灼口综合征患者的疼痛与个性、情绪间因果关系的研究

A study on the cause-effect relationships between personality or mood disorders and pain in patients with hurning mouth syndrome.

为了深入了解灼口综合征(BMS)精神因素中个性、情绪与疼痛间的谁因谁果的焦点问题,本研究选用了28例病史较长,疼痛明显且高频复发的复发性阿弗它溃疡(RAU)患者为对照,应用EPQ,SCL—90、LES三个量表丁解RAU患者与病吏较短的29例BMS患者间个性、情绪、应激三方面的差异性。结果显示BMS组较RAU组个性偏内向,且精神质(P值)得分显著高于RAU组;BMS组经历的负性生活事件及多项情绪因子得分均显著高于RAU组。这提示BMS患者所表现的特殊个性特征及情绪改变很可能是在发病前已具备,将BMS患者的特殊个性及情绪障碍完全归结于长期慢性疼痛累积的结果并不恰当。

To study the cause-effect relationship between personality or mood disorders and pain in BMS patients. 28 definite RAU patients were selected as control subjects and 29 BMS patients were chosen to study. All subjects complete 3 questionaires: EPQ. SCL - 90 and LES. The discrepancy between BMS and RAU patients in personality psvchopathological profile and existence of recent lift-events was discussed, the results show that the special personality and psvchopathological changes in BMS might be made prior to the occurrence of the disease. Thus, the results do not support the idea that personality and mood changes of the patients with BMS primarily come from the accumulation of long-term chronic pain.