疼痛性颞下颌关节紊乱症、自我报告的耳鸣与抑郁症高度相关。
Painful temporomandibular disorders, self reported tinnitus, and depression are highly associated.
作者信息
Fernandes Giovana, Gonçalves Daniela Aparecida de Godoi, de Siqueira José Tadeu Tesseroli de, Camparis Cinara Maria
机构信息
Universidade Estadual Paulista, Faculdade de Odontologia de Araraquara, Brazil, AraraquaraSP.
Universidade de São Paulo, Faculdade de Medicina, Brazil, São PauloSP.
出版信息
Arq Neuropsiquiatr. 2013 Dec;71(12):943-7. doi: 10.1590/0004-282X20130191.
OBJECTIVE
The aim of this study was to investigate the association among painful temporomandibular disorders (TMD), self reported tinnitus, and levels of depression.
METHOD
The sample consisted of 224 individuals with ages ranges from 18 to 76 years. The Research Diagnostic Criteria for Temporomandibular Disorders Axis I were used to classify TMD and Axis II were used for self reported tinnitus, and to score the levels of depression. The odds ratio (OR) with 95% confidence interval (CI) was applied.
RESULTS
The presence of painful TMD without tinnitus was significantly associated with moderate/severe levels of depression (OR=9.3, 95%; CI: 3.44-25.11). The concomitant presence of painful TMD and tinnitus self-report increased the magnitude of the association with moderate/severe levels of depression (OR=16.3, 95%; CI, 6.58-40.51).
CONCLUSION
Painful temporomandibular disorders, high levels of depression, and self reported tinnitus are deeply associated. However, this association does not imply a causal relationship.
目的
本研究旨在调查疼痛性颞下颌关节紊乱症（TMD）、自我报告的耳鸣与抑郁水平之间的关联。
方法
样本包括224名年龄在18至76岁之间的个体。采用颞下颌关节紊乱症轴I的研究诊断标准对TMD进行分类，轴II用于自我报告的耳鸣，并对抑郁水平进行评分。应用比值比（OR）及95%置信区间（CI）。
结果
无耳鸣的疼痛性TMD与中度/重度抑郁水平显著相关（OR = 9.3，95%；CI：3.44 - 25.11）。疼痛性TMD与耳鸣自我报告同时存在增加了与中度/重度抑郁水平关联的程度（OR = 16.3，95%；CI，6.58 - 40.51）。
结论
疼痛性颞下颌关节紊乱症、高水平抑郁和自我报告的耳鸣密切相关。然而，这种关联并不意味着存在因果关系。
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