The use of psychological testing to indicate the potential for dissatisfaction with dental treatment has many potential patient and clinician benefits but has been rarely investigated. The study aimed to explore the use of the Symptom Checklist-90-Revised (SCL-90-R) psychological testing instrument in describing the relationship between pre-treatment psychological traits and aesthetic restorative treatment satisfaction. Thirty patients requiring aesthetic restorative dental treatment completed three questionnaires, namely 1) a pre-treatment expectation assessment, 2) an SCL-90-R analysis pre-treatment and 3) an outcome assessment post-treatment to assess patient’s expectations and satisfaction of the proposed dental treatment relating to function, aesthetics, comfort and tissue preservation. Logistic regression models were used to assess the impact of psychological variables on patient satisfaction after adjusting for baseline expectations (P < 0.05). The satisfaction for the aesthetic component of treatment was significantly associated with psychoticism and positive symptom distress index. The satisfaction for the comfort component of treatment was significantly associated with obsessive compulsive symptoms, depression and anxiety. Following adjustment for baseline expectation, tissue preservation satisfaction was associated with somatization, obsessive compulsive, interpersonal sensitivity, depression and global severity index. No baseline psychological measures were significantly associated with chewing satisfaction. The SCL-90-R shows initial promise in assisting clinicians to identify and understanding patients who have a high risk of dissatisfaction with aesthetic dental treatment. The ability to indicate aesthetic restorative treatment dissatisfaction is of great benefit to clinicians in maximising success and mitigating risk.

中文翻译：

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使用心理测试仪器作为对美学牙科治疗不满意的指标-初步研究。

使用心理测试来表明对牙科治疗可能不满意的潜力有很多潜在的患者和临床医生受益，但很少进行研究。该研究旨在探讨使用症状清单90-修订版（SCL-90-R）心理测试仪器来描述治疗前心理特征与美学恢复治疗满意度之间的关系。30名需要进行美学修复性牙科治疗的患者填写了三份问卷，即1）治疗前期望评估，2）治疗前SCL-90-R分析和3）治疗后结果评估以评估患者的期望和满意度。与功能，美学，舒适度和组织保存有关的建议牙科治疗。调整基线预期后，使用逻辑回归模型评估心理变量对患者满意度的影响（P <0.05）。对治疗的美学成分的满意度与精神病和积极的症状困扰指数显着相关。对治疗舒适性的满意度与强迫症，抑郁和焦虑密切相关。调整基线期望值后，组织保存满意度与躯体化，强迫症，人际敏感性，抑郁症和总体严重性指数相关。没有基线心理测验与咀嚼满意度显着相关。SCL-90-R在帮助临床医生识别和理解对美学牙科治疗不满意的高风险患者方面显示出最初的希望。表明美学修复治疗不满意的能力对临床医生最大程度地提高成功率和降低风险具有极大的好处。