舌痛症の治療経過に伴う心身医学的特性について

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As chronic algogenic diseases in the oral cavity increase recently, we sometimes have difficulty in diagnosis and treatment of the patient, and same is true with glossodynia. In order to understand glossodynia and to establish a therapeutic method, we have been examining the patient from the view point of its psychosomatic characteristics. There was no organic change in the tongue in glossodynia, and no abnormality in the physical examinations and laboratory tests, but still the patients has pain. The disease condition should be examined on the psychogenic bases. In order to examine the relation between glossodynia and its psychogenic cause, an inquiry format of CMI, YG and SRQ-D, examination of the autonomic nervous system dysfunction, examination of the autonomic nervous function with microvibration technique were performed, and the psychosomatic characteristics of glossodynia observed during the couse of therapy will be reported. Psychotic tendency was examined by CMI : that is, psychotic tendency was more effectively improved in the patients showing better therapeutic results, and such results are one of the notable characteristics. The emotional tendency examined by the YG test showed no marked improvement as in the psychotic tendency, but some individual cases showed considerable correlations, so that we should give a case attention. Examination of depressive tendency using SRQ-D method showed better improvement in the patients showing better therapeutic effect. These are interesting correlations. Examination using microvibration showed also better improvement in the autonomic nervous function in the patients showing better thetrapeutic effect. As shown above, degree of glossodynia, therapeutic effect and laboratory tests were well correlated when the degree of glossodynia was more severe, so that characterisitics and changes of psychosomatic factors should be taken into consideration for the therapeutic process.
1983-06-01

舌痛症の治療経過に伴う心身医学的特性について

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