Salter M W, Brooke R I, Merskey H
J Behav Med. 1986 Feb;9(1):97-109. doi: 10.1007/BF00844648.
A prospective study of 60 patients with the temporomandibular pain and dysfunction syndrome (TMPDS) was done using the General Health Questionnaire, the Crown-Crisp Experiential Index, and the Parental Bonding Instrument. Three months after an initial visit 59 patients were reassessed: 18 patients were completely better or improved a lot, 27 were improved a little, and 14 were the same or worse. Patients' outcomes were not related to the severity or duration of symptoms at the initial presentation. Thirty-five percent of the patients had not received any therapy in the 3-month interval. The outcomes of these patients were not different from the outcomes of patients who had received treatment. A significant relationship was found between initial psychological test scores and outcome (multivariate F = 3.80, P less than 0.05). This relationship was curvilinear: the group with the worst outcomes scored highest, that with the best outcomes scored in the middle, and that with intermediate outcomes scored lowest. These results imply that mild psychological distress may facilitate a successful outcome, whereas either excessive psychological disturbance or minimal psychological complaint is associated with poor results.
对60例颞下颌疼痛和功能障碍综合征（TMPDS）患者进行了一项前瞻性研究，采用一般健康问卷、克朗 - 克里斯普体验指数和父母养育方式问卷。首次就诊三个月后，对59例患者进行了重新评估：18例患者完全好转或有很大改善，27例有轻微改善，14例情况相同或更糟。患者的治疗结果与首次就诊时症状的严重程度或持续时间无关。35%的患者在这3个月期间未接受任何治疗。这些患者的治疗结果与接受治疗的患者的结果没有差异。研究发现初始心理测试分数与治疗结果之间存在显著关系（多元F = 3.80，P小于0.05）。这种关系是曲线关系：治疗结果最差的组得分最高，治疗结果最好的组得分中等，治疗结果中等的组得分最低。这些结果表明，轻度心理困扰可能有助于取得成功的治疗结果，而过度的心理干扰或极少的心理问题都与不良结果相关。
