Department of Pediatric Dentistry, Dental School, University of Leipzig, Nürnberger Str. 57, Leipzig, Germany.
Clin Oral Investig. 2010 Apr;14(2):145-51. doi: 10.1007/s00784-009-0265-5. Epub 2009 Apr 1.
This study compared the depression status of adolescents with temporomandibular (TM) pain to those without, considering the influence of age, sex, and other pain conditions. From a general population sample of 455 adolescents, 29 cases (mean age, 15.3 years) with current TM pain were compared with 44 age-matched controls without such pain. Study participants were examined for general health status, additional pain sites (back, abdomen, and head) in the previous month, and depression, using a 15-item German-language depression questionnaire. Cases had a statistically significant higher average depression score than controls (14.2 +/- 7.1 vs. 9.7 +/- 6.3; t test, p < 0.01), and they reported more often additional pain. The more pain sites were mentioned, the higher was the depression score [no pain, 4.0 +/- 2.8; four pains, 17.3 +/- 8.0; analysis of variance (ANOVA), p < 0.001]. We conclude that TM pain assessment among adolescents should include a whole-body pain drawing as well as a screening questionnaire to identify pain-related depressive symptoms.
本研究比较了患有颞下颌（TM）疼痛的青少年和无 TM 疼痛的青少年的抑郁状况，同时考虑了年龄、性别和其他疼痛状况的影响。从一个 455 名青少年的一般人群样本中，将 29 例（平均年龄 15.3 岁）有当前 TM 疼痛的患者与 44 名年龄匹配无此类疼痛的对照者进行比较。使用一份包含 15 个项目的德语抑郁问卷，对研究参与者进行一般健康状况、上个月其他疼痛部位（背部、腹部和头部）以及抑郁情况的检查。病例组的平均抑郁评分明显高于对照组（14.2 +/- 7.1 对 9.7 +/- 6.3；t 检验，p < 0.01），且报告有更多的其他疼痛。提及的疼痛部位越多，抑郁评分越高[无疼痛，4.0 +/- 2.8；四个疼痛部位，17.3 +/- 8.0；方差分析（ANOVA），p < 0.001]。我们的结论是，青少年的 TM 疼痛评估应包括全身疼痛图以及筛查问卷，以识别与疼痛相关的抑郁症状。
