Psychosocial profiles of patients with burning mouth syndrome.
Psychosocial profiles of patients with burning mouth syndrome.
复制标题
灼口综合征患者的心理社会概况。
作者：
Charles R. Carlson;Craig S. Miller;Kevin I. Reid
目标管理系统
据估计，灼口综合症 (BMS) 会影响 1% 至 5% 的成年人，其中女性比男性更容易出现症状。本研究的目的是检查 BMS 患者的心理社会概况，以确定心理因素是否与疼痛报告相关。根据之前的文献，假设 BMS 患者的特征是标准化心理评估工具的临床升高，其中包括修订的症状检查表 (SCL-90R) 和多维疼痛量表 (MPI)。
方法
33 名 BMS 患者在初次临床评估期间完成了麦吉尔疼痛问卷、MPI 和 SCL-90R。然后对 SCL-90R 和 MPI 数据进行总结并以标准化格式（T 分数）呈现，以便能够与包括慢性疼痛人群和正常非临床样本在内的更大人群样本进行有意义的比较。
结果
MPI 上总体疼痛严重程度的 T 评分为 40.8 (SD 12.8)。对于整个 BMS 样本，没有证据表明任何 SCL-90R 分量表的临床显着升高，包括抑郁、焦虑和躯体化。此外，与大量慢性疼痛患者相比，患者报告的口腔灼痛对正常活动的干扰明显减少。
结论
这些发现表明，作为一个群体，BMS 患者样本并未报告明显的心理困扰。然而，在个别案例中（33 例中的 7 例，即 21%），心理测量数据表明可能存在心理困扰，需要由合格的卫生专业人员对这些人进行进一步评估。
AIMS
Burning mouth syndrome (BMS) is estimated to affect 1 to 5% of the adult population, with women experiencing symptoms more frequently than men. The purpose of this study was to examine the psychosocial profiles of BMS patients to determine whether psychologic factors are related to pain reports. Based on previous literature, it was hypothesized that patients with BMS would be characterized by clinical elevations on standardized psychologic assessment instruments that included the Revised Symptom Checklist (SCL-90R) and the Multidimensional Pain Inventory (MPI).
METHODS
Thirty-three BMS patients completed the McGill Pain Questionnaire, MPI, and SCL-90R during their initial clinical evaluation session. The SCL-90R and MPI data were then summarized and presented in standardized format (T-scores) to enable meaningful comparisons with larger population samples that included both a chronic pain population and a normal nonclinical sample.
RESULTS
The T-score for the overall pain severity on the MPI was 40.8 (SD 12.8). For the entire BMS sample, there was no evidence for significant clinical elevations on any of the SCL-90R subscales, including depression, anxiety, and somatization. Moreover, patients reported significantly fewer disruptions in normal activities as a result of their oral burning pain than did a large sample of chronic pain patients.
CONCLUSION
These findings indicate that, as a group, this sample of BMS patients did not report significant psychologic distress. There were, however, individual cases (7 of 33, or 21%) where psychometric data indicated a likelihood of psychologic distress, and further evaluation by a competent health professional would be warranted for those individuals.