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目的通过对颞下颌关节紊乱病(TMD)患者的症状自评量表(SCL-90)各因子进行分析,了解其精神心理状态。方法338例就诊于北京大学口腔医学院颞下颌关节病及口颌面痛诊治中心的TMD患者填写SCL-90,采用t检验和单组设计定量资料的多元方差分析,将患者和普通人群的SCL-90各因子得分进行比较。结果①TMD患者SCL-90中的躯体化、强迫、焦虑、敌意、恐怖、精神病性因子得分高于普通人群,差异有统计学意义(P<0·05);②伴有精神心理障碍的TMD患者比例为23%;③对338份患者SCL-90进行可靠性分析,得出可靠系数为0·958。结论我国TMD患者的精神心理障碍问题不容忽视。SCL-90作为判断TMD患者是否伴有某些精神心理障碍的量表,在我国同样具有较好的适用性。
OBJECTIVE: To investigate the mental state of each factor in the patients with TMD disorder (SCL-90). Methods A total of 338 TMD patients attending the temporomandibular joint disease and oral and maxillofacial diagnostic center of Peking University School of Stomatology were enrolled in SCL-90. T-test and multivariate analysis of variance of single group design quantitative data were used to compare SCL -90 scores for each factor to compare. Results ① The scores of somatization, compulsion, anxiety, hostility, horror and psychotic factors in TMD patients were significantly higher than those in the general population (P <0.05). ② The TMD patients with mental disorders The proportion was 23%. ③The reliability analysis of 338 patients with SCL-90 showed that the reliability coefficient was 0.958. Conclusion The mental disorders of TMD patients in China can not be ignored. SCL-90 as a judge of TMD patients with some mental and psychological disorders scale, in our country also has good applicability.