心身医学视角下灼口综合征的心理干预研究进展  

Research Progress of Psychological Intervention in Burning Mouth Syndrome from the Perspective of Psychosomatic Medicine

作　　者：张琳[1] 王雅军 程琛 李博琛 田峰[4] 张芳[5] ZHANG Lin;WANG Yajun;CHENG Chen;LI Bochen;TIAN Feng;ZHANG Fang(Medical Science Academy of Shanxi Medical University,Taiyuan 030001,China;Stomatology School of Shanxi Medical University,Taiyuan 030001,China;Humanities and Social Sciences School of Shanxi Medical University,Taiyuan 030001,China;Department of Mental Health,the Second Hospital of Shanxi Medical University,Taiyuan 030032,China;Department of Mucosa,Stomatological Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学医学科学院,太原030001 [2]山西医科大学口腔医学院,太原030001 [3]山西医科大学人文社会科学学院,太原030001 [4]山西医科大学第二医院精神卫生科,太原030032 [5]山西医科大学口腔医院黏膜科,太原030001

出　　处：《临床误诊误治》2025年第8期101-106,共6页Clinical Misdiagnosis & Mistherapy

基　　金：山西省卫生健康委科研课题计划项目(2023117);山西省大健康产业高质量发展科研专项课题(第二批)(DJKZXKT2023159)。

摘　　要：灼口综合征主要表现为口腔黏膜(尤其是舌部)烧灼样疼痛,多见于中老年女性,患者也会表现出明显的心理问题,属于一种心身疾病,而其发病的心理因素仍不明确,疗效不佳。心身医学主要研究以心理为中介所引发的、以躯体症状表现为主的“心身疾病”。心理干预是灼口综合征非药物治疗方法,在与精神心理因素重叠的口腔黏膜病的治疗中有应用潜能。本文阐述与灼口综合征相关的心理因素,如焦虑、抑郁、自我效能感等,分析归纳认知行为治疗等心理干预在灼口综合征中的效用及潜在的积极作用,提出当前存在问题与未来研究方向,以期为优化灼口综合征的综合性治疗及心身医学在口腔疾病领域的发展提供思路。Burning mouth syndrome is mainly manifested as burning pain of oral mucosa(especially tongue),mostly in middle-aged and elderly women.Patients will also show obvious psychological problems,which is classified as a psychosomatic disease.However,the psychological factors of its onset are still unclear,and the curative effect is far from satisfactory.Psychosomatic medicine mainly studies"psychosomatic diseases"caused by psychological mediation and mainly manifested as physical symptoms.Psychological intervention is a non-drug treatment for burning mouth syndrome and has potential application in the treatment of oral mucosal diseases overlapping with psychological factors.This study describes the psychological factors related to burning mouth syndrome,such as anxiety,depression,and self-efficacy,analyzes and summarizes the effectiveness and potential positive effects of cognitive behavioral therapy and other psychological interventions in burning mouth syndrome,and puts forward current problems and future research directions,in order to provide ideas for optimizing the comprehensive treatment of burning mouth syndrome and the development of psychosomatic medicine in the field of oral diseases.

关 键 词：灼口综合征 心身疾病 心身医学 心理干预 焦虑 抑郁 应对方式 综述 

分 类 号：R781.5[医药卫生—口腔医学]