Abstract：
OBJECTIVE:Phantom bite syndrome (PBS) is characterized by a persistent uncomfortable sensation of occlusion without an evident occlusal discrepancy. The aims of this retrospective cross-sectional study were to assess psychiatric comorbidities and evaluate psychopharmacological outcomes of PBS. METHODS:The database of the Psychosomatic Dentistry Clinic of Tokyo Medical and Dental University Dental Hospital was reviewed for cases of PBS diagnosed between April 2009 and March 2012. Clinical Global Impression indices were used to assess psychopharmacological outcomes. RESULTS:The review revealed 130 patients (107 women, 23 men) with a mean age of 53.0 ±13.1 years. They previously visited 4.4 ±3.4 dental clinicsand had a mean symptom duration of 5.3 ±5.4 years. Only 24 (18.5%) of 63 (48.5%) patients with psychiatric comorbidities had schizophrenia, major depressive disorder, or bipolar disorder. The frequency of psychiatric comorbidities was significantly lower in PBS with a dental trigger than that without a specific trigger. Moreover, patients without a psychiatric comorbidity showed significantly better outcomes than those with a psychiatric comorbidity. Forty patients (30.8%) showed remarkable clinical improvement after receiving amitriptyline, mirtazapine, or aripiprazole. CONCLUSION:PBS is generally not associated with severe psychiatric disorders. Absence of a dental trigger predicts a psychiatric comorbidity, which affects the psychopharmacological outcome. Antidepressant or antipsychotic therapy may be effective for symptom management in PBS.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Watanabe M,Umezaki Y,Suzuki S,Miura A,Shinohara Y,Yoshikawa T,Sakuma T,Shitano C,Katagiri A,Sato Y,Takenoshita M,Toyofuku Adoi
10.1016/j.jpsychores.2014.11.010subject
Has Abstractpub_date
2015-03-01 00:00:00pages
255-9issue
3eissn
0022-3999issn
1879-1360pii
S0022-3999(14)00390-0journal_volume
78pub_type
杂志文章abstract：:A principal component analysis was carried out on the 62-item Illness Behaviour Questionnaire responses of 832 pain clinics and patients and 746 psychiatric in-patients in the same general hospital. Analyses were carried out for the groups separately, and combined (N = 1578). The factors obtained were compared to thos...
journal_title：Journal of psychosomatic research
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abstract：OBJECTIVE:Adult attachment has been suggested to mediate the effect of social support on stress protection. The purpose of this study was to investigate the effects of adult attachment and social support on psychological and endocrine responses to psychosocial stress. METHODS:Sixty-three healthy men who were married o...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jpsychores.2007.11.011
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:"Effort tests" (i.e., tests that indicate whether appropriate effort is being made) are increasingly used in neuropsychological assessments. However, not all failures on effort tests are necessarily attributable to lack of effort. Understanding the factors that contribute to failure on effort tests has impor...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章,随机对照试验
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abstract：:In this prospective study, 137 patients with chronic fatigue syndrome were followed-up at a 1-year interval to determine factors relating to outcomes. Nearly two thirds reported an improvement on direct ratings of change. In analyses with fatigue and functional impairment at follow-up as the criteria, and controlling ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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abstract：BACKGROUND:It is hypothesized that somatic symptom alleviation is a significant predictor of overall outcome in depressed primary care patients. METHODS:Depressed primary care patients (N=205) meeting DSM-IV-TR criteria received open-label antidepressant therapy. The primary symptom measurement tool used was the 17-it...
journal_title：Journal of psychosomatic research
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章,多中心研究
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journal_title：Journal of psychosomatic research
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doi：10.1016/s0022-3999(02)00335-5
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pub_type： 杂志文章
doi：10.1016/j.jpsychores.2012.05.010
更新日期：2012-08-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(91)90071-u
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journal_title：Journal of psychosomatic research
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更新日期：2016-09-01 00:00:00
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更新日期：2019-02-01 00:00:00
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更新日期：2008-12-01 00:00:00
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更新日期：2009-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.jpsychores.2005.06.062
更新日期：2005-12-01 00:00:00
abstract：:To develop a model of how stress and other psychosocial constructs may interact to explain recurrences of genital herpes, assessments of major and minor life stress, locus of control, arousal or stimulation seeking, and social support were given to 153 university students (33% male; 67% female) who were seropositive f...
journal_title：Journal of psychosomatic research
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