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颞下颌关节紊乱患者心理情绪状态的初步评估:一项初步研究。

Initial assessment of the psycho-emotional state of patients with temporomandibular disorders: A pilot study.

机构信息

Department of Prosthodontics and Orthodontics, Institute of Dentistry, Faculty of Medicine, Jagiellonian University, Krakow, Poland.

Prosthodontic Department, Institute of Dentistry, Medical University of Warsaw, Poland.

出版信息

Dent Med Probl. 2024 Jan-Feb;61(1):153-159. doi: 10.17219/dmp/178325.

Abstract

BACKGROUND

Temporomandibular disorders (TMD) are a group of conditions that affect the function of the masticatory muscles, temporomandibular joints and surrounding structures.

OBJECTIVES

The objective of the preliminary investigation was to develop an initial questionnaire for emotional assessment, pre-designed for TMD patients, and provide guidance for further management through referral to psychological and/or psychiatric counseling. Additionally, we aimed to compare the results of tests carried out in TMD patients with those of healthy subjects.

MATERIAL AND METHODS

The study involved 260 patients who reported for dental treatment. The TMD study group (Group 1, n = 130) consisted of patients diagnosed with TMD, and the control group (Group 2, n = 130) had TMD diagnostically excluded. The questionnaire included 30 questions about the emotional state of the patients in the past 4 weeks.

RESULTS

The mean scores were 37.715 points for Group 1 (median (Me) = 35.5, standard deviation (SD) = 12.58 and 24.938 points for Group 2 (Me = 24, SD = 7.95) (p < 0.001).

CONCLUSIONS

The research suggests that the developed questionnaire is useful for an initial assessment of the psycho-emotional state of TMD patients. Furthermore, the results emphasize a greater need for psychological counseling in TMD patients compared to their healthy counterparts.

摘要

背景

颞下颌关节紊乱(TMD)是一组影响咀嚼肌、颞下颌关节和周围结构功能的疾病。

目的

初步研究的目的是为 TMD 患者设计一个初始的情绪评估问卷,并通过转介心理和/或精神咨询为进一步管理提供指导。此外,我们旨在比较 TMD 患者和健康受试者的测试结果。

材料和方法

该研究纳入了 260 名前来接受牙科治疗的患者。TMD 研究组(第 1 组,n = 130)包括被诊断为 TMD 的患者,对照组(第 2 组,n = 130)排除了 TMD 诊断。问卷包括 30 个问题,涉及患者在过去 4 周的情绪状态。

结果

第 1 组的平均得分(M)为 37.715 分(中位数(Me)= 35.5,标准差(SD)= 12.58),第 2 组的平均得分(M)为 24.938 分(Me = 24,SD = 7.95)(p < 0.001)。

结论

研究表明,开发的问卷可用于初步评估 TMD 患者的心理情绪状态。此外,结果强调 TMD 患者比健康对照组更需要心理咨询。

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