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颞下颌关节紊乱病患者心理状态的研究分析

Research and analysis of psychological states in temporomandibular disorder patients

来源期刊: 广州医药 | 48-51 发布时间:2021-11-30 收稿时间:2025/11/13 16:50:56 阅读量:15
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关键词:
颞下颌关节紊乱病心理因素量表临床研究
Temporomandibular disordersPsychological factorsScale causeClinical research
DOI:
10.3969/j.issn.1000-8535.2015.01.016
收稿时间:
2014-08-17 
修订日期:
 
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引用总数:
0  
目的 对颞下颌关节紊乱病患者的心理健康状况进行分类别的评估分析。方法 随机选择口腔科门诊就诊的颞下颌关节紊乱病患者88例为病例组,健康正常人92例为对照组,心理科抑郁患者92例及焦虑患者90例为心理疾病组,采用症状自评量表(SCL-90)量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、艾森克人格问卷(EPQ)进行问卷调查,将量表调查结果分别归类整理后,使用统计软件SPSS13.0进行统计学分析。结果 TMD患者与正常对照组相比,在SCL-90、SAS、SDS评分中多项有统计学意义,在病例组中,多次患病和初次患病相比、高学历与低学历患者相比,在焦虑和抑郁上有统计学意义。颞下颌关节紊乱病患者与心理疾病患者相比,心理疾病患者在焦虑和抑郁上得分高于颞下颌关节紊乱病患者。结论 颞下颌关节紊乱病患者存在着不同程度的心理障碍,但远未达到心理疾病的程度,且颞下颌关节紊乱病患者中的不同群体心理状况也有所不同,这对于TMD患者心理上的疏导提供了一定的依据。
Objective To explore the research and analysis of temporomandibular disorder(TMD)patients' psychological states. Methods People diagnosed in the dental clinic were identified as target population.Totally, 88 patients with TMD were recruited as case control,whereas 92 normal people,92 patients with mental depression and 90 patients with dysphoria disorders were collected as control group.Questionnaire survey was carried out based on Symptom Checklist(SCL-90),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Eysenck Personality Questionnaire(EPQ). Correlations between TMD and psychological factors were assessed using the statistical methods. Results Compared with normal people,patients with TMD showed statistically significant diversity in SCL-90,SAS and SDS.In subgroup analysis of patients with TMD,patients with repeated disease history or advanced education degree presented significant variation in terms of depression and anxiety when compared with those with first diagnosed or lower education degree.Compared with patients with mental illnesses,patients with TMD showed significant lower score in depression and anxiety. Conclusion In TMD treatment we should not only adapt traditional physical therapy,medical therapy,corrective therapy and surgical treatment but also pay attention to psychological treatment to correct the patients' negative emotions,which may improve the symptoms and actively terminate disease process.
1、 马绪臣,张震康.颞下颌关节紊乱病双轴诊断的临床意义和规范治疗的必要性[J]. 中华口腔医学杂志,2005,40(5):353-355. 马绪臣,张震康.颞下颌关节紊乱病双轴诊断的临床意义和规范治疗的必要性[J]. 中华口腔医学杂志,2005,40(5):353-355.
2、 Suvinen TL,Ready PC,Kemppainen P,et al.Review of aetiological concepts of temporomandibular pain disorders:towards a biopsychosocial model for integration of physical disorder factors with psychological and psychological illness impact factors[J].Eur J Pain,2005.9(6):613-633. Suvinen TL,Ready PC,Kemppainen P,et al.Review of aetiological concepts of temporomandibular pain disorders:towards a biopsychosocial model for integration of physical disorder factors with psychological and psychological illness impact factors[J].Eur J Pain,2005.9(6):613-633.
3、 Pallegama RW,Ranasinghe AW,Weerasinghe VS,et al.Anxiety and personality traits in patients with muscle related temporomandibular disorders [J]. Journal of Oral Rehabilitation,2005,32(10):701-707. Pallegama RW,Ranasinghe AW,Weerasinghe VS,et al.Anxiety and personality traits in patients with muscle related temporomandibular disorders [J]. Journal of Oral Rehabilitation,2005,32(10):701-707.
4、 刘瑞玲.无牙颌老年人颞下颌关节紊乱病的诊治探讨[J]. 中国保健营养,2013,23(6):2836-2837 刘瑞玲.无牙颌老年人颞下颌关节紊乱病的诊治探讨[J]. 中国保健营养,2013,23(6):2836-2837
5、 雍翔智,唐黎黎.颞下颌关节紊乱综合征的心理因素及其治疗[J]. 国际口腔医学杂志,2013,40(5):634-637 雍翔智,唐黎黎.颞下颌关节紊乱综合征的心理因素及其治疗[J]. 国际口腔医学杂志,2013,40(5):634-637
6、 张静莹,张引成,马东,等.颞下颌关节紊乱病患者的心理社会因素[J]. 中国社会医学杂志,2008,25(1):30-32 张静莹,张引成,马东,等.颞下颌关节紊乱病患者的心理社会因素[J]. 中国社会医学杂志,2008,25(1):30-32
7、 Yap AU,Chua EK,Tan KB.Depressive symptom in Asian TMD patients and their association with non-specific physical symptoms reporting [J]. J Oral Pathol Med,2004,33(5):305-310 Yap AU,Chua EK,Tan KB.Depressive symptom in Asian TMD patients and their association with non-specific physical symptoms reporting [J]. J Oral Pathol Med,2004,33(5):305-310
8、 Yap AU,Dworkin SF,Chua EK,et al. Prevalence of temporomandibular disorder subtypes,psychologic distress,and psychosocial dysfunction in Asian patients [J]. J Orofac Pain,2003,17(1):21-28 Yap AU,Dworkin SF,Chua EK,et al. Prevalence of temporomandibular disorder subtypes,psychologic distress,and psychosocial dysfunction in Asian patients [J]. J Orofac Pain,2003,17(1):21-28
9、 舒良.抑郁自评量表[J]. 中国心理卫生杂志,1993,13(增刊):194-196 舒良.抑郁自评量表[J]. 中国心理卫生杂志,1993,13(增刊):194-196
10、 吴文源.焦虑自评量表[J]. 中国心理卫生杂志,1993,13(增刊):202-205 吴文源.焦虑自评量表[J]. 中国心理卫生杂志,1993,13(增刊):202-205
11、 王征宇,编译.症状自评量表(SCL-90)[J]. 上海精神医学,1984,(2):68-70 王征宇,编译.症状自评量表(SCL-90)[J]. 上海精神医学,1984,(2):68-70
12、 张静莹,张引成,谢中秋,等.颞下颌关节紊乱病患者的人格特征[J].中国社会医学杂志,2007,24(4):245-247. 张静莹,张引成,谢中秋,等.颞下颌关节紊乱病患者的人格特征[J].中国社会医学杂志,2007,24(4):245-247.
13、 刘法鑫,蒋立坚.心理因素与颞下颌关节紊乱的研究进展[J].中华口腔医学研究杂志,2013,7(2):62-64. 刘法鑫,蒋立坚.心理因素与颞下颌关节紊乱的研究进展[J].中华口腔医学研究杂志,2013,7(2):62-64.
14、 邱蔚六,张震康,张志愿,等.口腔颌面外科学[M].6版,北京:人民卫生出版社,2008:321 邱蔚六,张震康,张志愿,等.口腔颌面外科学[M].6版,北京:人民卫生出版社,2008:321
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