Macedo de Sousa Bruno, Neves David, Blanco Rueda Jose Antonio, Caramelo Francisco, Rodrigues Maria Joao, López-Valverde Nansi
Institute for Occlusion and Orofacial Pain Faculty of Medicine, University of Coimbra, 3004-504 Coimbra, Portugal.
Department of Surgery, University of Salamanca, 37007 Salamanca, Spain.
J Oral Facial Pain Headache. 2024 Jun;38(2):90-97. doi: 10.22514/jofph.2024.017. Epub 2024 Jun 12.
Temporomandibular Disorders (TMDs) are pathologies based on multifactorial etiology and a biopsychosocial model, where anxiety becomes one of the most important psychological factors as it is the most frequent symptom presented in most of the population at some point in life. Taking into account the need for a multidisciplinary approach, we set out to evaluate the possible impact of orofacial pain on patients' quality of life. In this study, the sample population FROM the Medical School of the University of Coimbra (Portugal) was evaluated using two tools: Diagnostic Criteria for Temporomandibular Disorder (DC/TMD) and an adaptation of the West Haven-Yale Multidimensional Pain Inventory. Participants with Chronic Pain for more than three months and diagnosed with TMD were included in the research. The quality of life and pain intensity of participants with Chronic Orofacial Pain were assessed using questionnaires. Subsequently, statistical analysis were conducted. A total sample of 122 participants was selected. A statistically significant association was observed between an increase in pain intensity and a decrease in quality of life in three aspects we considered (daily activity, general mood and anxiety) and we demonstrated that pain intensity is significantly associated with a decrease in quality of life.
颞下颌关节紊乱病（TMDs）是基于多因素病因和生物心理社会模型的病理状况，其中焦虑成为最重要的心理因素之一，因为它是大多数人在生命中的某个时刻最常出现的症状。考虑到需要采用多学科方法，我们着手评估口面部疼痛对患者生活质量的可能影响。在这项研究中，使用两种工具对来自葡萄牙科英布拉大学医学院的样本人群进行了评估：颞下颌关节紊乱病诊断标准（DC/TMD）和韦斯特黑文-耶鲁多维疼痛量表的改编版。研究纳入了慢性疼痛超过三个月且被诊断为TMD的参与者。使用问卷评估慢性口面部疼痛参与者的生活质量和疼痛强度。随后进行了统计分析。共选取了122名参与者作为样本。在我们考虑的三个方面（日常活动、总体情绪和焦虑）中，观察到疼痛强度增加与生活质量下降之间存在统计学上的显著关联，并且我们证明疼痛强度与生活质量下降显著相关。
