Avaliando Dissociação em Pacientes com Transtornos Craniomandibulares

Uso de Ansiolíticos e Antidepressivos

Autores

  • Omar Franklin Molina MDS, PA, Post Doct in Orofacial Pain, Professor and Researcher, UNIRG, Gurupi-TO, Brazil;
  • Zeila Coelho Santos MDS in Orthodontics, Specialist in Orofacial Pain, Professor of Orofacial Pain, UNIRG, Gurupi-TO, Brazil;
  • Bruno Huber Simião DDS, MDS, Professor and Researcher in Prosthodontics, UNIRG, Gurupi-TO, Brazil;
  • Rogério Ferreira Marquezan MDS, Psychologist, Research Dean, UNIRG, Gurupi-TO, Brazil;
  • Ricardo Léllis Marçal DDS, MDS, Professor of Restorative Dentistry, UNIRG, Gurupi-TO, Brazil;
  • Juliana Romanelli Marçal DDS, MDS, Professor, Researcher Restorative Dentistry/Orofacial Pain, UNIRG, Gurupi-TO, Brazil;
  • Márllos Peres de Melo MDS, Statistician and Researcher, UNIRG, Gurupi, TO, Brazil.

DOI:

https://doi.org/10.34024/rnc.2013.v21.8157

Palavras-chave:

Transtornos Craniomandibulares, Dissociação, Ansiolíticos, Antidepressivos

Resumo

Objetivo. Apresentar método de classificação, avaliar frequência, grau de dissociação em pacientes com Distúrbios craniomandibulares e dissociação e verificar uso de ansiolíticos e antidepressivos. Método. Exame clínico, gravidade do bruxismo e a Escala de Experiência de Dissociação, foram aplicados em 243 indivíduos com DCMs e 43 controles. Os indivíduos com DCM e controles foram classificados como portadores de dissociação, ausente, leve, moderada, grave e mui­to grave. Resultados. Os indivíduos com DCM apresentaram mais dissociação do que aqueles sem (73,3% e 30,2% respectivamente e p=0.0001. Os pacientes com graus leve (55%) e moderados (24,2%) foram mais frequentes do que aqueles de graus grave (11,8%) e muito grave (9%). Os indivíduos com DCMs e dissociação usaram mais an­siolíticos do que aqueles sem dissociação (31%) usaram mais ansiolíti­cos do que aqueles sem dissociacáo (4,6% , p=0.03). Os pacientes com DCMs e dissociação (62%) não usaram mais antidepressivos do que aqueles sem dissociação (40%, p=0.32), mas apresentaram maior uso de antidepressivos do que o grupo controle (62% e 8,3%, p=0,0001). Uso de ansiolíticos e antidepressivos aumentou com a gravidade da dissociação (p=0.009 e p=0.04). Conclusão. A frequência de dis­sociação foi maior no grupo DCM, a dissociação leve e moderada ocorreram mais frequentemente do que a grave e muito grave. Os ansiolíticos foram usados mais frequentemente no grupo DCM com dissociação do que nos grupos DCM sem dissociação e controle.

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Publicado

2013-09-30

Como Citar

Molina, O. F., Santos, Z. C., Simião, B. H., Marquezan, R. F., Marçal, R. L., Marçal, J. R., & Melo, M. P. de. (2013). Avaliando Dissociação em Pacientes com Transtornos Craniomandibulares: Uso de Ansiolíticos e Antidepressivos. Revista Neurociências, 21(3), 369–376. https://doi.org/10.34024/rnc.2013.v21.8157

Edição

v. 21 n. 3 (2013)

Seção

Artigos Originais
Recebido: 2019-02-24
Publicado: 2013-09-30

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