著者

永井 哲夫 角田 博之 宮岡 等 高森 康次 岩渕 博史 角田 和之 片山 明彦 片山 義郎 海老原 務 藤野 雅美

出版者

Japanese Society of Psychosomatic Dentistry

雑誌

日本歯科心身医学会雑誌 (ISSN:09136681)

巻号頁・発行日

vol.15, no.2, pp.143-148, 2000-12-25 (Released:2011-09-20)

参考文献数

15

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In order to characterize the severity of psychosomatic features of the patients who maintain the false conviction of the foulness of their own breath, thirty subjects (10 men and 20 women, aged 13 to 66) were interviewed by trained dentists and psychiatrists.The patients were classified in three types (Class 1 to 3) according to the degree of their cognition of foul breath, ideas of reference, delusion of reference and social adaptation. Class 1 patients were those who were cocerned about foul breath but showed no idea or delusion of reference and had good social adaptation. Class 2 patients were convinced of the foulness of their breath and had idea of reference and problems of social adaptation. The patients most strongly convinced of the foulness of their breath were placed in Class 3.The patients in this criteria had idea of reference, delusion of reference, and hallucination indicating poor social adaptation. The role of dentists in the treatment plan for imagined foul breath can be decided by the classification of the severity of the syndrome. Class 1 patients who sometimes need anti-anxiety drugs can be treated by dentists, but treatment of Class 2 patients who need antipsychotics should be conducted in cooperation with psychiatrists. The treatment of Class 3 patients should be mainly conducted by psychiatrists, but dentists can provide support for the continuation of the treatment.

著者

永井 哲夫 海老原 務 新谷 博明 須佐美 英作 大橋 淳 宮岡 等 酒泉 和夫 藤野 雅美 矢島 正隆 浅井 昌弘

出版者

特定非営利活動法人 日本口腔科学会

雑誌

日本口腔科学会雑誌 (ISSN:00290297)

巻号頁・発行日

vol.38, no.2, pp.438-447, 1989-04-10 (Released:2011-09-07)

参考文献数

24

被引用文献数

1 13

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Tw enty patients with typical glossodynia were examined from a psychological aspect.They all had premorbid inclination toward hypochondriasis and obsession (e. g., punctiliousness, or extreme perfectionism).Perseveration in response to “ superficial sensation of paresthesia of the tongue” occurring secondary to dental treatment or onset of stomatitis was the basis of the symptoms. According to time-course changes in the symptoms, patients attributed an erroneous significance to normal oral tissues, by which the lingual tonsil and lingual papilla were recognized as abnormal. They also showed signs of “ cancerphobia” because they were in the cancer-associated age group or had a past or present history of cancer in their near relatives. These findings, which are three important causative factors of this condition, were found to be common