Rollman Annemiek, Visscher Corine M, Gorter Ronald C, Naeije Machiel
Department of Oral Kinesiology, University of Amsterdam, Amsterdam, The Netherlands.
J Orofac Pain. 2012 Summer;26(3):206-14.
To determine the contribution of a wide range of factors to care-seeking behavior in orofacial pain patients, expressed as (A) decision to seek care and (B) number of health care practitioners visited.
Subjects with orofacial pain complaints were recruited in seven TMD clinics and from a nonclinical population sample. They received a questionnaire including a wide range of possible predictors. To study which predictive variables were associated with the decision to seek care and with the number of health care practitioners visited, multiple regression models were built.
Two hundred three persons with orofacial pain participated in the study. Of these participants, 169 (140 females) had visited at least one health care practitioner (care seekers), while the other 34 persons (25 females) did not (non-care seekers). The decision to seek care was not only associated with the pain intensity (P < .05), but, in women, also with fear of jaw movements (P < .01): Women with more fear of jaw movements were more likely to seek care. Pain intensity and disability were not associated with the number of health care practitioners visited. Instead, the main predictors were catastrophizing (P = .004) and the use of painkillers (P = .008).
Pain intensity and fear of jaw movements play an important role in the decision to seek care for orofacial pain. The continuous search for help is associated with catastrophizing and the use of painkillers.
确定多种因素对口面部疼痛患者求医行为的影响，具体表现为（A）求医决定和（B）就诊的医疗保健从业者数量。
在七家颞下颌关节紊乱病诊所和一个非临床人群样本中招募有口面部疼痛主诉的受试者。他们收到一份包含多种可能预测因素的问卷。为研究哪些预测变量与求医决定以及就诊的医疗保健从业者数量相关，建立了多元回归模型。
203名口面部疼痛患者参与了该研究。在这些参与者中，169人（140名女性）至少就诊过一名医疗保健从业者（求医组），而另外34人（25名女性）未就诊（非求医组）。求医决定不仅与疼痛强度相关（P <.05），而且在女性中还与对下颌运动的恐惧相关（P <.01）：对下颌运动恐惧程度较高的女性更有可能求医。疼痛强度和功能障碍与就诊的医疗保健从业者数量无关。相反，主要预测因素是灾难化思维（P =.004）和止痛药的使用（P =.008）。
疼痛强度和对下颌运动的恐惧在口面部疼痛的求医决定中起重要作用。持续寻求帮助与灾难化思维和止痛药的使用有关。
