TMD LONGITUDINAL STUDIES: CLINICAL/CHRONIC PAIN SYNDROME

项目，TMD纵向研究：临床/慢性疼痛 综合症，建议启动一项系统的计划 多学科研究，调查发病情况，临床病程， 颞下颌关节疼痛和功能障碍的自然病史及预防 (TMD)。TMD指的是以疼痛为特征的一系列疾病 下颌咀嚼肌和/或颞下颌关节 功能障碍和关节音。 拟议的计划项目涉及两个项目的持续合作 机构：华盛顿大学口腔医学系， 普吉特湾口腔医学院和团体健康合作社(中心) 健康研究)。在早期的研究活动中，一个具有凝聚力的团队 临床、行为和流行病学研究人员已经发展起来 加上训练有素的技术人员。《公约》的具体目标 计划项目是：1.a)继续先前的纵向研究 确定关键的生物、心理和人口因素 对TMD发病、临床病程及自然病程的影响 亚型；以及b)评估TMD症状和体征的自然历史 最初没有TMD的人(项目1)。2.纵向引导 调查慢性精神分裂症的性质、发生和后果的研究 疼痛综合征(项目2)。3.调查牙医在知识上的差异 生物、心理和心理社会因素的水平和理解 影响TMD和其他慢性疼痛的发展和处理 条件(项目3)。4.评价早期生物行为疗法的疗效 改善和预防慢性疼痛和慢性疼痛的干预措施 综合症(项目4)。5.通过以下方式支持这些研究目标 科技行政核心项目集中提供 计划项目的沟通、技术和支持能力 调查人员。 这个基础广泛的疼痛研究项目将提高牙医的能力 以及医生为TMD提供更有效的诊断和治疗 并防止慢性TMD疼痛最具破坏性的后遗症。

A Program Project, TMD LONGITUDINAL STUDIES: CLINICAL/CHRONIC PAIN SYNDROMES, is proposed to initiate a systematic program of multidisciplinary research investigating the onset, clinical course, natural history and prevention of temporomandibular pain and dysfunction (TMD). TMD refers to a range of disorders characterized by pain in the muscles of mastication and/or the temporomandibular joint, mandibular dysfunction, and joint sounds. The proposed Program Project involves the continued collaboration of two institutions: the University of Washington Department of Oral Medicine, School of Dentistry, and Group Health Cooperative of Puget Sound (Center for Health Studies). Under earlier research activity a cohesive team of clinical, behavioral, and epidemiologic researchers has been developed together with a uniquely trained technical staff. The specific aims of the Program Project are: 1. a) To continue prior longitudinal research identifying critical biologic, psychologic and demographic factors influencing the onset, clinical course and natural history of TMD and its subtypes; and b) to assess the natural history of TMD signs and symptoms in persons initially free of TMD (Project 1). 2. To conduct longitudinal studies investigating the nature, occurrence and consequences of a chronic pain syndrome (Project 2). 3. To survey dentists variability in knowledge levels and understanding of biologic, psychologic and psychosocial factors influencing the development and management of TMD and other chronic pain conditions (Project 3). 4. To evaluate the efficacy of early biobehavioral interventions for ameliorating and preventing chronic pain and chronic pain syndrome (Project 4). 5. To support these research objectives through scientific and administrative Core projects providing centralized communication, technical, and support capabilities for Program Project investigators. This broad-based pain research project will enhance the ability of dentists and physicians to provide more effective diagnosis and treatment for TMD and to prevent the most devastating sequelae of chronic TMD pain.