Why seek treatment for temporomandibular disorder pain complaints? A study based on semi-structured interviews.

Annemiek Rollman, Ronald C Gorter, Corine M Visscher, Machiel M Naeije
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引用次数: 19

Abstract

Aims: To identify potential predictors of self-reported sleep bruxism (SB) within children's family and school environments.

Methods: A Aims: To assess possible differences between care seekers and non-care seekers with temporomandibular disorder (TMD) pain complaints, by using semi-structured interviews.

Methods: Semi-structured interviews were held with 16 subjects who had TMD- pain complaints: 8 care seekers and 8 non-care seekers, matched for age, sex, pain intensity, and fear of movement. Subjects were selected from a previously held survey study, with their consent. The interviews were audiotaped, transcribed verbatim, and analyzed according to qualitative content analysis.

Results: From the analysis, seven themes differentiating care seekers from non-care seekers were identified: catastrophizing, pain management, assertiveness, critical attitude towards health care, confidence in medical care, recognition, and adequate referral.

Conclusion: Aspects upon which care seekers differed from non-care seekers were mainly person-related characteristics. Next to these characteristics, it appeared that inadequate referrals may play a role in care seeking. The use of semi-structured interviews may further improve insights into processes that determine care seeking among people with TMD pain complaints.

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为什么要寻求颞下颌紊乱疼痛主诉的治疗?一项基于半结构化访谈的研究。
目的:确定儿童家庭和学校环境中自我报告的睡眠磨牙症(SB)的潜在预测因素。方法:目的:通过半结构化访谈,评估颞下颌紊乱(TMD)疼痛主诉的求助者和非求助者之间可能存在的差异。方法:对16名有TMD-疼痛主诉的受试者进行半结构化访谈:8名寻求护理者和8名非寻求护理者,年龄、性别、疼痛强度和运动恐惧相匹配。受试者是从先前进行的调查研究中选择的,并征得他们的同意。访谈录音,逐字记录,并根据定性内容分析进行分析。结果:从分析中,区分求助者和非求助者的七个主题被确定:灾难化、疼痛管理、自信、对医疗保健的批判态度、对医疗保健的信心、认可和适当的转诊。结论:求助者与非求助者的差异主要体现在个人相关特征上。除了这些特征外,似乎转诊不足可能在寻求护理方面发挥作用。使用半结构化访谈可以进一步提高对决定TMD疼痛主诉患者寻求护理的过程的见解。
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来源期刊
Journal of orofacial pain
Journal of orofacial pain 医学-牙科与口腔外科
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Way forward Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders. Neuroplasticity in the adaptation to prosthodontic treatment. Temporomandibular disorder pain after whiplash trauma: a systematic review. Why seek treatment for temporomandibular disorder pain complaints? A study based on semi-structured interviews.
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