Oakley M E, McCreary C P, Clark G T, Holston S, Glover D, Kashima K
Department of Psychiatry and Biobehavioral Sciences, School of Medicine, University of California, Los Angeles 90024-1762, USA.
J Orofac Pain. 1994 Fall;8(4):397-401.
The effects of cognitive-behavioral treatment for patients with temporomandibular disorders were studied by comparing active treatment to a wait-list control condition. Patients were predominantly women and had been referred to the study after having poor response to dental/physical medicine care. Patients' conditions were evaluated pretreatment and posttreatment based on self-report measures of pain, distress, and jaw function problems. They were examined by a dentist who assessed pain-free opening, muscle palpation pain, and tenderness of the temporomandibular joints. The 5-week cognitive-behavioral treatment included relaxation training, self-monitoring of stressors, and cognitive coping strategies. Treatment had its greatest impact on improving mood, especially anxiety; however, there were some effects on the patients' experiences of pain.
通过将积极治疗与等待名单对照条件进行比较，研究了认知行为疗法对颞下颌关节紊乱患者的影响。患者主要为女性，在对牙科/物理医学护理反应不佳后被转诊至该研究。根据疼痛、痛苦和下颌功能问题的自我报告测量，在治疗前和治疗后对患者的病情进行评估。由一名牙医对他们进行检查，该牙医评估无痛开口、肌肉触诊疼痛和颞下颌关节压痛。为期5周的认知行为疗法包括放松训练、应激源自我监测和认知应对策略。治疗对改善情绪，尤其是焦虑情绪影响最大；然而，对患者的疼痛体验也有一些影响。
