上海口腔医学

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (1): 109-112.doi: 10.19439/j.sjos.2023.01.021

• 论著 • 上一篇    

DC/TMD推荐心理量表在颞下颌关节紊乱病诊疗中的应用

唐军, 郁春华, 程蕙娟, 钱海馨, 蔡翠萍, 聂溶冰   

  1. 上海交通大学医学院附属第九人民医院 口腔修复科,上海交通大学口腔医学院,国家口腔医学中心, 国家口腔疾病临床研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011
  • 收稿日期:2022-04-05 修回日期:2022-07-23 出版日期:2023-02-25 发布日期:2023-06-12
  • 通讯作者: 聂溶冰, E-mail:418047900@qq.com
  • 作者简介:唐军(1971-),女,本科,主管护师,E-mail:tangjun71@aliyun.com

Application of psychological scales recommended by DC/TMD in patients with temporomandibular joint disorders

TANG Jun, YU Chun-hua, CHENG Hui-juan, QIAN Hai-xin, CAI Cui-ping, NIE Rong-bing   

  1. Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China
  • Received:2022-04-05 Revised:2022-07-23 Online:2023-02-25 Published:2023-06-12

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摘要： 目的: 采用新版DC/TMD推荐的心理量表,评估颞下颌关节紊乱病（temporomandibular disorders, TMD）患者焦虑、抑郁及躯体症状等心理状况,探讨新版量表作为TMD心理轴诊断依据的临床意义。方法: 选择100例TMD初诊患者作为实验组,100例无TMD症状的普通门诊患者作为对照组。收集2组患者的一般信息,包括年龄、性别、受教育程度、个人收入等。采用广泛性焦虑症量表（GAD-7）、抑郁症状量表（PHQ-9）和健康问卷量表15（PHQ-15）对患者心理因素进行评估。采用SPSS 20.0软件包对数据进行统计学分析。结果: <30岁组和30~50岁组TMD发病率显著高于50岁以上年龄组（P<0.05）。实验组高学历者比例显著高于对照组（P<0.05）,而收入水平不是罹患TMD的危险因素（P=0.642）。实验组焦虑发生率与平均得分显著高于对照组（P<0.05）,而两组间抑郁和躯体症状得分无统计学差异（P>0.05）。疼痛性TMD患者的焦虑和抑郁程度显著高于关节疾病患者（P<0.05）,而两组间躯体症状无显著差异（P>0.05）。结论: 性别（女）、年龄（<50岁）和高学历（本科及以上）是罹患TMD的高危因素,而与收入水平无关。TMD患者的焦虑发生率和评分均高于普通口腔门诊患者,但抑郁和躯体症状与普通患者的发生率无显著差异。

关键词: 颞下颌关节紊乱病, DC/TMD, 焦虑, 抑郁, 躯体症状

Abstract: PURPOSE: To observe psychological conditions such as anxiety, depression and somatic symptoms of temporomandibular disorders(TMD) patients using psychological scales recommended by DC/TMD and evaluate their clinical significance as the psychological axis for TMD diagnosis. METHODS: The experimental group included 100 TMD patients, and the control group comprised 100 normal prosthodontics outpatients without TMD symptoms. General information were collected including age, gender, education level, and personal income. The anxiety disorder scale (Generalized Anxiety Disorder-7, GAD-7), depression symptom scale (Patient Health Questionnaire-9, PHQ-9) and Patient Health Questionnaire-15 (PHQ-15) were used to evaluate patients’ psychological conditions. SPSS 20.0 software package was used for data analysis. RESULTS: Patients less than 30 years old and between 30-50 years had similar TMD occurrence rates, both significantly higher than those older than 50 years old(P<0.05). The proportion of highly educated patients in TMD group was significantly higher than that in the control group(P<0.05), while the income level was not a risk factor for TMD (P=0.642). The incidence and average scores of anxiety, not the depression or somatic symptoms, in experimental group were significantly higher than the control group(P<0.05). The level of anxiety and depression in painful TMD patients was significantly higher than patients with joint disease(P>0.05). CONCLUSIONS: Gender(female), age (<50 years old) and high education level (undergraduate and above) are risk factors of TMD, but the income level is irrelevant. The incidence and scores of anxiety in TMD patients are higher than normal prosthodontics outpatients, while there is no significant difference in the incidence of depression and somatic symptoms between two groups.

Key words: Temporomandibular disorders, DC/TMD, Anxiety, Depression, Somatic symptoms

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