颞下颌关节紊乱综合征患者人格、应对与唾液中IgA含量的研究

目的　研究颞下颌关节紊乱综合症 (TMJD)患者的人格、应对方式与免疫功能的关系。方法　采用明尼苏达多项人格调查表 (MMPI)、生活事件量表、特质应对问卷对确诊病人 31例和匹配对照组 30例进行个别心理测验 ,以放射免疫法测定两组被试唾液中IgA含量。 结果　颞下颌关节紊乱综合症患者MMPI诸指标明显高于正常对照组 ,差异有显著性 (P <0 .0 5 ,P <0 .0 1) ,其中有 10例患者的临床量表高于全国常模正常值 ;患者组的正性生活事件明显低于对照组 ,负性生活事件明显高于对照组 ,差异有显著性 (P <0 .0 5 ,P <0 .0 1) ;患者组正性应对方式得分低于对照组 ,负性应对方式得分高于对照组 ,差异有显著性 (P <0 .0 1) ;病人组唾液中IgA含量明显低于对照组 ,差异有显著性 (P <0 .0 1)。结论　颞下颌关节紊乱综合症患者所具有的人格偏离、不良生活事件和负性应对方式导致的更强、更持久的应激与免疫功能的紊乱是疾病的重要原因

The study of personality stress and coping style and immune change of patients with temporomandibular disorder

Objective To study personality stress , coping style and immune change of patients with TMJD.Method Using MMPI,LES,Trait coping inventory to test patients and normal people,using radiate-immune method to test IgA content in saliva.Result There were significant differences in MMPI between two groups (P<0.05,P<0.01),10 patients' MMPI results were abnormal;there were significant difference in LES, Trait coping style and the content of IgA between two groups,( P<0.05,P<0.01)The patients had abnormal personality,more negative life changes and more negative coping style, patients also had lower immune level than normal.Conclusion Abnormal personality,high and chronic stress and low immune may be the reason of TMJD.