Psychological variables and temporomandibular disorders:: Distress, coping, and personality
Psychological variables and temporomandibular disorders:: Distress, coping, and personality
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DOI：
10.1016/j.tripleo.2003.12.030
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发表时间：
2004-08-01
期刊：
影响因子：
--
通讯作者：
Bagán, JV
中科院分区：
文献类型：
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作者：
Ferrando, M;Andreu, Y;Bagán, JV
Objective.本研究以颞下颌关节紊乱病的研究诊断标准为基础，分析了与诊断相关的心理变量，包括痛苦、个性和应对方式。一项年龄和性别匹配的对照研究，在三级医疗机构进行了方便的样本（n = 89）。肌肉组（n = 47）、关节组（n = 42）和对照组（n = 100）之间的MANCOVA分析表明，肌肉组与对照组不同，获得了更高水平的痛苦、焦虑和抑郁，以及较少使用积极的重新解释和幽默作为应对策略;与对照组相比，关节组也表现出更高的痛苦，更少的积极重新解释，以及更低的寻求工具性社会支持的兴趣。两组颞下颌关节疼痛的应对预测因子均为行为脱离;然而，人格预测因子不同。肌肉组的神经质和抑郁倾向显著高于关节组，关节组的神经质和自律倾向显著高于肌肉组。颞下颌关节紊乱病患者的心理特征与对照组不同。诊断组之间也存在一些差异，应考虑解决这些患者的治疗问题。
Objective. This study analyzes the psychological variables of distress, personality, and coping that are related to the diagnosis based on the Research Diagnostic Criteria for temporomandibular disorder.Study design. An age and sex-matched controlled study conducted with a convenience sample (n = 89) in a tertiary care facility.Results. The MANCOVA between the muscular (n = 47), articular (n = 42), and control groups (n = 100) showed that the muscular group differed from the control group, obtaining higher levels of distress, anxiety, and depression, and minor use of positive reinterpretation and humor as coping strategies; the articular group also showed higher distress, less positive reinterpretation, and a lower interest in the search of instrumental social support than the control group. The coping predictor of distress in both temporomandibular groups was behavioral disengagement; however, the personality predictors differed. Neuroticism and depression were present in the muscular group, whereas conscientiousness and self-discipline were in the articular group.Conclusion. Temporomandibular disorder patients have different psychological features than control subjects. There are also some differences between the diagnostic groups that should be considered to address the treatment of these patients.