ABSTRACT
One hundred seventeen patients, aged 16-75 years, with orofacial pains were studied. Borderline psychic disorders were detected in 106 cases, schizophrenia--in 11 cases. Facial pain was characterized by (1) polymorphism of sensations changing their site and duration, (2) absence of orofacial sensory deficits, (3) symptoms "mosaic"--a combination of separate signs specific for various "organic" facial pain, (4) absence of objective changes in oral cavity and facial region, (5) key role of psychoemotional factors in pain recurrence and intensification, (6) non-opioid analgesics and carbamazepine inefficacy. A systematics for facial pains of psychic genesis, comprising two groups of disorders, was elaborated. The first group includes facial pain and odontalgia in borderline psychic disorders--neurotic (somatoform, hypochondriac and hysteric) disorders, affective ones (mild depressive episodes and dystimia) and paranoic personality disorder. The second group comprises orofacial cenesthopathies in neurotic-like (schizotypal disorders) and paranoid types of schizophrenia.
Subject(s)
Facial Pain/etiology , Mental Disorders/psychology , Adolescent , Adult , Aged , Chronic Disease , Diagnosis, Differential , Facial Pain/diagnosis , Female , Humans , Male , Mental Disorders/diagnosis , Middle Aged , Pain Measurement , Severity of Illness IndexABSTRACT
Complex rehabilitation of 20 patients with congenital and acquired maxillofacial deformations included psychological examinations using the finish-the-sentence test, Taylor's, Eysenck's [correction of Isenk's], Leonhard-Smisek, and Dembo-Rubinstein tests. Depressive states were detected in 4, neurotic reactions with depressive incorporations in 16 examinees. After surgery the manifestations of depression decreased in 60% of patients. Psychological studies helped improve the efficacy of surgery due to a favorable impact on the personality.
Subject(s)
Jaw Diseases/psychology , Maxillofacial Abnormalities/psychology , Adolescent , Adult , Depression/psychology , Face , Female , Humans , Jaw Diseases/surgery , Male , Maxillofacial Abnormalities/surgery , Neurotic Disorders/psychology , Personality , Postoperative Period , Psychological TestsABSTRACT
A total of 90 stomatological patients were subjected to clinico-psychopathological examinations. Of these, 70 were therapeutic and 20 orthodontic ones. The functional stomatological diseases in the form of stomatalgias were revealed in all the patients suffering from neurasthenia, neurotic depression, neurotic development of the personality as well as from psychopathy decompensation. The hypochondriac syndrome was marked by senestopathic and algesic disorders and in some cases, by anxious-phobic disturbances. Associated stomatalgias and neurotic symptomatology resulted in the lingering course and unfavourable dynamics of neuroses. The origin of stomatalgias in psychopathic personalities was accompanied by its decompensation, leading not infrequently to the development of the litigious and quarrelsome personality.
Subject(s)
Mouth Diseases/diagnosis , Neurotic Disorders/diagnosis , Pain/diagnosis , Adult , Depressive Disorder/complications , Depressive Disorder/diagnosis , Depressive Disorder/psychology , Female , Humans , Male , Middle Aged , Mouth Diseases/etiology , Mouth Diseases/psychology , Neurasthenia/complications , Neurasthenia/diagnosis , Neurasthenia/psychology , Neurotic Disorders/complications , Neurotic Disorders/psychology , Pain/etiology , Pain/psychology , PsychopathologySubject(s)
Glossalgia/diagnosis , Mouth Diseases/diagnosis , Neurotic Disorders/diagnosis , Pain/diagnosis , Adult , Aged , Chronic Disease , Female , Glossalgia/psychology , Humans , Male , Middle Aged , Mouth Diseases/psychology , Neurotic Disorders/psychology , Pain/psychology , Psychopathology , SyndromeABSTRACT
On the basis of a study of 142 patients with chronic colitis (nonspecific ulcerous and neurogenic-dyskinetic) the authors demonstrate the interreralations between the somatical and neuro-psychic pathology, in the structure of which neurotic-like, neurotic and personality reactions to the basic disease are closely interwoven. In the severe forms of the disease there is a predominance of somato-organic phenomena, in wild-neurotic symptoms. The quantitative and qualitative changes in the personality structure of 46 patients permitted to speak of a neurotic personality development.
