List T, Wahlund K, Larsson B
TMD Unit, Specialist Center for Oral Rehabilitation, Torkelbergsgatan 11, SE-581 85 Linköping, Sweden.
J Orofac Pain. 2001 Summer;15(3):218-27.
To examine the influence of psychosocial functioning and dental factors in adolescents with temporomandibular disorders (TMD) versus healthy subjects.
The TMD sample comprised 63 patients (21 boys and 42 girls, 33% and 67%, respectively, with a mean age of 14.9 years; range 12 to 18 years) and was compared with 64 healthy control subjects (17 boys and 47 girls, 27% and 73%, respectively, with a mean age of 14.8 years). Subjects in the TMD group had to report pain once a week or more and to have a TMD pain diagnosis according to the Research Diagnostic Criteria for TMD. Participants were clinically examined and filled out a questionnaire in which self-reported psychosocial functioning was assessed on standardized measures, including the Youth Self-Report (YSR), somatic complaints, and stress.
No significant differences were found in dental factors among adolescents in the TMD group compared with those in the control group. Multiple pains in the body and fatigue were significantly more common in the TMD group compared with the control group. Adolescents with TMD also reported significantly higher levels of stress, somatic complaints, and aggressive behavior than their counterparts in the control group. In particular, young adolescents with TMD reported high levels of psychosocial problems.
In adolescents with TMD, psychosocial factors such as increased levels of stress, somatic complaints, and emotional problems seem to play a more prominent role than dental factors.
研究心理社会功能和牙齿因素对患有颞下颌关节紊乱症（TMD）的青少年与健康受试者的影响。
TMD样本包括63名患者（21名男孩和42名女孩，分别占33%和67%，平均年龄14.9岁；年龄范围12至18岁），并与64名健康对照受试者（17名男孩和47名女孩，分别占27%和73%，平均年龄14.8岁）进行比较。TMD组的受试者必须每周报告一次或更多次疼痛，并根据TMD研究诊断标准确诊为TMD疼痛。对参与者进行临床检查，并填写一份问卷，其中通过标准化测量评估自我报告的心理社会功能，包括青少年自我报告（YSR）、躯体不适和压力。
与对照组相比，TMD组青少年的牙齿因素没有显著差异。与对照组相比，TMD组身体多处疼痛和疲劳更为常见。患有TMD的青少年报告的压力、躯体不适和攻击性行为水平也显著高于对照组。特别是，患有TMD的青少年报告了高水平的心理社会问题。
在患有TMD的青少年中，心理社会因素如压力水平增加、躯体不适和情绪问题似乎比牙齿因素发挥更突出的作用。
