Study of Mental Health of Patients with TMJDS
JIANG Li-Jian WEN Sheng-lin WU Jian
（The Third Hospital Affiliated to Sun Yat-sen University of Medical Science,Guangzhou 510630,China）
【Abstract】 Objective: To investigate the mental symptoms in the patients with TMJDS. Methods: 55 patients with TMJDS and 39 healthy controls were evaluated by SCL-90, EPQ, SAS and Life Event Scale. Results: Significant differences between the two groups were found on the EPQ-N subscale score, the SAS total score, as well as positive symptoms score, anxiety score and depression score of the SCL-90. The TMJDS patients showed more negative life events than the control group. Conclusion: The present study suggested that there were significant levels of anxiety and depression in the patients with TMJDS. Psychological interventions should be considered in the management of TMJDS.
【Key words】 TMJDS; Mental health
颞下颌关节紊乱综合征(teporomandibular joint disorder syndrome,TMJDS)是口腔颌面外科常见病之一。目前国内外均认为TMJDS的发病机制是多因素共同作用的结果，其中心理社会因素对TMJDS的发病启动过程所起的作用仍有一定的争议。本文通过对55例TMJDS患者以及39例对照组心理健康状况进行对照研究，以期探讨心理社会因素对TMJDS的影响，并为临床上对TMJDS进行心理干预提供依据。
1 对象与方法
1.1 研究对象
病例组：随机选择因颞下颌关节区疼痛不适、关节弹响和张口受限到我科就诊的患者，根据张震康［1］分类法确诊为TMJDS的患者55例，其中男性20例，女性35例，功能紊乱者30例，结构紊乱25例；具有初中以上文化，汉族，无其他慢性疾病，无精神病史，自愿参加本研究。患者年龄最小者17岁，最大者55岁，平均年龄32岁。
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