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题名	慢性疼痛与自我损耗的关系:来自颞下颌关节紊乱病患者的证据
作者	李飞
答辩日期	2020-01
文献子类	硕士
授予单位	中国科学院心理研究所
授予地点	中国科学院心理研究所
其他责任者	高文斌
关键词	颞下颌关节紊乱病 慢性疼痛 预期 自我损耗
学位名称	理学硕士（同等学力硕士）
其他题名	The relationship between chronic pain and ego-depletion: evidence from patients with temporomandibular disorders
学位专业	健康心理学
中文摘要	Temporomandibular disorders (TMD) is one of the most common oral and maxillofacial diseases. Chronic pain of TMD often brings anxiety, depression and other negative emotions to patients. From the perspective of ego-depletion, this study explores the internal mechanism of the correlation between TMD chronic pain and psychological factors, so as to provide theoretical guidance and scientific basis for medical staff to diagnose and treat the disease more comprehensively and accurately, and to promote the early recovery of patients. In the first study, 259 patients with TMD were selected to explore whether the duration of pain and pain expectation had an effect on the degree of ego-depletion. In the second study, 30 patients with TMD chronic pain were selected to analyze the correlation between the pain pattern and ego-depletion, mainly including the influence on three dimensions of cognition, behavior and emotion, and to analyze the interaction between several variables in the pain pattern.The main research are as follows: there is no significant difference in the degree of ego-depletion between the patients with TMD chronic pain and non-chronic TMD pain. The degree of ego-depletion of the patients with TMD pain unpredictability is higher than that of the patients with predictable pain. The pain anticipation of the patients with TMD chronic pain has an impact on the cognition and degree of pain of the patients, and the concentration of patients' pain in the morning will affect the mood of patients.Main research conclusion: the pain anticipation of TMD patients is an important factor that affects the degree of ego-depletion, in the clinical diagnosis and treatment process, patients with unpredictable pain are more likely to have psychological problems than patients with predictable pain, and the time of pain is concentrated in the morning, that is patients with "heavy in the morning and light in the evening" rhythm characteristics suggest the possibility of depression tendency. Therefore, we should pay attention to the way of communication with patients, and try to cooperate with appropriate psychological counseling to strengthen the psychological support. The degree of pain of patients with unpredictable pain will be more prominent, and relieving the pain of patients is the first problem to be solved. The inquiry of pain anticipation and pain pattern has certain guiding significance for the diagnosis and treatment of TMD patients.
英文摘要	颞下颌关节紊乱病（temporomandibular disorders, TMD）是临床常见的口腔颌面部疾病之一，TMD慢性疼痛常常给患者带来焦虑、抑郁等消极情绪。本研究从自我损耗角度，对TMD慢性疼痛与心理因素相关性的内在机制进行探究，为医务工作者能够更全面准确的诊断和更好的治疗该病，促使患者早日康复提供理论指导与科学依据。研究一，选取TMD患者259名，探索患者疼痛病程与疼痛预期对自我损耗程度是否存在影响。研究二，选取TMD慢性疼痛患者30例，对患者的疼痛模式与自我损耗进行相关性分析，探讨TMD慢性疼痛患者的疼痛模式与自我损耗的相关性，主要包括对于认知，行为，情绪三个维度的影响，并分析疼痛模式中几个变量之间的相互关系。主要研究发现：TMD慢性疼痛患者与非慢性疼痛患者的自我损耗程度没有明显差异，TMD疼痛不可预期患者自我损耗程度高于疼痛可预期患者，TMD慢性疼痛患者的疼痛预期性对患者的认知以及疼痛程度产生影响，患者疼痛时刻集中在上午时段会影响患者的情绪。主要研究结论：TMD患者的疼痛预期性是影响患者自我损耗程度的重要因素，在临床诊治过程中，疼痛不可预期的患者较疼痛可预期的患者更易出现心理问题，而疼痛时刻集中在上午时段，即具有“晨重夕轻”节律特征的患者提示有抑郁倾向的可能，因此，要注意与患者的交流方式，可以尝试配合适当的心理疏导，以加强心理支持。疼痛不可预期的患者疼痛程度会表现的更为突出，缓解患者的疼痛是首要解决的问题。对患者疼痛可预期性以及疼痛模式的询问对TMD患者的诊断与治疗具有一定指导意义。
语种	中文
内容类型	学位论文
源URL	[http://ir.psych.ac.cn/handle/311026/41650]
专题	心理研究所_健康与遗传心理学研究室
推荐引用方式 GB/T 7714	李飞. 慢性疼痛与自我损耗的关系:来自颞下颌关节紊乱病患者的证据[D]. 中国科学院心理研究所. 中国科学院心理研究所. 2020.

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