Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 23
Filtrar
1.
Community Dent Health ; 32(3): 143-7, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26513848

RESUMO

UNLABELLED: Low health literacy and alexithymia have separately been emphasized as barriers to patient-practitioner communication, but the association between the two concepts has not been explored. OBJECTIVE: To test the hypothesis that low oral health literacy and alexithymia are associated. METHOD: Adults (n=127) aged 21-80 years (56% women) participated in this cross-sectional study. Oral health literacy was assessed using the interview-based Adult Health Literacy Instrument for Dentistry (AHLID) with scores from 1-5. The self-administered Toronto Alexithymia Scale (TAS-20) was used to assess three distinct TAS-20 factors and TAS-20 total score. RESULTS: Significant negative correlations between AHLID scores and TAS-20 factors 2, 3 and TAS-20 total score were found. Regression analyses showed that TAS-20 factor 3, externally-oriented thinking (ß=-0.21, SE=0.02, p=0.017), and TAS-20 total score (ß=-0.18, SE=0.01, p=0.036) were significant predictors of AHLID level. CONCLUSION: The hypothesis that low oral health literacy is associated with alexithymia was supported. This finding proposes that alexithymia may be considered as a possible factor for low oral health literacy. However, the correlations are not strong, and the results should be regarded as a first step to provide evidence with additional research on this topic being needed.


Assuntos
Sintomas Afetivos/complicações , Letramento em Saúde , Saúde Bucal , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Noruega
2.
J Oral Rehabil ; 41(5): 381-91, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24843865

RESUMO

The aim of the study was to determine the prognosis and to evaluate the regression of lichenoid contact reactions (LCR) and oral lichen planus (OLP) after replacement of dental restorative materials suspected as causing the lesions. Forty-four referred patients with oral lesions participated in a follow-up study that was initiated an average of 6 years after the first examination at the Department of Odontology, i.e. the baseline examination. The patients underwent odontological clinical examination and answered a questionnaire with questions regarding dental health, medical and psychological health, and treatments undertaken from baseline to follow-up. After exchange of dental materials, regression of oral lesions was significantly higher among patients with LCR than with OLP. As no cases with OLP regressed after an exchange of materials, a proper diagnosis has to be made to avoid unnecessary exchanges of intact restorations on patients with OLP.


Assuntos
Amálgama Dentário/efeitos adversos , Líquen Plano Bucal/patologia , Erupções Liquenoides/patologia , Mucosa Bucal/patologia , Adulto , Idoso , Análise de Variância , Feminino , Seguimentos , Ligas de Ouro/efeitos adversos , Humanos , Líquen Plano Bucal/etiologia , Líquen Plano Bucal/imunologia , Erupções Liquenoides/imunologia , Masculino , Compostos de Mercúrio/efeitos adversos , Ligas Metalo-Cerâmicas/efeitos adversos , Pessoa de Meia-Idade , Mucosa Bucal/imunologia , Níquel/efeitos adversos , Indução de Remissão , Inquéritos e Questionários , Fatores de Tempo , Resultado do Tratamento
3.
Arch Environ Occup Health ; 68(3): 145-52, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23566321

RESUMO

This study investigated self-image and coping ability in a group of patients with symptoms from indoor environment. A follow-up questionnaire was sent to 239 patients previously referred with nonspecific building-related symptoms at University Hospital in Umeå, Sweden. One hundred seventy-four women and 14 men answered and the patient group rated their self-image as more spontaneous, more positive, and less negative than a control group. The patient group rated higher on the cognitive scale in the Coping Resources Inventory (CRI) than the control group. The female patients had an increased risk of not being able to work associated with a low score on negative self-image. The authors conclude that certain personality traits may be potential risk factors that increase the probability of encountering and experiencing stressful work situations. The resulting stress may increase workers' susceptibility to indoor environment exposure.


Assuntos
Adaptação Psicológica , Doenças Profissionais/psicologia , Autoimagem , Síndrome do Edifício Doente/psicologia , Adulto , Estudos de Casos e Controles , Feminino , Seguimentos , Humanos , Masculino , Doenças Profissionais/epidemiologia , Personalidade , Medição de Risco , Fatores de Risco , Síndrome do Edifício Doente/epidemiologia , Inquéritos e Questionários , Suécia/epidemiologia
4.
J Dent Res ; 89(11): 1236-40, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20739704

RESUMO

Self-reported cognitive symptoms are frequent in persons with amalgam-related complaints, but few studies have focused on their cognitive function. The aim was to examine a symptom profile and whether participants with amalgam-related complaints have cognitive deficits in comparison with control individuals. We drew 342 participants with amalgam-related complaints and 342 one-to-one matched control individuals from a longitudinal population-based study. For 81 of the participants with amalgam-related complaints and controls, data were available approximately five years before the onset of complaints, making a longitudinal analysis possible. All participants were assessed by a self-reported health questionnaire and a comprehensive cognitive test battery. The participants with amalgam-related complaints reported more symptoms, mainly musculoskeletal and neuropsychological, compared with control individuals (p < 0.001). The results revealed no significant difference between the amalgam and control group, either cross-sectionally or longitudinally, for any of the cognitive tests. These results suggest that cognitive decline is not associated with amalgam-related complaints.


Assuntos
Cognição/fisiologia , Amálgama Dentário/efeitos adversos , Restauração Dentária Permanente/efeitos adversos , Estudos de Casos e Controles , Transtornos Cognitivos/etiologia , Estudos Transversais , Feminino , Humanos , Estudos Longitudinais , Masculino , Memória/fisiologia , Mercúrio/efeitos adversos , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/etiologia , Doenças do Sistema Nervoso/etiologia , Vigilância da População , Autoavaliação (Psicologia) , Percepção Espacial/fisiologia , Percepção Visual/fisiologia
5.
Eur J Dent Educ ; 12(3): 170-5, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18666899

RESUMO

A patient-centred clinical teaching profile in the undergraduate dental curriculum at The University of Tromsø is described. This teaching profile implies that treatment planning is primarily based on the patients' perceived needs and the students are trained to retrieve information from the patients in this context. The role of the clinical instructor is primarily as a facilitator rather than an expert. The 'best interest of the patient' is not always easy to disclose and consequences related to the patients' levels of understanding, students competence, educational challenges and professional ethics are topics for discussion through the clinical education programme.


Assuntos
Assistência Odontológica Integral , Educação em Odontologia , Aprendizagem , Assistência Centrada no Paciente , Estudantes de Odontologia , Ensino/métodos , Competência Clínica , Comunicação , Currículo , Tomada de Decisões , Relações Dentista-Paciente , Emoções , Empatia , Saúde Holística , Humanos , Avaliação das Necessidades , Planejamento de Assistência ao Paciente , Participação do Paciente , Pensamento
6.
Int Arch Occup Environ Health ; 81(7): 805-12, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17924130

RESUMO

OBJECTIVES: The aim of this study was to describe and analyse the medical and social prognoses of patients with non-specific building-related symptoms. METHODS: A follow-up questionnaire focusing on current medical and social status, care, treatment, other actions taken and personality traits was sent to 239 patients with non-specific building-related symptoms assessed during the period between 1986 and 1998 at University Hospital in Umeå, Sweden. The response rate was 79%. RESULTS: Fatigue, irritation of the eyes, and facial erythema were the most common weekly symptoms reported at follow-up. As females constituted 92% of the respondents, statistical analyses were restricted to women. The level and severity of symptoms decreased over time, although nearly half of the patients claimed that symptoms were more or less unchanged after 7 years or more, despite actions taken. Twenty-five percent of the patients were on the sick-list, and 20% drew disability pension due to persistent symptoms at follow-up. The risk of having no work capabilities at follow-up was significantly increased if the time from onset to first visit at the hospital clinic was more than 1 year. This risk was also significantly higher if the patient at the first visit had five or more symptoms. All risk assessments were adjusted for length of follow-up. Symptoms were often aggravated by different situations in everyday life. CONCLUSIONS: Long-lasting symptoms aggravated by environmental factors exist within this group of patients. The results support that early and comprehensive measures for rehabilitation are essential for the patients.


Assuntos
Síndrome do Edifício Doente/fisiopatologia , Licença Médica/estatística & dados numéricos , Adulto , Feminino , Seguimentos , Humanos , Masculino , Prontuários Médicos , Pessoa de Meia-Idade , Prognóstico , Reabilitação Vocacional , Síndrome do Edifício Doente/epidemiologia , Inquéritos e Questionários , Suécia/epidemiologia
7.
J Eur Acad Dermatol Venereol ; 20(6): 661-6, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16836492

RESUMO

BACKGROUND: Erosive lichen planus is a severe, recurrent and recalcitrant disease that affects several mucosal areas, mostly the genital area and the mouth, but also, for example, the oesophagus and perianal area. The disease causes serious symptoms, because of the raw, de-epithelialized mucosa and healing with scars/adhesions, which affect the patient's life in many ways. It causes, for example, difficulties in eating, drinking and going to the bathroom. Treatment is complicated and, so far, few therapeutic drugs other than steroids have been reported. OBJECTIVES: As the disease has severe implications on the patient's life it is important to investigate the psychological health of the patients, as well as the influence of stress on their health and wellbeing, in order to improve treatment. STUDY DESIGN, SUBJECTS AND METHODS: Forty-nine consecutive patients with erosive lichen planus were included during a 1-year period. The study was carried out as 'state-of-the-last-month', and stress, state anxiety, depression and 'erosive lichen planus factors', i.e. symptoms affecting daily life, were assessed. RESULTS: Eighty-seven per cent of the patients had symptoms, severely affecting daily life. Unexpectedly, oral symptoms seemed to be the most prominent. Our results showed that depression, anxiety and stress were more common in patients with erosive lichen planus than in a control group. DISCUSSION AND CONCLUSIONS: Erosive lichen planus is a severe disease with symptoms and complications affecting the patient's life. Our results indicate that their psychological health is also affected and emphasize the need for close collaboration between physicians, dentists with special knowledge in oral medicine and counsellors/psychologists to optimize handling of these patients.


Assuntos
Doenças dos Genitais Femininos/psicologia , Doenças dos Genitais Masculinos/psicologia , Líquen Plano Bucal/psicologia , Líquen Plano/psicologia , Atividades Cotidianas/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/etiologia , Depressão/etiologia , Feminino , Doenças dos Genitais Femininos/complicações , Doenças dos Genitais Masculinos/complicações , Humanos , Líquen Plano/complicações , Líquen Plano Bucal/complicações , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/etiologia , Inquéritos e Questionários
8.
Community Dent Oral Epidemiol ; 33(6): 427-37, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16262610

RESUMO

OBJECTIVES: In Sweden, many patients with symptoms allegedly caused by their dental materials have exchanged their restorations, but the effects of the exchange have been insufficiently investigated. Therefore, the aim of the study was to describe the change in health over time for these patients and the hypothesis was that the patients could be divided based on their symptoms and that the ability to recover differs between these groups. Furthermore, we also examined if other factors such as replacement of dental restorative materials and follow-up time had any impact on the perceived health status. METHODS: A questionnaire was sent to 614 patients who had been referred to the School of Dentistry, Umeå, Sweden, with symptoms allegedly caused by dental restorative materials. The response rate was 55%. RESULTS: The risk of having any further complaints was higher for patients with complex symptoms (P = 0.03) and these patients had exchanged their restorations to a significantly larger extent than the others (P = 0.03). The remaining complaints was more frequent among men (P = 0.02). Exchange of dental restorative materials had no significant impact on the ability to recover completely. However, the patients who had exchanged their restorations completely perceived a significantly larger alleviation of their symptoms than the others (P < 0.01), although the frequency of most of the symptoms had increased. CONCLUSIONS: Patients with complex symptoms had a more unfavorable long-term prognosis concerning persistent complaints than those with localized symptoms only. Furthermore, the results indicate that the patients might experience health improvements after removal of their dental restorative materials. The reason for this improvement, however, is unclear. Further analyses regarding other possible explanations than the 'odontological/medical' are needed.


Assuntos
Materiais Dentários/efeitos adversos , Restauração Dentária Permanente/efeitos adversos , Nível de Saúde , Doenças da Boca/etiologia , Autoavaliação (Psicologia) , Transtornos Somatoformes/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Restauração Dentária Permanente/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/psicologia , Prognóstico , Retratamento , Transtornos Somatoformes/psicologia , Inquéritos e Questionários , Suécia
9.
Int Arch Occup Environ Health ; 77(8): 538-42, 2004 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-15538619

RESUMO

OBJECTIVES: The aim of the present study was to measure coping resources and self-image in patients with visual display terminal (VDT)-related skin symptoms and hypersensitivity to electricity (HE). METHODS: From 1980 to 1998, 350 patients with electrical sensitivity were registered. The patients were subdivided into two groups: patients with skin symptoms evoked by VDTs, television screens, and fluorescent-light tubes and patients with so-called hypersensitivity to electricity with multiple symptoms evoked by exposure to different electrical environments. A questionnaire was sent to all patients and contained the coping resources inventory (CRI) and the structural analysis of social behaviour (SASB) in order for us to measure coping resources and self-image, respectively. The CRI and SASB scores were compared with those of control groups. Two hundred and fifty respondents (73%) returned the questionnaire, 200 (78.5% women) in the VDT group and 50 (62% women) in the HE group. RESULTS: The patient group rated high on the CRI spiritual/philosophical scale and high on the SASB spontaneous, positive and negative clusters but low on the controlled cluster. The female patients scored high on the CRI emotional scale. The VDT group rated lower than the controls on the SASB controlled cluster and higher on both the positive and negative cluster. The HE group scored higher than the control group on the SASB spontaneous and positive clusters. The women in the HE group scored higher on the CRI cognitive and CRI total scale than the VDT group and control group and higher on the CRI emotional scale than the controls. The women in the HE group rated higher than both the women in the VDT and control groups on the SASB spontaneous and positive clusters. CONCLUSIONS: The deviant self-image found in these patients, especially the female HE patients, support the view that VDT and HE symptoms can be stress related. In the clinic, a trustful alliance should be established with the patient in order for a more realistic view to be achieved of the capacity.


Assuntos
Adaptação Psicológica , Terminais de Computador , Dermatite Ocupacional/psicologia , Eletricidade/efeitos adversos , Autoimagem , Análise de Variância , Dermatite Ocupacional/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional/efeitos adversos , Fatores Sexuais , Estresse Psicológico/complicações , Inquéritos e Questionários
10.
Clin Oral Investig ; 6(3): 145-9, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12271346

RESUMO

Taste disturbance may cause subjective discomfort and impair appetite and food intake. The aim of this study was to estimate the prevalence of perceived taste disturbance and analyze its association to age, gender, whole salivary flow rate, subjective oral dryness, burning mouth, medication, and psychological factors. Five hundred forty-seven men and 656 women aged 20 to 69 years were randomly selected from the Public Dental Health Service register in northern Sweden. Oral complaints were registered and whole salivary flow rate measured. Medication, anxiety, depression, and stress were assessed. Thirty individuals (2.5%), five men (0.9%) and 25 women (3.8%), reported perceived taste disturbances (distorted taste or loss of taste). In men, no individual with taste disturbance was found in the youngest and oldest age groups. The prevalence in the 30-39-year age group was 1.9% and in the 40-49-year group 1.8%. In women, one individual (1%) with taste disturbance was found in the youngest age group. In the 30-39-year group, the prevalence was 3.8%, increasing to 5.1% in the oldest age group. Illness, subjective oral dryness, state anxiety, perceived stress, depression, use of antiasthmatics, and trait anxiety were associated with taste disturbance. It was concluded that perceived taste disturbance might be an interaction of various health factors such as illness and mental condition.


Assuntos
Distúrbios do Paladar/etiologia , Adulto , Fatores Etários , Idoso , Antiasmáticos/efeitos adversos , Ansiedade/psicologia , Síndrome da Ardência Bucal/complicações , Depressão/psicologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Feminino , Humanos , Análise dos Mínimos Quadrados , Masculino , Pessoa de Meia-Idade , Doenças da Boca/complicações , Saliva/metabolismo , Taxa Secretória/fisiologia , Fatores Sexuais , Estatística como Assunto , Estatísticas não Paramétricas , Estresse Psicológico/psicologia , Suécia , Distúrbios do Paladar/induzido quimicamente , Distúrbios do Paladar/psicologia , Xerostomia/complicações
11.
Acta Odontol Scand ; 59(2): 104-10, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11370747

RESUMO

Patients with symptoms allegedly caused by abnormal sensitivity to dental fillings and/or to electromagnetic fields and other environmental factors frequently report oral complaints. Forty-four consecutive patients with these symptoms were studied. The aim was to investigate whether unstimulated salivary flow rate was associated with Candida, symptoms, disease, medication, age, sex, anxiety, depression, and stress. Furthermore, the aim was to compare the level of anxiety, depression, and stress in these patients with an age- and sex-matched control group. Fifty percent had no or low flow rate from the minor salivary glands. Candida pseudohyphae were found in 50% of the patients. Hypothyroidism and/or intake of thyroid hormones, headache, fatigue, and age were negatively associated with unstimulated salivary flow rate, and dizziness was positively associated. Unstimulated salivary flow rate was positively associated with stimulated salivary flow rate and flow rate from the minor salivary glands. Burning mouth and subjective oral dryness were reported by 48%, and 46%, respectively. The patients were more anxious, stressed, and especially more depressed than the control group. Unstimulated salivary flow rate was negatively associated with state anxiety. Measurement of salivary flow rate is important in patients with environmental illness and can be used in combination with other measurements as a diagnostic tool.


Assuntos
Doença Ambiental/fisiopatologia , Saliva/metabolismo , Adulto , Idoso , Sintomas Comportamentais , Candida/isolamento & purificação , Doença Crônica , Restauração Dentária Permanente/efeitos adversos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Campos Eletromagnéticos/efeitos adversos , Doença Ambiental/etiologia , Feminino , Humanos , Hipotireoidismo/complicações , Análise dos Mínimos Quadrados , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Mucosa Bucal/microbiologia , Taxa Secretória , Estatísticas não Paramétricas , Xerostomia/fisiopatologia
12.
J Dent Res ; 79(9): 1652-8, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11023259

RESUMO

Medication and psychological processes may affect salivary flow and cause subjective oral dryness. The importance of these factors is unclear. The aim of this study was to evaluate the association of medication, anxiety, depression, and stress with unstimulated salivary flow and subjective oral dryness. We studied 1,202 individuals divided into three groups, and controls. Intake of medication was evaluated. Anxiety, depression, and stress were assessed. Unstimulated salivary flow < 0.1 mL/min and subjective oral dryness were significantly associated with age, female gender, intake of psychotropics, anti-asthmatics, and diuretics. Unstimulated salivary flow < 0.1 mL/min and no subjective oral dryness were significantly associated with age, intake of antihypertensives, and analgesics. Subjective oral dryness and unstimulated salivary flow > 0.1 mL/min were significantly associated with depression, trait anxiety, perceived stress, state anxiety, female gender, and intake of antihypertensives. Age and medication seemed to play a more important role in individuals with hyposalivation, and female gender and psychological factors in individuals with subjective oral dryness.


Assuntos
Ansiedade/fisiopatologia , Depressão/fisiopatologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Saliva/metabolismo , Estresse Psicológico/fisiopatologia , Xerostomia/fisiopatologia , Adulto , Fatores Etários , Idoso , Ansiedade/complicações , Ansiedade/psicologia , Depressão/complicações , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicofisiologia , Taxa Secretória , Caracteres Sexuais , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Xerostomia/etiologia , Xerostomia/psicologia
13.
J Oral Pathol Med ; 28(8): 350-4, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10478959

RESUMO

Burning mouth syndrome (BMS) is characterized by a burning sensation in the oral cavity although the oral mucosa is clinically normal. The syndrome mostly affects middle-aged women. Various local, systemic and psychological factors have been found to be associated with BMS, but its etiology is not fully understood. Oral complaints and salivary flow were surveyed in 669 men and 758 women randomly selected from 48,500 individuals between the ages 20 and 69 years. Fifty-three individuals (3.7%), 11 men (1.6%) and 42 women (5.5%), were classified as having BMS. In men, no BMS was found before the age group 40 to 49 years where the prevalence was 0.7%, which increased to 3.6% in the oldest age group. In women, no BMS was found in the youngest age group, but in the age group 30 to 39 years the prevalence was 0.6% and increased to 12.2% in the oldest age group. Subjective oral dryness, age, medication, taste disturbances, intake of L-thyroxines, illness, stimulated salivary flow rate, depression and anxiety were factors associated with BMS. In individuals with BMS, the most prevalent site with burning sensations was the tongue (67.9%). The intensity of the burning sensation was estimated to be 4.6 on a visual analogue scale. There were no increased levels of depression, anxiety or stress among individuals with more pain compared to those with less pain. It was concluded that BMS should be seen as a marker of illness and/or distress, and the complex etiology of BMS demands specialist treatment.


Assuntos
Síndrome da Ardência Bucal/diagnóstico , Síndrome da Ardência Bucal/epidemiologia , Adulto , Fatores Etários , Idoso , Estudos Transversais , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Distúrbios do Paladar/diagnóstico , Xerostomia/diagnóstico
14.
Acta Odontol Scand ; 56(5): 303-7, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9860100

RESUMO

Twenty-eight consecutive patients with symptoms allegedly caused by electricity or visual display units were odontologically investigated according to a specially designed registration form including an anamnestic interview and a clinical protocol. The most common oral and general symptoms reported were burning mouth, craniomandibular dysfunction symptoms, skin complaints, and fatigue. Oral symptoms such as craniomandibular dysfunction and general symptoms such as eye complaints and dizziness scored highest on a visual analog scale regarding mean symptom intensity. The patients reported various numbers of medical diagnoses, such as allergic rhinitis or asthma and hypothyroidism. Various dental diseases were found; the most common were temporomandibular joint and masticatory muscle dysfunctions, lesions in the oral mucosa, and periodontal diseases. Urinary-Hg (U-Hg) analysis showed a mean U-Hg concentration of 8.5 nmol Hg/L urine, and none of the patients exceeded the limit of 50 nmol Hg/L urine. The U-Hg concentration was positively correlated with the number of amalgam fillings (P< 0.01) and craniomandibular disorders (P < 0.05). No or low secretion of the minor mucous glands was found in 43% of the patients. One patient showed hypersensitivity to gold and cobalt. The present study showed that various odontologic factors might be involved in some of these patients' suffering. Thus, it is important that professionals from other disciplines collaborate with dentistry if these patients are to be properly investigated.


Assuntos
Síndrome da Ardência Bucal/etiologia , Terminais de Computador , Campos Eletromagnéticos/efeitos adversos , Distúrbios do Paladar/etiologia , Síndrome da Disfunção da Articulação Temporomandibular/etiologia , Xerostomia/etiologia , Adulto , Síndrome da Ardência Bucal/diagnóstico , Tontura/etiologia , Fadiga/etiologia , Feminino , Humanos , Hipersensibilidade Tardia/diagnóstico , Hipersensibilidade Tardia/etiologia , Masculino , Anamnese , Mercúrio/urina , Pessoa de Meia-Idade , Dor/etiologia , Medição da Dor , Testes do Emplastro , Equipe de Assistência ao Paciente , Dermatopatias/diagnóstico , Dermatopatias/etiologia , Distúrbios do Paladar/diagnóstico , Síndrome da Disfunção da Articulação Temporomandibular/diagnóstico , Transtornos da Visão/diagnóstico , Transtornos da Visão/etiologia , Xerostomia/diagnóstico
15.
Eur J Oral Sci ; 106(2 Pt 1): 671-4, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9584915

RESUMO

Since the results of a preliminary study have shown that the magnetic fields of some visual display units (VDUs) increased the release of mercury from amalgam specimens, the aim of the present study was to examine whether exposure to magnetic fields might affect the mercury vapor release from amalgam restorations in humans. The test group consisted of five subjects with an average of 31.4 amalgam surfaces (range 13-48). In each of the subjects tested, the intra-oral release of mercury vapor was measured during three 9-h periods at intervals of 30 to 90 min, using a standardized schedule and standardized food. During the first 9-h period which served as control, no intentional magnetic fields were applied. During the second and the third 9-h period, magnetic fields with flux densities of 20 microT at 30 kHz or 500 microT at 50 Hz, respectively, were applied. Although these flux densities were one thousand times higher than those caused by VDUs, no effects could be found on the release of mercury vapor from the amalgam restorations. The results of the present study do not support the assumption that exposure to magnetic fields increases the mercury vapor release from amalgam restorations in humans.


Assuntos
Amálgama Dentário/química , Campos Eletromagnéticos , Mercúrio/química , Adulto , Terminais de Computador , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estatísticas não Paramétricas , Volatilização
16.
J Oral Pathol Med ; 26(10): 448-50, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9416574

RESUMO

It has been known for many centuries that there is a relationship between saliva flow rate and emotional status. The significance of psychological processes in the subjective sensation of a dry mouth has been discussed earlier, and this study deals with the presence of depressive symptoms in individuals with idiopathic subjective sensation of a dry mouth. Depressive symptoms in 94 healthy subjects with normal flow rates for unstimulated and stimulated whole saliva but with a subjective sensation of a dry mouth were assessed by the Beck Depression Inventory (BDI) and compared with healthy age- and gender-matched controls. The subjects with a subjective dry mouth condition were significantly more depressive and also had a significantly higher frequency of depressive symptoms. Depression was found in 21.3% of the individuals with a subjective dry mouth sensation and in 3.2% of the controls. The results of this study indicate that, in some cases, subjective dry mouth may be of psychological origin.


Assuntos
Depressão/diagnóstico , Xerostomia/psicologia , Adulto , Idoso , Estudos de Casos e Controles , Estudos de Coortes , Choro/psicologia , Depressão/psicologia , Emoções , Fadiga/diagnóstico , Fadiga/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Culpa , Humanos , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade , Transtornos Psicofisiológicos/diagnóstico , Saliva/metabolismo , Taxa Secretória/fisiologia , Autoimagem , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/psicologia , Xerostomia/fisiopatologia
17.
Acta Odontol Scand ; 53(5): 304-10, 1995 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8553807

RESUMO

Psychologic factors were studied in 10 patients with symptoms presumed to be caused by electricity (EG) and in 10 patients with symptoms presumed to be caused by visual display units (VG) and compared with a sex- and age-matched control group (CG). Psychologic differences between the EG and VG were also measured. The symptoms presumed to be caused by electricity or visual display units were registered, and the personality, psychologic functioning, and quality of life were determined by using the Karolinska Scales of Personality (KSP), an additional Personality Scale (PS), a Psychological Functioning Scale (PFS), and a quality of Life Scale (QLS). The results showed that the commonest general symptoms in the EG/VG were skin complaints, fatigue, pain, and dizziness, and the commonest oral symptoms were gustatory disturbance, burning mouth, and temporomandibular joint dysfunction. The patients in the EG described more different types of both general and oral symptoms than those in the VG. The result showed that the VG scored significantly higher only in the KSP Somatic Anxiety and Muscular Tension scales, and the EG scored significantly lower in the KSP Socialization scale and significantly higher in the Somatic Anxiety, Muscular Tension, and Psychasthenia scales. In addition, only the EG differed significantly on the PS, PFS, and QLS. The EG differed significantly in such psychologic aspects as being more fatigued in the PS, in having more difficulty in concentrating, in taking the initiative, and in getting on with people in the PFS and experiencing inactivity and visiting other people rarely in the QLS. The conclusion was that patients with symptoms presumed to be caused by electricity and visual display units differed from each other psychologically and, therefore, should be handled clinically in different ways. The need for an interdisciplinary approach to these patients is emphasized.


Assuntos
Terminais de Computador , Eletricidade/efeitos adversos , Doenças da Boca/psicologia , Transtornos Psicofisiológicos/psicologia , Adulto , Ansiedade/psicologia , Atenção , Síndrome da Ardência Bucal/etiologia , Síndrome da Ardência Bucal/psicologia , Estudos de Casos e Controles , Tontura/etiologia , Tontura/psicologia , Fadiga/etiologia , Fadiga/psicologia , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Dor/psicologia , Personalidade , Qualidade de Vida , Dermatopatias/etiologia , Dermatopatias/psicologia , Socialização , Distúrbios do Paladar/etiologia , Distúrbios do Paladar/psicologia , Síndrome da Disfunção da Articulação Temporomandibular/etiologia , Síndrome da Disfunção da Articulação Temporomandibular/psicologia
18.
Acta Odontol Scand ; 53(4): 236-41, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7484106

RESUMO

Psychologic aspects of 49 patients with oral lichenoid reactions (OLR) in contact with amalgam fillings were studied and compared with an age- and sex-matched control group. Psychologic factors such as personality, psychologic functioning, and quality of life were determined by using the Karolinska Scales of Personality (KSP), an additional Personality Scale (PS), a Psychological Functioning Scale (PFS), and a Quality of Life Scale (QLS). With regard to personality the OLR patients had significantly higher scores on the muscular tension and suspicion scales and significantly lower scores on the indirect aggression scale. In addition, the OLR patients were significantly more worried about their health and more helpful. With regard to psychologic functioning the OLR patients had significantly more sad thoughts, became dizzy more easily, found it harder to imagine themselves free from anxiety, and had more difficulty in concentrating. The results indicated that OLR patients had a tendency to be depressive. The need for a systemic investigation including odontologic, medical, and psychologic aspects was expressed.


Assuntos
Líquen Plano Bucal/psicologia , Adulto , Idoso , Agressão , Ansiedade , Estudos de Casos e Controles , Amálgama Dentário , Depressão , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade , Qualidade de Vida , Reprodutibilidade dos Testes , Estresse Psicológico
19.
J Oral Pathol Med ; 24(5): 213-5, 1995 May.
Artigo em Inglês | MEDLINE | ID: mdl-7616460

RESUMO

The effect of cognitive therapy (CT) on resistant burning mouth syndrome (BMS) was studied. Thirty patients with resistant BMS after odontological and medical treatment were randomly divided into two equal groups; a therapy group (TG) was treated with CT and an attention/placebo group (APG) served as a control group. The intensity of BMS, which was estimated by the use of a visual analogue scale, was significantly reduced in the TG directly after CT was completed and was further reduced in a 6-month follow-up. The APG did not show any decrease in intensity of BMS. The results of this study indicate that, in some cases, resistant BMS probably is of psychological origin.


Assuntos
Síndrome da Ardência Bucal/psicologia , Síndrome da Ardência Bucal/terapia , Terapia Cognitivo-Comportamental , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Medição da Dor , Transtornos Somatoformes/terapia , Resultado do Tratamento
20.
Acta Odontol Scand ; 53(1): 7-11, 1995 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-7740935

RESUMO

The personality characteristics in 32 patients with resistant burning mouth syndrome (BMS) after treatment of diagnosed medical and odontologic diseases were examined and compared with a sex- and age-matched control group. After evaluation of burning mouth symptoms, the personality, the psychologic functioning, and the quality of life were determined by using the Karolinska Scales of Personality (KSP), an additional Personality Scale (PS), a Psychological Functioning Scale (PFS), and a Quality of Life Scale (QLS). The result showed that, compared with a control group, the patients with resistant BMS had a significantly lower score in socialization scale and significantly higher scores in somatic anxiety, muscular tension, and psychasthenia scales. Furthermore, the patients with resistant BMS were significantly more easily fatigued and more sensitive and showed a tendency to be more concerned about their health. With regard to the psychologic functioning, the BMS patients had significantly more problems taking the initiative, more easily became dizzy, and had more sad thoughts. They also showed a tendency to report palpitations and/or indigestions more often. The observed significant differences in personality and psychologic functioning might suggest that the burning sensations are psychosomatic symptoms in these patients. We recommend that patients with resistant BMS should undergo psychologic investigation. If psychologic and/or psychosocial disturbances are diagnosed, adequate treatment should be offered.


Assuntos
Síndrome da Ardência Bucal/psicologia , Adulto , Idoso , Ansiedade , Estudos de Casos e Controles , Depressão , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade , Transtornos Psicofisiológicos/diagnóstico , Qualidade de Vida , Reprodutibilidade dos Testes , Alienação Social , Desejabilidade Social
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...