Peroz Ingrid, Hantel Hajo
Charité Centrum für Zahn-, Mund- und Kieferheilkunde, Abteilung für Zahnärztliche Prothetick, Alterszahnmedizin und Funktionslehre, Charité - Universitätsmedizin Berlin, 14197 Berlin.
Z Psychosom Med Psychother. 2010;56(1):23-33. doi: 10.13109/zptm.2010.56.1.23.
Stress is widely accepted as an etiologic factor of craniomandibular disorders (CMD). There is, however, a lack of studies evaluating the significance of interindividual differences of stress and coping for the development of CMD.
99 volunteers (33 male, 66 female) were observed over a period of 24 months. The clinical examination at the beginning and end of the observation time were carried out according to the protocol of the Research Diagnostic Criteria for Temporomandibular Disorders (Dworkin 1992). Data concerning stress and general body complaints were evaluated twice by questionnaires, and data on coping methods were collected at the beginning of the study.
Stress, coping methods and general body complaints correlate with clinical functional parameters. Stress and body complaints proved to be significant predictors via linear regression analyses.
Stress and general somatic complaints are predictors of the development of craniomandibular disorders.
压力被广泛认为是颅下颌疾病（CMD）的一个病因。然而，缺乏研究评估压力和应对方式的个体差异对CMD发展的重要性。
对99名志愿者（33名男性，66名女性）进行了24个月的观察。观察期开始和结束时的临床检查按照颞下颌关节紊乱研究诊断标准（德沃金，1992年）的方案进行。关于压力和全身不适的数据通过问卷进行了两次评估，应对方式的数据在研究开始时收集。
压力、应对方式和全身不适与临床功能参数相关。通过线性回归分析，压力和身体不适被证明是重要的预测因素。
压力和全身躯体不适是颅下颌疾病发展的预测因素。
