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成年患者焦虑与颞下颌关节紊乱之间的关联——一项系统综述

Association between anxiety and temporomandibular dysfunction in adult patients - a systematic review.

作者信息

Ferreira Izabela, Sahm Beatriz Danieletto, Dos Reis Andrea Cândido

机构信息

Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo (USP), Ribeirão Preto, SP, Brazil.

出版信息

Cranio. 2024 Jul 15:1-7. doi: 10.1080/08869634.2024.2379554.

DOI:10.1080/08869634.2024.2379554
PMID:39010709
Abstract

OBJECTIVE

Anxiety tends to increase muscle tension and painful symptoms; however, its symptoms can be associated with temporomandibular dysfunction (TMD). Therefore, it is crucial for professionals to identify the presence of both comorbidities and determine whether they are related. This study aims to systematically evaluate the literature and answer the question: "Is there an association between anxiety and TMD in adults?"

METHODS

The study followed the PRISMA protocol and was registered in PROSPERO. The custom search was performed in PubMed, Embase, Scopus, and Lilacs databases, as inclusion criteria observational studies that evaluated the association between anxiety and TMD in adults.

RESULTS

A total of 1640 articles were found. After removing duplicates, 988 were evaluated by title and abstract. Of these, 28 were selected for reading in full, of which 13 were included in the present review.

CONCLUSION

The association of anxiety with TMD is positive, except for the minority indicating a low relationship between the disorders, which is explained by neuroscience.

摘要

目的

焦虑往往会增加肌肉紧张度和疼痛症状;然而,其症状可能与颞下颌关节紊乱病(TMD)有关。因此,专业人员识别这两种合并症的存在并确定它们是否相关至关重要。本研究旨在系统评价文献并回答问题:“成人焦虑与TMD之间是否存在关联?”

方法

本研究遵循PRISMA方案并在PROSPERO中注册。在PubMed、Embase、Scopus和Lilacs数据库中进行定制检索,纳入标准为评估成人焦虑与TMD之间关联的观察性研究。

结果

共找到1640篇文章。去除重复项后,通过标题和摘要对988篇进行了评估。其中,28篇被选出来全文阅读,本综述纳入了其中13篇。

结论

焦虑与TMD之间的关联是正向的,但少数研究表明这两种疾病之间关系较弱,神经科学对此作出了解释。

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Clin Oral Investig. 2025 Jul 2;29(7):369. doi: 10.1007/s00784-025-06434-x.
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Comparative analysis of acute and chronic painful temporomandibular disorders: Insights into pain, behavioral, and psychosocial features.急性和慢性疼痛性颞下颌关节紊乱病的比较分析:对疼痛、行为及社会心理特征的见解
PLoS One. 2025 Feb 25;20(2):e0318946. doi: 10.1371/journal.pone.0318946. eCollection 2025.