症例は30歳代の女性で、舌両側縁のピリピリした痛みを主訴に受診した。精査の結果、心因性舌痛症と診断し、ロフラゼプ酸エチルを処方したが、痛みの強さには波がみられた。ロフラゼプ酸エチルに加え、痛みが悪化しやすい夜間にクロチアゼパムを処方したが効果は得られず、治療の主体を薬物療法から認知行動療法(CBT)へ変更する方針とした。CBTを専門とする臨床心理士による定期的なスーパーバイズを受けながら、歯科医師自らCBTを実施したところ、疼痛の軽減が得られた

佐藤 英樹

千葉 逸朗

吉田 光希

坂野 雄二

宇津宮 雅史

安彦 善裕

川上 智史

松岡 紘史

森谷 満

永易 裕樹

English

症例は30歳代の女性で、舌両側縁のピリピリした痛みを主訴に受診した。精査の結果、心因性舌痛症と診断し、ロフラゼプ酸エチルを処方したが、痛みの強さには波がみられた。ロフラゼプ酸エチルに加え、痛みが悪化しやすい夜間にクロチアゼパムを処方したが効果は得られず、治療の主体を薬物療法から認知行動療法(CBT)へ変更する方針とした。CBTを専門とする臨床心理士による定期的なスーパーバイズを受けながら、歯科医師自らCBTを実施したところ、疼痛の軽減が得られた。departmental bulletin pape

佐藤, 英樹

20327

松岡, 紘史

20328

吉田, 光希

20329

森谷, 満

20330

宇津宮, 雅史

20331

永易, 裕樹

20332

川上, 智史

20333

坂野, 雄二

20334

千葉, 逸朗

20335

安彦, 善裕

20336

Health Sciences University of Hokkaido Academic Repository / 北海道医療大学学術リポジトリ

北海道医療大学学術リポジトリ舌痛症患者に対して、若手歯科医医師が臨床心理士にスーパーバイズを受けながら認知行動療法を行い症状が軽快した1例著者 佐藤 英樹, 松岡 紘史, 吉田 光希, 森谷 満, 宇津宮 雅史, 永易 裕樹, 川上 智史, 坂野 雄二, 千葉逸朗, 安彦 善裕雑誌名 北海道医療大学歯学雑誌巻 32号 2ページ 31-36発行年 2013-12URL http://id.nii.ac.jp/1145/00006610/? ???????????????????????????????????????????????????????????Burning mouth syndrome???????????????????????????????????????????????????????????????????????????????????????????? ???????? ???????? ???????? ?????????????? ??????? ??????? ??????? ??????? ???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ?????????? ??????? ??? ??????????? ????????? ?? ????????? ???? ??????Hideki SATOH????Hirofumi MATSUOKA????Koki YOSHIDA????Mitsuru MORIYA???Masafumi UTSUNOMIYA???Hiroki NAGAYASU???Tomofumi KAWAKAMI???Yuji SAKANO???Itsuo CHIBA???Yoshihiro ABIKO?????Division of Oral Medicine & Pathology, School of Dentistry, Health Sciences University of Hokkaido??Division of Oral Medicine Consultation, Health Sciences University of Hokkaido Hospital??Department of Oral Growth & Development, Division of Disease Control & Molecular Epidemiology, School of Dentistry,Health Sciences University of Hokkaido??Division of Medical Psychology, Health Sciences University of Hokkaido Hospital??Institute of Personalized Medical Science, Health Sciences University of Hokkaido??Division of Oral and Maxillofacial Surgery, Department of Human Biology and Pathophysiology, School of Dentistry,Health Sciences University of Hokkaido??Division of General Dental Sciences I, Department of Oral Rehabilitation, School of Dentistry,Health Sciences University of Hokkaido??School of Psychological Science, Health Sciences University of Hokkaido????????The present case study reports a case of a patientwith burning mouth syndrome that was treated withcognitive behavioral therapy conducted by a dentist.The patient was a female aged in the 30s. The treat-ment was conducted by a dentist with two years clinicalexperience who was a non−specialist in cognitive be-havioral therapy. The burning symptoms of the patientimproved through treatment based on a program wherethe effect on glossodynia was demonstrated in previousresearch conducted under the supervision of a clinicalpsychologist with specialized cognitive behavioral ther-apy. These results indicate that environmental coordina-tion including a program to fully explicate and detailthe therapeutic regimen and supervision allowed thedentist to conduct the cognitive behavioral therapy ofglossodynia.??? ??????Glossodynia, Cognitive behavioral therapy, Dentist, Clinical psychologist????????????? ???????????????????????? ?????????????? ??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????HeadacheClassification Committee of the International Headache Soci-ety, 1999?????????????????????????Lopez-Jornet et al., 2010 ; Matsman-Tsikhin et al.,2007???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????α???????????Cognitive Be-havioral Therapy???CBT???????????deMoraes et al., 2012 ; Zakrzewska et al., 2005?????????????????????????CBT??????????????????Matsuoka et al. , 2010???????????CBT????????????????????????????????????????????????????????????????????????????????????CBT??????????????????????CBT?????????????????????????????????????????????????CBT???????????????????????????????????????????????????CBT????????????????????????????? ????????????????H??????????????????????H?????????????????????????????????????DV???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? State-Trait AnxietyInventory-JYZ?STAI???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ?? ??????????????????????????????????????????????????????????? ?????????? ???????? ???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????H?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????CBT?????????????????????????????????????????????????????????????????????????????????mg?????????????????????????????????????????????????H?????????????????????????????????????Numerical Rat-ing Scale?NRS, Uki et al., 1998?????????????????????????????????????????????????????????????????????????????????????NRS????????????????????????????????????????????????????????????????????mg??????????????????????????????????H??????????????????????????????????NRS??????????????????NRS???????????????????????????????????????????????????????????????CBT???????????????????????????????????????????????????????????????????CBT???????????CBT??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????CBT?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????H???????NRS????????????????????????????CBT??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????H??????????????????????????????????????????????????????????????????????NRS??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????H????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ? ? ?? ???????????? ????? ????????????? ?????????? ???????? ????????The Dental Journal of Health Sciences University of Hokkaido 32 2013?? ????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????CBT??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????H?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????NRS?????????????????????????????????????????H?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????H????????????????????????????????????NRS???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????CBT?????????????????????????????????????????????NRS???????????H???????????????????????????????????????????????????????????????????????????????????????????????????H????????????????????????????????????????????? ????????????????????????????????????????????????????????????????????Carrozzo etal., 2008??????????????????CBT??????????????????????CBT?????????????????????????????????????????????????????Bargdahl et al., 1995??????????????????????????????????????????????Zakrzewska et al., 2005????????CBT???????????????CBT??????????????????????????????????????CBT???????????????????????????????????????????????????????????CBT??????????????????????????????????????????????????????CBT????????????????????????????????????????????????????????????????????????Hideki SATOH et al.?Cognitive behavioral therapy for glossodynia conducted by dentist?a case report????????????????????????????????????????????????????????????????????????????????????????????????????????CBT???????????????????????????CBT??????????????????????????????????????????????????CBT????????????????????????CBT????????????????????????????????????????????????????????????????CBT???????????????????????????????????????????????????????????????CBT????????????????????????????????????????????????????????????????????????????????????????????????CBT??????????????????????????????????????????????????CBT?????????????????????CBT???????????????CBT?????????????????????????????????????????????CBT????????????????????????CBT??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????CBT??????????????????????????????????????????????????????????CBT??????????????????????????????????????CBT??????????????????CBT????????????????????????????????????????????????????????????????CBT?????????????????????????????? ??????????????????????CBT??????????????????????????????CBT????????????????????????????????????????????????????CBT??????????????????????????????????????????????????????????? ? ? ???????????????????????????????? ??????????????????????????????????????????????? ?????-????????Bargdahl J, Anneroth G, & Perris H. Cognitive therapy inthe treatment of patients with resistant burning mouth syn-drome : A controlled study. J Oral Pathol Med 24 : 213-215, 1995.Carrozzo M. How common is oral lichen planus ? EvidBased Dent 9 : 112-113, 2008.de Moraes M, do Amaral Bezerra BA, da Rocha Neto PC,de Oliveira Soares AC, Pinto LP, & de Lisboa LopesCosta A. Randomized trials for the treatment of burningmouth syndrome?An evidence-based review of the litera-ture. J Oral Pathol Med 41 : 281-287, 2012.Headache Classification Committee of the InternationalHeadache Society. The International Classification ofHeadache Disorders. Cephalalgia 24 ( suppl. 1 ) : 1-160,2004.?????????????????????Spiel-berger CD???STAI????????????????????Lopez-Jornet P, Camacho-Alonso F, Andujar-Mateos P,Sánchez-Siles M, Gómez-Garcia F. Burning mouth syn-drome : An update. Med Oral Patol Oral Cir Bucal 15 : e562-568, 2010.Maltsman-Tseikhin A, Moricca P, & Niv D. Burningmouth syndrome : Will better understanding yield bettermanagement? Pain Pract 7 : 151-162, 2007.Matsuoka H, Himachi M, Furukawa H, Kobayashi S, ShokiH, Motoya R, Saito M, Abiko Y, & Sakano Y. Cognitiveprofile of patients with burning mouth syndrome in theJapanese population. Odontology 98 : 160-164, 2010.?????????????????????????Burning Mouth Syndrome?????????????????????????????????????????????? ?????-???????????????????????????????????????? ????-????????? ??????????????????????????????? ?? ????? ??????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ??????-??????????? ?????????????????????????-????????Uki J, Mendoza T, Cleeland, CS, Nakamura Y, & TakedaF. A brief cancer pain assessment tool in Japanese : Theutility of the Japanese Brief Pain Inventory - BPI-J. J PainSymptom Manag 16, 364-373, 1998Zakrzewska JM, Forssell H, & Glenny AM. Interventionsfor the treatment of burning mouth syndrome. CochraneDatebase Syst Rev 1 : CD002779, 2005.?? ????????? ??????????????????? ????????? ?????????????? ??????????????????? ?? ????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

舌痛症患者に対して、若手歯科医医師が臨床心理士にスーパーバイズを受けながら認知行動療法を行い症状が軽快した1例

https://hsuh.repo.nii.ac.jp/?action=repository_action_common_download&item_id=6647&item_no=1&attribute_id=22&file_no=1

舌痛症患者に対して、若手歯科医医師が臨床心理士にスーパーバイズを受けながら認知行動療法を行い症状が軽快した1例

Abstract

Similar works

Full text

Available Versions

Health Sciences University of Hokkaido Academic Repository / 北海道医療大学学術リポジトリ