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간이정신진단검사(SCL-90-R)를 이용한 측두하악장애 증상과 심리특성과의 관계 연구

A Study on the Symptom of Temporomandibular disorder(TMD) and the Relationship with the Psychological Character using Symptom Check List-90-Revision(SCL-90-R)

  • 이태용 (충남대학교 의과대학 예방의학교실) ;
  • 김정숙 (대전보건대학교 치기공과) ;
  • 이혜은 (경동대학교 치기공과)
  • Lee, Tae-Yong (Depratment of Preventive Medicine, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Kim, Jung Suk (Deparrtment of Dental Technology, Daejeon college) ;
  • Lee, Hye-Eun (Deparrtment of Dental Technology, Kyung-dong university)
  • 투고 : 2014.08.14
  • 심사 : 2015.01.08
  • 발행 : 2015.01.31

초록

본 연구는 SCL-90-R을 이용해 측두하악장애 증상과 심리특성과의 관계를 알아보고자 실시되었다. 대전과 강원지역의 20-31세 대학생 294명(남자 140명, 여자 54명)을 대상으로 2014년 03월 01일부터 2014년 6월 30일까지 자기기입식 설문조사를 실시하였다. 수집된 자료의 분석결과 하악 사용과 관련된 구강 내 악습관 중 이갈이와 편측 저작이 측두하악 장애증상의 심도에 유의미한 상관관계(p<0.01)를 보였으며, 간이 정신진단검사(SCL-90-R) 결과 공포불안(PHOB)를 제외한 항목에서 측두하악장애 증상의 심도와 유의미한 상관관계를 보였다(p<0.05). 연구대상자들의 심리특성이 측두하악장애 증상에 미치는 순수한 영향력을 살펴보기 위해 개인적 특성변수를 통제하여 다중회귀분석을 실시한 결과 개인적 심리특성 요인중 신체화(SPM) 척도만이 측두하악장애 증상의 심도에 유의한 정(+)적 영향을 미치는 것으로 나타났다.

This study examined the symptoms of temporomandibular disorder and the relationship with the psychological character using Symptom Check List-90-Revision (SCL-90-R). The self-administered questionnaire survey was implemented from March 1, 2014 to June 30, 2014 targeting 294 University Students in Daejeon and Gangwon area aged 20-31 years old (Men 140 persons, Women 54 persons). The data showed that the teeth grinding and the unilateral chewing out of corrupt practices in the mouth in relation to the use of the lower jaw showed a significant correlation (p<0.01) with the depth of symptoms of temporomandibular disorder, as the result of the simple psychodiagnosis inspection (SCL-90-R), and a significant correlation (p<0.05) with the depth of symptoms of temporomandibular disorder in the item excluding phobic anxiety (PHOB). The somatization (SOM) criteria out of individual psychological characteristic appeared to have the significant plus (+) effect on the depth of symptoms of temporomandibular disorder as a result of implementing multiple regression analysis by controlling the individual characteristic variables to check the influence of the psychological character of the study object on the symptom of temporomandibular disorder.

키워드

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