Raphael Karen G, Dohrenwend Bruce P, Marbach Joseph J
Division of Epidemiology, School of Public Health, Columbia University, New York, NYU.S.A. Division of Sociomedical Sciences, School of Public Health, Columbia University, New York, NYU.S.A.
Pain. 1990 Jan;40(1):61-64. doi: 10.1016/0304-3959(90)91051-J.
This paper examines findings on illnesses and injuries among patients suffering from temporomandibular pain and dysfunction syndrome (TMPDS). Data from the longitudinal component of a case-control study of 151 TMPDS patients and 139 healthy controls were examined, focusing especially on the 31 cases and 41 controls with children. Patients are significantly more likely to report illnesses but not injuries among their children across 10 monthly interviews. The patients' excess in reporting of illnesses is not found for spouses or additional significant others. Overreporting does not appear to be due to illness attitudes or other discernible reporting biases, but may be partially attributable to higher rates of demoralization among the cases. Findings are discussed in view of hypotheses about familially transmitted vulnerability to pain and illness.
本文研究了颞下颌疼痛和功能障碍综合征（TMPDS）患者的疾病和损伤情况。对一项病例对照研究纵向部分的数据进行了分析，该研究涉及151名TMPDS患者和139名健康对照，特别关注了有孩子的31例患者和41名对照。在10次月度访谈中，患者报告其子女患病的可能性显著更高，但受伤情况并非如此。在配偶或其他重要他人中未发现患者报告疾病的情况过多。过度报告似乎并非由于疾病态度或其他明显的报告偏差，但可能部分归因于病例中士气低落的发生率较高。结合关于家族性疼痛和疾病易感性传递的假设对研究结果进行了讨论。
