Peterson A L, Dixon D C, Talcott G W, Kelleher W J
Health Psychology Services, Keesler Medical Center/SGHMA, Biloxi, MS 39534-5300.
J Behav Ther Exp Psychiatry. 1993 Mar;24(1):49-55. doi: 10.1016/0005-7916(93)90008-k.
This study evaluated the use of behavior therapy to reduce teeth clenching and grinding as a treatment for temporomandibular disorders (TMD). Habit reversal was used to treat three adults with TMD using a multiple baseline across subjects design. The results indicated significant improvement for two of the three subjects including decreased self-reported pain, decreased pain upon muscle palpation, and increased maximum mandibular opening. However, temporomandibular joint sounds were increased. Habit reversal appears to be more effective in reducing the myofascial pain symptoms of TMD than in improving temporomandibular joint functioning.
本研究评估了行为疗法在减少磨牙症和紧咬牙方面作为颞下颌关节紊乱病（TMD）治疗方法的应用。采用跨受试者多基线设计，运用习惯逆转法对三名患有TMD的成年人进行治疗。结果显示，三名受试者中有两名有显著改善，包括自我报告的疼痛减轻、肌肉触诊时疼痛减轻以及最大下颌开口度增加。然而，颞下颌关节弹响增加。习惯逆转法在减轻TMD的肌筋膜疼痛症状方面似乎比改善颞下颌关节功能更有效。
