颞颌关节病患者的生活事件与应对方式

目的:探讨颞颌关节病患者的应激反应特点和应对方式.方法:采用生活事件量表和特质应对方式问卷对颞颌关节病患者组和正常对照组各30例进行调查,以肌电生物反馈仪测定在急性应激条件下两组被试的肌电水平.结果:患者组所经历的正性生活事件明显少于对照组(t=3.3),所遭遇的负性生活事件多于对照组(t=3.9),差异有显著性(t=3.3,P均<0.01);患者组积极应对方式得分低于对照组(t=3.7),消极应对方式得分高于对照组(t=3.2),差异有显著性(P均<0.01);患者组肌电变化值和肌电变化率高于对照组(t=2.07,2.08,均P<0.05),恢复时间长于对照组,差异有显著性(t=7.42,P<0.01).结论:颞颌关节病患者经历了较多的不良生活事件,他们的应对方式以及面临应激时的机体反应特点有可能是其发病的重要原因.

Life Events and Coping Style of Patients with Temporomandibular Disorder

Objective:To study the characteristics of stress faced by and coping style of patients with tempormandibular disorder (TMD). Methods: Thirty patients with TMD and thirty normal controls participated in the study. All subjects were asked to answer the psychological rating questionnaires, including life events scale (LES) and trait coping style questionnaire (TCSQ). The muscle electricity were also measured when the subjects were exposed to an acute stress situation. Results: There were significant difference in LES, TCSQ and response to acute stress. Patients with TMD encountered more life events than normal controls. They also used more negative coping styles and less positive ones. The responses evoked by acute stress situation were more intense and lasted longer than normal controls. Conclusion: Stressful life events, coping style and responses evoked by acute stress may play a significant role in etiology of TMD.