Consulting Room of Temporomandibular, Disorders, Dental Institute, Prosthodontics Department, Jagiellonian University Medical College, Kraków, Poland.
Institute of Nursing and Midwifery, Department of Health Psychology, Jagiellonian University Medical College Kraków, Poland.
Folia Med Cracov. 2021;61(1):57-65.
Temporomandibular disorders (TMD) encompass a diverse group of abnormalities in the functioning of the masticatory muscles, temporomandibular joints, and surrounding structures within the facial skull. One of the important etiological factors, contributing to the development of TMD are psychoemotional disorders, which include: depression, dysthymia, personality disorders, panic attacks as well as states and anxiety neuroses.The aim of the study was to carry out a retrospective evaluation of the occurrence of psychoemotional disorders reported in the application form of medical interview of patients treated at the Consulting Room of Temporomandibular Disorders in Dental Institute (University Dental Clinic) for TMD. The research material consisted of a subjective survey according to the protocol of the RDC/TMD questionnaire, axis II, of the 360 patients (224 women, 136 men), aged 19 to 43 who came to the University Dental Clinic in Krakow due to TMD management. Result: The results of the conducted studies indicate the common occurrence of emotional disorders in the group of patients treated for TMD, both in the group of muscular and joint form of dysfunctions. The most often the patients selected: loss of sexual interest or pleasure, crying easily, feeling lonely, indifference to every- thing and feeling of worthlessness. These aspects show a significant influence of emotional factors on TMD. Conclusion: The results of the conducted research indicate a significant frequencies of psychological and emotional disturbances reported in a survey among patients with TMD.
颞下颌关节紊乱(TMD)包括咀嚼肌、颞下颌关节和面部颅骨内周围结构功能的多种异常。导致 TMD 发生的重要病因之一是心理情绪障碍,包括:抑郁、心境恶劣、人格障碍、惊恐发作以及状态和焦虑神经症。本研究的目的是对在接受 TMD 咨询室(牙科研究所大学牙科诊所)治疗的患者医疗面谈申请表中报告的心理情绪障碍的发生进行回顾性评估。研究材料包括根据 RDC/TMD 问卷的协议对 360 名患者(224 名女性,136 名男性)进行的主观调查,这些患者年龄在 19 至 43 岁之间,因 TMD 就诊于克拉科夫的大学牙科诊所。结果:进行的研究结果表明,在接受 TMD 治疗的患者群体中,无论是肌肉形式还是关节形式的功能障碍,都普遍存在情绪障碍。患者最常选择:失去性兴趣或快感、容易哭泣、感到孤独、对一切漠不关心和感到一文不值。这些方面表明情绪因素对 TMD 有显著影响。结论:进行的研究结果表明,在 TMD 患者的调查中报告了心理和情绪障碍的显著频率。