Psychological evaluation and cope with trigeminal neuralgia and temporomandibular disorder

Arquivos de Neuro-Psiquiatria

Adriana Ronchetti De Castro²  Silvia Regina Dowgan Tesseroli De Siqueira¹  Dirce Maria Navas Perissinotti¹  José Tadeu Tesseroli De Siqueira¹ 

[1] ,University of São Paulo Medical School Hospital das ClínicasSão Paulo SP ,Brazil

关键词: trigeminal neuralgia;    TMD;    surgery;    orofacial pain;    anxiety;    depression;    disease perception;    neuralgia trigeminal;    DTM;    cirurgia;    dor orofacial;    ansiedade;    depressão;    representação da doença;   

DOI  :  10.1590/S0004-282X2008000500021

来源: SciELO

【 摘 要 】

OBJECTIVE: To determine the psychological aspects of orofacial pain in trigeminal neuralgia (TN) and temporomandibular disorder (TMD), and associated factors of coping as limitations in daily activities and feelings about the treatment and about the pain. METHOD: 30 patients were evaluated (15 with TN and 15 with TMD) using a semi-directed interview and the Hospital Anxiety Depression (HAD) scale. RESULTS: TN patients knew more about their diagnosis (p<0.001). Most of the patients with TN considered their disease severe (87%), in opposite to TMD (p=0.004); both groups had a high level of limitations in daily activities, and the most helpful factors to overcome pain were the proposed treatment followed by religiosity (p<0.04). Means of HAD scores were 10.9 for anxiety (moderate) and 11.67 for depression (mild), and were not statistically different between TMD and NT (p=0.20). CONCLUSION: TN and TMD had similar scores of anxiety and depression, therefore patients consider TN more severe than TMD. Even with higher limitations, patients with TN cope better with their disease then patients with TMD.

【 授权许可】

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