Department of Dental Materials and Prosthodontics, Araçatuba Dental School, São Paulo State University, SP, Brazil.
J Prosthodont Res. 2011 Jul;55(3):154-8. doi: 10.1016/j.jpor.2010.11.001. Epub 2010 Nov 26.
This study evaluated the relationship between anxiety levels and severity degrees of chronic orofacial pain of temporomandibular disorder in brazilian university students.
150 volunteers (117 men and 33 women), with age ranging from 17 to 30 years, were subjects to this study. Spielberger's trait-state anxiety inventory was used to evaluate trait and state anxiety of the students, while examination for chronic orofacial pain was performed in accordance with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Association between anxiety levels and severity degrees of chronic orofacial pain was tested using the Chi-square test. The significance level was set at p<.05.
The results showed that 32.7% (n=49) of the subjects exhibited TMD, and the intensity of chronic orofacial pain was classified as degree 1 in 85.7% (n=42) and as degree 2 in 14.3% (n=7) of them. Based on the results of the Spielberger's trait-state anxiety inventory, the majority of the students had moderate anxiety (48.6% and 48.1%, respectively). The correlation between trait-anxiety levels and chronic orofacial pain degrees was significant and positive (p<.05). However, no significant correlation was found to state-anxiety levels and chronic orofacial pain degrees (p>.05).
It was concluded that chronic orofacial pain of TMD could be present in university students and anxiety may be related.
本研究评估了巴西大学生颞下颌关节紊乱慢性口腔颌面疼痛严重程度与焦虑水平之间的关系。
本研究纳入了 150 名志愿者(117 名男性和 33 名女性),年龄在 17 至 30 岁之间。采用斯皮尔伯格特质-状态焦虑量表评估学生的特质焦虑和状态焦虑,同时根据颞下颌关节紊乱研究诊断标准(RDC/TMD)进行慢性口腔颌面疼痛检查。采用卡方检验评估焦虑水平与慢性口腔颌面疼痛严重程度之间的关系。显著性水平设定为 p<.05。
结果显示,32.7%(n=49)的受试者存在 TMD,慢性口腔颌面疼痛的强度在 85.7%(n=42)的受试者中被归类为 1 度,在 14.3%(n=7)的受试者中被归类为 2 度。根据斯皮尔伯格特质-状态焦虑量表的结果,大多数学生有中度焦虑(分别为 48.6%和 48.1%)。特质焦虑水平与慢性口腔颌面疼痛程度之间存在显著正相关(p<.05)。然而,状态焦虑水平与慢性口腔颌面疼痛程度之间无显著相关性(p>.05)。
本研究得出结论,TMD 可导致大学生出现慢性口腔颌面疼痛,且焦虑可能与之相关。