Psychological correlates of medical comorbidities in patients with temporomandibular disorders
•Download as KEY, PDF•
0 likes•553 views
The document summarizes a study that examined the relationship between medical comorbidities and psychological function in patients with temporomandibular joint disorder (TMD). The study analyzed data from 1,060 TMD patients, finding a linear relationship between the number of medical comorbidities and overall psychological distress. It concludes that certain comorbidities like sleep problems, lack of exercise, and hypothalamic-pituitary-adrenal axis dysfunction may relate more strongly to psychological functioning in TMD patients. The study recommends multidisciplinary treatment approaches for TMD patients.
Report
Share
Report
Share
Recommended
Psychosomatic medicine in relation to cardiovascular disease
This document discusses the relationship between psychosomatic medicine and cardiovascular disease. It covers topics such as the concepts of psychosomatic medicine including the biopsychosocial model, stress theory, and psychoneuroimmunological basis of disease. It also discusses psychiatric disorders that can be associated with heart disease such as depression, anxiety, and how they may impact cardiovascular health. The document outlines diagnostic issues and management approaches including consultation-liaison psychiatry, psychotherapy, pharmacotherapy, and stress management.
depression and heart_disease
there is a link between emotional problems and incidence, response, prognosis of heart diseases especially ischemia. management of this co morbidity is very important.
2012-12-18_Elderly_final
The document discusses anesthetic considerations for elderly trauma patients. It notes the physiological changes that occur with aging, including decreased function of organs and systems. Treating elderly trauma poses unique challenges due to preexisting medical conditions, reduced physiological reserve, and altered responses to injury and medication. Careful preoperative assessment, aggressive monitoring and resuscitation, and consideration of age-related changes to pharmacokinetics are important for optimizing outcomes in geriatric trauma.
IBIA 2014 Glang SW
This study examined the relationship between cerebellar white matter integrity and depression in patients with chronic traumatic brain injury (TBI). The study found reduced fractional anisotropy (FA) in cerebellar tracts in patients with moderate to severe TBI compared to controls and patients with mild TBI. FA in specific cerebellar tracts correlated with depressive symptoms, with greater reductions in FA associated with more severe depressive symptoms. The results suggest damage to cerebellar white matter is related to depressive symptoms in chronic TBI patients.
Medically unexplained symptoms by dr ajay nihalani
Medically Unexplained Symptoms (MUS) refers to medical symptoms that are not fully explained by physical illness. They can be caused by somatoform disorders like somatization disorder, conversion disorder, and hypochondriasis, which involve the person experiencing physical symptoms that cannot be attributed to medical conditions. MUS can also be linked to mental health issues like depression and anxiety, or be factitious in nature where physical symptoms are intentionally feigned or exaggerated. Somatoform disorders involve the person experiencing real physical symptoms, but their symptoms are considered to be linked to their psychological state rather than a physical disease.
Medically unexpalined symptoms
This document discusses psychosomatic medicine, which explores the relationships between social, psychological, and behavioral factors on physical health and quality of life. It addresses how patients often present somatic symptoms to doctors without an identifiable organic cause, which can be due to conditions like depression, anxiety, or functional somatic illnesses. The "problem" arises because patients experience symptoms differently than doctors expect to find a diagnosis. While doctors may dismiss symptoms as having nothing wrong, patients still experience distress. Assessing and treating any underlying mental health issues, having tolerance for diagnostic uncertainty, and taking a long-term view of improvements can help doctors in these situations.
Jonathan pimm 011110
This document discusses medically unexplained symptoms and related psychiatric diagnoses. It summarizes that somatization disorder, hypochondriasis, and somatoform autonomic dysfunction are psychiatric diagnoses related to medically unexplained symptoms. It also discusses that symptoms of generalized anxiety disorder can include both cognitive symptoms like worry and physical symptoms like tremors or difficulty breathing. Differential diagnoses for physical symptoms include endocrine, cardiac, respiratory, and neurological conditions, as well as vitamin deficiencies and substance use. The outcomes of depression, medically unexplained symptoms, and unemployment are shown together over time.
Fibromyalgia
Fibromyalgia is a chronic pain syndrome characterized by widespread musculoskeletal pain and tenderness. It is more common in women than men. While pain is the primary symptom, it also involves fatigue, sleep issues, cognitive problems, anxiety and depression. There is no known cause but factors like genetics and abnormal pain processing in the central nervous system may play a role. Treatment involves lifestyle changes like exercise and stress management as well as medications like antidepressants. While not curable, some patients are able to adapt well through treatment, but a minority have severe, treatment-resistant symptoms.
Recommended
Psychosomatic medicine in relation to cardiovascular disease
This document discusses the relationship between psychosomatic medicine and cardiovascular disease. It covers topics such as the concepts of psychosomatic medicine including the biopsychosocial model, stress theory, and psychoneuroimmunological basis of disease. It also discusses psychiatric disorders that can be associated with heart disease such as depression, anxiety, and how they may impact cardiovascular health. The document outlines diagnostic issues and management approaches including consultation-liaison psychiatry, psychotherapy, pharmacotherapy, and stress management.
depression and heart_disease
there is a link between emotional problems and incidence, response, prognosis of heart diseases especially ischemia. management of this co morbidity is very important.
2012-12-18_Elderly_final
The document discusses anesthetic considerations for elderly trauma patients. It notes the physiological changes that occur with aging, including decreased function of organs and systems. Treating elderly trauma poses unique challenges due to preexisting medical conditions, reduced physiological reserve, and altered responses to injury and medication. Careful preoperative assessment, aggressive monitoring and resuscitation, and consideration of age-related changes to pharmacokinetics are important for optimizing outcomes in geriatric trauma.
IBIA 2014 Glang SW
This study examined the relationship between cerebellar white matter integrity and depression in patients with chronic traumatic brain injury (TBI). The study found reduced fractional anisotropy (FA) in cerebellar tracts in patients with moderate to severe TBI compared to controls and patients with mild TBI. FA in specific cerebellar tracts correlated with depressive symptoms, with greater reductions in FA associated with more severe depressive symptoms. The results suggest damage to cerebellar white matter is related to depressive symptoms in chronic TBI patients.
Medically unexplained symptoms by dr ajay nihalani
Medically Unexplained Symptoms (MUS) refers to medical symptoms that are not fully explained by physical illness. They can be caused by somatoform disorders like somatization disorder, conversion disorder, and hypochondriasis, which involve the person experiencing physical symptoms that cannot be attributed to medical conditions. MUS can also be linked to mental health issues like depression and anxiety, or be factitious in nature where physical symptoms are intentionally feigned or exaggerated. Somatoform disorders involve the person experiencing real physical symptoms, but their symptoms are considered to be linked to their psychological state rather than a physical disease.
Medically unexpalined symptoms
This document discusses psychosomatic medicine, which explores the relationships between social, psychological, and behavioral factors on physical health and quality of life. It addresses how patients often present somatic symptoms to doctors without an identifiable organic cause, which can be due to conditions like depression, anxiety, or functional somatic illnesses. The "problem" arises because patients experience symptoms differently than doctors expect to find a diagnosis. While doctors may dismiss symptoms as having nothing wrong, patients still experience distress. Assessing and treating any underlying mental health issues, having tolerance for diagnostic uncertainty, and taking a long-term view of improvements can help doctors in these situations.
Jonathan pimm 011110
This document discusses medically unexplained symptoms and related psychiatric diagnoses. It summarizes that somatization disorder, hypochondriasis, and somatoform autonomic dysfunction are psychiatric diagnoses related to medically unexplained symptoms. It also discusses that symptoms of generalized anxiety disorder can include both cognitive symptoms like worry and physical symptoms like tremors or difficulty breathing. Differential diagnoses for physical symptoms include endocrine, cardiac, respiratory, and neurological conditions, as well as vitamin deficiencies and substance use. The outcomes of depression, medically unexplained symptoms, and unemployment are shown together over time.
Fibromyalgia
Fibromyalgia is a chronic pain syndrome characterized by widespread musculoskeletal pain and tenderness. It is more common in women than men. While pain is the primary symptom, it also involves fatigue, sleep issues, cognitive problems, anxiety and depression. There is no known cause but factors like genetics and abnormal pain processing in the central nervous system may play a role. Treatment involves lifestyle changes like exercise and stress management as well as medications like antidepressants. While not curable, some patients are able to adapt well through treatment, but a minority have severe, treatment-resistant symptoms.
What is Fibromyalgia?
Have you ever had one of those extreme headaches that ruthlessly affect your quality of work? If you are suffering from chronic widespread pain and sharp painful response to pressure, known as allodynia in medical terms, then you might be experiencing Fibromyalgia.
Cardiff - Understanding Medically & Neurologically Unexplained Symptoms (Apr08)
This is a talk given to a local conference in Cardiff in April 2008 concerning the importance of medically unexplained symptoms.
Fibromyalgia disease overview
Fibromyalgia is a chronic pain condition characterized by widespread musculoskeletal pain, fatigue, and tender points. The pathogenesis involves central sensitization leading to amplification of pain signaling and processing in the central nervous system. It is diagnosed based on chronic widespread pain for at least 3 months and tenderness in at least 11 of 18 tender point sites. Management includes non-pharmacological approaches like exercise, cognitive behavioral therapy, and education, as well as medications to reduce pain and improve sleep, mood, and function.
Fibromyalgia Syndrome
Fibromyalgia is a common musculoskeletal condition characterized by widespread muscle pain and tender points. It affects over 12 million Americans, most of whom are women. Symptoms include fatigue, sleep problems, and depression in addition to muscle and joint pain. Diagnosis is difficult as the cause is unknown, but it involves evaluating symptoms and tender points. Treatment aims to minimize pain and other symptoms through lifestyle changes like exercise and stress reduction as well as medications. While symptoms cannot be cured, treatment can improve quality of life for those with this chronic condition.
Fibromyalgia lecture2010
This document provides information about fibromyalgia including its definition, symptoms, diagnosis, treatment, and prognosis. Fibromyalgia is defined as a chronic pain condition characterized by widespread muscle aches, pain and tenderness in at least 11 of 18 tender points. It predominantly affects women and has no known cause but may involve abnormalities in how the brain processes pain signals. Treatment involves lifestyle modifications like exercise, stress management and adequate sleep, along with medications to reduce pain and improve symptoms. While there is no cure for fibromyalgia, treatment can help manage symptoms and many people are able to lead active lives.
Chronic Pain
This document discusses chronic pain, comparing it to acute pain. It defines chronic pain as persisting for over 3 months and discusses how medical models influence its development. It also addresses treatment options, coexisting disorders, multi-axial treatment models, and the role of counselors in addressing chronic pain.
Fibromyalgia 2
Steven Smith presents a continuing education lecture on fibromyalgia syndrome (FMS) for nurses and nurse practitioners. He begins by providing his conflict of interest statement, then asks a series of questions about what FMS is and whether it is a musculoskeletal, mental, or inflammatory condition. He explains that FMS is thought to be an illness of the central nervous system, specifically the neuroendocrine system. Smith discusses central sensitization syndrome and concepts like wind-up phenomenon and neurotransmitters involved in ascending and descending pain pathways. He emphasizes the importance of understanding the pathophysiology of FMS in order to properly treat it. Smith stresses that FMS is diagnosed through a thorough history and physical exam to rule out other conditions. He provides examples of
Updates in Fibromyalgia: Diagnosis and Management
I was asked to present something on Fibromyalgia during a Pain Summit. I ended up describing what we know so far about clinical features, evolution of diagnostic criteria and synthesized some recent guidelines.
12.04.08(a): Pathogenesis and Treatment of Fibromyalgia
Slideshow is from the University of Michigan Medical School's M2 Musculoskeletal sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M2Muscu
Bipolar disorder
Bipolar disorder is a chronic, recurrent biological condition characterized by alternating periods of mania, hypomania, depression, or a mix of symptoms. It has a lifetime prevalence of 5.1% in the United States and typically emerges between ages 18-30. Bipolar disorder is associated with substance abuse, anxiety disorders, and personality disorders. While its causes are biological in nature, psychological and environmental factors can trigger mood episodes. Treatment involves medication management, psychotherapy, and lifestyle changes to prevent relapse and limit the severity of future mood episodes.
Fibromyalgia
Dr Zahida Chaudnary talks with the students about what Fibromyalgia.
Check out the slideshow by itself here.
Want an audio version? Subscribe to our Podcast on iTunes!
Want to join us for the live discussion? Check out our Social Media in the noon hour every Monday as we sit down on Google Hangout OnAir! Follow us on Twitter, Facebook, or Google+ to get updated with the link when we start!
Fibromyalgia
This document provides an overview of fibromyalgia, including:
- Fibromyalgia causes widespread pain, fatigue, and other types of discomfort throughout the body. While symptoms resemble arthritis, it affects soft tissues rather than joints.
- Common symptoms include widespread pain, headaches, fatigue, sleep issues, and fibro-fog. The cause is unknown but may involve genetics and traumatic injuries.
- Treatment options aim to relieve symptoms and improve sleep, including exercise, acupuncture, psychotherapy, and some medications. People need to work with their doctor to develop an individualized treatment plan.
Fibromyalgia & Chronic Fatigue Syndrome
This document reviews fibromyalgia and chronic fatigue syndrome, discussing their definitions, epidemiology, pathophysiology, symptoms, theories of causation, and treatment options. It examines various theories that fibromyalgia may be caused by abnormalities in brain chemistry, hormones, muscle and cell function. Both pharmacological and non-pharmacological therapies are considered, including medications, diet, exercise, sleep, and supplements. Specific evaluation and treatment approaches focused on the thyroid, adrenals, sleep, fatigue, stress reduction, and pain management are outlined.
Fibromyalgia
Information on Firbromyalgia presented to senior University of Oklahoma Health and Sport Science Majors.
Fibromyalgia
Fibromyalgia is a disease, which is difficult to diagnose. These slides include ACR criteria 1990 and 2010 with Wide spread pain index(WPI) and Symptom severity score(SSS)
Fibromyalgia
fibromyalgia chronic disease affecting female more than male this lecture concentrate on pain pathway treatment and other ways to manage fibromyalgia
Psychological evaluation of the paediatric patients and their parents
This document summarizes a presentation on the psychological evaluation of pediatric patients and their parents undergoing surgery. It discusses the common sources of anxiety for both children and their parents related to medical procedures. It also outlines developmental considerations for different age groups and evaluates tools to assess anxiety levels. The presentation emphasizes the importance of psychological preparation and interventions for patients and families to reduce preoperative stress and anxiety and improve postoperative outcomes.
4 headache jaber amin
This document provides a summary of headache types including definitions, epidemiology, causes, evaluation, diagnosis, and management. It discusses common primary headache disorders like migraine and tension-type headache as well as secondary headaches that can be caused by conditions like sinusitis, pseudotumor cerebri, trigeminal neuralgia, and temporal arteritis. Key details are provided on symptoms, risk factors, diagnostic criteria and tests, and treatment approaches for each headache type. The document aims to educate medical students on conducting thorough evaluations and making accurate diagnoses to appropriately manage patients presenting with headaches.
New Developments in the Treatment of Mood Disorders
Roger F Haskett MD
University of Pittsburgh School of Medicine Western Psychiatric Institute and Clinic
Medicine, Culture, and Spirituality Conference
September 9, 2011
TREATMENT RESISTANT DEPRESSION
1) Depression has a lifetime prevalence of 10-30% and is the third leading cause of disability worldwide. 2) Only about 33% of patients achieve full remission after their first antidepressant, and 30-45% fail to respond adequately to two treatments. 3) Achieving full remission is important for preventing relapse and reducing risks of suicide, medical comorbidities, and impaired functioning. Treatment resistance is defined as failing to respond to two adequate antidepressant trials.
Alternative Therapy Treatments for Depression and Anxiety
This slide presentation is provided by Daniela White, M.D. Psychiatrist at Midtown TMS Treatment Center in Houston, Texas. http://danielawhite-md.com/ with the latest in depression treatments.describes alternative treatments that are available besides the traditional pharmacological (medicine or prescription drug treatment. These alternative treatments, including TMS, are effective, evidenced based, treatment alternatives for treating depression, anxiety and other mood disorders.
Treatment of resistant depression
This document discusses treatment options for treatment-resistant depression (TRD). It defines TRD as major depression that does not resolve with adequate antidepressant treatment. Approximately 15-20% of depressed patients will have TRD. Treatment options discussed include optimization or augmentation of antidepressants, switching antidepressants, electroconvulsive therapy, transcranial magnetic stimulation, and vagus nerve stimulation. Future treatment options discussed are novel agents like S-adenosylmethionine and devices like deep brain stimulation. TRD poses substantial economic and disability burdens.
More Related Content
What's hot
What is Fibromyalgia?
Have you ever had one of those extreme headaches that ruthlessly affect your quality of work? If you are suffering from chronic widespread pain and sharp painful response to pressure, known as allodynia in medical terms, then you might be experiencing Fibromyalgia.
Cardiff - Understanding Medically & Neurologically Unexplained Symptoms (Apr08)
This is a talk given to a local conference in Cardiff in April 2008 concerning the importance of medically unexplained symptoms.
Fibromyalgia disease overview
Fibromyalgia is a chronic pain condition characterized by widespread musculoskeletal pain, fatigue, and tender points. The pathogenesis involves central sensitization leading to amplification of pain signaling and processing in the central nervous system. It is diagnosed based on chronic widespread pain for at least 3 months and tenderness in at least 11 of 18 tender point sites. Management includes non-pharmacological approaches like exercise, cognitive behavioral therapy, and education, as well as medications to reduce pain and improve sleep, mood, and function.
Fibromyalgia Syndrome
Fibromyalgia is a common musculoskeletal condition characterized by widespread muscle pain and tender points. It affects over 12 million Americans, most of whom are women. Symptoms include fatigue, sleep problems, and depression in addition to muscle and joint pain. Diagnosis is difficult as the cause is unknown, but it involves evaluating symptoms and tender points. Treatment aims to minimize pain and other symptoms through lifestyle changes like exercise and stress reduction as well as medications. While symptoms cannot be cured, treatment can improve quality of life for those with this chronic condition.
Fibromyalgia lecture2010
This document provides information about fibromyalgia including its definition, symptoms, diagnosis, treatment, and prognosis. Fibromyalgia is defined as a chronic pain condition characterized by widespread muscle aches, pain and tenderness in at least 11 of 18 tender points. It predominantly affects women and has no known cause but may involve abnormalities in how the brain processes pain signals. Treatment involves lifestyle modifications like exercise, stress management and adequate sleep, along with medications to reduce pain and improve symptoms. While there is no cure for fibromyalgia, treatment can help manage symptoms and many people are able to lead active lives.
Chronic Pain
This document discusses chronic pain, comparing it to acute pain. It defines chronic pain as persisting for over 3 months and discusses how medical models influence its development. It also addresses treatment options, coexisting disorders, multi-axial treatment models, and the role of counselors in addressing chronic pain.
Fibromyalgia 2
Steven Smith presents a continuing education lecture on fibromyalgia syndrome (FMS) for nurses and nurse practitioners. He begins by providing his conflict of interest statement, then asks a series of questions about what FMS is and whether it is a musculoskeletal, mental, or inflammatory condition. He explains that FMS is thought to be an illness of the central nervous system, specifically the neuroendocrine system. Smith discusses central sensitization syndrome and concepts like wind-up phenomenon and neurotransmitters involved in ascending and descending pain pathways. He emphasizes the importance of understanding the pathophysiology of FMS in order to properly treat it. Smith stresses that FMS is diagnosed through a thorough history and physical exam to rule out other conditions. He provides examples of
Updates in Fibromyalgia: Diagnosis and Management
I was asked to present something on Fibromyalgia during a Pain Summit. I ended up describing what we know so far about clinical features, evolution of diagnostic criteria and synthesized some recent guidelines.
12.04.08(a): Pathogenesis and Treatment of Fibromyalgia
Slideshow is from the University of Michigan Medical School's M2 Musculoskeletal sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M2Muscu
Bipolar disorder
Bipolar disorder is a chronic, recurrent biological condition characterized by alternating periods of mania, hypomania, depression, or a mix of symptoms. It has a lifetime prevalence of 5.1% in the United States and typically emerges between ages 18-30. Bipolar disorder is associated with substance abuse, anxiety disorders, and personality disorders. While its causes are biological in nature, psychological and environmental factors can trigger mood episodes. Treatment involves medication management, psychotherapy, and lifestyle changes to prevent relapse and limit the severity of future mood episodes.
Fibromyalgia
Dr Zahida Chaudnary talks with the students about what Fibromyalgia.
Check out the slideshow by itself here.
Want an audio version? Subscribe to our Podcast on iTunes!
Want to join us for the live discussion? Check out our Social Media in the noon hour every Monday as we sit down on Google Hangout OnAir! Follow us on Twitter, Facebook, or Google+ to get updated with the link when we start!
Fibromyalgia
This document provides an overview of fibromyalgia, including:
- Fibromyalgia causes widespread pain, fatigue, and other types of discomfort throughout the body. While symptoms resemble arthritis, it affects soft tissues rather than joints.
- Common symptoms include widespread pain, headaches, fatigue, sleep issues, and fibro-fog. The cause is unknown but may involve genetics and traumatic injuries.
- Treatment options aim to relieve symptoms and improve sleep, including exercise, acupuncture, psychotherapy, and some medications. People need to work with their doctor to develop an individualized treatment plan.
Fibromyalgia & Chronic Fatigue Syndrome
This document reviews fibromyalgia and chronic fatigue syndrome, discussing their definitions, epidemiology, pathophysiology, symptoms, theories of causation, and treatment options. It examines various theories that fibromyalgia may be caused by abnormalities in brain chemistry, hormones, muscle and cell function. Both pharmacological and non-pharmacological therapies are considered, including medications, diet, exercise, sleep, and supplements. Specific evaluation and treatment approaches focused on the thyroid, adrenals, sleep, fatigue, stress reduction, and pain management are outlined.
Fibromyalgia
Information on Firbromyalgia presented to senior University of Oklahoma Health and Sport Science Majors.
Fibromyalgia
Fibromyalgia is a disease, which is difficult to diagnose. These slides include ACR criteria 1990 and 2010 with Wide spread pain index(WPI) and Symptom severity score(SSS)
Fibromyalgia
fibromyalgia chronic disease affecting female more than male this lecture concentrate on pain pathway treatment and other ways to manage fibromyalgia
What's hot (16)
Cardiff - Understanding Medically & Neurologically Unexplained Symptoms (Apr08)
Cardiff - Understanding Medically & Neurologically Unexplained Symptoms (Apr08)
12.04.08(a): Pathogenesis and Treatment of Fibromyalgia
12.04.08(a): Pathogenesis and Treatment of Fibromyalgia
Viewers also liked
Psychological evaluation of the paediatric patients and their parents
This document summarizes a presentation on the psychological evaluation of pediatric patients and their parents undergoing surgery. It discusses the common sources of anxiety for both children and their parents related to medical procedures. It also outlines developmental considerations for different age groups and evaluates tools to assess anxiety levels. The presentation emphasizes the importance of psychological preparation and interventions for patients and families to reduce preoperative stress and anxiety and improve postoperative outcomes.
4 headache jaber amin
This document provides a summary of headache types including definitions, epidemiology, causes, evaluation, diagnosis, and management. It discusses common primary headache disorders like migraine and tension-type headache as well as secondary headaches that can be caused by conditions like sinusitis, pseudotumor cerebri, trigeminal neuralgia, and temporal arteritis. Key details are provided on symptoms, risk factors, diagnostic criteria and tests, and treatment approaches for each headache type. The document aims to educate medical students on conducting thorough evaluations and making accurate diagnoses to appropriately manage patients presenting with headaches.
New Developments in the Treatment of Mood Disorders
Roger F Haskett MD
University of Pittsburgh School of Medicine Western Psychiatric Institute and Clinic
Medicine, Culture, and Spirituality Conference
September 9, 2011
TREATMENT RESISTANT DEPRESSION
1) Depression has a lifetime prevalence of 10-30% and is the third leading cause of disability worldwide. 2) Only about 33% of patients achieve full remission after their first antidepressant, and 30-45% fail to respond adequately to two treatments. 3) Achieving full remission is important for preventing relapse and reducing risks of suicide, medical comorbidities, and impaired functioning. Treatment resistance is defined as failing to respond to two adequate antidepressant trials.
Alternative Therapy Treatments for Depression and Anxiety
This slide presentation is provided by Daniela White, M.D. Psychiatrist at Midtown TMS Treatment Center in Houston, Texas. http://danielawhite-md.com/ with the latest in depression treatments.describes alternative treatments that are available besides the traditional pharmacological (medicine or prescription drug treatment. These alternative treatments, including TMS, are effective, evidenced based, treatment alternatives for treating depression, anxiety and other mood disorders.
Treatment of resistant depression
This document discusses treatment options for treatment-resistant depression (TRD). It defines TRD as major depression that does not resolve with adequate antidepressant treatment. Approximately 15-20% of depressed patients will have TRD. Treatment options discussed include optimization or augmentation of antidepressants, switching antidepressants, electroconvulsive therapy, transcranial magnetic stimulation, and vagus nerve stimulation. Future treatment options discussed are novel agents like S-adenosylmethionine and devices like deep brain stimulation. TRD poses substantial economic and disability burdens.
Depression
The document discusses depression, including its symptoms, types, causes, diagnosis, and treatment. It defines three main types of depression - clinical depression, minor depression, and bipolar disorder. It explains that depression is linked to imbalances in brain chemicals like serotonin and shrinkage in parts of the brain. Common treatments include SSRIs and therapy.
Presentation on-google
Larry Page and Sergey Brin founded Google in 1998. Over the next decade, Google introduced many innovative products like AdWords, Gmail, Google Maps, and Android. In 2011, Larry Page replaced Eric Schmidt as CEO of Google. Page's vision is to build search engines that can understand all information in the world. Under Page's leadership, Google continues focusing on innovation and improving the user experience.
Depression
Depression is a common and serious mental disorder characterized by depressed mood, loss of interest, feelings of guilt and low self-worth, and poor concentration. It is the leading cause of disability worldwide. Depression can be reliably diagnosed and treated, although currently less than 25% of those affected have access to effective treatments. Treatment options include antidepressant medications like SSRIs and psychotherapy.
Psychology in orthognathic patients for orthodontists by Almuzian
This document discusses psychological assessment of patients undergoing orthognathic surgery. It notes that all patients should be assessed by a psychologist to evaluate their motives and determine if surgical goals are realistic. It also discusses body dysmorphic disorder, noting that some patients have a distorted body image and unrealistic expectations about how surgery can change their appearance. The document provides criteria for diagnosing body dysmorphic disorder and recommends that surgery only be considered if there is a physical defect and the patient receives psychological support. It offers guidance for surgeons on how to approach patients showing signs of body dysmorphic disorder.
Viewers also liked (10)
Psychological evaluation of the paediatric patients and their parents
Psychological evaluation of the paediatric patients and their parents
New Developments in the Treatment of Mood Disorders
New Developments in the Treatment of Mood Disorders
Alternative Therapy Treatments for Depression and Anxiety
Alternative Therapy Treatments for Depression and Anxiety
Psychology in orthognathic patients for orthodontists by Almuzian
Psychology in orthognathic patients for orthodontists by Almuzian
Similar to Psychological correlates of medical comorbidities in patients with temporomandibular disorders
Harniess 01
1. Physical examination is important in mental health assessment to identify any underlying organic causes for psychiatric presentations such as infections, metabolic disorders, endocrine abnormalities, and neurological conditions.
2. The physical examination should be tailored to the particular mental health presentation and may include systems like cardiovascular, respiratory, abdominal, neurological, and endocrine examinations.
3. Good documentation of physical findings, assessment, and management plan is important for continuity of care, medical-legal purposes, and showing thorough clinical reasoning.
Harniess 01
The document discusses the importance of conducting a physical examination for patients presenting with mental health issues. It provides rationales for why organic causes should be considered, such as many past patients having underlying physical problems. It also lists potential organic causes for common mental health presentations like depression, anxiety, and psychosis. The document emphasizes tailoring the physical exam to the presentation and importance of thorough documentation.
Somatic phenomenology in depression
This document discusses somatic symptoms in depression. It notes that major depressive disorder has a lifetime prevalence of 5-25% while recurrent major depressive disorder has a prevalence of 3% and dysthymia has a prevalence of 6%. Somatic symptoms are common in depression and include fatigue, headaches, sleep disturbances, pain, and gastrointestinal issues. Only 60% of depressed patients are accurately diagnosed, as depression often presents primarily with physical complaints. Recognition and treatment of depression is important as it can increase medical morbidity and mortality when left unrecognized in medically ill patients. The pathogenesis of somatic symptoms in depression involves disruptions to the hypothalamic-pituitary-adrenal axis, serotonin and other neurotransmitter systems, and reduced neuroplastic
Hanipsych, pain & dep
This document discusses the relationship between pain and depression. It notes that around 30% of community members suffer from a mental health issue, but only a small portion receive treatment. Major depressive disorder is associated with functional and structural brain changes. Depression and pain commonly occur together and negatively impact health and quality of life. The neurobiology of depression and pain involve neurotransmitters like serotonin, norepinephrine, and dopamine. Depression and chronic pain have overlapping symptoms and biological underpinnings related to these neurotransmitter systems and brain regions like the hippocampus. The document examines theories on how depression and pain may influence each other.
Psychocardiology
This document discusses the relationship between personality, stress, and cardiovascular disease. It summarizes several studies that found higher levels of depression, neuroticism, and Type D personality among patients with coronary artery disease compared to healthy controls. Type D personality, characterized by negative affectivity and social inhibition, was found to be more common in patients with coronary artery disease. Stress is identified as a common factor linking depression and cardiovascular disease. The document also discusses the role of context and interpersonal relationships in health, suggesting cardiovascular health and function occurs within social environments and interactions with others.
Pathways to wellbeing
Here is a copy of the presentation that I gave to MRC CBU at Cambridge University on the 5th July 2017, essentially a summary of a book chapter of mine to be published later this year. The focus of my presentation was on connections between #self, #other and our #connections with the environment.
Psych
This document summarizes psychiatric disorders that are more prevalent in HIV-infected patients compared to the general population. It discusses how psychiatric illness can both increase the risk of HIV infection and negatively impact outcomes for HIV patients. Common psychiatric issues in HIV patients include depression, anxiety, substance abuse, and mania. Screening tools and treatment options are also reviewed.
Prof Riaz Ahmed
The document discusses the evolving role of benzodiazepines in the treatment of anxiety disorders. It notes that while antidepressants are now considered first-line treatment, benzodiazepines are still commonly prescribed and provide advantages like rapid onset of action. Benzodiazepines are particularly useful for initial treatment during the lag period of antidepressants or for residual anxiety when combined with antidepressants. The document concludes that benzodiazepines remain an important treatment option for anxiety disorders despite being considered second-line.
Pain and Orthopedic Physical Therapy
This document discusses the challenges of treating pain in orthopedic clinics. It outlines emerging evidence supporting a multi-system model of pain involving the nervous, immune, and endocrine systems. A new paradigm is needed that considers multiple treatment domains beyond just biomechanics. Assessment of pain should classify it as nociceptive, neuropathic, or central sensitization based on history and exam findings. Treatment requires addressing tissue dysfunction, maladaptive cognitions, and stress responses through manual therapy, education, pacing exercise, and reducing fear beliefs. Placebo effects and expectations also influence treatment outcomes.
Bipolar dis copy
This document discusses bipolar disorder, including its prevalence, risk factors, clinical features, differential diagnosis, and neurobiology. Some key points:
- Bipolar disorder affects 1-3% of the population worldwide and has a strong hereditary component.
- It is associated with high rates of relapse, chronicity, cognitive impairment, and functional disability. Patients also have an increased risk of medical comorbidities.
- While genetic factors are important, environmental triggers like stressful life events can influence recurrence.
- Neurobiological studies have found abnormalities in monoaminergic neurotransmitter systems, but these have not fully explained the episodic nature and progression of bipolar disorder. It likely arises from complex gene-
Bridging the gap between emotion and health
I gave this presentation to the Faculty of Medicine at the University of São Paulo in Ribeirão Preto, Brazil March 2014
Dep with medical illness-by Dr.Swapnil Agrawal
This document discusses depression that occurs comorbidly with medical illnesses such as cardiovascular disease and diabetes. It notes that depression is common in patients with these conditions, affecting around 20% of those with CAD and 25% of those with diabetes. Depression is associated with worse health outcomes in these patients, including increased mortality and morbidity, poorer treatment adherence, and worse prognosis. The document explores some of the biological mechanisms of this association, such as effects on the autonomic nervous system, HPA axis, platelet activation and insulin resistance. It emphasizes the need for screening and treatment of depression in medically ill patients in order to improve their overall health.
Autoimmune encephalitis and psychiatry
This document discusses various types of autoimmune encephalitis and their implications for psychiatry. It begins by defining encephalopathy, encephalitis, and autoimmune encephalitis. It then discusses specific conditions like PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections), anti-basal ganglia antibodies in adult OCD, limbic encephalitis, and anti-NMDA receptor antibody encephalitis. Key points covered include definitions, clinical presentations, treatments, and the frequency with which these conditions initially present to psychiatric services with neuropsychiatric symptoms.
Stress&health chp17
This document summarizes key concepts about stress and health from behavioral medicine and health psychology. It defines stress and its physiological effects, identifies common stressors, and discusses the relationship between stress and health conditions like coronary heart disease, psychosomatic illness, and burnout. It also briefly outlines Selye's general adaptation syndrome of the body's response to stress and mentions techniques like biofeedback that can help promote health.
Medically unexpalined symptoms
This document discusses psychosomatic medicine, which explores the relationships between social, psychological, and behavioral factors on physical health and quality of life. It addresses how patients often present somatic symptoms to doctors without an identifiable organic cause, which can be distressing for both parties. Psychosomatic medicine aims to understand these medically unexplained symptoms and how to best assess and treat the underlying psychological issues like depression or anxiety that may be contributing. Common conditions include somatic symptom disorder, illness anxiety disorder, conversion disorder, and factitious disorder. The document examines the role of doctors in responding to patients' concerns and avoiding unnecessary or risky medical interventions when no underlying disease is found.
Advancements In Treatment Options MS Relapses & Adherence
Advancements In Treatment Options MS Relapses & Adherence. Presented by Scott Gold, MD April 27, 2013
Hanipsych, biology of depression
This document provides an overview of depression from a neurobiological perspective. It discusses how depression is the leading cause of disability worldwide and will be the second leading cause of disability by 2020. The document then summarizes the neurocircuitry and neurochemistry involved in depression, including key brain areas like the prefrontal cortex, amygdala, and hippocampus. It discusses how depression is associated with reductions in neurotrophic factors like brain-derived neurotrophic factor (BDNF) and impaired neuroplasticity. Finally, the document outlines how antidepressants may work in part by increasing BDNF synthesis and neuroplasticity in these brain regions.
Is there an epidemic of mental illness? If so, what causes it?
Does psychiatric medicine cause mental illness? Discussion of books by Robert Whitaker, Irving Kirsch and others
Multiple sclerosis: Medical and Nursing Managements
Multiple sclerosis (MS) is a chronic, progressive neurological disease involving demyelination of the central nervous system. It is characterized by exacerbations and remissions of symptoms that vary depending on the location of lesions in the brain and spinal cord. Common clinical manifestations include fatigue, weakness, sensory disturbances, and impaired coordination. While the exact cause is unknown, it is thought to involve an autoimmune response. Treatment focuses on managing relapses, reducing disease progression, and alleviating symptoms. Nursing care emphasizes education, rehabilitation, and supportive measures to help patients maintain optimal functioning.
wilkinsdeliriumelderly_101889_284_38753_v1.ppt
The document discusses delirium in elderly patients, including risk factors, presentation, diagnosis, management, and case studies. Delirium is a medical emergency caused by multiple factors and requires identifying and treating the underlying medical conditions. It can have serious consequences like increased mortality if not properly diagnosed and managed.
Similar to Psychological correlates of medical comorbidities in patients with temporomandibular disorders (20)
Advancements In Treatment Options MS Relapses & Adherence
Advancements In Treatment Options MS Relapses & Adherence
Is there an epidemic of mental illness? If so, what causes it?
Is there an epidemic of mental illness? If so, what causes it?
Multiple sclerosis: Medical and Nursing Managements
Multiple sclerosis: Medical and Nursing Managements
Recently uploaded
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
micro teaching on communication m.sc nursing.pdf
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdf
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
The Best Ayurvedic Antacid Tablets in India
Treat the symptoms of indigestion, heartburn and stomach reflux with the 10 Best Ayurvedic Antacid Tablets in India.
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
STIs may cause PID. For the both disease, herbal medicine Fuyan Pill can be a solution.
Top-Vitamin-Supplement-Brands-in-India List
Swisschem Dermacare provides the Top 10 Vitamin Supplement Brands in India. To know more about us give us call at our official number
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Physiology of Chemical Sensation of smell.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
NVBDCP.pptx Nation vector borne disease control program
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptxMGM SCHOOL/COLLEGE OF NURSING
Identification and nursing management of congenital malformations Non-respiratory Functions of the Lungs.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Valuable Content of Human Anatomy and Physiology of Urinary system as per PCI Syllabus for Pharmacy and PharmD Students.
Recently uploaded (20)
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptx
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Psychological correlates of medical comorbidities in patients with temporomandibular disorders
- 1. Psychological function in TMD Patient
- 2. Psychological correlates of medical comorbidities in patients with temporomandibular disorders Carlson Jessica L. Burris, Daniel R. Evans and Charles R. J Am Dent Assoc 2010;141;22-31
- 3. Back ground
- 4. Medical comorbidities The coexistence of two or more disease processes.
- 5. Pulmonary Cancer/Tumor Gastrointestinal Endocrine Caedivascular Rheumatoid Stroke Scleroderma arthritis Medical comorbidities The coexistence of two or more disease processes. Hay fever Asthma Neurological STD Musculoskeletal Hematologic Genitourinary
- 6. Medical comorbidities The coexistence of two or more disease processes.
- 7. Psychological function Distress, strain, Psychiatric condition, etc.
- 8. TemporoMandicular Joint Disorder
- 9. TMD
- 10. TMD & BAD MOOD
- 13. Preoccupation Pain threshold Interfere with traetment succeed
- 14. Preoccupation Pain threshold Interfere with traetment succeed
- 15. Preoccupation Pain threshold Interfere with traetment succeed
- 16. Psychological health is an important consideration of patients with TMD
- 18. Medical comorbidities Physical function Psychological function
- 19. Medical comorbidities Physical function Undue strain Psychological function
- 20. Medical comorbidities Physical function Treatment interference Undue strain Psychological function
- 21. Medical comorbidities Physical function Treatment interference Undue strain Systemic influence Psychological function
- 22. Psychological Medical function comorbidities TMD
- 23. function ? Psychological Medical comorbidities TMD
- 24. Method
- 25. 1,060 patients with TMDs was predominantly female
- 28. Psychological measures The West Haven-Yale Symptom Checklist-90- Multidimensional Pain Revised (SCL-90-R) Inventory (WHYMPI) Statistical analyses Multiple analyses covariance (MANCOVAs)
- 29. Result
- 30. SCL-90-R / The numbers of Medical comorbidities
- 31. SCL-90-R / The numbers of Medical comorbidities
- 32. WHYMPI / The numbers of Medical comorbidities
- 33. WHYMPI / The numbers of Medical comorbidities
- 34. A linear relationship between number of medical comorbidities and overall psychological distress.
- 35. SCL-90-R Global Severity Index Designed to measure overall psychological distress. WHYMPI Interference
- 36. Sex effect is not obvious.
- 38. There may be particular medical comorbidities that are relate more strongly than are others to the psychological functioning of patients with TMD.
- 39. There may be particular medical comorbidities that are relate more strongly than are others to the psychological functioning of patients with TMD.
- 40. Sleep Problem
- 41. Lack of exercise
- 42. HPA axis dysfunction Depression, PTSD
- 43. Medical comorbidities & Psychological function
- 44. Medical comorbidities & Psychological function Questionnaire
- 45. Cross section design Medical comorbidities & Psychological function Questionnaire
- 46. Cross section TMD diagnosis design Medical comorbidities & Psychological function Questionnaire
- 47. To use multidisciplinary treatment approaches the patient with TMD.