顳顎關節症候群病人精神特質之評估

Assessment of Psychological Profiles of the Patients with Temporomandibular Disorder

黃介良(Chieh-Liang Huang) ； 黃逸岳(I-Yueh Huang) ； 謝天渝(Tien-Yu Shieh)

《臺灣口腔醫學會雜誌》 15卷2期 (1999/12) Pp. 240-249

摘要

本研究有鑑於顳關節症候群在牙科醫療上，常造成牙醫師之因擾，其主因是由於此症候群乃多因素之疾病，沒有完整計畫的療顯然是無效的。過去曾有許多研究討論顳顎關節症候之各式病因，但在內以符合人之專業心理量表來解析此一疾病者伋是付之闕如。因此本研究擬從心理精神層面探討其病因，以便能確實瞭解此疾病，製訂出正確的治療方向。利用台大正狀量表(TSCL)－自填式症狀量表，對89名有顳顎關節症候群症狀之15歲至35歲的女性門診病患，請她們填寫二十分鐘左右之問卷。對照組則為另89名無顳顎關節症候群症狀，無顳顎關節症候群病史，無顳顎關即異音，以及咀嚼時無顳顎關節肌肉痛之同年齡層女性。由結果得知顳顎關節症候群患者之憂鬱(Depression)與焦慮(Anxiety)兩種精神特質與常人有顯著差異，顯示顳顎關節症候群患者在心理層面上需要仔細評估，如此才能使他們得到適切、完整的醫療。

關鍵字

顳顎關節症候群 ； 台大症狀量表 ； 憂慮 ； 焦慮

並列摘要

The temporomandibular disorder often adds to the complication
of dental treatment for dentists. It is because that the disorder
is related to many factors simultaneously. Hence, a complete treatment plan is the only cure for the temporomandibular disorder. The etiology of the disorder has been discussed in many literatures.
However, none of them covered the psychological factors. The purpose
of this study was to investigate the psychological effect on the
temporomandibular disorder.The experimental group had 89 female subjects with aged 15 to 35 years old from TMJ outpatient. The control group also consisted of 89 female subjects without history of treatment for tem-poromandibular disorder syndrome, noise in the TMJ, or tenderness in the area of the temporomandibular joint during mastication. The Taita Symptom Check List(TSCL) was used to identify the psychological characteristics on subjects.The results suggested that the anxiety and depression factors were statistically significantly different between experiment and control
groups. It was concluded that the treatment for temporomandibular disorded patient needed to include psychological counseling.

並列關鍵字

temporomandibular disorders ； Taita Symptom Check List(TSCL) ； anxiety ； depression