Emotional aspects of chronic orofacial pain and surgical treatment

INTERNATIONAL JOURNAL OF SURGERY

卷:7

Article

Castro, A. R.¹  Siqueira, S. R. D. T.^1,2  Perissinotti, D. M. N.¹  Teixeira, M. J.¹  Siqueira, J. T. T.¹ 

[1] Univ Sao Paulo, Sch Med, Hosp Clin, Sao Paulo, Brazil

[2] Escola Artes Ciencias & Humanidades, Sao Paulo, Brazil

关键词: Trigeminal neuralgia;    TMD;    Surgery;    Orofacial pain;    Anxiety;    Depression;    Hospitalization;   

DOI  :  10.1016/j.ijsu.2009.02.002

来源: Elsevier

【 摘 要 】

Objective: The aim of this pilot study was to investigate the psychological factors of chronic orofacial pain patients regarding hospitalization for surgical treatment. Methods: We evaluated 30 patients (15 with temporomandibular disorder and 15 with trigeminal neuralgia) of three groups: 10 were hospitalized for surgery, 10 were newly diagnosed, and 10 had been clinically treated. Data were collected using a semi-structured interview and the Hospital Anxiety Depression Scale. Results: Eighty percent reported lack of family support, 90% had important limitations in daily activities, and social aspects were the most affected (34%). Patients who were hospitalized for surgery had the highest degree of anxiety and expectation (90%; p < 0.05). Conclusion: Surgery for chronic pain generates great expectations especially because it is considered a hope of cure. Clinically treated patients also might understand the factors associated to surgery choices and participate at the process of choosing. In general, chronic treatment for facial pain needs psychological support to cope with it. (c) 2009 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free