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颞下颌关节紊乱病:与精神病理学显著重叠的证据

Temporomandibular disorders: evidence for significant overlap with psychopathology.

作者信息

Kight M, Gatchel R J, Wesley L

机构信息

Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, 75235-9044, USA.

出版信息

Health Psychol. 1999 Mar;18(2):177-82. doi: 10.1037//0278-6133.18.2.177.

Abstract

Data were analyzed for 277 acute and chronic temporomandibular disorder (TMD) patients to determine if there was a relationship between psychological and physical diagnoses. A significant (p < .01) relationship existed among the following: combined past or current mood disorder-personality disorder and muscle disorder; combined current mood, anxiety, or substance use disorder-personality disorder and muscle disorder; and combined current anxiety disorder-personality disorder and muscle disorder. This study further confirmed other research that has found that significant psychopathology exists in TMD. More important, this psychopathology appears to be linked primarily to muscle disorders, as opposed to disc or joint disorders, within the rubric of TMD.

摘要

对277名急慢性颞下颌关节紊乱症(TMD)患者的数据进行了分析,以确定心理诊断与身体诊断之间是否存在关联。以下几组情况之间存在显著(p < .01)关联:过去或当前的情绪障碍合并人格障碍与肌肉障碍;当前的情绪、焦虑或物质使用障碍合并人格障碍与肌肉障碍;以及当前的焦虑障碍合并人格障碍与肌肉障碍。本研究进一步证实了其他研究的发现,即在TMD中存在显著的精神病理学。更重要的是,在TMD的范畴内,这种精神病理学似乎主要与肌肉障碍有关,而非与盘状或关节紊乱有关。

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