Castro Adriana Ronchetti de, Siqueira Silvia Regina Dowgan Tesseroli de, Perissinotti Dirce Maria Navas, Siqueira José Tadeu Tesseroli de
Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil.
Arq Neuropsiquiatr. 2008 Sep;66(3B):716-9. doi: 10.1590/s0004-282x2008000500021.
To determine the psychological aspects of orofacial pain in trigeminal neuralgia (TN) and temporomandibular disorder (TMD), and associated factors of coping as limitations in daily activities and feelings about the treatment and about the pain.
30 patients were evaluated (15 with TN and 15 with TMD) using a semi-directed interview and the Hospital Anxiety Depression (HAD) scale.
TN patients knew more about their diagnosis (p<0.001). Most of the patients with TN considered their disease severe (87%), in opposite to TMD (p=0.004); both groups had a high level of limitations in daily activities, and the most helpful factors to overcome pain were the proposed treatment followed by religiosity (p<0.04). Means of HAD scores were 10.9 for anxiety (moderate) and 11.67 for depression (mild), and were not statistically different between TMD and NT (p=0.20).
TN and TMD had similar scores of anxiety and depression, therefore patients consider TN more severe than TMD. Even with higher limitations, patients with TN cope better with their disease then patients with TMD.
确定三叉神经痛（TN）和颞下颌关节紊乱病（TMD）中口面部疼痛的心理因素，以及作为日常活动限制以及对治疗和疼痛感受的应对相关因素。
使用半定向访谈和医院焦虑抑郁量表（HAD）对30例患者进行评估（15例TN患者和15例TMD患者）。
TN患者对其诊断了解更多（p<0.001）。大多数TN患者认为其疾病严重（87%），这与TMD患者相反（p=0.004）；两组在日常活动中都有较高程度的限制，克服疼痛最有帮助的因素是建议的治疗，其次是宗教信仰（p<0.04）。HAD评分的焦虑均值为10.9（中度），抑郁均值为11.67（轻度），TMD和NT之间无统计学差异（p=0.20）。
TN和TMD的焦虑和抑郁评分相似，因此患者认为TN比TMD更严重。即使限制更高，TN患者比TMD患者对疾病的应对更好。
