文献一覧: 09136681 (ISSN) - Ceek.jp Altmetrics

1 0 0 0 OA 当科で経験したパーソナリティ障害患者の臨床的検討

著者: 伊藤幹子木村宏之尾崎紀夫荒尾宗孝木村有希伊藤隆子栗田賢一
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.21, no.1, pp.13-22, 2006-06-25 (Released:2011-09-20)
参考文献数: 14

In 1999, the authors organized a medical liaison group composed of dentists and a psychiatrist at the outpatient clinic of the Department of First Oral Surgery, Hospital of the School of Dentistry, Aichi Gakuin University, for the diagnosis and treatment of oral psychosomatic disorders. The practice has been for the dentists of the medical liaison group to examine each patient and diagnose his/her oral somatic disorder in the first stage of the examination, and the psychiatrist to examine each patient and make diagnosis according to DSM-IV or DSM-IV TR in the second stage.The subjects of this study were 13 patients with personality disorders (PD) among 268 patients examined during a 5-year and 4-month period from 2000 to 2004. The diagnoses by the dentists consisted of five cases of atypical facial pain, three of burning mouth syndrome, two of oral malaise, one of dental phobia, one of temporomandibular joint disorder, and one of halitophobia. Those by the psychiatrist consisted of six cases of pain disorder, two of conversion disorder, two of somatization disorder, one of hypochondriasis, one of specific phobia, and one of adjustment disorder. On DSM-IV Axis II, the diagnosis/suspicion results consisted of three cases of paranoid PD, two of avoidant PD, two of obsessive-compulsive PD, two of borderline PD, two of narcissistic PD, one of histrionic PD, and one of dependent PD. It was very difficult for us to manage the patients with borderline PD and narcissistic PD in cases of invasive treatment such as a tooth extraction. It has been found that the comorbidity of not only mental disorders but also personality disorders does need to be diagnosed and dentists ought to plan their therapeutic strategy for patients with personality disorders under the supervision of psychiatrists

2015-02-27 14:51:02
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1 0 0 0 OA STAI不安尺度と咀嚼運動の関連性について

著者: 中南匡史大前泰三伊藤博子丸山剛郎
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.8, no.1, pp.26-31, 1993-06-25 (Released:2011-09-20)
参考文献数: 29

This study investigated various kinds of parameters concerning chewing movement in relation to psychosomatic factors such as anxiety. Fifty Subjects (male: 46 female: 4, Average: 26.4 years old), studying in Osaka University, free of stomatognathic dysfunction signs participated in this study. At first, they answered a State-Trait Anxiety Inventory Form X questionnaire (STAI), and their chewing movements were recorded by a Sirognathograph Analysing System III. Then, the scale of State or Trait Anxiety was correlated with parameters of chewing movement ; rhythm, occluding points, shape of chewing pathway andmaximum speed were investigated.The results were as follows;1) There was a positive correlations between the scale of the State Anxiety and the occluding phase period and a negative correlation with the maximal jaw opening.2) Concerning the scale of Trait Anxiety there was a negative correlation with the amount of maximal jaw opening, and also a negative correlation with maximum jaw opening and closing speed.It was suggested that psychosomatic factors such as anxiety participate in chewing movement.