Dysfunctional patients with temporomandibular disorders: evaluating the efficacy of a tailored treatment protocol.
Dysfunctional patients with temporomandibular disorders: evaluating the efficacy of a tailored treatment protocol.
复制标题
患有颞下颌疾病的功能障碍患者：评估定制治疗方案的疗效。
DOI：
10.1037//0022-006x.64.1.139
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发表时间：
1996
影响因子：
5.9
通讯作者：
Greco,CM
中科院分区：
文献类型：
--
作者：
Turk,DC;Rudy,TE;Kubinski,JA;Zaki,HS;Greco,CM
48名功能障碍患者颞下颌关节紊乱病（TMD）患者（即，高水平的疼痛、干扰和情感困扰以及低水平的感知控制）被随机分配到由口内矫治器（IA）和生物反馈（SM）加非指导性压力管理组成的治疗组，支持性咨询（SC）-IA+ SM+ SC-或定制治疗，包括IA和SM-IA+ SM+ CT的认知疗法（CT）。两个治疗组在治疗后和6个月随访时报告了一系列身体、心理和行为指标的统计学显著降低。然而，包括CT在内的干预措施显示疼痛、抑郁和药物使用的减少幅度更大。只有接受包括CT在内的治疗的组在与肌肉触诊、自我报告的疼痛严重程度、抑郁和药物使用相关的疼痛随访中表现出持续改善。这些结果支持了针对功能障碍性TMD的定制治疗的有效性。
Forty-eight dysfunctional patients (ie, high levels of pain, interference, and affective distress and low levels of perceived control) with temporomandibular disorders (TMDs) were randomly assigned either to a treatment consisting of an intraoral appliance (IA) and stress management with biofeedback (SM) plus nondirective, supportive counseling (SC)—IA+ SM+ SC—or to a customized treatment that included cognitive therapy (CT) with the IA and SM—IA+ SM+ CT. Both treatment groups reported statistically significant reductions on a set of physical, psychosocial, and behavioral measures posttreatment and at a 6-month follow-up. However, the intervention that included CT demonstrated significantly greater reductions in pain, depression, and medication use. Only the groups receiving the treatment that included the CT demonstrated continued improvements to the follow-up on pain associated with muscle palpation, self-reported pain severity, depression, and use of medications. These results support the efficacy of the tailored treatment for dysfunctional TMD.