组受试者的TMD发病率无明显统计学差异;3.TMD组与对照组各因子得分对比分析发现,TMD组在焦虑与躯体化得分明显高于对照组(P0.01),多元线性回归显示,开口受限、弹响、咬肌压痛均为躯体化的影响因素,开口受限、咬肌压痛为焦虑的影响因素;4.采用回归树分析法探究TMD不同症状组合对心理状态的影响程度,最终纳入弹响、开口受限、性别三个变量,其中,双侧弹响患者SCL-90得分均值最高(209.7±35.8),其次为具有单侧弹响与开口受限的女性(177.3±9.3)。经logistic回归分析,躯体化(OR=6.613,P0.01)、焦虑(OR=3.987,P0.01)均为TMD的独立危险因素。结论:1、在大学生人群中,TMD相关症状如弹响、疼痛可引起焦虑与躯体化,焦虑与躯体化同时也是TMD发病的危险因素。2、出现双侧弹响症状的大学生以及弹响与开口受限同时出现的女大学生更易出现心理障碍,可针对其采取心理干预。
[Abstract]:Objective: to evaluate the psychological status of college students by using SCL-90 and to explore the relationship between it and temporomandibular joint disorder (TMJ) in order to provide evidence for early psychological intervention. Method 1: 1. A total of 648 students (male 207, female 441, mean age 21.89 卤2.06) from Shanxi Medical University were selected to perform temporomandibular joint (TMJ) examination using oral physical examination. The positive signs were found in TMD group. The rest were the control group. The subjects were instructed to fill out SCL-90, and the scores of SCL-90 were combined with the records of oral physical examination to analyze the correlation between TMD and mental state. The result is 1: 1. All the students who filled in SCL-90 were tested for reliability. Except for paranoid ideation, the reliability of Cronbach's 伪 in other dimensions was more than 0.7. The scale had good reliability (P 0.01). The subjects were divided into two groups according to the total SCL-90 score of 160. There was no significant difference in the incidence of TMD between the two groups. 3. The scores of anxiety and somatization in the TMD group were significantly higher than those in the control group (P 0.01). Masseter tenderness is the influence factor of somatization, the opening is limited, the tenderness of masseter muscle is the influence factor of anxiety. The regression tree analysis was used to explore the influence of different symptom combinations on mental state of TMD, which included three variables: bounce, restricted opening and gender. The mean SCL-90 score of patients with bilateral bouncing was the highest (209.7 卤35.8g), followed by women with unilateral bouncing and limited opening (177.3 卤9.3). By logistic regression analysis, 6.613P 0.01and 3.987P0.01were independent risk factors of TMD. Conclusion: 1. TMD related symptoms such as bounce and pain can cause anxiety and somatization in college students. Anxiety and somatization are also the risk factors of TMD. College students with bilateral bouncing symptoms and female college students with both bouncing and limited opening are more likely to appear psychological disorders. Psychological intervention can be taken against them.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R782.6

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