de Oliveira Silviana Braz, de Siqueira Silvia Regina Dowgan Tesseroli, Sanvovski Ana Rosa, do Amaral Lúcia Maria Thompson Barros, de Siqueira José Tadeu Tesseroli
Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, Brazil.
J Clin Psychol Med Settings. 2008 Dec;15(4):338-43. doi: 10.1007/s10880-008-9135-6. Epub 2008 Dec 10.
The objective of the current study was to evaluate disease-related beliefs, adherence to treatment, quality of life, coping strategies and cognitive status in a group of Brazilian patients with Temporomandibular Disorder (TMD). Thirty patients were evaluated with a semi-directed interview, the Coping Strategies Inventory, and a Mini-Mental State Examination. Although half (50%) of the patients had known their diagnosis long term, 40% of the sample were not correctly following proposed treatment. All patients had a similar pattern of pain behavior related to TMD, while disease-related beliefs, quality of life and coping strategies were variable. Expectations about treatment also had significant association with treatment adherence. The findings of this study suggest that a more thorough understanding of individual differences in TMD is warranted.
本研究的目的是评估一组患有颞下颌关节紊乱病（TMD）的巴西患者的疾病相关信念、治疗依从性、生活质量、应对策略和认知状态。通过半定向访谈、应对策略量表和简易精神状态检查表对30名患者进行了评估。尽管一半（50%）的患者早已知晓自己的诊断结果，但40%的样本未正确遵循建议的治疗方案。所有患者都有与TMD相关的相似疼痛行为模式，而疾病相关信念、生活质量和应对策略则各不相同。对治疗的期望也与治疗依从性显著相关。本研究结果表明，有必要更深入地了解TMD患者的个体差异。
