Manfredini D, Landi N, Bandettini Di Poggio A, Dell'Osso L, Bosco M
Section of Prosthatic Dentistry, Department of Odontostomatology, University of Pisa, Pisa, Italy.
Minerva Stomatol. 2003 Jun;52(6):321-6, 327-30.
Recent researches on temporomandibular disorders (TMD) have been focused on the interaction between physical and psychological factors. In this work, studies on the role of the latter have been critically reviewed and analysed. A number of works proved the existence of an association between TMD and anxiety, depression and stress, but none demonstrated causality of that relation. In consideration of that, debates are still open to discuss the possible predisposing, triggering and/or worsening role played by some psychic disorders in TMD subjects. Nevertheless, considering the usefulness of recent taxonomic proposals, it seems logical to adopt a broad therapeutic approach, directed both to the physical and psychic component of TMD symptoms. Besides, from this review it is underlined the need for controlled trials which, regardless of the causality of TMD-psychic disorders associations, definitively evaluate the efficacy of the various psychotherapy modalities proposed.
近期关于颞下颌关节紊乱病（TMD）的研究主要集中在生理因素与心理因素之间的相互作用。在这项工作中，对有关心理因素作用的研究进行了批判性回顾和分析。许多研究证实了TMD与焦虑、抑郁和压力之间存在关联，但没有一项研究证明这种关系具有因果性。鉴于此，关于某些精神障碍在TMD患者中可能起的易患、触发和/或加重作用的争论仍在继续。然而，考虑到近期分类学建议的实用性，采用一种广泛的治疗方法似乎是合理的，该方法针对TMD症状的生理和心理成分。此外，通过本次综述强调了进行对照试验的必要性，无论TMD与精神障碍之间关联的因果性如何，都要明确评估所提出的各种心理治疗方式的疗效。
