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医学院教职工和学生自述与颞下颌关节紊乱相关的疼痛及情绪状态的横断面研究:后 COVID-19 大流行时期。

Cross-sectional study of self-reported pain related to temporomandibular disorders and emotional state of medical school faculty and students: Post-COVID-19 pandemic.

机构信息

Faculdade de Medicina da Universidade Anhanguera-Uniderp, Campo Grande, Mato Grosso do Sul, Brasil.

Departamento de Obstetrícia e Ginecologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.

出版信息

PLoS One. 2024 Aug 26;19(8):e0308988. doi: 10.1371/journal.pone.0308988. eCollection 2024.

Abstract

The social isolation imposed by the COVID-19 pandemic interrupted in-person activities, which were immediately followed by adaptations to ensure, for example, the continuity of teaching. This generated emotional impacts on the academic community. Emotional states may trigger or emphasize conditions such as temporomandibular dysfunction (TMD), causing pain and limiting masticatory function. This study aimed to compare the students and the faculty of a medical school first in terms of the TMD-caused pain they experienced during social isolation and reported two months later, according to their recollections, using the TMD-Pain Screener questionnaire. The second basis for comparison was the emotional state generated by social isolation and its connection with TMD symptoms assessed through the Depression, Anxiety and Stress Scale (DASS-21), which considers perceptions at the time of data collection. Both questionnaires were responded to in May 2022 after the end of social isolation. The data were analyzed by the IBM-SPSS software for Windows 22.0 with a 5% level of significance. The results show that the self-reported TMD symptoms were more widespread (p = 0.002) and intense (p = 0.013) among students than among faculty and that all of the former's DASS-21 domains (depression, anxiety, and stress) were also more strongly evident (p<0.05). Only anxiety was more significant among the faculty (p = 0.027). Both groups pointed to social isolation as an aggravating factor of the symptoms (p<0.05). The conclusion is that the self-reported TMD-caused pain and all DASS-21 domains as experienced during social isolation were stronger and more prevalent among students than among faculty, and that only anxiety was statistically significant among faculty. Also, the emotional states resulting from social isolation may have aggravated TMD-caused pain in both groups.

摘要

由于 COVID-19 大流行而导致的社交隔离中断了面对面的活动,随后立即进行了调整,以确保例如教学的连续性。这对学术界产生了情感影响。情绪状态可能会引发或强调例如颞下颌功能紊乱(TMD)等状况,从而导致疼痛并限制咀嚼功能。本研究旨在比较医学院的学生和教职员工,首先根据他们在社交隔离期间经历的 TMD 引起的疼痛以及两个月后根据回忆使用 TMD-疼痛筛查器问卷报告的疼痛进行比较。第二个比较基础是社交隔离产生的情绪状态及其与 TMD 症状的关系,通过抑郁、焦虑和压力量表(DASS-21)进行评估,该量表考虑了数据收集时的看法。两个问卷都在 2022 年 5 月社交隔离结束后回答。数据使用 IBM-SPSS 软件 for Windows 22.0 进行分析,显著性水平为 5%。结果表明,学生自我报告的 TMD 症状比教职员工更为广泛(p=0.002)和强烈(p=0.013),而且前者的 DASS-21 所有领域(抑郁、焦虑和压力)也更为明显(p<0.05)。只有焦虑在教职员工中更为显著(p=0.027)。两个群体都指出社交隔离是症状加重的因素(p<0.05)。结论是,在社交隔离期间,学生自我报告的 TMD 引起的疼痛以及 DASS-21 的所有领域都比教职员工更为强烈和普遍,而只有焦虑在教职员工中具有统计学意义。此外,社交隔离产生的情绪状态可能会加重两组的 TMD 引起的疼痛。

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