Psychological factors and adaptation to artificial interferences in healthy subjects with and without TMD history
Identifieur interne : 008412 ( Main/Exploration ); précédent : 008411; suivant : 008413Psychological factors and adaptation to artificial interferences in healthy subjects with and without TMD history
Auteurs : Y. Lebell [Finlande] ; P. M. Niemi [Finlande] ; T. J Ms [Finlande] ; P. Alanen [Finlande] ; K. Krook [Finlande]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2002-09.
Descripteurs français
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Academic centre, Anterior temporalis, Anticipatory activity, Apnoea, Appliance, Arbitrary moulding, Arthrogenous origin, Auscultation, Bennett movement, Bennett side shift, Bilateral, Bilateral clenching, Bilateral measurement, Blackwell, Blackwell science, Bosman department, Botulinum toxin, Bres, Bruxers, Bruxism, Bruxism time index, Central incisor, Centre, Cervical, Cervical spine, Clenching, Clinical assessment, Clinical signs, Complete dentures, Contraction episodes, Contraction time, Contralateral side, Control appliance, Control group, Corresponding amas, Craniomandibular, Craniomandibular disorders, Crown height, Daily stress, Deformation displacement, Dental research, Dentine exposure, Dentistry, Dentistry amsterdam, Denture, Diagnostic criteria, Different design, Different foods, Digastric, Disorder, Edentate people, Edentulous, Edentulous patients, Experimental muscle pain, Experimental occlusal interference, Facial pain, Flemish adolescent girls, Food resistance, Force transducer, Full dentures, Functional impression trays, Functional impressions, Glenoid fossa, Haemodynamic changes, Healthy subjects, Horizontal forces, Hospital anxiety, Hydrodynamic stimulation, Implant, Incisor, Interference period, Interobserver reliability, Interrater reliability, Item scores, Laryngeal, Laryngeal elevation, Laryngeal vibration, Lateral, Lateral pterygoid muscles, Life quality, Little modulation, Local anaesthesia, Local application, Local craniomandibular pain, Lower ridge region, Lower ridge resorption, Magnetic resonance imaging, Main complaint, Mandible, Mandibular, Mandibular contact movements, Mandibular movement, Mandibular movements, Mandibular posture, Masseter, Masseter muscle activity, Masseter muscles, Masticatory, Masticatory muscle palpation, Masticatory muscles, Masticatory performance, Masticatory system, Mcgill pain questionnaire, Molar, Mouth opening, Multiple regression analysis, Muscle activity, Myofascial pain, Myogenous, Myogenous pain, Naeije department, Narrow occlusal surface, Natural environment, Nerve responses, Netherlands, Occlusal, Occlusal anatomy, Occlusal appliance therapy, Occlusal surface, Occlusal tooth, Odds ratio, Okayama university, Oral function, Oral habits, Oral physiology, Oral rehabilitation, Other techniques, Other variables, Outcome variables, Pain intensity, Painful body areas, Palatal, Palatal appliances, Palpation, Patient group, Periodontal receptors, Personality characteristics, Physiology, Physiotherapeutic treatment modalities, Physiotherapy, Physiotherapy group, Positive effect, Posterior digastric, Posterior digastric muscle palpation, Posterior part, Posterior temporalis, Predictor variables, Premature contact, Present study, Pressure onset, Previous study, Prosthetic dentistry, Prosthodontics, Psychological characteristics, Psychological distress, Psychological factors, Psychosomatic disorders, Pulpal blood circulation, Randomized, Recent studies, Recurrent headache, Reliability, Removable prosthodontics, Replacement dentures, Ridge incisal edge, Right masseter muscle, Ring rates, Risk factors, Sagittal distance, Several types, Side mandible, Spearman correlation, Splint therapy, Stabilization appliance, Statistical analysis, Sternocleidomastoid muscles, Stimulation cavity, Stomatognathic physiology, Such treatment, Superior laryngeal nerve, Supramedullary region, Symptom, Temporal muscles, Temporalis, Temporalis muscle, Temporomandibular, Temporomandibular disorders, Temporomandibular joints, Tongue motion, Tooth plastic rims, Treatment contrast, Treatment demand, Treatment effect, Treatment group, Treatment need, Treatment outcome, Twitch force, Unilateral, Unilateral clenching, Vallon department, Vertical distance, Visual analogue scale, Visual analogue scales, Visual feedback, Younger persons.
- Teeft :
- Academic centre, Anterior temporalis, Anticipatory activity, Apnoea, Appliance, Arbitrary moulding, Arthrogenous origin, Auscultation, Bennett movement, Bennett side shift, Bilateral, Bilateral clenching, Bilateral measurement, Blackwell, Blackwell science, Bosman department, Botulinum toxin, Bres, Bruxers, Bruxism, Bruxism time index, Central incisor, Centre, Cervical, Cervical spine, Clenching, Clinical assessment, Clinical signs, Complete dentures, Contraction episodes, Contraction time, Contralateral side, Control appliance, Control group, Corresponding amas, Craniomandibular, Craniomandibular disorders, Crown height, Daily stress, Deformation displacement, Dental research, Dentine exposure, Dentistry, Dentistry amsterdam, Denture, Diagnostic criteria, Different design, Different foods, Digastric, Disorder, Edentate people, Edentulous, Edentulous patients, Experimental muscle pain, Experimental occlusal interference, Facial pain, Flemish adolescent girls, Food resistance, Force transducer, Full dentures, Functional impression trays, Functional impressions, Glenoid fossa, Haemodynamic changes, Healthy subjects, Horizontal forces, Hospital anxiety, Hydrodynamic stimulation, Implant, Incisor, Interference period, Interobserver reliability, Interrater reliability, Item scores, Laryngeal, Laryngeal elevation, Laryngeal vibration, Lateral, Lateral pterygoid muscles, Life quality, Little modulation, Local anaesthesia, Local application, Local craniomandibular pain, Lower ridge region, Lower ridge resorption, Magnetic resonance imaging, Main complaint, Mandible, Mandibular, Mandibular contact movements, Mandibular movement, Mandibular movements, Mandibular posture, Masseter, Masseter muscle activity, Masseter muscles, Masticatory, Masticatory muscle palpation, Masticatory muscles, Masticatory performance, Masticatory system, Mcgill pain questionnaire, Molar, Mouth opening, Multiple regression analysis, Muscle activity, Myofascial pain, Myogenous, Myogenous pain, Naeije department, Narrow occlusal surface, Natural environment, Nerve responses, Netherlands, Occlusal, Occlusal anatomy, Occlusal appliance therapy, Occlusal surface, Occlusal tooth, Odds ratio, Okayama university, Oral function, Oral habits, Oral physiology, Oral rehabilitation, Other techniques, Other variables, Outcome variables, Pain intensity, Painful body areas, Palatal, Palatal appliances, Palpation, Patient group, Periodontal receptors, Personality characteristics, Physiology, Physiotherapeutic treatment modalities, Physiotherapy, Physiotherapy group, Positive effect, Posterior digastric, Posterior digastric muscle palpation, Posterior part, Posterior temporalis, Predictor variables, Premature contact, Present study, Pressure onset, Previous study, Prosthetic dentistry, Prosthodontics, Psychological characteristics, Psychological distress, Psychological factors, Psychosomatic disorders, Pulpal blood circulation, Randomized, Recent studies, Recurrent headache, Reliability, Removable prosthodontics, Replacement dentures, Ridge incisal edge, Right masseter muscle, Ring rates, Risk factors, Sagittal distance, Several types, Side mandible, Spearman correlation, Splint therapy, Stabilization appliance, Statistical analysis, Sternocleidomastoid muscles, Stimulation cavity, Stomatognathic physiology, Such treatment, Superior laryngeal nerve, Supramedullary region, Symptom, Temporal muscles, Temporalis, Temporalis muscle, Temporomandibular, Temporomandibular disorders, Temporomandibular joints, Tongue motion, Tooth plastic rims, Treatment contrast, Treatment demand, Treatment effect, Treatment group, Treatment need, Treatment outcome, Twitch force, Unilateral, Unilateral clenching, Vallon department, Vertical distance, Visual analogue scale, Visual analogue scales, Visual feedback, Younger persons.
Abstract
It has often been suggested that psychological factors play a role in temporomandibular disorders (TMD). However, reports on psychopathology and personality characteristics in TMD patients and controls have been equivocal. We have reported in a double‐blind RCT (LeBell et al., 2000) that subjects with a previous TMD history react differently in terms of TMD signs and symptoms to artificial interferences than subjects with no earlier TMD history. In the present study, we compared the psychological characteristics of these subjects and analysed the role of psychological factors in the adaptation process. The study sample of 47 women consisted of two groups: 26 women (mean age 24) without and 21 women (mean age 31) with TMD history. The subjects with TMD history had been treated earlier and they felt healthy when the intervention started. The groups were divided into true interference and placebo interference subgroups. Before the intervention, the subjects were interviewed. They also filled in questionnaires dealing with psychological and somatic symptoms, daily stress, coping strategies, personality characteristics, health hardiness and illness beliefs. During the 2‐week follow‐up period, the subjects rated the intensity of 10 symptoms on the visual analogue scale (VAS) scale and their impact on vocational and leisure time functioning. In addition, daily stress, life changes, somatic and psychological symptoms and coping with pain were explored. In general, the groups were similar in their psychological characteristics. There were, however, some differences in coping strategies. At the end of the intervention, the subjects with TMD history and exposed to true interferences reported more frequently than the other subjects muscle tension and neurological symptoms, thus indicating greater sensitivity to artificial interferences. This difference cannot be attributed to the observed base‐line personality characteristics as the groups did not differ in them. However, differences in coping strategies may play a role in the impaired adaptation. The financial support of Finska Läkaresäliskapet is gratefully acknowledged.
Url:
DOI: 10.1046/j.1365-2842.2002.01026_36.x
Affiliations:
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J Ms</name><affiliation wicri:level="4"><country xml:lang="fr">Finlande</country><wicri:regionArea>University of Turku, Turku</wicri:regionArea><placeName><settlement type="city">Turku</settlement><region type="région" nuts="2">Finlande occidentale</region><settlement type="city">Turku</settlement></placeName><orgName type="university">Université de Turku</orgName></affiliation></author><author><name sortKey="Alanen, P" sort="Alanen, P" uniqKey="Alanen P" first="P." last="Alanen">P. Alanen</name><affiliation wicri:level="4"><country xml:lang="fr">Finlande</country><wicri:regionArea>University of Turku, Turku</wicri:regionArea><placeName><settlement type="city">Turku</settlement><region type="région" nuts="2">Finlande occidentale</region><settlement type="city">Turku</settlement></placeName><orgName type="university">Université de Turku</orgName></affiliation></author><author><name sortKey="Krook, K" sort="Krook, K" uniqKey="Krook K" first="K." last="Krook">K. 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type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Academic centre</term><term>Anterior temporalis</term><term>Anticipatory activity</term><term>Apnoea</term><term>Appliance</term><term>Arbitrary moulding</term><term>Arthrogenous origin</term><term>Auscultation</term><term>Bennett movement</term><term>Bennett side shift</term><term>Bilateral</term><term>Bilateral clenching</term><term>Bilateral measurement</term><term>Blackwell</term><term>Blackwell science</term><term>Bosman department</term><term>Botulinum toxin</term><term>Bres</term><term>Bruxers</term><term>Bruxism</term><term>Bruxism time index</term><term>Central incisor</term><term>Centre</term><term>Cervical</term><term>Cervical spine</term><term>Clenching</term><term>Clinical assessment</term><term>Clinical signs</term><term>Complete dentures</term><term>Contraction episodes</term><term>Contraction time</term><term>Contralateral side</term><term>Control appliance</term><term>Control group</term><term>Corresponding amas</term><term>Craniomandibular</term><term>Craniomandibular disorders</term><term>Crown height</term><term>Daily stress</term><term>Deformation displacement</term><term>Dental research</term><term>Dentine exposure</term><term>Dentistry</term><term>Dentistry amsterdam</term><term>Denture</term><term>Diagnostic criteria</term><term>Different design</term><term>Different foods</term><term>Digastric</term><term>Disorder</term><term>Edentate people</term><term>Edentulous</term><term>Edentulous patients</term><term>Experimental muscle pain</term><term>Experimental occlusal interference</term><term>Facial pain</term><term>Flemish adolescent girls</term><term>Food resistance</term><term>Force transducer</term><term>Full dentures</term><term>Functional impression trays</term><term>Functional impressions</term><term>Glenoid fossa</term><term>Haemodynamic changes</term><term>Healthy subjects</term><term>Horizontal forces</term><term>Hospital anxiety</term><term>Hydrodynamic stimulation</term><term>Implant</term><term>Incisor</term><term>Interference period</term><term>Interobserver reliability</term><term>Interrater reliability</term><term>Item scores</term><term>Laryngeal</term><term>Laryngeal elevation</term><term>Laryngeal vibration</term><term>Lateral</term><term>Lateral pterygoid muscles</term><term>Life quality</term><term>Little modulation</term><term>Local anaesthesia</term><term>Local application</term><term>Local craniomandibular pain</term><term>Lower ridge region</term><term>Lower ridge resorption</term><term>Magnetic resonance imaging</term><term>Main complaint</term><term>Mandible</term><term>Mandibular</term><term>Mandibular contact movements</term><term>Mandibular movement</term><term>Mandibular movements</term><term>Mandibular posture</term><term>Masseter</term><term>Masseter muscle activity</term><term>Masseter muscles</term><term>Masticatory</term><term>Masticatory muscle palpation</term><term>Masticatory muscles</term><term>Masticatory performance</term><term>Masticatory system</term><term>Mcgill pain questionnaire</term><term>Molar</term><term>Mouth opening</term><term>Multiple regression analysis</term><term>Muscle activity</term><term>Myofascial pain</term><term>Myogenous</term><term>Myogenous pain</term><term>Naeije department</term><term>Narrow occlusal surface</term><term>Natural environment</term><term>Nerve responses</term><term>Netherlands</term><term>Occlusal</term><term>Occlusal anatomy</term><term>Occlusal appliance therapy</term><term>Occlusal surface</term><term>Occlusal tooth</term><term>Odds ratio</term><term>Okayama university</term><term>Oral function</term><term>Oral habits</term><term>Oral physiology</term><term>Oral rehabilitation</term><term>Other techniques</term><term>Other variables</term><term>Outcome variables</term><term>Pain intensity</term><term>Painful body areas</term><term>Palatal</term><term>Palatal appliances</term><term>Palpation</term><term>Patient group</term><term>Periodontal receptors</term><term>Personality characteristics</term><term>Physiology</term><term>Physiotherapeutic treatment modalities</term><term>Physiotherapy</term><term>Physiotherapy group</term><term>Positive effect</term><term>Posterior digastric</term><term>Posterior digastric muscle palpation</term><term>Posterior part</term><term>Posterior temporalis</term><term>Predictor variables</term><term>Premature contact</term><term>Present study</term><term>Pressure onset</term><term>Previous study</term><term>Prosthetic dentistry</term><term>Prosthodontics</term><term>Psychological characteristics</term><term>Psychological distress</term><term>Psychological factors</term><term>Psychosomatic disorders</term><term>Pulpal blood circulation</term><term>Randomized</term><term>Recent studies</term><term>Recurrent headache</term><term>Reliability</term><term>Removable prosthodontics</term><term>Replacement dentures</term><term>Ridge incisal edge</term><term>Right masseter muscle</term><term>Ring rates</term><term>Risk factors</term><term>Sagittal distance</term><term>Several types</term><term>Side mandible</term><term>Spearman correlation</term><term>Splint therapy</term><term>Stabilization appliance</term><term>Statistical analysis</term><term>Sternocleidomastoid muscles</term><term>Stimulation cavity</term><term>Stomatognathic physiology</term><term>Such treatment</term><term>Superior laryngeal nerve</term><term>Supramedullary region</term><term>Symptom</term><term>Temporal muscles</term><term>Temporalis</term><term>Temporalis muscle</term><term>Temporomandibular</term><term>Temporomandibular disorders</term><term>Temporomandibular joints</term><term>Tongue motion</term><term>Tooth plastic rims</term><term>Treatment contrast</term><term>Treatment demand</term><term>Treatment effect</term><term>Treatment group</term><term>Treatment need</term><term>Treatment outcome</term><term>Twitch force</term><term>Unilateral</term><term>Unilateral clenching</term><term>Vallon department</term><term>Vertical distance</term><term>Visual analogue scale</term><term>Visual analogue scales</term><term>Visual feedback</term><term>Younger persons</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Academic centre</term><term>Anterior temporalis</term><term>Anticipatory activity</term><term>Apnoea</term><term>Appliance</term><term>Arbitrary moulding</term><term>Arthrogenous origin</term><term>Auscultation</term><term>Bennett movement</term><term>Bennett side shift</term><term>Bilateral</term><term>Bilateral clenching</term><term>Bilateral measurement</term><term>Blackwell</term><term>Blackwell science</term><term>Bosman department</term><term>Botulinum toxin</term><term>Bres</term><term>Bruxers</term><term>Bruxism</term><term>Bruxism time index</term><term>Central incisor</term><term>Centre</term><term>Cervical</term><term>Cervical spine</term><term>Clenching</term><term>Clinical assessment</term><term>Clinical signs</term><term>Complete dentures</term><term>Contraction episodes</term><term>Contraction time</term><term>Contralateral side</term><term>Control appliance</term><term>Control group</term><term>Corresponding amas</term><term>Craniomandibular</term><term>Craniomandibular disorders</term><term>Crown height</term><term>Daily stress</term><term>Deformation displacement</term><term>Dental research</term><term>Dentine exposure</term><term>Dentistry</term><term>Dentistry amsterdam</term><term>Denture</term><term>Diagnostic criteria</term><term>Different design</term><term>Different foods</term><term>Digastric</term><term>Disorder</term><term>Edentate people</term><term>Edentulous</term><term>Edentulous patients</term><term>Experimental muscle pain</term><term>Experimental occlusal interference</term><term>Facial pain</term><term>Flemish adolescent girls</term><term>Food resistance</term><term>Force transducer</term><term>Full dentures</term><term>Functional impression trays</term><term>Functional impressions</term><term>Glenoid fossa</term><term>Haemodynamic changes</term><term>Healthy subjects</term><term>Horizontal forces</term><term>Hospital anxiety</term><term>Hydrodynamic stimulation</term><term>Implant</term><term>Incisor</term><term>Interference period</term><term>Interobserver reliability</term><term>Interrater reliability</term><term>Item scores</term><term>Laryngeal</term><term>Laryngeal elevation</term><term>Laryngeal vibration</term><term>Lateral</term><term>Lateral pterygoid muscles</term><term>Life quality</term><term>Little modulation</term><term>Local anaesthesia</term><term>Local application</term><term>Local craniomandibular pain</term><term>Lower ridge region</term><term>Lower ridge resorption</term><term>Magnetic resonance imaging</term><term>Main complaint</term><term>Mandible</term><term>Mandibular</term><term>Mandibular contact movements</term><term>Mandibular movement</term><term>Mandibular movements</term><term>Mandibular posture</term><term>Masseter</term><term>Masseter muscle activity</term><term>Masseter muscles</term><term>Masticatory</term><term>Masticatory muscle palpation</term><term>Masticatory muscles</term><term>Masticatory performance</term><term>Masticatory system</term><term>Mcgill pain questionnaire</term><term>Molar</term><term>Mouth opening</term><term>Multiple regression analysis</term><term>Muscle activity</term><term>Myofascial pain</term><term>Myogenous</term><term>Myogenous pain</term><term>Naeije department</term><term>Narrow occlusal surface</term><term>Natural environment</term><term>Nerve responses</term><term>Netherlands</term><term>Occlusal</term><term>Occlusal anatomy</term><term>Occlusal appliance therapy</term><term>Occlusal surface</term><term>Occlusal tooth</term><term>Odds ratio</term><term>Okayama university</term><term>Oral function</term><term>Oral habits</term><term>Oral physiology</term><term>Oral rehabilitation</term><term>Other techniques</term><term>Other variables</term><term>Outcome variables</term><term>Pain intensity</term><term>Painful body areas</term><term>Palatal</term><term>Palatal appliances</term><term>Palpation</term><term>Patient group</term><term>Periodontal receptors</term><term>Personality characteristics</term><term>Physiology</term><term>Physiotherapeutic treatment modalities</term><term>Physiotherapy</term><term>Physiotherapy group</term><term>Positive effect</term><term>Posterior digastric</term><term>Posterior digastric muscle palpation</term><term>Posterior part</term><term>Posterior temporalis</term><term>Predictor variables</term><term>Premature contact</term><term>Present study</term><term>Pressure onset</term><term>Previous study</term><term>Prosthetic dentistry</term><term>Prosthodontics</term><term>Psychological characteristics</term><term>Psychological distress</term><term>Psychological factors</term><term>Psychosomatic disorders</term><term>Pulpal blood circulation</term><term>Randomized</term><term>Recent studies</term><term>Recurrent headache</term><term>Reliability</term><term>Removable prosthodontics</term><term>Replacement dentures</term><term>Ridge incisal edge</term><term>Right masseter muscle</term><term>Ring rates</term><term>Risk factors</term><term>Sagittal distance</term><term>Several types</term><term>Side mandible</term><term>Spearman correlation</term><term>Splint therapy</term><term>Stabilization appliance</term><term>Statistical analysis</term><term>Sternocleidomastoid muscles</term><term>Stimulation cavity</term><term>Stomatognathic physiology</term><term>Such treatment</term><term>Superior laryngeal nerve</term><term>Supramedullary region</term><term>Symptom</term><term>Temporal muscles</term><term>Temporalis</term><term>Temporalis muscle</term><term>Temporomandibular</term><term>Temporomandibular disorders</term><term>Temporomandibular joints</term><term>Tongue motion</term><term>Tooth plastic rims</term><term>Treatment contrast</term><term>Treatment demand</term><term>Treatment effect</term><term>Treatment group</term><term>Treatment need</term><term>Treatment outcome</term><term>Twitch force</term><term>Unilateral</term><term>Unilateral clenching</term><term>Vallon department</term><term>Vertical distance</term><term>Visual analogue scale</term><term>Visual analogue scales</term><term>Visual feedback</term><term>Younger persons</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Pays-Bas</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">It has often been suggested that psychological factors play a role in temporomandibular disorders (TMD). However, reports on psychopathology and personality characteristics in TMD patients and controls have been equivocal. We have reported in a double‐blind RCT (LeBell et al., 2000) that subjects with a previous TMD history react differently in terms of TMD signs and symptoms to artificial interferences than subjects with no earlier TMD history. In the present study, we compared the psychological characteristics of these subjects and analysed the role of psychological factors in the adaptation process. The study sample of 47 women consisted of two groups: 26 women (mean age 24) without and 21 women (mean age 31) with TMD history. The subjects with TMD history had been treated earlier and they felt healthy when the intervention started. The groups were divided into true interference and placebo interference subgroups. Before the intervention, the subjects were interviewed. They also filled in questionnaires dealing with psychological and somatic symptoms, daily stress, coping strategies, personality characteristics, health hardiness and illness beliefs. During the 2‐week follow‐up period, the subjects rated the intensity of 10 symptoms on the visual analogue scale (VAS) scale and their impact on vocational and leisure time functioning. In addition, daily stress, life changes, somatic and psychological symptoms and coping with pain were explored. In general, the groups were similar in their psychological characteristics. There were, however, some differences in coping strategies. At the end of the intervention, the subjects with TMD history and exposed to true interferences reported more frequently than the other subjects muscle tension and neurological symptoms, thus indicating greater sensitivity to artificial interferences. This difference cannot be attributed to the observed base‐line personality characteristics as the groups did not differ in them. However, differences in coping strategies may play a role in the impaired adaptation. The financial support of Finska Läkaresäliskapet is gratefully acknowledged.</div></front></TEI><affiliations><list><country><li>Finlande</li></country><region><li>Finlande occidentale</li></region><settlement><li>Turku</li></settlement><orgName><li>Université de Turku</li></orgName></list><tree><country name="Finlande"><region name="Finlande occidentale"><name sortKey="Lebell, Y" sort="Lebell, Y" uniqKey="Lebell Y" first="Y." last="Lebell">Y. Lebell</name></region><name sortKey="Alanen, P" sort="Alanen, P" uniqKey="Alanen P" first="P." last="Alanen">P. Alanen</name><name sortKey="J Ms, T" sort="J Ms, T" uniqKey="J Ms T" first="T." last="J Ms">T. J Ms</name><name sortKey="Krook, K" sort="Krook, K" uniqKey="Krook K" first="K." last="Krook">K. Krook</name><name sortKey="Niemi, P M" sort="Niemi, P M" uniqKey="Niemi P" first="P. M." last="Niemi">P. M. 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