진단분류에 따른 측두하악장애 환자의 임상적 및 심리적 특징
The Clinical and Psychological Characteristics of the Patients with Temporomandibular Disorders According to Its Diagnostic Subgroups
김정호, 기우천, 최재갑,
소속 상세정보
김정호 ( Kim Jung-Ho ) - 경북대학교 치과대학 구강내과학교실
기우천 ( Kee Woo-Cheon ) - 경북대학교 치과대학 구강내과학교실
최재갑 ( Choi Jae-Kap ) - 경북대학교 치과대학 구강내과학교실
KMID : 0355219970220010045
Abstract
A study was conducted to examine the nature and extent of psychological differences among diagnostic subgroups of temporomadibular disorders (´I MD) patients and to determine whether psychological distress acts as a precipitator for TMD or is only an incidental consequence of the discomfort and frustrations presented by the disorder.
Ninty six T MD patients and ninty seven non-TM ]) dental patients were included for the study as an experimental group and control group. TMD patients were classified into 3 subgroups according to their .primary pain sites and´labeied as: 1) Myogenous TMD group; 2) Art rogenous TMD group, 3) -Mixed TMD group. After Helium indices were rated from patient history and clinical examnation, levels of psychological distress were measured using SRRS. (Social Readjustment Rating Sca)e) and MMPI Minnesota ..Multipl?.asic Personality -Inventory). Outcomes from Helldmo insiices, SRRS, and MMPI were assessed in tams of diagnostic.subgroups and pain chronicity. The relationship between SRRS and MMPI scores were also assessed.
Tyre results were as follows:
1. The TMD patients showed higher frequencies of AM, Di1T, and DO of Helkimo indices than those in the control subjects.
2. The chronic TMD patients showed lower frequencies of Dill and Dif of Helkinx indices than those in the acute group.
3. The arthrogaious TMD group showed higher frequencies of DM and Dill of Helldrno indices than those in the myoge nous TMD group.
4 The TMD patients showed higher SRRS mean score than that in the non-TMD patients.
5. The SRRS mean score was highest in the myogenous TMD group and lowest in the arthrogenous TMD group. 6. The chronic TMD patients showed higher SRRS mean score than the acute TM) patients. 7. The TMD patients showed higher MMPI mean scores on the Hs, D, Hy, and Pt scales than those in the
non-TMD patients.
8. The MMPI mean scores on the Hs, D, and Hy scales were higher than those of other MMPI scales in the TMD patients as well as in the myogenous and the mixed TMD group and they showed 1-3-2(Hs, -Hy, -D.) profile pattern, conversion "V".
9. The MMPI mean scores on the Hs and Hy scales were higher in all subgroups of TMD patients than non-TMD patients.
10. Although there were no significant differences in the MMPI mean scores on all the scales between the acute
and the chronic groups of all TMD patients, the chronic myogenous T MD group showed higher NSTI mean
scores on the Hs, Hy, Pa, and Pt scales than the acute myogenous TMD group.
11. There were positive correlationships between SRRS score and each MMPI scores on the Hs and Hy scales.
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