Speculand B, Hughes A O, Goss A N
Community Dent Oral Epidemiol. 1984 Jun;12(3):197-202. doi: 10.1111/j.1600-0528.1984.tb01439.x.
This study investigated the experience of recent stressful life events in 85 TMJ dysfunction patients and 85 control patients in the 6 months prior to onset by use of a semistructured interview. The effect of age was studied (under or over age 40 yr). TMJ patients experienced twice as many stressful life events in the 6 months before onset as did control patients. Events concerned problems of work, money, health, problems of loss and of interpersonal relationships. These had a greater negative impact on older patients who seemed less able to cope with them. Almost 50% of TMJ dysfunction onsets were attributable to life events which played a formative role in onset. This was calculated mathematically by use of "brought forward times".
本研究通过半结构化访谈，调查了85例颞下颌关节紊乱症患者和85例对照患者在发病前6个月内近期生活应激事件的经历。研究了年龄（40岁以下或以上）的影响。颞下颌关节紊乱症患者在发病前6个月内经历的生活应激事件是对照患者的两倍。这些事件涉及工作、金钱、健康、丧失及人际关系问题。这些事件对年龄较大的患者产生了更大的负面影响，而他们似乎更难以应对这些问题。近50%的颞下颌关节紊乱症发病可归因于对发病起决定性作用的生活事件。这是通过使用“提前时间”进行数学计算得出的。
