de Leeuw J R, Ros W J, Steenks M H, Lobbezoo-Scholte A M, Bosman F, Winnubst J A
Department of Oral-Maxillofacial Surgery, Faculty of Medicine, University of Utrecht, The Netherlands.
J Oral Rehabil. 1994 Nov;21(6):667-78. doi: 10.1111/j.1365-2842.1994.tb01182.x.
In a previous study it was concluded that only a few changes in symptoms related to craniomandibular dysfunction (CMD) could be attributed to therapy. It was suggested that psychosocial and socio-demographic variables, as well as symptom characteristics, could be responsible for the unconvincing treatment outcome in patients treated with a splint. The present study was performed to investigate whether socio-demographic characteristics, symptom characteristics and various psychosocial variables are associated with treatment outcome in patients with CMD treated with a splint. Treatment outcome was determined by using self-reported follow-up data. Results showed that patients with a negative treatment outcome were older, reported more and more severe symptoms and correlates of CMD, reported fewer stressors and more frequently considered health to be determined by external factors than patients who were treated successfully. The two groups could not be differentiated with regard to anxiety and depression. Results are interpreted with regard to the prediction of treatment outcome.
在之前的一项研究中得出结论,与颅下颌功能紊乱(CMD)相关的症状仅有少数变化可归因于治疗。有人提出,心理社会和社会人口统计学变量以及症状特征可能是导致使用咬合板治疗的患者治疗效果不佳的原因。本研究旨在调查社会人口统计学特征、症状特征和各种心理社会变量是否与使用咬合板治疗的CMD患者的治疗效果相关。治疗效果通过自我报告的随访数据来确定。结果显示,与治疗成功的患者相比,治疗效果不佳的患者年龄更大,报告的CMD症状和相关症状更多、更严重,报告的压力源更少,且更频繁地认为健康由外部因素决定。两组在焦虑和抑郁方面无法区分。根据治疗效果的预测对结果进行了解释。