Yoo H S, Jin S H, Lee Y J, Song C M, Ji Y B, Tae K
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea.
Graduate of Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea.
Int J Oral Maxillofac Surg. 2018 Mar;47(3):374-378. doi: 10.1016/j.ijom.2017.09.012. Epub 2017 Oct 23.
The psychiatric profiles of 50 patients diagnosed with burning mouth syndrome (BMS) were compared to those of 50 age- and sex-matched individuals as the control group. The Symptom Checklist-90-Revised (SCL-90-R) questionnaire was used to evaluate the role of psychological factors in the development of BMS. Somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety, psychoticism, global severity index (GSI), positive symptom total (PST), and positive symptom distress index (PSDI) scores were significantly higher in the patients with BMS than in the control group. In a subgroup analysis according to sex, women with BMS had higher T-scores for somatization, obsessive-compulsive, paranoid ideation, GSI, PST, and PSDI than women in the control group. In contrast, only the PSDI score was significantly higher in men with BMS compared to men in the control group. There was a significant difference in the T-scores for somatization, psychoticism, and GSI between the three age subgroups (≤50, 51-65, and ≥66 years). The obsessive-compulsive and PSDI scores were significantly higher in patients with BMS who also had at least one chronic disease than in patients with BMS who had no chronic disease. In conclusion, psychological factors are correlated with BMS.
将50例被诊断为灼口综合征（BMS）患者的精神状况与50名年龄和性别匹配的个体作为对照组进行比较。采用症状自评量表90修订版（SCL-90-R）问卷来评估心理因素在BMS发病中的作用。BMS患者的躯体化、强迫、抑郁、焦虑、敌对、恐惧焦虑、精神病性、总体严重程度指数（GSI）、阳性症状总分（PST）和阳性症状痛苦指数（PSDI）得分显著高于对照组。在按性别进行的亚组分析中，BMS女性患者在躯体化、强迫、偏执观念、GSI、PST和PSDI方面的T分数高于对照组女性。相比之下，BMS男性患者的PSDI得分仅显著高于对照组男性。三个年龄亚组（≤50岁、51-65岁和≥66岁）在躯体化、精神病性和GSI的T分数上存在显著差异。患有至少一种慢性病的BMS患者的强迫和PSDI得分显著高于无慢性病BMS患者。总之，心理因素与BMS相关。
