A case report on limitation of mouth opening as somatization of major depressive disorder
We report a case of restricted mouth opening as somatization of a major depressive disorder. The patient was a 59 year old female who had her lower right third molar extracted at a dental clinic in March of the year in question and began to experience restricted mouth opening one month later. The cl...
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| Published in | Japanese Journal of Psychosomatic Dentistry Vol. 21; no. 2; pp. 92 - 96 |
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| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English Japanese |
| Published |
Japanese Society of Psychosomatic Dentistry
2006
日本歯科心身医学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0913-6681 2186-4128 |
| DOI | 10.11268/jjpsd1986.21.92 |
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| Abstract | We report a case of restricted mouth opening as somatization of a major depressive disorder. The patient was a 59 year old female who had her lower right third molar extracted at a dental clinic in March of the year in question and began to experience restricted mouth opening one month later. The clinic introduced her to the oral surgery department of a hospital but, despite many tests there, no physical disease was found. Her symptoms became worse in the October but a second dental clinic also found no abnormality in her mouth. She then visited the Nippon Dental University Hospital in December of the same year. Rather than performing X-rays and other physical examinations, we commenced with a medical interview. Her complaint was that she could no longer open her mouth properly since her dental treatment. She had, however, also been experiencing domestic problems that corresponded chronologically to the onset of her mouth opening problem and a number of factors satisfied the diagnostic criteria of a major depressive episode (DSM-IV-TR). Suspecting the somatization of a major depressive disorder, we introduced her to a psychiatrist who confirmed that diagnosis and undertook psychotherapy. Her mouth opening performance has improved as a result. We suggest that it is important to bear in mind that dental symptoms may be due to a mental disease and arrange for early referral to a psychiatrist when this is suspected. |
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| AbstractList | We report a case of restricted mouth opening as somatization of a major depressive disorder. The patient was a 59 year old female who had her lower right third molar extracted at a dental clinic in March of the year in question and began to experience restricted mouth opening one month later. The clinic introduced her to the oral surgery department of a hospital but, despite many tests there, no physical disease was found. Her symptoms became worse in the October but a second dental clinic also found no abnormality in her mouth. She then visited the Nippon Dental University Hospital in December of the same year. Rather than performing X-rays and other physical examinations, we commenced with a medical interview. Her complaint was that she could no longer open her mouth properly since her dental treatment. She had, however, also been experiencing domestic problems that corresponded chronologically to the onset of her mouth opening problem and a number of factors satisfied the diagnostic criteria of a major depressive episode (DSM-IV-TR). Suspecting the somatization of a major depressive disorder, we introduced her to a psychiatrist who confirmed that diagnosis and undertook psychotherapy. Her mouth opening performance has improved as a result. We suggest that it is important to bear in mind that dental symptoms may be due to a mental disease and arrange for early referral to a psychiatrist when this is suspected. |
| Author | Ishii, Takashi Ide, Masatoshi Satoh, Tazuko Oshima, Katsuro Kitahara, Kazuki Hasegawa, Isao Yoshida, Kazumasa Ohtsu, Mitsuhiro Karibe, Hiroyuki Okada, Tomoo Ogawa, Tomohisa Suzuki, Akira Miyauchi, Midori |
| Author_FL | 小川 智久 長谷川 功 石井 隆資 大島 克郎 苅部 洋行 井出 正俊 大津 光寛 鈴木 章 北原 和樹 吉田 和正 佐藤 田鶴子 岡田 智雄 宮内 美登利 |
| Author_FL_xml | – sequence: 1 fullname: 大島 克郎 – sequence: 2 fullname: 石井 隆資 – sequence: 3 fullname: 岡田 智雄 – sequence: 4 fullname: 大津 光寛 – sequence: 5 fullname: 長谷川 功 – sequence: 6 fullname: 鈴木 章 – sequence: 7 fullname: 苅部 洋行 – sequence: 8 fullname: 小川 智久 – sequence: 9 fullname: 吉田 和正 – sequence: 10 fullname: 宮内 美登利 – sequence: 11 fullname: 井出 正俊 – sequence: 12 fullname: 北原 和樹 – sequence: 13 fullname: 佐藤 田鶴子 |
| Author_xml | – sequence: 1 fullname: Hasegawa, Isao organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Ishii, Takashi organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Suzuki, Akira organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Miyauchi, Midori organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Yoshida, Kazumasa organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Karibe, Hiroyuki organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Satoh, Tazuko organization: Department of Oral and Maxillo-facial Surgery, The Nippon Dental University School of Life Dentistry at Tokyo – sequence: 1 fullname: Ogawa, Tomohisa organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Oshima, Katsuro organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Ohtsu, Mitsuhiro organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Okada, Tomoo organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Ide, Masatoshi organization: Clinical Center of Psychosomatic Dentistry, The Nippon Dental University Hospital – sequence: 1 fullname: Kitahara, Kazuki organization: Department of Oral and Maxillo-facial Surgery, The Nippon Dental University School of Life Dentistry at Tokyo |
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| References | 4) Kitanishi, K.: Study of the key concepts of Morita therapy-from the standpoint of clinical practice. Seishin Shinkeigaku Zasshi 91: 61-72, 1989. 6) Kendler, K. S., et al.: Stressful life events and previous episodes in the etiology of major depression in women: An evaluation of the “kindling” hypothesis. Am J Psychiatry 157: 1243-1251, 2000. 9) Nakao, M., et al.: Assessment of patients by DSMIII- R and DSM-1V in Japanese psychosomatic clinic. Psychother Psychosom 67: 43-49, 1998. 2) 久保木富房: 内科で診るうつ診療の手びき. 第2版, ヴァンメディカル, 東京, 11-13頁, 2000. 7) 松下正明, 他: TEXT精神医学. 第1版, 南山堂, 東京, 287-302頁, 1998. 12) Koh, E. T., et al.: Temporomandibular disorders in rheumatoid arthritis. J Rheumatol26: 1918-1922, 1999. 5) Kendler, K. S., et al.: The interrelationship of neuroticism, sex, and stressful life events in the prediction of episodes of major depression. Am J Psychiatry 161: 631-626, 2004. 11) Atsu, S. S., et al.: Tmporomandibular disorders seen in rheumatology practices: a review. Rheumatol Int 26: 781-787, 2006. 1) American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed Text Revision (DSM-IV-TR). APA, Washington DC, 2000. 10) Nakao, M., et al.: Major depression and somatic symptoms in a mind/body medicine clinic. Psychopathology 34: 230-235, 2001. (高橋三郎, 他訳): DSM-IV-TR精神疾患の診断・統計マニュアル. 新訂版第1刷, 医学書院, 東京, 2004. 8) 大津光寛, 他: 抜歯を契機としてうつ状態が増悪した一症例. 日歯心身16: 67-69, 2001. 3) Posse, M., et al.: Depressive disorders among somatizing patients in primary health care. Acta Psychiatr Scand 98: 187-192, 1998. |
| References_xml | – reference: 5) Kendler, K. S., et al.: The interrelationship of neuroticism, sex, and stressful life events in the prediction of episodes of major depression. Am J Psychiatry 161: 631-626, 2004. – reference: 4) Kitanishi, K.: Study of the key concepts of Morita therapy-from the standpoint of clinical practice. Seishin Shinkeigaku Zasshi 91: 61-72, 1989. – reference: 1) American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed Text Revision (DSM-IV-TR). APA, Washington DC, 2000. – reference: 7) 松下正明, 他: TEXT精神医学. 第1版, 南山堂, 東京, 287-302頁, 1998. – reference: 9) Nakao, M., et al.: Assessment of patients by DSMIII- R and DSM-1V in Japanese psychosomatic clinic. Psychother Psychosom 67: 43-49, 1998. – reference: 3) Posse, M., et al.: Depressive disorders among somatizing patients in primary health care. Acta Psychiatr Scand 98: 187-192, 1998. – reference: 6) Kendler, K. S., et al.: Stressful life events and previous episodes in the etiology of major depression in women: An evaluation of the “kindling” hypothesis. Am J Psychiatry 157: 1243-1251, 2000. – reference: 8) 大津光寛, 他: 抜歯を契機としてうつ状態が増悪した一症例. 日歯心身16: 67-69, 2001. – reference: 10) Nakao, M., et al.: Major depression and somatic symptoms in a mind/body medicine clinic. Psychopathology 34: 230-235, 2001. – reference: 11) Atsu, S. S., et al.: Tmporomandibular disorders seen in rheumatology practices: a review. Rheumatol Int 26: 781-787, 2006. – reference: (高橋三郎, 他訳): DSM-IV-TR精神疾患の診断・統計マニュアル. 新訂版第1刷, 医学書院, 東京, 2004.) – reference: 2) 久保木富房: 内科で診るうつ診療の手びき. 第2版, ヴァンメディカル, 東京, 11-13頁, 2000. – reference: 12) Koh, E. T., et al.: Temporomandibular disorders in rheumatoid arthritis. J Rheumatol26: 1918-1922, 1999. |
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| SubjectTerms | major depressive disorder restricted mouth opening somatization 大うつ病性障害 身体化症状 開口障害 |
| Title | A case report on limitation of mouth opening as somatization of major depressive disorder |
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