心理因素在颞下颌关节紊乱病诊疗中作用的研究进展

Research progress in psychological factors in the diagnosis and treatment of temporomandibular joint disorders

颞下颌关节紊乱病(temporomandibular disorders,TMD)作为口腔颌面部较常见的疾病,其发生、发展及转归受到多种因素的影响。在众多风险因素中,心理因素,特别是焦虑、抑郁、躯体症状,在TMD的病因学、诊断和治疗中越来越受到重视。异常的心理状况与TMD的发生存在一定的双向关联,而选择准确的诊断标准有利于评估患者的心理状况,必要时根据患者的心理状况,辅以合适的心理治疗,可有效提高TMD的临床治疗效果。本文结合国内外文献,就TMD的病因、诊断、治疗与心理因素相关性的研究进展进行综述,以期为临床医师诊治TMD提供参考。

Temporomandibular disorders(TMD)is one of the most common diseases in the orofacial region.The occurrence,development and outcome of TMD are affected by many factors.Among various risk factors,the psychological factors,especially anxiety,depression and somatic symptoms,are getting more and more attention in the etiology,diagnosis and treatment of TMD.Psychological factors are associated with the occurrence of TMD,and the accurate diagnostic criteria is conducive to the assessment of the patient′s psychological state.If necessary,an appropriate psychological treatment according to a patient′s psychological status can effectively improve the effect of clinical treatment.This article,based on domestic and international literatures,reviews the research progress of the correlation between the psychological factors and the etiology,diagnosis and treatment of TMD,in order to provide new ideas for clinicians to diagnose and treat TMD.