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在痛苦的TMD中与清醒的布鲁克斯症相关的心理特征:焦虑的作用
Dyanne Medina Flores1, Samilla Pontes Braga1, Giancarlo De La Torre Canales2,3
1Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil.
Journal of oral rehabilitation
|January 28, 2026
概括
焦虑显著增加了清醒布鲁克斯症 (AB) 的频率,特别是牙紧握,在关节障碍 (TMD) 患者. 增加的焦虑也与增加的疼痛,压力和抑郁症状有关.
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:
- 醒着布鲁克斯症 (AB) 经常与心理困扰和痛苦的关节障碍 (TMD) 相关.
- 了解TMD患者焦虑和AB之间的联系对于有效管理至关重要.
研究的目的:
- 调查临床焦虑水平对清醒布鲁克西斯症行为频率的影响.
- 为了比较不同的焦虑程度的TMD患者的感知压力,痛苦灾难化和抑郁症状.
主要方法:
- 根据GAD-7尺度,72名患有疼痛的TMD患者被分为高焦虑 (T-score ≥61) 和规范性焦虑 (T-score ≤60) 组.
- 使用生态瞬间评估 (EMA) 评估了醒着的布鲁克斯症 (AB).
- 经过验证的问卷 (PSS,PCS,PHQ-9) 测量了感知到的压力,灾难性的疼痛和抑郁症状.
主要成果:
- 焦虑症较高的患者表现出明显更高的总AB频率 (89%) 和牙紧张 (26.90%).
- 此组还报告疼痛强度增加,感知压力,疼痛灾难化 (无助,反) 和抑郁症状.
- 两组之间没有观察到身体活动或物质使用等生活方式因素的显著差异.
结论:
- 在TMD患者中,临床焦虑的升高与清醒时出现的乳头炎症,特别是牙紧张的增加密切相关.
- 焦虑加剧心理困扰和疼痛强度在个人有痛苦的TMD.
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