Peculiarities of psychological support of patients with muscular-joint dysfunction of the temporomandibular joint

Abstract

Annotation. The pathology of the temporomandibular joint (TMJ) is one of the most difficult in the practice of the dentist, so patients go to different doctors. Often, the disease is psychosomatic, so patients have a history of stress, sleep disorders, headaches, chronic fatigue. The aim of the study is to study and comparatively analyze the nature and extent of psychological manifestations in patients with dysfunction of the temporomandibular joint according to the degree of clinical manifestations of the pathology irritability. In total, we examined 834 people with CNS dysfunction who had different etiologic causes, different complaints, and different clinical manifestations. To assess the psychological status of patients used: Gissen somatic complaints questionnaire, Toronto alexithymic scale, the method of studying the type of attitude to the disease Tobol, projective methodology “I am healthy and I am sick”, modified 10-point FPS-R (Bayers-based) subjective pain analysis scale. It was found that in the group of patients with pathology of the TMJ, the main complaint was pain (77.1%), the type of attitude to the disease is mainly alarming (59.5%), and the level of alexithymia is high (78%). Based on the received data on the general condition of the patient, they form a plan of providing comprehensive medical and psychological care, in which during the basic treatment psycho-corrective measures are combined with psychoprophylaxis of secondary disorders of the psychological health of patients.