The purpose of this paper is to review the methods and results of psychometric testings in temporomandibular disorders (TMD) during the past decade. Assessments of psychologic and behavioral factors have been performed for various reasons. The results are often ambiguous and comparisons troublesome. No encompassing psychologic TMD profile has been identified, but small elevations in anxiety, depression, somatization, and stress are often reported; they may be cause or effect. Subcategorization of the patients into diagnostic subgroups suggests that psychologic differences exist but may be small; myogenic patients may have more psychologic difficulties than 'joint' patients. More distinct, robust psychologic subsets of patients, unrelated to the structural diagnosis, have been identified by means of clustering techniques. Irrespective of clinical signs, a certain proportion of the patients are psychologically distressed, whereas others easily adapt to the pain and dysfunction. No single variable has been identified that can predict outcome or compliance. Several psychometric instruments are described.

译文

本文的目的是回顾过去十年来颞下颌疾病 (TMD) 的心理测验方法和结果。出于各种原因,已经对心理和行为因素进行了评估。结果往往模棱两可,比较麻烦。尚未发现涵盖心理的TMD概况,但经常报告焦虑,抑郁,躯体化和压力的小幅升高; 它们可能是原因或结果。将患者分为诊断亚组表明存在心理差异,但可能很小; 肌源性患者可能比 “关节” 患者有更多的心理困难。通过聚类技术,已经确定了与结构诊断无关的更独特,更健壮的患者心理子集。无论临床症状如何,一定比例的患者在心理上感到痛苦,而其他患者则容易适应疼痛和功能障碍。尚未发现可以预测结果或依从性的单个变量。描述了几种心理测量工具。

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