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A study on the factors associated with treatment compliance in adolescent orthodontic patients  

Kim, Jin-Ee (Department of Orthodontics, College of Dentistry, Kangnung National University)
Cha, Bong-Kuen (Department of Orthodontics, College of Dentistry, Kangnung National University)
Lee, Nam-Ki (Department of Orthodontics, College of Dentistry, Kangnung National University)
Publication Information
The korean journal of orthodontics / v.34, no.2, 2004 , pp. 177-188 More about this Journal
Abstract
This study is aimed at providing the variables associated with adolescent compliance In orthodontic treatment, and identifies the salient predictors of cooperative behaviors over the course of treatment. Orthodontic attitude scale, orthodontic locus of control scale and demographics data were obtained for 60 adolescent orthodontic patients who had been in treatment a minimum of 10 months. This data was then analyzed in relation to their sex, school age and treatment compliance. The following results were obtained. 1. The scoring of external-powerful others-parents, subscale of the Orthodontic Locus of Control scale, found a statistically significant difference between sex differences (p<0.05). The score of boys was higher than that of girls. 2. The external-powerful others-parents score from the Orthodontic Locus of Control scale showed a significantly positive correlation (p<0.05) with the level of compliance. 3. The salient factors associated with compliance were the adolescent patients' own cognition and decisions. 4. There was a statistically significant correlation between the length of treatment and patient compliance (p<0.05). Thus, there was a substantial decrease in the cooperation of orthodontic patients over time. 5. Other independent variables including age, sex, family environment, religion, academic standing, parents' occupation and education, and brushing frequency were investigated and did not yield any significant relationships. Patient compliance is a critical factor in the efficacy of orthodontic treatment. Individuals vary greatly in their perceptions and attitudes of orthodontic treatment, sociodemographic environments and personality characteristics. In assessing the level of compliance attainable by each individual patient it is advisable To pay sufficient attention not only to the technical matters but also to the psychologic aspects of the treatment progress.
Keywords
Adolescent orthodontic patients; Treatment compliance;
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1 Allan TK. Hodgson EW. The use of personality measurements as a detenninant of patient cooperation in an orthodontic practice. Am J Orthod 1968: 54 : 433-40
2 Bums MH. Use of a personality rating scale in identifying cooperative and noncooperative orthodontic patients. Am J Orthod 1970 : 57 : 418
3 Clemmer EJ, Hayes EW. Patient cooperation in wearing orthodontic headgear. Am J Orthod 1979:75 : 517-24
4 김영호, 백인호, 검증은 교정환자의 태도에 관한 고찰. 대치협회지 1993: 31 : 383-92
5 Cohen NJ, Gotlieb H, Kershner J, et. al. Concurrent validity of the internalizingand externalizing profilepatterns of the Achenbachchild behavior checklist. J Consult Clin Psychol 1985 : 53 : 724-8
6 Phares EJ, Locus of control in personality, Monistown, NJ : General Learning Press, 1976
7 Egolf RJ, BeGole EA, Upshaw HS, Factors associated with ortho-dontic patient compliance with intraoral elastic and headgear wear Am J Orthod 1990: 97: 336-48
8 SergI HG, Klages U, PemperaJ, On the prediction of dentist-evaluated patient compliance in orthodontics. Europ J Orthod 1992 : 14 : 463-8
9 Colenaty C, Gabriel HF. Predicting patient cooperation. J Clin Orthod 1977 : 11 : 814-9
10 Crawford TP. A multiple regression analysis of patient cooperati on during orthodontic treatment. Am J Orthod 1974 : 65 : 436-7
11 Weiss J, Eiser HM. Psychological timing of orthodontic treatment. Am J Orthod 1977 : 72 : 198-204
12 Kreit LH, Burstone C, Delman L. Patient cooperation in orthodontic treatment. J Am Coil Dent 1968 : 35 : 327-32
13 홍강의, 권영탁, 장경준 초. 중. 고 학생의 통제소재와 가정환경과의 관계 서울의대정신의학 1988: 13 : 37-44
14 Dorsey J, Korabik K. Social and psychological motivations for ortho-dontic treatment. Am J Orthod 1977 : 72 : 460
15 Fox RN, Albino JE, GreenLJ, Farr SD, Tedesco LA. Development and validation of a measure of attitudes toward malocclusion. J Dent Res 1982 : 61 : 1039-43
16 Nowicki S, Strickland BR. A locus of control scale for children. J Con suiting and Clinical Psychology 1973 : 40 : 148-54
17 Rotter JB, Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs 1966 : 80 : 1-28
18 Albino JE, Lawrence SO, Lopes CE, Nash LB, Tedesco LA. Coopera tion of adolescents in orthodontic treatment. J Behavioral Med 1991: 14 : 53-70
19 SergI HG, Klages U, Zentner A. Pain and discomfort during ortho dontic-treatment: causative factors and effects on compliance. Am J Orthod Dentofac Orthop 1998 : 114: 684-91
20 Sinclair PM. The readers' corner. J Clin Orthod 1989 : 23 : 795-7
21 Barbour A, Callender RS, Understanding patient compliance, J Clin Orthod 1981 : 12: 803-9
22 Nowicki S, Segal W. Perceived parental orientation and behavioral correlates of locus of control. Developmental Psychology 1974 : 10 : 33-7
23 Bartsch A, Witt E, Salim G, Schneider S, Correlates of objective patient compliance with removableappliancewear. Am J Orthod Den-tofac Orthop 1993 : 104 : 378-86
24 Graber TM, Swein BE Orthodontics : current principle and techni ques, St. louis: CV Mosby, 1985 : 20
25 Southard KA, Tolley EA, Arheart KL, Hackett-Renner CA, Southard TE. Application of the millon adolescent personality inventor$\gamma$ m evaluating orthodontic compliance. Am J Orthod Dentofac Orthop 1991:100 : 553-61
26 Cucalon A III, Smith RJ. Relationship between compliance by adole scent orthodontic patients and performance on psychological tests Angle Orthod 1990: 60 : 107-14
27 Tedesco LA, Albino JE, Cunat JJ, Reliability and validity of the ortho dontic locus of control scale. Am J Orthod 1985 : 88 : 396-401
28 Salzmann JA. Psychological factors in patient attitudes. Am J Orthod 1970 : 58 : 295-6
29 Scheurer C, Schreck A, Burch J, Jackson D. Effect of age and sex in adolescent attitudes toward orthodontics. J Dent Res (LADR Abs-tracts) 1987 : 66 : 300
30 Story RI. Psychological issues in orthodontic practice. Am J orthod 1966 : 52 : 584-98
31 Lyons EK, Ramsay DS. A self-regulation model of patient compli-ance in orthodontics: Implications for the design of a headgear moni tor. Semin Orthod 2000 : 6 : 224-30
32 Burns MH. Use of a personality rating scale in identifyingcooperative and noncooperative orthodontic patients. Am J Orthod 1970 : 57 : 418
33 김영호, 배창, 백인호 교정치료 초기 환자의 통제소재와 불쾌감의 관계 대치교정지 1994: 24: 1-15
34 Klima RJ, Wittemann JK, Mclver JE. Body image, self concept, and the orthodontic patient. Am J Orthod 1979 : 75 : 507-16
35 Gross AM, Samson G, Sanders S, Smith C. Self-concept and coopera-tion with orthodontic instructions: Are-analysis. J Pedodontics 1988: 12 : 128-34
36 Stambach HK, Kaplan A. Profile of an excellent orthodontic patient Angle Orthod 1975 : 45 : 141-5