Psychiatric Disorders Associated with Atypical Facial Pain
Abstract
Abstract
Atypical facial pain (AFP) patients classically present with a chronic discomfort that is neither anatomic nor dermatomal in distribution. Neuropsychiatric assessment of 68 patients with AFP indicated that 46 (68%) had a specific psychiatric disorder by DSM-III criteria. A wide spectrum of psychiatric disorders was present. The authors emphasize that psychiatric assessment of patients with AFP should be an integral part in early assessments of this disorder, rather than relying on psychiatric opinions after extensive dental and other invasive procedures have been tried in vain and often to the detriment of the patient. Comments on the excellent prognosis in treating the psychiatric syndromes associated with AFP are made.
Résumé
Les patients qui présentent des symptômes de douleurs faciales atypiques (DFA) souffrent généralement d'un malaise chronique dont les zones de distribution ne sont ni anatomiques ni dermatomiques. L'examen neuropsychiatrique de 68 patients souffrant de DFA a révélé que 46 d'entre eux, soit 68%, présentaient un trouble psychiatrique spécifique selon les normes du système de classification DSM-III. Les auteurs ont donc pu observer chez ces patients des troubles psychiatriques très variés. De l'avis des auteurs, l'examen psychiatrique devrait, dès le début, faire partie intégrante de l'évaluation de ce genre de patients. On ne devrait pas attendre pour consulter le psychiatre d'avoir eu recours, sans grand succès d'ailleurs, à des évaluations dentaires répétées et à d'autres interventions envahissantes, souvent pratiquées au détriment du patient. Les auteurs rappellent en terminant les excellentes perspectives de traitement des troubles psychiatriques dont souffrent les patients atteints de DFA.
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Article first published: April 1983
Issue published: April 1983
PubMed: 6850497
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This article was published in The Canadian Journal of Psychiatry.
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