Avaliando Dissociação em Pacientes com Transtornos Craniomandibulares
Uso de Ansiolíticos e Antidepressivos
DOI:
https://doi.org/10.34024/rnc.2013.v21.8157Palavras-chave:
Transtornos Craniomandibulares, Dissociação, Ansiolíticos, AntidepressivosResumo
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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