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颞下颌关节紊乱病患者的人格特征:诊断及治疗意义

Personality characteristics of patients with temporomandibular disorders: diagnostic and therapeutic implications.

作者信息

Parker M W, Holmes E K, Terezhalmy G T

机构信息

Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

出版信息

J Orofac Pain. 1993 Fall;7(4):337-44.

PMID:8118435
Abstract

One hundred ten patients complaining of nondental orofacial pain of more than 3 months' duration were psychologically evaluated with the Minnesota Multiphasic Personality Inventory. Four distinct personality profiles were found: psychophysiologic reaction, in 52% of the patients; depressed reaction, in 11% of the patients; defensive reaction, in 12% of the patients; and "no diagnosis" (normal), in 24% of the patients. These results indicate that chronic temporomandibular pain patients present personality characteristics that are similar to those of other chronic pain patients according to the Minnesota Multiphasic Personality Inventory. The diagnostic and therapeutic implications of each profile are reviewed and discussed in terms of a medical model of temporomandibular disorders.

摘要

110名主诉非牙源性口面部疼痛持续超过3个月的患者接受了明尼苏达多相人格调查表的心理评估。发现了四种不同的人格特征:心理生理反应型,占患者的52%;抑郁反应型,占患者的11%;防御反应型,占患者的12%;以及“无诊断”(正常)型,占患者的24%。这些结果表明,根据明尼苏达多相人格调查表,慢性颞下颌关节疼痛患者呈现出与其他慢性疼痛患者相似的人格特征。根据颞下颌关节紊乱的医学模型,对每种特征的诊断和治疗意义进行了回顾和讨论。

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