Increase in stress contributes to impaired jaw function in juvenile idiopathic arthritis: a two-year prospective study.

IF 2.8 3区医学 Q1 PEDIATRICS

Pediatric Rheumatology Pub Date : 2024-02-26 DOI:10.1186/s12969-024-00966-4

Alexandra Dimitrijevic Carlsson, Kerstin Wahlund, Erik Kindgren, Martina Frodlund, Per Alstergren

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引用次数: 0

Abstract

Background: Stress in patients with Juvenile Idiopathic Arthritis (JIA) has been found to be associated with orofacial pain, psychological distress, jaw dysfunction and loss of daily activities in a cross-sectional study. The aim of this study was to investigate the relations between stress and change of stress over time versus changes in orofacial pain, psychosocial factors and jaw function over a two-year period in patients with JIA.

Methods: This is a two-year prospective follow-up study involving 40 JIA patients. At baseline (2015) the median age was 12 years and at two-year follow up (2018) 14 years. The JIA patients were examined clinically and with questionnaires at baseline and follow-up with the diagnostic criteria for temporomandibular disorders (DC/TMD) and completed the same set of DC/TMD questionnaires regarding orofacial pain symptoms and psychosocial factors.

Results: Change in stress was associated with change in catastrophizing, psychological distress as well as limitation in general function and jaw function.

Conclusions: This study emphasizes the importance of maintaining a low stress level in patients with JIA since an increase in stress level over a two-year period seems to impair jaw function as well as psychological distress and catastrophizing.

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压力增加导致幼年特发性关节炎患者下颌功能受损：一项为期两年的前瞻性研究。

背景：一项横断面研究发现，青少年特发性关节炎（JIA）患者的压力与口面部疼痛、心理压力、颌骨功能障碍和日常活动能力丧失有关。本研究的目的是调查 JIA 患者两年内的压力和压力随时间的变化与口面部疼痛、社会心理因素和颌骨功能变化之间的关系：这是一项为期两年的前瞻性随访研究，共有40名JIA患者参与。基线年龄（2015 年）中位数为 12 岁，两年随访年龄（2018 年）中位数为 14 岁。在基线和随访期间，根据颞下颌关节紊乱症（DC/TMD）的诊断标准对JIA患者进行了临床检查和问卷调查，并完成了同一套关于口面部疼痛症状和心理社会因素的DC/TMD问卷调查：结果：压力的变化与灾难化、心理压力以及一般功能和下颌功能限制的变化相关：这项研究强调了保持 JIA 患者低压力水平的重要性，因为两年内压力水平的增加似乎会损害颌功能以及心理困扰和灾难化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Rheumatology PEDIATRICS-RHEUMATOLOGY

CiteScore

4.10

自引率

8.00%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Rheumatology is an open access, peer-reviewed, online journal encompassing all aspects of clinical and basic research related to pediatric rheumatology and allied subjects. The journal’s scope of diseases and syndromes include musculoskeletal pain syndromes, rheumatic fever and post-streptococcal syndromes, juvenile idiopathic arthritis, systemic lupus erythematosus, juvenile dermatomyositis, local and systemic scleroderma, Kawasaki disease, Henoch-Schonlein purpura and other vasculitides, sarcoidosis, inherited musculoskeletal syndromes, autoinflammatory syndromes, and others.