Temporomandibular Disorder Pain and Somatic Symptoms in Migraine Patients: Idioms of Psychological Distress and Impact on Quality of Life

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-12-08 DOI:10.1111/joor.70127

Adrian Ujin Yap, Wei Yang Wong, Wai Kin Yuen, Huann Lan Tan, Wan Nur Nafisah Wan Yahya, Rifqah Nordin

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引用次数: 0

Abstract

Background

Studies on painful temporomandibular disorders (TMDs) and somatic symptoms in Southeast Asian migraine patients are lacking.

Objectives

This study investigated the prevalence of TMD pain and somatic symptoms in migraine patients, examining their relationships with pain characteristics, psychological distress, and quality of life (QOL). Additionally, it identified factors associated with moderate-to-severe distress, low QOL, and poor general health.

Methods

Participants were recruited from a neurology clinic, where migraines were diagnosed based on the ICHD-3 criteria. A trained interviewer administered a questionnaire comprising sociodemographics, migraine-specific information, the DC/TMD TMD pain screener (TPS), Graded Chronic Pain Scale (GCPS), Patient Health Questionnaires (PHQ-15/PHQ-4), and WHOQOL-BREF. Data were analysed employing Chi-square/Mann–Whitney U tests, Spearman's correlation, and logistic regression analysis (α = 0.05).

Results

Among the 106 participants (mean age 45.3 years [SD = 14.0]), 31.1% experienced TMD pain, while 37.7% exhibited medium-to-high somatic symptoms. Individuals with comorbid migraine-TMD pain had a higher somatic symptom burden, distress, and poorer psychological/environmental QOL. Those with medium-to-high somatic symptoms reported more frequent migraines, greater pain intensity/disability, higher TMD pain propensity, elevated distress, and worse QOL in all domains. Somatic symptoms, but not TMD pain, were negatively and moderately correlated with general health, physical, and psychological QOL (rs = −0.41 to −0.53). Somatic symptoms (OR 1.34) and poor general health (OR 3.06) increased the odds of moderate-to-severe distress and low overall QOL, respectively.

Conclusions

To effectively manage migraine patients, screening for TMDs and addressing somatic symptoms and general health are essential for reducing psychological distress and enhancing overall QOL.

Abstract Image

查看原文本刊更多论文

偏头痛患者的颞下颌紊乱、疼痛和躯体症状：心理困扰习语及其对生活质量的影响。

背景：目前对东南亚偏头痛患者疼痛性颞下颌紊乱（TMDs）和躯体症状的研究尚缺乏。目的：本研究调查偏头痛患者TMD疼痛和躯体症状的患病率，探讨其与疼痛特征、心理困扰和生活质量（QOL）的关系。此外，它还确定了与中度至重度痛苦、低生活质量和一般健康状况不佳相关的因素。方法：参与者从神经病学诊所招募，根据ICHD-3标准诊断偏头痛。一名训练有素的采访者对患者进行问卷调查，包括社会人口统计学、偏头痛特异性信息、DC/TMD TMD疼痛筛查（TPS）、慢性疼痛分级量表（GCPS）、患者健康问卷（PHQ-15/PHQ-4）和WHOQOL-BREF。资料分析采用χ 2 /Mann-Whitney U检验、Spearman相关和logistic回归分析（α = 0.05）。结果：106名参与者（平均年龄45.3岁[SD = 14.0]）中，31.1%经历过TMD疼痛，37.7%表现出中重度躯体症状。患有偏头痛- tmd合并症的个体有较高的躯体症状负担、窘迫和较差的心理/环境生活质量。有中重度躯体症状的患者报告偏头痛更频繁，疼痛强度/残疾更大，TMD疼痛倾向更高，痛苦加剧，所有领域的生活质量更差。躯体症状，而不是TMD疼痛，与总体健康、身体和心理生活质量呈负相关和中度相关（rs = -0.41至-0.53）。躯体症状（OR 1.34）和一般健康状况不佳（OR 3.06）分别增加了中度至重度痛苦和低总体生活质量的几率。结论：为了有效管理偏头痛患者，筛查tmd，解决躯体症状和一般健康问题对于减少心理困扰和提高总体生活质量至关重要。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.