探索完美主义与关节障碍患者的疼痛之间的关系:一个横截面研究
Xin Xiong1,2, Shi-Yong Zhang1, Jing Zhang3
1National Clinical Research Center for Oral Diseases, State Key Laboratory of Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.
International journal of clinical practice
|June 9, 2023
概括
与疼痛相关的关疾病 (TMD) 患者表现出比没有疼痛的患者更高的完美主义. 完美主义可能会影响心理困扰和TMD的治疗策略.
科学领域:
- 心理学 心理学 心理学
- 牙科 牙科是指牙科的专业.
- 疼痛医学 医学 疼痛医学
背景情况:
- 关节疾病 (TMD) 涵盖了一系列影响关节和肌肉的疾病.
- 完美主义,以设定过高的标准为特征,越来越多地被认为是各种健康状况的潜在因素.
- 了解完美主义等心理特征与TMD患者的疼痛体验之间的相互作用对于全面的患者护理至关重要.
研究的目的:
- 调查完美主义与诊断为关节疾病 (TMD) 的患者疼痛之间的关联.
- 为了区分与疼痛相关 (PT) 和非疼痛相关 (NPT) TMD 组之间的完美主义水平.
- 探索完美主义的不同方面与TMD患者的心理痛苦之间的相关性.
主要方法:
- 一项涉及345名患有TMD的患者的横截面研究.
- 数据收集包括人口统计信息,惠特和弗莱特多维完美主义量表 (简单形式) 和患者健康问卷-4 (PHQ-4).
- 患者被分为NPT,仅与疼痛相关的TMD (OPT) 和与疼痛相关的和关节内TMD (CPT) 组进行分析,使用千平方测试,斯皮尔曼相关性和后勤回归.
主要成果:
- 与疼痛相关的TMD患者的整体完美主义得分明显高于与非疼痛相关的TMD患者的整体完美主义得分 (p < 0.001).
- 在与疼痛相关的TMD组中观察到更高的心理痛苦 (PHQ-4分数).
- 完美主义的特定维度,即以他人为导向的完美主义 (OOP) 和社会规定的完美主义 (SPP),显示了与心理困扰的显著弱相关性 (p < 0.001).
结论:
- 与疼痛相关的TMD患者表现出高度的完美主义,独立于关节内疾病.
- 完美主义,特别是OOP和SPP,在TMD患者中与心理困扰有很弱的关联.
- 建议在与疼痛相关的TMD患者中对完美主义进行查,并将其纳入心理治疗策略.
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