Single article

Anokhina A., Loseva T., Golenkov A.

The role of personality psychological characteristics and family education particularity in the adaptation of the child to orthodontic treatment

Keywords: children, orthodontic treatment, adaptation, psychological characteristics, type of family education

The aim of this study was to investigate adaptation characteristic properties of a child to orthodontic treatment depending on the influence of personality psychological characteristics and his family education type. The study included 35 children aged 6-18 years (mean age was 11,5±2,27). Dentofacial anomalies were diagnosed using conventional diagnostic methods in orthodontics. Psychodiagnostic methods suggested by A. Lichko, N. Ivanov and by E. Aidemiller, V. Justickis were used as well. Statistical processing of data obtained was carried out using correlation analysis and chi-square method. It is revealed that a «balanced type» of family education and «overprotection» have a positive effect on the level of a child’s adaptation to orthodontic treatment (р = 0,025). An «unstable» family education type and the type of «indulge hyperprotection» have a negative influence on the level of a child’s adaptation to orthodontic treatment (р = 0,025). Adolescences of epileptoid personality type demonstrate largely a high adaptation level to orthodontic treatment, and adolescences of hysteroid personality type have a low adaptation level to orthodontic treatment (р < 0,001). It is concluded that adaptation level and the result of orthodontic treatment could be prognosed on the basis of patients’ primary clinical-psychological testing during a visit to an orthodontist. The results of the study could be the basis for development of an individual scheme for psychological preparation of a child for orthodontic treatment.

References

  1. Anokhina A.V., Faizrakhmanov I.M., Loseva T.V. Psikhologicheskie aspekty planovogo dinamicheskogo nablyudeniya detei s zubochelyustnymi anomaliyami [Psychological aspects of the planned dynamic observation of children with dentoalveolar anomalies]. Aktual’nye voprosy stomatologii: sb. Vseross. nauch.-prakt. konf. [Proc. of Rus. Conf. «Actual problems of dentistry»]. Kazan, 2016, pp. 30–34.
  2. Vasilenko E.P., Tokarevich I.V. Otsenka urovnya adaptatsii detei k standartnym s”emnym ortodonticheskim apparatam [Assessment of children’s level of adaptation to the standard removable orthodontic appliances]. Aktual’nye problemy sovremennoi meditsiny: sb. nauch.-prakt. materialov BGMU. [Actual problems of modern medicine: Coll. scientific-practical. materials]. Minsk, 2010, pp. 1–12.
  3. Garbatsevich N.A. Prognozirovanie iskhoda ortodonticheskogo lecheniya u 8-12-letnikh detei: avtoref. dis. … kand. med. nauk [Predicting the outcome of orthodontic treatment in 8-12-year-olds. Diss. Abstract]. Minsk, 1994, 32 p.
  4. Gartfel’der D.V., Golenkov A.V. Metody statisticheskogo analiza v psikhologii i meditsine: ucheb.-metod. posobie [Methods of statistical analysis in psychology and medicine]. Cheboksary, Chuvash University Publ., 2007, 154 p.
  5. Demina N.A. Emotsional’no-lichnostnye osobennosti patsientov pri ambulatornom lechenii stomatologicheskikh zabolevanii: dis. … kand. psikh. nauk [Emotionally-personal features of patients in outpatient treatment of dental diseases. Diss.]. Moscow, 1999, 180 p.
  6. Kirgizova E.S. Sposoby korrektsii psikhoemotsional’nogo sostoyaniya i bolevoi reaktsii patsientov pri ortodonticheskom lechenii: avtoref. dis. … kand. med. nauk [ Methods of correction of mental and emotional states and pain response of patients in orthodontic treatment. Diss. Abstract]. Moscow, 2008, 22 p.
  7. Kozlov D.S. Izuchenie rasprostranennosti zubochelyustnykh anomalii i deformatsii sredi detei shkol’nogo vozrasta. Monitoring provedennogo ortodonticheskogo lecheniya i analiz ego effektivnosti: … dis. kand. med. nauk [ The study of the prevalence of dentoalveolar anomalies and deformations among school-age children. Monitoring conducted by the orthodontic treatment and analysis of its effectiveness. Diss. Abstract]. Voronezh, 2009, 24 p.
  8. Larentsova L.I., Smirnova N.B. Psikhologiya vzaimootnoshenii vracha i patsienta [Psychology of physician-patient relationship]. Moscow, GEOTAR-Media Publ., 2014, 152 p.
  9. Golenkov A.V., ed. Psikhologicheskoe obsledovanie detei i podrostkov: praktikum [The psychological examination of children and adolescents]. Cheboksary, Chuvash University Publ., 2004, 112 p.
  10. Persin L.S. Ortodontiya. Diagnostika i lechenie zubochelyustno-litsevykh anomalii i deformatsii [Orthodontics. Diagnosis and treatment of dental-maxilla-facial abnormalities and deformities]. Moscow, GEOTAR-Media Publ., 2016, 640 p.
  11. Proffit U.R. Sovremennaya ortodontiya [Contemporary orthodontics]. Moscow, MEDpress-inform Publ., 2006, 560 p.
  12. Sirota N.A., Vagner V.D., Shlykov M.V. Klinicheskie i sotsial’no-demograficheskie osobennosti formirovaniya otnosheniya k bolezni i lecheniyu u bol’nykh stomatologicheskogo profilya [Clinical and socio-demographic characteristics of the formation of attitude towards the disease and the treatment of patients with dental profile. Elektronnyi resurs]. Meditsinskaya psikhologiya v Rossii [Medical psychology in Russia], 2011, no. 6. URL: http://medpsy.ru.
  13. Syrgii I.V. Sovremennye podkhody k kompleksnoi reabilitatsii patsientov s distal’noi okklyuziei v periode doshkol’nogo vozrasta: avtoref. dis. … kand. med. nauk [Contemporary approaches to the complex rehabilitation of patients with distal occlusion in the period of pre-school age. Diss. Abstract]. Voronezh, 2010, 25 p.
  14. Tabatadze V.G. Vzaimootnosheniya vracha-ortodonta i rebenka-patsienta v stomatologicheskoi praktike: avtoref. dis. … kand. med. nauk [Relations between the orthodontist and the child-patient in the dental practice]. Moscow, 2007, 24 p.
  15. Eidemiller E., Yustitskis V. Psikhologiya i psikhoterapiya sem’i [Psychology and Psychotherapy of the family]. St. Petersburg, Piter Publ., 2010, 1160 p.
  16. Aidaros A.M. Factors affecting treatment duration in a group of Egyptian Angle class I patients; a retrospective study. Dent. Med. Sci., 2015, vol. 14, no.8, pp. 30–41.
  17. Annemieke B., Hoogstraten J., Praul-Andresen B. Towards a comprehensive model for the study of compliance in orthodontics. J. Orthod., 2005, vol. 27, no. 10, pp. 296–301.
  18. Bradley G., Simister D. A study of treatment duration using the discrepancy index //An Abstract for The Degree of Master of Science in Dentistry. Saint Louis, 2007. 50 p.
  19. Corah N.L. Dental anxiety. Assessment, reduction and increasing patient satisfaction. Clin. North. Am., 1988, vol. 32, no. 4, pp. 779–790.
  20. Pramod K., Sinha P., Ram S. Nanda Improving patient Compliance in orthodontic Practice. Orthod., 2000, vol. 29, no. 6, pp. 237–241.
  21. Sergl H.G., Klages U., Zentner A. Functional and social discomfort during orthodontic treatment – effects on compliance and prediction of patient’s adaptation by personality variables. J. Orthod., 2000, vol. 22, no. 3, pp. 307–315.
  22. Sergl H.G., Zentner A. Predicting patient compliance in orthodontic treatment. Seminars in Orthodontics, 2000, vol. 6, no. 4, pp. 231–236.

About authors

Anokhina Antonina Vasilievna
doctor of medical sciences, professor, pediatric, therapeutic dentistry and orthodontics department head, Kazan State Medical Academy – Branch Campus of the Russian Medical Academy of Continuous Professional Education, Russia, Kazan (a_anokhina@mail.ru; )
Loseva Tatiana Vasilievna
pediatric, therapeutic dentistry and orthodontics department graduate student, Kazan State Medical Academy – Branch Campus of the Russian Medical Academy of Continuous Professional Education, Russia, Kazan (tanya_step@mail.ru; )
Golenkov Andrey V.
Doctor of Medical Sciences, Professor, Department of Psychiatry, Medical Psychology and Neurology, Chuvash State University, Russia, Cheboksary (golenkovav@inbox.ru; ORCID: https://orcid.org/0000-0002-3799-0736)

Article link

Anokhina A., Loseva T., Golenkov A. The role of personality psychological characteristics and family education particularity in the adaptation of the child to orthodontic treatment [Electronic resource] // Acta medica Eurasica. – 2017. – №1. P. 1-9. – URL: https://acta-medica-eurasica.ru/en/single/2017/1/1/.