Department of Orofacial Pain and Oral Medicine, College of Dentistry, Dankook University, Cheonan, South Korea.
Cranio. 2021 Nov;39(6):491-501. doi: 10.1080/08869634.2019.1682750. Epub 2019 Oct 29.
: To investigate biopsychosocial characteristics and sleep quality among three TMD phenotypes and to identify the influential factors on sleep quality among those patients.: Retrospective data from chart review and self-reported questionnaires included demographics, the Brief Pain Inventory, the Pain CatastropPain Prospective Evaluation and Risk Assessmenthizing Scale, the Symptom Check List-90 Revised, and the Pittsburgh Sleep Quality Index.: A total of 1488 patients with painful TMD (female, 63.8%) were included and stratified into three groups: joint pain (n = 570), muscle pain (n = 542), and joint-muscle combined pain (n = 376). There were significant differences among demographic characteristics, pain experience, pain catastrophizing, and psychological distress of the three groups. Poor sleep quality presented in 78.4% of all patients. Sleep quality was significantly associated with TMD phenotypes, sex, and a helplessness component of pain catastrophizing.: This patient-centered and stratified approach will allow clinicians to come one step closer to personalized medicine.
探讨三种颞下颌关节紊乱病（TMD）表型的心理社会特征和睡眠质量，并确定这些患者睡眠质量的影响因素。
通过病历回顾和自我报告问卷收集人口统计学资料、简明疼痛量表、疼痛灾难化量表、症状清单 90 修订版和匹兹堡睡眠质量指数。共纳入 1488 例有疼痛性 TMD 患者（女性，63.8%），并分为三组：关节痛（n=570）、肌痛（n=542）和关节-肌痛混合痛（n=376）。三组患者在人口统计学特征、疼痛体验、疼痛灾难化和心理困扰方面存在显著差异。所有患者中有 78.4%存在睡眠质量差的情况。睡眠质量与 TMD 表型、性别和疼痛灾难化的无助成分显著相关。
这种以患者为中心和分层的方法将使临床医生更接近个性化医疗。
