Music listening may help to recognize psychological factors in pain: a case report
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概要
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Chronic facial pain is highly associated with psychological factors such as depression and stress. In this study, we report a case of chronic facial pain with strong psychological background. The patient, a 47 years old male, was referred to our pain clinic after conventional dental treatments failed to suppress a painful sensation with origin in the upper left first molar. We began to suspect of a psychological component at the report that the pain gradually became stronger after each unsuccessful treatment. A thorough clinical and radiographic examination revealed no organic abnormalities of dental origin or masticatory dysfunction; therefore, psychological tests were performed. Self-rating Depression Scale and Toho Medical Index were in a normal range; however, our interviews revealed that the patient was nervous, with concentrated attention on the oral region. Based upon these results, we diagnosed his pain as atypical facial pain and started drug therapy. When various drugs produced no effect on his pain, we started acupuncture therapy for pain relief and music therapy for mental and physical relaxation. For music listening, we used a reclining chair with speakers on both sides of the headrest and a vibration device on the back. We selected a healing music compact disc based on the patients preference, and made him listen to it for 30 minutes. After a few sessions, the patient recognized that the pain was reduced during music listening, and became aware that a psychological factor played an important role in his disease. As the patient gradually gained control over his life stressors, the pain was remarkably reduced. We suggest that music listening may be useful in the recognition of psychological factors in pain.
- 日本疼痛学会の論文
日本疼痛学会 | 論文
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