Bruxism as mechanism subserving hysteria
a new theory
DOI:
https://doi.org/10.34024/rnc.2008.v16.8614Keywords:
Temporomandibular Joint Disorders, Hysteria, Bruxism, PainAbstract
Objective. To explore the hypothesis that bruxism is a mechanism in hysteria by comparing features in hysteria, bruxism, hostility, and local complaints in bruxers. Method. We evaluated 33 patients with mild bruxism, 52 with moderate, 55 with severe, and 42 with extreme bruxism with the Minnesota Multiphasic Personality Index and the Cook-Medley scale for hostility. Results. Scores of hysteria and hostility increased from the mild to the moderate, severe, and extreme bruxism subgroup (p<0.0001). Mean local complaints increased with the severity of bruxism and with scores of hysteria (p><0.0001). The group that presented higher scores in both hysteria and hostility and greater local complaints as compared to two groups, low hysteria and high hostility, and low hysteria and hostility (p><0.003). Conclusion. Scores in hysteria e hostility increased with the severity of bruxism, and the number of local complaints increased with scores in hysteria and severe bruxism, suggesting that bruxism may be a hysterical mechanism in temporomandibular disorders/bruxing behavior patients>
Metrics
References
Carveth DL, Carveth J. Fugitives from guilt. Am Imago 2003;60:445-76.
Rosen H. Sexuality in females with hysteria. Amer J Psychiatr 1967;124:141-6.
Celami D. An interpersonal approach to hysteria. Amer J Psychiat 1976;133:1414-20.
Lefer L. Psychoanalytic view of a dental phenomenon. Contemp Psychoanal 1966;2:135.
Chodoff P, Lyons H. Hysteria: The hysterical personality and hysterical conversion. Amer J Psychiat 1958;114:734-40.
Therories of aggression: Psychoanalytic theories of aggression (Endereço na Internet). Alemanha: van der Dennen JMG (atualização: 2007; citado em 2008). Available at: http://rechten.eldoc.ub.rug.nl/departments/Algemeen/overigepublicaties/2005enouder/APANAL/FullItemRecord=ON
Freud S. Some psychological consequences of the anatomic difference between the sexes. Standard Edition. Vol 19. Londres: Intl Universities Pr Inc 1925, pp. 248-58.
Marmor J. Orality in the hysterical personality. J Amer Psychoanal Assoc 1953;1:656-71. Berblinger KW. Hysterical crises and the question of the hysterical character. Psychosomatics 1960;1:270-9.
Schnurr RF, Brooke RI, Rollman GB. Psychosocial correlates of temporo mandibular joint pain dysfunction. Pain 1990;42:153-63.
Beaton RD, Kelly JF, Nakagawa-Kogan H, Morrison KN. Self-reported symptoms of stress with temporomandibular disorders. J Prost Dent 1991;65:289-93.
Michelotti A, Martina R, Russo M, Romeo R. Personality characteristics of temporo mandibular disorder patients using the MMPI. J Craniomand Pract 1998;16:119-25.
Adler RH, Zlot S, Hürny C, Minder C. Engle’s psychogenic pain and the pain prone patient. Psychosom Med 1989; 51:87-101.
Biondi M, Picardi A. Temporomandibular joint pain dysfunction syndrome and bruxism: Etiopathogenegsis and treatment from a psychosomatic viewpoint. Psychother Psychosom 1993;59:89-98.
Moulton RE. Emotional factors in facial pain. Disorders of the temporomandibular Joints. Philadelphia: WB Saunders Company, 1960; 209-20.
Molina OF, dos Santos J, Nelson SJ, Nowlin T. A clinical study of specific signs and Symptoms of CMD in bruxers classified by the degree of severity. J Craniomand Pract 1999;17:268-79.
Boutros NN, Montgomery MT, Nishioka G, Hatch JF. The effects of severe bruxism on sleep architecture: A preliminary report. Clin Electroenc 1993;24:59-62. International classification of sleep disorders (ICSD).
Diagnostic and coding manual Revised. Diagnostic Classification Steering Committee. Rocheste: American Sleep Disorders Association, 2005, 296p.
Kato T, Montplaisir JY, Guitard F, Lund JP, Lavigne GJ. Evidence that Experimentally induced sleep bruxism is a consequence of transient arousal. J Dent Res 2003;82:284-8.
Bader G, Lavigne GJ. Sleep bruxism: an overview of an oromandibular sleep movement disorder. Sleep Med Rev 2000;4(1):27-43.
Dao TT, Lund JP, Lavigne GJ. Comparison of pain and quality of life in bruxers and patients with myofascial pain of the masticatory muscles. J Orofac Pain 1994;8:330-56.
Campbell DG. Psychosomatic medicine in oral disorders. Amer J Orthod Oral Surg 1945;31:440-6.
Lupton DE. Psychological aspects of temporomandibular joint dysfunction. JADA 1968;79:131-8.
Reding JR, Zeppelin H, Robinson JE, Zimmerman SJ, Smith VV. Nocturnal Teeth Grinding: all night psycho physiologic studies. JDR 1968;47:786-97.
Manfredini D, Landi N, Romagnoli M, Bosco M. Psychic and occlusal factors in bruxism. Aust Dent J 2004;49:84-9.
Molina OF, Santos J. Hostility in TMD/bruxism patients and controls: A clinical comparison study and preliminary results. J Craniomand Pract 2002;20:282-8.
Meldolesi GN, Picardi A, Aciville E, Toraldo R, Biondi M. Personality and psychopathology in patients with temporomandibular joint pain dysfunction syndrome. Psychother Psychosom 2000;69:322-8.
Mongini F, Ibertis T, Barbalonga F, Ravioli F. MMPI-2 profiles in chronic daily headache and their relationship to anxiety levels and accompanying symptoms. Headache 2000;40:466-72.
Arbisi PA, Butcher JA. Relationships between personality and health symptoms. Inter J Clin Health Psychol 2004; 4:571-95.
Clark GT, Rugh JD, Handelman SL. Nocturnal masseter muscle activity and urinary catecholamines levels in bruxers. JDR 1980; 59:1571-6. Moulton RE. Psychiatric considerations in the treatment of occlusion. J Prost Dent 1957;7:148-57.
Bernstein DN, Gatchell RJ. Behavioral predictor variables of treatment outcome in patients with temporomandibular disorders. J Applied Biobehav Res 2005;5:101-13.
Kampe T, Tagdae T, Bader G, Edman G, Karlsson S. Reported symptoms and clinical findings in a group of subjects with longstanding bruxing behavior. J Oral Rehab 1997;24:581-7.
