Psychische Aspekte der Glossodynie^*

Abstract

The term glossodynia refers to all conditions with pain and dysaesthesia of the tongue and entire oral mucosa manifesting themselves in burning, prickling, itching, stinging, and other frequently bizarre sensations as well as subjective xerostomia and bad taste. In most cases psychiatric diseases are the cause of the complex of complaints whereas local and general disorders are of only minor importance. Menopausal women with atypical depression are most often affected. Schizophrenia and abnormal personality development are far less frequent in glossodynia. After exclusion or therapy of organic disorders antidepressants are the treatment of choice in glossodynia. Thereapeutic difficulties may arise in patients suffering from marked xerostomia whose complaints may intensify during therapy because of the anticholinergic effect of most antidepressants, and in neurotic persons.

Pain threshold and pain recovery after experimental stimulation in patients with burning mouth syndrome

“…They did not have any other mental disorders. Patients with BMS reportedly suffer from anxiety, hypochondriasis and depression 2–8 . Many studies suggest that psychogenic factors (including anxiety, depression, stress, life events personality disorder, and phobia of cancer) are possible causal factors 1 .…”

“…Patients with BMS reportedly suffer from anxiety, hypochondriasis and depression. [2][3][4][5][6][7][8] Many studies suggest that psychogenic factors (including anxiety, depression, stress, life events personality disorder, and phobia of cancer) are possible causal factors. 1 However, psychopathology in BMS may be a reaction to persistent pain and not a cause of the pain.…”

“…Terms previously used to describe what is now called BMS include glossodynia, glossopyrosis, stomatodynia, stomatopyrosis, sore tongue, and oral dysaesthesia 1 . Many cases of BMS have been reported, problems in the psychopathology of the patients are noted as factors closely related to the onset of pain 2–5 . We also previously reported psychiatric aspects of patients with BMS, including an assessment of the patients’ personalities, 6,7 and an investigation into the presence of neurotic characteristics using the Rorschach method 8 .…”

“…1 Many cases of BMS have been reported, problems in the psychopathology of the patients are noted as factors closely related to the onset of pain. [2][3][4][5] We also previously reported psychiatric aspects of patients with BMS, including an assessment of the patients' personalities, 6,7 and an investigation into the presence of neurotic characteristics using the Rorschach method. 8 Hormonal disturbances associated the menopause [9][10][11] and vitamin deficiencies 12,13 are possible causal factors.…”

Glossodynia as an Expression of a Somatoform Disorder – a Hard-to-Grasp Psychodiagnostic Disease? With Presentation of a Single Case from a Psychodynamic Point of View

“…After organic causes such as fungal infections, Lichen ruber mucosae, prosthesis pressure pain, deficiency diseases and other rare causes such as a cerebral psychosyndrome have been ruled out [30], psychosomatic diagnostics should be equally initiated during the differential-diagnostic clarification. With respect to the premorbid personality of patients with GD, Haneke [10] reported that almost all appeared nervous or even tense, and many appeared to be anxious and introverted, depressed or even lachrymose. In diagnosed depression, an attempt at therapy over a sufficiently long time, that is at least 3 weeks, with antidepressants is indicated [12] after the patient has been convinced of the necessity of therapy [24].…”