针对肌肉型和关节型颞下颌关节患者差异的多维研究方法：应对方式、痛苦程度及疼痛特征
Multidimensional approach to the differences between muscular and articular temporomandibular patients: coping, distress, and pain characteristics.
作者信息
GaldOn Maria José, Durá Estrella, Andreu Yolanda, Ferrando Maite, Poveda Rafael, Bagán José Vicente
机构信息
Department of Personality, Assessment, and Psychological Treatment, University of Valencia, Valencia, Spain.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Jul;102(1):40-6. doi: 10.1016/j.tripleo.2005.02.067. Epub 2006 Mar 22.
OBJECTIVE
This study analyzes the differences in psychological variables and symptomatology between temporomandibular disorder diagnosis subgroups.
STUDY DESIGN
The sample included 114 temporomandibular disorder patients that were evaluated in coping, distress, and temporomandibular characteristics. Diagnostic muscular (n = 58) and articular (n = 56) subgroups were compared in these variables through a MANCOVA.
RESULTS
Muscular patients show a higher level of general distress, specifically in the anxiety and somatization subscales and a more active coping style, with a tendency of a minor use of humor and a higher number of parafunctional habits, specifically, biting nails, hangnails, and lips.
CONCLUSION
We discuss the differences found in order to design the targets of the psychological intervention of temporomandibular patients.
目的
本研究分析颞下颌关节紊乱症诊断亚组之间心理变量和症状学的差异。
研究设计
样本包括114名颞下颌关节紊乱症患者，对其应对方式、痛苦程度和颞下颌关节特征进行了评估。通过多因素协方差分析比较了诊断为肌肉型（n = 58）和关节型（n = 56）亚组在这些变量上的差异。
结果
肌肉型患者表现出更高水平的总体痛苦，特别是在焦虑和躯体化分量表上，并且应对方式更积极，有较少使用幽默的倾向，以及更多的副功能习惯，具体表现为咬指甲、倒刺和嘴唇。
结论
我们讨论了所发现的差异，以便设计颞下颌关节紊乱症患者心理干预的目标。
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