Oral Rehabilitation, Faculty of Dentistry, University of Hong Kong, Hong Kong, China.
J Oral Rehabil. 2010 Jan;37(1):2-10. doi: 10.1111/j.1365-2842.2009.02023.x. Epub 2009 Nov 16.
The study investigated the experience of widespread pain (WP) symptoms and psychological distress in southern Chinese with orofacial pain (OFP). A community-based, cross-sectional case-control study involving people aged 35-70 registered with the Hospital Authority/University of Hong Kong Family Medicine Clinic served as the sampling frame. People with recent OFP symptoms and a group without OFP took part. Standard questions were asked about OFP conditions in the previous month. Psychological status was evaluated through depression, and non-specific physical symptoms (NPS) scores were measured with depression and somatization sub-scales of the Symptom Checklist-90. Widespread pain was determined using body outline drawings to identify painful sites prior to a standard clinical examination. Two hundred people with OFP and 200 without OFP participated. Compared with 5.0% in the comparison group (P = 0.005), 13.5% of participants with OFP had WP (OFP/WP). Multiple OFP symptoms were more common in the OFP/WP sub-group than the OFP sub-group without WP (OFP/No WP) (P < 0.002). Sixty-three percent of the OFP/WP sub-group had moderate/severe depression scores compared with 26.0% in the OFP/No WP sub-group (P < 0.001). When pain items were included and excluded, 92.6% and 88.9% of the OFP/WP sub-group had moderate/severe NPS scores, respectively compared with 68.5% and 65.0% in the OFP/No WP sub-group (P = 0.004). Co-morbid WP occurred relatively often in southern Chinese with OFP. Psychological distress was common in OFP sufferers, particularly those with WP. A multidisciplinary approach to treatment including cognitive/behavioural therapy should be considered in Chinese people with OFP as part of a WP pattern.
本研究调查了有或无口腔颌面部疼痛（OFP）的南方中国人广泛疼痛（WP）症状和心理困扰的经历。一项基于社区的病例对照研究，涉及在医管局/香港大学家庭医学诊所登记的 35-70 岁人群作为抽样框架。有近期 OFP 症状的人和没有 OFP 的一组人参加了研究。前一个月询问了有关 OFP 情况的标准问题。通过抑郁和症状清单-90 的抑郁和躯体化子量表来评估心理状态。通过身体轮廓图确定 WP，然后进行标准临床检查。共有 200 名有 OFP 和 200 名没有 OFP 的人参加了研究。与对照组的 5.0%（P = 0.005）相比，13.5%的 OFP 患者有 WP（OFP/WP）。与没有 WP 的 OFP 亚组（OFP/No WP）相比，OFP/WP 亚组中出现多种 OFP 症状更为常见（OFP/WP）（P < 0.002）。与 OFP/No WP 亚组的 26.0%（P < 0.001）相比，OFP/WP 亚组中有 63%的人抑郁评分中度/重度。当包含和排除疼痛项目时，OFP/WP 亚组中有 92.6%和 88.9%的人中度/重度 NPS 评分，而 OFP/No WP 亚组中分别为 68.5%和 65.0%（P = 0.004）。有 OFP 的南方中国人中，WP 合并症相对常见。OFP 患者中常见心理困扰，尤其是 WP 患者。在有 OFP 的中国人中，应考虑采用多学科方法进行治疗，包括认知/行为疗法，作为 WP 模式的一部分。
