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强迫症与肌筋膜疼痛功能障碍综合征的并发:病例系列

Concurrent Occurrence of Obsessive-Compulsive Disorder and Myofascial Pain Dysfunction Syndrome: A Case Series.

作者信息

Pourshahidi Sara, Ebrahimi Hooman, Ghoreyshi Younes, Sheykhbahaei Nafiseh

机构信息

Oral and Maxillofacial Medicine Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Private practice.

出版信息

Front Dent. 2025 Apr 15;22:15. doi: 10.18502/fid.v22i15.18471. eCollection 2025.

Abstract

Myofascial pain dysfunction syndrome (MPDS) is a musculoskeletal disorder with a multifactorial etiology. Some investigations suggest psychological disorders as a major risk factor for MPDS. This study is the first case series to report patients with obsessive-compulsive disorder (OCD) and MPDS comorbidity. Sixteen patients suffering from both MPDS and OCD with the chief complaint of pain or limitation in jaw opening were evaluated. The patients were between 18 to 55 years, the majority were females, the masseter muscle was the most commonly involved muscle (40%), and some of the patients had a history or sign of bruxism. OCD symptoms should be considered in MPDS patients. Bruxism due to psychological disorders can be the cause of MPDS. The findings of this case series study should be verified in clinical studies to assess the relationship between MPDS, OCD, and parafunctional habits.

摘要

肌筋膜疼痛功能障碍综合征(MPDS)是一种病因多因素的肌肉骨骼疾病。一些调查表明心理障碍是MPDS的主要危险因素。本研究是首个报告强迫症(OCD)与MPDS共病患者的病例系列。对16例以疼痛或张口受限为主诉的同时患有MPDS和OCD的患者进行了评估。患者年龄在18至55岁之间,大多数为女性,咬肌是最常受累的肌肉(40%),部分患者有磨牙症病史或体征。MPDS患者应考虑OCD症状。心理障碍导致的磨牙症可能是MPDS的病因。该病例系列研究的结果应在临床研究中得到验证,以评估MPDS、OCD和副功能习惯之间的关系。

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