Helöe B, Heiberg A N
Acta Odontol Scand. 1980;38(2):119-28. doi: 10.3109/00016358009003488.
One hundred and thirteen female patients with myofascial pain-dysfunction (MPD) syndrome were examined by a dentist and a psychiatrist. One hundred and eight of them were also examined by physiotherapists. Particular emphasis was given by the dentist to the types and duration of the chief complaints, the perceived severity of the MPD-symptoms and to the kinds of statements used in the anamnestic reports. Additionally the patients' perceived cause/origin of their symptoms, expectations regarding treatment, reactions to the different types of examination procedures and their reports of perceived daily life stress factors were taken into account. The patients were categorized according to the findings, and the results were compared to the psychiatrist's findings. Some basic clinical patterns were revealed. The results indicate that reports of oral symptoms may have symbolic value. It is concluded that a carefully performed clinical interview may provide the dentist valuable information useful in diagnosis and the choice of treatment.
113名患有肌筋膜疼痛功能紊乱（MPD）综合征的女性患者接受了一名牙医和一名精神科医生的检查。其中108名患者还接受了物理治疗师的检查。牙医特别关注主要症状的类型和持续时间、MPD症状的感知严重程度以及问诊报告中使用的陈述类型。此外，还考虑了患者对其症状的感知原因/起源、对治疗的期望、对不同类型检查程序的反应以及他们对日常生活压力因素的报告。根据检查结果对患者进行分类，并将结果与精神科医生的检查结果进行比较。揭示了一些基本的临床模式。结果表明，口腔症状报告可能具有象征意义。得出的结论是，精心进行的临床访谈可能会为牙医提供对诊断和治疗选择有用的有价值信息。
