Idiopathic Burning Mouth Syndrome: Specifics and Tactics of Cognitive Behavioral Therapy

Мелехин, А.И.

Автор: Мелехин А.И.
Журнал: Journal of Psychiatry and Psychology Research
Том: 5
Номер: 3
Год издания: 2023
Первая страница: 2
Последняя страница: 4
Аннотация: Over the past few years, burning mouth syndrome has causedconfusion among mental health professionals worldwide dueto the fact that there are no definitive clinical guidelines for theexamination and management of patients due to the complexityin pathophysiology and multifactoriality [1]. Management is aproblem for clinicians, especially when patients have concomitantpsychological illnesses such as anxiety, depression and personalitydisorders. Patients with also report a significant decrease in sleepquality. This syndrome, according to the definitions of IASP, IHS,WHO and MICDH-III, refers to a form of pain syndrome, or rathera form of chronic orofacial pain (glossodynia, glossopyrosis,glossalgia, stomatodynia), which can be combined with otherforms of somatization, for example, functional disorders of thegastrointestinal tract, headaches, abacterial cystitis, CSTB [2].The patient has an intraoral burning sensation or dysestheticsensation, which is repeated daily for more than two hours a dayfor more than three months in the absence of clinically obviouslesions. The discomfort is bilateral, and the mucous membraneof the mouth and tongue is most severely affected, althoughon examination they seem healthy, but there are still changes.Patients often describe discomfort as “tingling”, “numbness”,“itching”, “feeling of dryness/tightness”, “feeling of redness”,as a “wound on the tongue”. Concomitant symptoms include drymouth (xeostomy), taste changes (dysgeusia) and oral paresthesia.Psychological stress (perception of the situation as stressful) canchange the perception of taste and, consequently, increase theburning sensation in the mouth, as well as other oral symptomsof this disorder.
Добавил в систему: Мелехин Алексей Игоревич

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