颞下颌关节紊乱病-伴有牵涉痛的肌筋膜疼痛患者的应激体验、抑郁与颈部功能障碍
Stress Experience, Depression and Neck Disability in Patients with Temporomandibular Disorder-Myofascial Pain with Referral.
作者信息
Szarejko Krzysztof Dariusz, Gołębiewska Maria, Lukomska-Szymanska Monika, Kuć Joanna
机构信息
Private Health Care, Physical Therapy and Rehabilitation, Bialystok, 79 Warsaw St., 15-201 Bialystok, Poland.
Department of Dental Techniques, Medical University of Bialystok, 13 Washington St., 15-269 Bialystok, Poland.
出版信息
J Clin Med. 2023 Mar 2;12(5):1988. doi: 10.3390/jcm12051988.
The etiology of temporomandibular disorders (TMDs) is firmly anchored in the biopsychosocial model in which a special role is attributed to the stress, depression, somatic symptoms, and anxiety. The aim of the study was to assess the level of stress, depression and neck disability in patients with temporomandibular disorder-myofascial pain with referral. The study group enrolled 50 people (37 women and 13 men) with complete natural dentition. All the patients underwent a clinical examination according to the Diagnostic Criteria for Temporomandibular Disorders and were diagnosed as individuals with myofascial pain with referral. The questionnaires were associated with stress, depression, and neck disability; Perceived Stress Scale (PSS-10), Beck Depression Inventory(BDI), and Neck Disability Index (NDI) were evaluated. Of the individuals evaluated, 78% showed elevated levels of stress, and the average value of the PSS-10 in the study group was 18 points (Me = 17). Furthermore, 30% of the subjects presented depressive symptoms, with the average value of BDI was 8.94 points (Me = 8), and 82% of the subjects showed neck disability. The multiple linear regression model revealed that BDI and NDI allowed explanations for the 53% differentiation of PSS-10. In conclusion, stress, depression, and neck disability coexist with temporomandibular disorder-myofascial pain with referral.
颞下颌关节紊乱病(TMDs)的病因学牢固地植根于生物心理社会模型,该模型中压力、抑郁、躯体症状和焦虑被赋予了特殊作用。本研究的目的是评估颞下颌关节紊乱病——伴有牵涉痛的肌筋膜疼痛患者的压力、抑郁和颈部功能障碍水平。研究组纳入了50名拥有完整天然牙列的患者(37名女性和13名男性)。所有患者均根据颞下颌关节紊乱病诊断标准进行了临床检查,并被诊断为伴有牵涉痛的肌筋膜疼痛患者。所使用的问卷与压力、抑郁和颈部功能障碍相关;对感知压力量表(PSS - 10)、贝克抑郁量表(BDI)和颈部功能障碍指数(NDI)进行了评估。在接受评估的个体中,78%表现出压力水平升高,研究组中PSS - 10的平均值为18分(中位数 = 17)。此外,30%的受试者出现抑郁症状,BDI的平均值为8.94分(中位数 = 8),82%的受试者表现出颈部功能障碍。多元线性回归模型显示,BDI和NDI能够解释PSS - 10中53%的差异。总之,压力、抑郁和颈部功能障碍与颞下颌关节紊乱病——伴有牵涉痛的肌筋膜疼痛并存。