Effect of eye movement desensitization and reprocessing therapy in a patient with anxiety and burning mouth syndrome

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Gerodontology Pub Date : 2024-08-27 DOI:10.1111/ger.12738

Hugues Magne

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Abstract

Objective

To propose an alternative treatment for burning mouth syndrome (BMS).

Background

BMS is a serious condition that negatively affects the physical and emotional health of the elderly. Pharmacological interventions are not always appropriate in this population and may have significant side effects.

Materials and Methods

We present the case of an 86-year-old woman who has been suffering from BMS for 30 years and has been experiencing impaired quality of life, particularly sleep disturbances. Because standard pharmaceutical medications failed to alleviate the patient's pain, we proposed EMDR as an alternative therapeutic approach. Baseline measures included depressive symptoms, anxiety symptoms, daytime and nighttime pain and sleep quality. To anticipate anxious thoughts associated with pain, seven 45-min EMDR sessions were conducted.

Results

Therapy resulted in reduced anxiety symptoms (−30%), improved pain control (−10% daytime, −60% nighttime) and improved sleep quality (+50%). This positive effect lasted for 4 months, and no serious negative effects were observed.

Conclusion

EMDR therapy may help older adults with BMS improve their pain and psychological management.

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眼动脱敏和再处理疗法对一名焦虑和灼口综合征患者的疗效。

目的：提出治疗烧灼口腔综合征（BMS）的替代疗法：背景：灼热口腔综合征（BMS）是一种严重影响老年人身体和情绪健康的疾病：背景：烧灼口腔综合征是一种严重影响老年人身心健康的疾病。背景：烧灼口腔综合征是一种严重影响老年人身心健康的疾病，药物治疗并不总是适合这一人群，而且可能会产生严重的副作用：我们介绍了一位 86 岁妇女的病例，她患 BMS 已有 30 年之久，生活质量一直受到影响，尤其是睡眠障碍。由于标准药物治疗无法减轻患者的痛苦，我们建议采用 EMDR 作为替代治疗方法。基线测量包括抑郁症状、焦虑症状、昼夜疼痛和睡眠质量。为了预测与疼痛相关的焦虑想法，我们进行了七次 45 分钟的 EMDR 治疗：治疗结果：焦虑症状减轻（-30%），疼痛控制改善（白天-10%，夜间-60%），睡眠质量提高（+50%）。这种积极效果持续了 4 个月，没有观察到严重的负面影响：EMDR疗法可帮助患有BMS的老年人改善疼痛和心理管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.