Helöe B, Heiberg A N
Acta Odontol Scand. 1980;38(3):129-34. doi: 10.3109/00016358009004711.
The report is a follow-up study of 108 female patients with myofascial pain-dysfunction (MPD) syndrome who had previously been examined by a multiprofessional team consisting of a dentist, a psychiatrist and physiotherapists. After 1 1/2 year the patients were interviewed concerning possible improvement, present symptoms and perceived gain from the treatment. It was hypothesized that patients with a severely disturbed capacity for interpersonal contact would be the least likely to gain from treatment, regardless of type. This hypothesis as confirmed by the present findings. In addition, another subgroup of patients with apparently good capacity for interpersonal contact also tended to report lack of improvement. These were characterized by stress denial, a mere somatic orientation regarding etiology of symptoms, a manner of giving oral history indicating a distanced relationship to their body, and an expressed disapproval of the psychiatric part of the examination.
该报告是对108名患有肌筋膜疼痛功能障碍（MPD）综合征的女性患者的随访研究，这些患者此前曾由一个由牙医、精神科医生和物理治疗师组成的多专业团队进行过检查。1年半后，就治疗可能带来的改善、目前的症状以及从治疗中获得的感受对患者进行了访谈。研究假设，无论治疗类型如何，人际接触能力严重受损的患者从治疗中获益的可能性最小。目前的研究结果证实了这一假设。此外，另一组人际接触能力明显良好的患者也往往报告没有改善。这些患者的特点是否认压力、对症状病因仅有一种躯体导向、在讲述病史时表现出与身体的疏离关系，以及明确不赞成检查中的精神科部分。
