波兰颞下颌关节紊乱症成年患者疼痛强度、疼痛相关功能障碍、焦虑、抑郁及感知压力的测定：一项前瞻性队列研究。
Determination of pain intensity, pain-related disability, anxiety, depression, and perceived stress in Polish adults with temporomandibular disorders: A prospective cohort study.
作者信息
Wieckiewicz Mieszko, Jenca Andrej, Seweryn Piotr, Orzeszek Sylwia, Petrasova Adriana, Grychowska Natalia, Winocur-Arias Orit, Emodi-Perlman Alona, Kujawa Krzysztof
机构信息
Department of Experimental Dentistry, Wroclaw Medical University, Wroclaw, Poland.
Clinic of Stomatology and Maxillofacial Surgery, Faculty of Medicine, University Pavol Josef Šafárik and Akademia Košice, Košice, Slovakia.
出版信息
Front Integr Neurosci. 2022 Nov 2;16:1026781. doi: 10.3389/fnint.2022.1026781. eCollection 2022.
BACKGROUND
There is a need to assess a relationship between the psychoemotional state of patients and the occurrence and the intensity of pain and temporomandibular disorders (TMD) in relation to a Polish population. There are no such precision data in the literature relating to the population of big Eastern European country. The study conducted by the authors refer to a large group of male and female adult patients of the Polish population in a different age profile. As a result, this study provides a picture of the situation that also takes into account population characteristics that may affect the clinical situation of patients.
OBJECTIVE
The aim of the study was to assess the pain intensity, pain-related disability, anxiety, depression, and perceived stress among Polish adults with TMD as well as the association between psychosocial impairment and TMD.
MATERIALS AND METHODS
This prospective cohort study included 219 adult patients from the Outpatient Clinic for Temporomandibular Disorders at the Academic Dental Polyclinic in Wroclaw. The patients completed validated questionnaires, and received a TMD diagnosis based on a standardized examination (Diagnostic Criteria for Temporomandibular Disorders) performed by a qualified dentist. A statistical analysis was carried out on the collected data.
RESULTS
Myalgia was the most commonly diagnosed condition among the TMD patients. Furthermore, the prevalence of perceived stress, anxiety, and depression was high in the studied sample. Females showed more depression symptoms than males, while the level of anxiety and stress was similar in both groups. The most statistically significant correlation was observed between the group of masticatory muscle disorders and the level of depression, stress, pain intensity, and pain-related disability.
CONCLUSION
Due to the high prevalence of increased levels of anxiety, depression, and perceived stress, it is essential to screen the psychosocial status of Polish TMD adult patients. Psychosocial status may have an impact on a studied patient's response to treatment and pain intensity, and pain-related disability. Therefore, Polish TMD adult patients should be provided with management based on an interdisciplinary approach.
CLINICAL TRIAL REGISTRATION
[https://clinicaltrials.gov/], identifier [NCT05183503].
背景
有必要评估波兰人群中患者的心理情绪状态与疼痛及颞下颌关节紊乱病（TMD）的发生和强度之间的关系。在文献中，没有关于这个东欧大国人群的此类精确数据。作者进行的这项研究涉及波兰不同年龄分布的大量成年男女患者群体。因此，本研究描绘了一种还考虑到可能影响患者临床状况的人群特征的情况。
目的
本研究的目的是评估波兰患有TMD的成年人的疼痛强度、疼痛相关残疾、焦虑、抑郁和感知压力，以及心理社会损害与TMD之间的关联。
材料与方法
这项前瞻性队列研究纳入了来自弗罗茨瓦夫学术牙科综合诊所颞下颌关节紊乱病门诊的219名成年患者。患者完成了经过验证的问卷，并根据合格牙医进行的标准化检查（颞下颌关节紊乱病诊断标准）接受了TMD诊断。对收集到的数据进行了统计分析。
结果
肌痛是TMD患者中最常诊断出的病症。此外，在所研究的样本中，感知压力、焦虑和抑郁的患病率很高。女性比男性表现出更多的抑郁症状，而两组的焦虑和压力水平相似。在咀嚼肌紊乱组与抑郁水平、压力、疼痛强度和疼痛相关残疾之间观察到最具统计学意义的相关性。
结论
由于焦虑、抑郁和感知压力水平升高的患病率很高，对波兰成年TMD患者的心理社会状况进行筛查至关重要。心理社会状况可能会影响所研究患者对治疗的反应以及疼痛强度和疼痛相关残疾。因此，应为波兰成年TMD患者提供基于多学科方法的管理。
临床试验注册
[https://clinicaltrials.gov/]，标识符 [NCT05183503]。
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