Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Box 4064, SE-141 04, Huddinge, Sweden.
East Jeddah Hospital, Ministry of health, Jeddah, Saudi Arabia.
J Headache Pain. 2018 Sep 21;19(1):88. doi: 10.1186/s10194-018-0915-6.
Since children and adolescents are frequently experiencing emotional and behavioral consequences due to pain, their parents should be aware of this emotional and behavioral status. Therefore, the aim of this study was to analyze and describe the parents' reports of the emotional and behavioral status of children and adolescents with different types of temporomandibular disorders using the Child Behavior Checklist.
This Cross-sectional study comprises of 386 randomly selected children and adolescents that ages between 10 and 18 years in Jeddah. One day prior the clinical examination according to Research Diagnostic Criteria for temporomandibular disorders (TMD) Axis I and II, Arabic version of the Child Behavior Checklist scale was distributed to the parents of participant. According to the diagnosis, the participants were divided into three groups; non-TMD group, TMD-pain group, and TMD-painfree group.
In regard to internalizing problems, the parents to the children and adolescents in the TMD-pain group rated a higher frequency of anxiety, depression and somatic complaints in their children than the parents of children in the non-TMD group (p < 0.05). Only one significant association regarding the externalizing problems was found for the aggressive behavior in the TMD-pain group.
The parents rated that their children with TMD-pain suffer from emotional, somatic and aggressive behavior to a higher degree than healthy control subjects. Also, the parents believed that TMD-pain influenced their children's physical activities but not social activities.
由于儿童和青少年经常因疼痛而经历情绪和行为方面的后果，因此他们的父母应该了解这种情绪和行为状况。因此，本研究的目的是使用儿童行为检查表分析和描述患有不同类型颞下颌关节紊乱症的儿童和青少年的父母对其情绪和行为状况的报告。
本横断面研究包括 386 名随机选择的年龄在 10 至 18 岁之间的吉达儿童和青少年。在根据颞下颌关节紊乱症（TMD）诊断标准 I 轴和 II 轴进行临床检查的前一天，向参与者的父母分发了阿拉伯语版儿童行为检查表。根据诊断，参与者被分为三组：非 TMD 组、TMD-疼痛组和 TMD-无痛组。
在内在问题方面，TMD-疼痛组的父母比非 TMD 组的父母更多地报告他们的孩子有焦虑、抑郁和躯体抱怨（p<0.05）。仅在外在问题方面发现 TMD-疼痛组的攻击行为存在一个显著关联。
父母认为患有 TMD-疼痛的孩子比健康对照组的孩子更易出现情绪、躯体和攻击行为。此外，父母认为 TMD-疼痛会影响孩子的体力活动，但不会影响社交活动。
