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巴西南部一项基于人群的横断面研究中,颞下颌关节紊乱患者的抑郁和躯体化症状。

Depression and Somatization in Patients with Temporomandibular Disorders in a Population-Based Cross-Sectional Study in Southern Brazil.

出版信息

Int J Prosthodont. 2019 May/Jun;32(3):248-250. doi: 10.11607/ijp.6209.

Abstract

PURPOSE

To assess the prevalence of depression and somatization in patients with temporomandibular disorders (TMD) in a Brazilian population-based cross-sectional survey.

MATERIALS AND METHODS

A total of 1,643 subjects were assessed for TMD using the Research Diagnostic Criteria for Temporomandibular Disorders Axes I and II and were assessed for depression and somatization using the Graded Chronic Pain Scale. The data were cross-tabulated for comparison between TMD subjects and controls.

RESULTS

TMD subjects had significantly worse depression and somatization levels than controls in the RDC/TMD Axis II. The levels were also worse in most Axis I TMD groups (muscle disorders and arthralgia/osteoarthritis/osteoarthrosis).

CONCLUSION

TMD subjects had worse depression and somatization, particularly in diagnostic groups with higher pain/disability levels.

摘要

目的

在巴西一项基于人群的横断面研究中,评估颞下颌关节紊乱(TMD)患者中抑郁和躯体化的患病率。

材料和方法

使用研究性诊断标准(TMD)评估了总共 1643 名患者的 TMD 轴 I 和 II,并使用分级慢性疼痛量表评估了抑郁和躯体化。将数据交叉制表,以比较 TMD 患者和对照组。

结果

与对照组相比,RDC/TMD 轴 II 的 TMD 患者的抑郁和躯体化水平显著更差。在大多数 TMD 轴 I 组(肌肉疾病和关节痛/骨关节炎/骨关节炎)中,水平也更差。

结论

TMD 患者的抑郁和躯体化程度更差,尤其是在疼痛/残疾水平更高的诊断组中。

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