Banafa Aisha, Suominen Anna Liisa, Sipilä Kirsi
Institute of Dentistry, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland.
Acta Odontol Scand. 2023 Jan;81(1):79-85. doi: 10.1080/00016357.2022.2085323. Epub 2022 Jun 22.
Hostility is believed to have an adverse effect on physical health through mediating psychosocial factors.
This study aimed to investigate the association of hostility with temporomandibular (TMD) pain. Another aim was to investigate if the association is mediated through increases in depressiveness and somatization in an 11-year follow-up on Finnish adults, based on the Health 2000 and 2011 Surveys (BRIF8901).
The sample comprised subjects who underwent clinical TMD pain examination (pain on palpation of the masticatory muscles and temporomandibular joints) in 2000 and 2011 and responded to questions on TMD pain symptoms in 2011. Hostility was measured using the Cynical Distrust Scale, somatization was measured using the Symptom Checklist-90, and depressiveness using Beck's Depression Inventory-21. Four subgroups were formed based on the presence of TMD pain: no pain, pain in 2000 only, pain in 2011 only, and pain in 2000 and 2011. Analyses included chi-square test cross-sectionally, and multinomial logistic regression longitudinally with the level of hostility in 2000 as the predictor. Mediation analysis was performed using Hayes' Process v3.5.
Those with higher hostility showed a higher prevalence of TMD pain. Longitudinally, the association of hostility with TMD pain in 2000 only, and with TMD pain in both years, was mediated either by somatization only or by depressiveness that was mediated by somatization. In those with TMD pain in 2011 only, the association was mediated by depressiveness that was mediated by somatization.
Hostility increased the risk of TMD pain through increases in depressiveness and somatization.
敌意被认为通过中介心理社会因素对身体健康产生不利影响。
本研究旨在调查敌意与颞下颌关节紊乱症（TMD）疼痛之间的关联。另一个目的是基于2000年和2011年的健康调查（BRIF8901），在对芬兰成年人进行的11年随访中，研究这种关联是否通过抑郁和躯体化的增加来介导。
样本包括在2000年和2011年接受临床TMD疼痛检查（咀嚼肌和颞下颌关节触诊疼痛）并在2011年回答TMD疼痛症状问题的受试者。使用愤世嫉俗的不信任量表测量敌意，使用症状自评量表-90测量躯体化，使用贝克抑郁量表-21测量抑郁。根据TMD疼痛的存在情况形成四个亚组：无疼痛、仅2000年疼痛、仅2011年疼痛以及2000年和2011年都疼痛。分析包括横断面的卡方检验，以及以2000年的敌意水平作为预测因子的纵向多项逻辑回归。使用海斯的Process v3.5进行中介分析。
敌意较高的人TMD疼痛患病率较高。纵向来看，仅2000年敌意与TMD疼痛的关联，以及两年中敌意与TMD疼痛的关联，要么仅由躯体化介导，要么由由躯体化介导的抑郁介导。在仅2011年有TMD疼痛的人中，这种关联由由躯体化介导的抑郁介导。
敌意通过抑郁和躯体化的增加增加了TMD疼痛的风险。
