{"title":"认知行为疗法治疗成年女性重度颞下颌关节障碍疼痛的作用机制","authors":"Shujun Dong, Yuqing Zhang, X. Cen, Xiaojing Li, Lixia Yu, Zhongjie Li, Xiaoqin Zhu","doi":"10.1145/3545729.3545769","DOIUrl":null,"url":null,"abstract":"Abstract: Objective: To explore the intervention effect and mechanism of cognitive-behavioral therapy (CBT) in adult women with Temporomandibular disorders pain for over three months. Methods: Among the adult patients with temporomandibular joint disorders diagnosed for the first time from 2019 to 2021, randomly selected 24 in the supportive group and 23 in the CBT group with physiological treatment, eight, 50min/week/time paired psychological intervention, cortisol testing for one and three months of follow-up and efficacy question answered. Paired independent sample t-test, qualitative analysis discusses the effect and mechanism. Results: CBT had a significant effect on pain trends in chronic TMJ disorders in adult women (I / S= -1.15, P <0.001): self-growth, emotional management, and pain improvement; the supportive group was stress regulation and interpersonal relationship. Conclusion: Psychological intervention can effectively relieve pain; the higher pain value is better; different mechanisms have different treatments. For example, CBT in self-growth, emotional management, pain improvement, and supportive therapy in interpersonal improvement and stress adjustment enhances the psychological resilience of patients.","PeriodicalId":432782,"journal":{"name":"Proceedings of the 6th International Conference on Medical and Health Informatics","volume":"64 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mechanism of action of cognitive behavioral therapy on pain in adult women with major TMJ disorders\",\"authors\":\"Shujun Dong, Yuqing Zhang, X. Cen, Xiaojing Li, Lixia Yu, Zhongjie Li, Xiaoqin Zhu\",\"doi\":\"10.1145/3545729.3545769\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract: Objective: To explore the intervention effect and mechanism of cognitive-behavioral therapy (CBT) in adult women with Temporomandibular disorders pain for over three months. Methods: Among the adult patients with temporomandibular joint disorders diagnosed for the first time from 2019 to 2021, randomly selected 24 in the supportive group and 23 in the CBT group with physiological treatment, eight, 50min/week/time paired psychological intervention, cortisol testing for one and three months of follow-up and efficacy question answered. Paired independent sample t-test, qualitative analysis discusses the effect and mechanism. Results: CBT had a significant effect on pain trends in chronic TMJ disorders in adult women (I / S= -1.15, P <0.001): self-growth, emotional management, and pain improvement; the supportive group was stress regulation and interpersonal relationship. Conclusion: Psychological intervention can effectively relieve pain; the higher pain value is better; different mechanisms have different treatments. For example, CBT in self-growth, emotional management, pain improvement, and supportive therapy in interpersonal improvement and stress adjustment enhances the psychological resilience of patients.\",\"PeriodicalId\":432782,\"journal\":{\"name\":\"Proceedings of the 6th International Conference on Medical and Health Informatics\",\"volume\":\"64 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-05-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Proceedings of the 6th International Conference on Medical and Health Informatics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1145/3545729.3545769\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Proceedings of the 6th International Conference on Medical and Health Informatics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1145/3545729.3545769","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
摘要:目的:探讨认知行为疗法(CBT)对3个月以上成年女性颞下颌紊乱性疼痛的干预效果及机制。方法:在2019 - 2021年首次诊断的成年颞下颌关节障碍患者中,随机选择支持组24例、CBT组23例进行生理治疗,8次、50min/周/次配对心理干预,进行1个月和3个月的皮质醇测试随访并回答疗效问题。配对独立样本t检验,定性分析探讨效果及机制。结果:CBT对成年女性慢性颞下颌关节疾病患者疼痛趋势有显著影响(I / S= -1.15, P <0.001):自我成长、情绪管理和疼痛改善;支持组为压力调节和人际关系。结论:心理干预能有效缓解疼痛;疼痛值越高越好;不同的机制有不同的处理方法。例如,在自我成长、情绪管理、疼痛改善方面的CBT,以及在人际关系改善和压力调节方面的支持治疗,都能增强患者的心理弹性。
Mechanism of action of cognitive behavioral therapy on pain in adult women with major TMJ disorders
Abstract: Objective: To explore the intervention effect and mechanism of cognitive-behavioral therapy (CBT) in adult women with Temporomandibular disorders pain for over three months. Methods: Among the adult patients with temporomandibular joint disorders diagnosed for the first time from 2019 to 2021, randomly selected 24 in the supportive group and 23 in the CBT group with physiological treatment, eight, 50min/week/time paired psychological intervention, cortisol testing for one and three months of follow-up and efficacy question answered. Paired independent sample t-test, qualitative analysis discusses the effect and mechanism. Results: CBT had a significant effect on pain trends in chronic TMJ disorders in adult women (I / S= -1.15, P <0.001): self-growth, emotional management, and pain improvement; the supportive group was stress regulation and interpersonal relationship. Conclusion: Psychological intervention can effectively relieve pain; the higher pain value is better; different mechanisms have different treatments. For example, CBT in self-growth, emotional management, pain improvement, and supportive therapy in interpersonal improvement and stress adjustment enhances the psychological resilience of patients.