Tesch R S, Denardin O V P, Baptista C A, Dias F L
Head and Neck Department, Heliópolis Hospital, São Paulo, Brazil.
J Oral Rehabil. 2004 Oct;31(10):926-32. doi: 10.1111/j.1365-2842.2004.01379.x.
The assessment of depressive behaviour in chronic pain patients is especially important, because depression is commonly associated with chronic pain. The aim of this pilot study was to compare depression levels between patients with head and neck cancer pain and temporomandibular disorders (TMD), and to determine whether there is an association between depression levels and chronic pain severity. This study was an observational and sectional study and the sample consisted of 40 patients, uniformly divided into those with chronic orofacial pain related to cancer and those with painful TMD classified with research diagnostic criteria for temporomandibular disorders (RDC/TMD) axis I. Depression levels, pain intensity and severity were assessed with RDC/TMD axis II. The study demonstrated statistically significant differences in depression levels present in the head and neck cancer pain group and the painful TMD group, with the occurrence of a moderate statistically significant correlation between depression levels and chronic pain severity.
对慢性疼痛患者的抑郁行为进行评估尤为重要,因为抑郁症通常与慢性疼痛相关。这项初步研究的目的是比较头颈癌疼痛患者和颞下颌关节紊乱症(TMD)患者之间的抑郁水平,并确定抑郁水平与慢性疼痛严重程度之间是否存在关联。本研究为观察性横断面研究,样本包括40名患者,平均分为与癌症相关的慢性口面部疼痛患者和根据颞下颌关节紊乱症研究诊断标准(RDC/TMD)轴I分类的疼痛性TMD患者。使用RDC/TMD轴II评估抑郁水平、疼痛强度和严重程度。研究表明,头颈癌疼痛组和疼痛性TMD组的抑郁水平存在统计学上的显著差异,抑郁水平与慢性疼痛严重程度之间存在中度统计学显著相关性。