Group cognitive-behavioral intervention for patients with burning mouth syndrome

被引:35
作者
Komiyama, Osamu [1 ,2 ]
Nishimura, Hitoshi [1 ]
Makiyama, Yasuhide [1 ]
Iida, Takashi [1 ,2 ]
Obara, Ryoko [1 ,2 ]
Shinoda, Masamichi [3 ]
Kobayashi, Masayuki [4 ]
Noma, Noboru [5 ]
Abe, Osamu [6 ]
De laat, Antoon [7 ,8 ]
Kawara, Misao [1 ,2 ]
机构
[1] Nihon Univ, Sch Dent Matsudo, Orofacial & Head Pain Clin, Matsudo, Chiba 2718587, Japan
[2] Nihon Univ, Sch Dent Matsudo, Dept Oral Funct & Rehabil, Matsudo, Chiba 2718587, Japan
[3] Nihon Univ, Sch Dent, Dept Physiol, Tokyo 101, Japan
[4] Nihon Univ, Sch Dent, Dept Pharmacol, Tokyo 101, Japan
[5] Nihon Univ, Sch Dent, Dept Oral Diagnost Sci, Tokyo 101, Japan
[6] Nihon Univ, Sch Dent, Dept Radiol, Tokyo 101, Japan
[7] Katholieke Univ Leuven, Dept Oral Hlth Sci, Leuven, Belgium
[8] Univ Hosp, Leuven, Belgium
关键词
burning mouth syndrome; glossodynia; cognitive behavioral intervention; orofacial pain; anxiety; RANDOMIZED CONTROLLED-TRIALS; CHRONIC PAIN; OPEN-LABEL; THERAPY; MANAGEMENT; METAANALYSIS; CLONAZEPAM; NEUROPATHY;
D O I
10.2334/josnusd.55.17
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This study was conducted to assess the psychological characteristics of, and determine the effectiveness of group cognitive-behavioral (CB) treatment for, patients with burning mouth syndrome (BMS). The baseline characteristics of 24 female patients (age 69.7 +/- 5.9 years) and an identical number of healthy female control subjects (age 69.2 +/- 5.5 years) were compared. The patient group had significantly higher anxiety scores (P < 0.05) at baseline. A brief group CB intervention was delivered in a small-group format. Two sessions were planned 6 months apart. A numeric rating scale (NRS) was used to assess pain intensity. Anxiety was evaluated using a state and trait anxiety inventories. Present pain intensity decreased after both the first and second sessions. The session effect was significant (P = 0.02), but no repeat effect was found (P = 0.19). The state anxiety inventory score also decreased after the second session. The session effect was significant (P < 0.01), as was the repeat effect (P < 0.01). The trait anxiety inventory score decreased after the second session, and the session effect was significant (P = 0.013), but the repeat effect was not (P = 0.93). The results suggest that a brief group CB intervention reduces pain intensity and anxiety in patients with BMS.
引用
收藏
页码:17 / 22
页数:6
相关论文
共 37 条
[1]   COGNITIVE THERAPY IN THE TREATMENT OF PATIENTS WITH RESISTANT BURNING MOUTH SYNDROME - A CONTROLLED-STUDY [J].
BERGDAHL, J ;
ANNEROTH, G ;
PERRIS, H .
JOURNAL OF ORAL PATHOLOGY & MEDICINE, 1995, 24 (05) :213-215
[2]  
Bergdahl M, 1999, J ORAL PATHOL MED, V28, P350
[3]   Systematic review of randomised controlled trials of psychological therapy for chronic pain in children and adolescents, with a subset meta-analysis of pain relief [J].
Eccleston, C ;
Morley, S ;
Williams, A ;
Yorke, L ;
Mastroyannopoulou, K .
PAIN, 2002, 99 (1-2) :157-165
[4]   Burning mouth syndrome (BMS): double blind controlled study of alpha-lipoic acid (thioctic acid) therapy [J].
Femiano, F ;
Scully, C .
JOURNAL OF ORAL PATHOLOGY & MEDICINE, 2002, 31 (05) :267-269
[5]  
Femiano Felice, 2004, Med Oral, V9, P8
[6]   The effects of topical anesthesia on oral burning in burning mouth syndrome [J].
Formaker, BK ;
Mott, AE ;
Frank, ME .
OLFACTION AND TASTE XII: AN INTERNATIONAL SYMPOSIUM, 1998, 855 :776-780
[7]   Sensory dysfunction in burning mouth syndrome [J].
Forssell, H ;
Jääskeläinen, S ;
Tenovuo, O ;
Hinkka, S .
PAIN, 2002, 99 (1-2) :41-47
[8]   CLINICAL CHARACTERISTICS AND MANAGEMENT OUTCOME IN THE BURNING MOUTH SYNDROME - AN OPEN STUDY OF 130 PATIENTS [J].
GORSKY, M ;
SILVERMAN, S ;
CHINN, H .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 1991, 72 (02) :192-195
[9]  
Gorsuch RL, 1983, MANUAL STATE TRAIT A
[10]   Topical clonazepam in stomatodynia: a randomised placebo-controlled study [J].
Gremeau-Richard, C ;
Woda, A ;
Navez, ML ;
Attal, N ;
Bouhassira, D ;
Gagnieu, MC ;
Laluque, JF ;
Picard, P ;
Pionchon, P ;
Tubert, S .
PAIN, 2004, 108 (1-2) :51-57