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首页> 外文学位 >Effect of brief cognitive therapy on clinical outcomes and treatment compliance among patients with temporomandibular disorders.
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Effect of brief cognitive therapy on clinical outcomes and treatment compliance among patients with temporomandibular disorders.

机译：短暂认知疗法对颞下颌疾病患者的临床结局和治疗依从性的影响。

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摘要

Background: Pain has been described as the main chief complaint among patients with Temporomandibular Disorders (TMDs). A variety of treatment modalities to manage TMDs and other pain conditions have been presented in the literature. One of these is the use of brief cognitive therapy (BCT) in the patient population. Aim: The purpose of this retrospective study was to evaluate the effect of brief cognitive therapy in combination with standard treatment compared to standard treatment (ST) alone on the following outcomes: 1) increase in mandibular range of motion for both unassisted opening without pain and maximum unassisted opening and 2) treatment compliance among patients with TMD. Material and methods: A total of 123 charts from patients who had received treatment at the TMD and Orofacial Pain clinic at the University at Buffalo School of Dental Medicine were considered for this study. All of the patients had been evaluated using the Research Diagnostic Criteria for TMD (RDC/TMD) during their clinical visits. Of these, 66 patients met the inclusion criteria and had complete data. Twenty-nine were patients who had received brief cognitive therapy (BCT) in addition to standard treatment and 37 were patients that had only received standard treatment. Measurements of unassisted opening without pain and maximum unassisted opening were obtained at the initial and subsequent visits. In addition, the number of appointments scheduled, canceled, disappointed, and completed were obtained from the School of Dental Medicine database. Results: At baseline, there were statistically significant differences in the mandibular range of motion parameters between the two intervention groups; the patients in the intervention group who received BCT in addition to their standard treatment had lower values associated with unassisted opening without pain and maximum unassisted opening. The differences between baseline and after treatment mandibular range of motion were calculated for all participants. There were no statistically significant differences in these clinical variables between the groups. In regard to the compliance measurements, both groups presented with approximately 75% compliance and the differences between them were not statistically significant. Conclusions: In this retrospective study the addition of BCT to standard treatment did not increase mandibular range of motion or compliance compared to standard treatment alone among patients with temporomandibular disorders.
机译：背景：疼痛已被描述为颞下颌关节疾病（TMD）患者的主要主要诉求。文献中已经提出了多种管理TMD和其他疼痛状况的治疗方式。其中之一是在患者人群中使用简短认知疗法（BCT）。目的：这项回顾性研究的目的是评估短暂认知疗法与标准疗法相比较，与单独标准疗法（ST）相比，对以下结果的影响：1）下颌运动范围增加，无辅助开放而无疼痛最大的无辅助开放和2）TMD患者之间的治疗依从性。材料和方法：本研究共纳入123幅来自在布法罗大学牙科医学院的TMD和口腔疼痛诊所接受治疗的患者的图表。在临床探访期间，所有患者均已使用TMD研究诊断标准（RDC / TMD）进行了评估。其中，有66名患者符合纳入标准并具有完整的数据。除标准治疗外，还有29例接受了简短认知治疗（BCT）的患者，仅接受标准治疗的有37例。在初次就诊和随后就诊时均获得了无痛无助开口和最大无助开口的测量值。此外，预定，取消，失望和完成的约会次数是从牙科医学院数据库中获得的。结果：基线时，两个干预组的下颌运动参数范围存在统计学差异；干预组中除了接受标准治疗外还接受BCT的患者，无痛无痛开放和最大无痛开放的相关性较低。计算所有参与者的基线和治疗后下颌运动范围之间的差异。这些临床变量在两组之间没有统计学上的显着差异。关于依从性衡量，两组均显示约75％的依从性，并且两者之间的差异在统计学上不显着。结论：在这项回顾性研究中，与单独使用标准治疗的颞下颌关节疾病患者相比，在标准治疗中添加BCT不会增加下颌的活动范围或顺应性。

著录项

  • 作者

    Zamakhshari, Hawazin.;

  • 作者单位

    State University of New York at Buffalo.;

  • 授予单位 State University of New York at Buffalo.;
  • 学科 Health Sciences Dentistry.
  • 学位 M.S.
  • 年度 2014
  • 页码 36 p.
  • 总页数 36
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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