Birgitta Häggman-Henrikson, Christian Bechara, Brousk Pishdari, Corine M Visscher, EwaCarin Ekberg
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引用次数: 11
Abstract
Aims: To assess the prevalence of catastrophizing in patients with temporomandibular disorders (TMD) and the possible associations between catastrophizing and treatment outcome.
Methods: This review was registered in the Prospero database (CRD42018114233). Electronic searches were performed in PubMed, Scopus, and PsycINFO from the inception of each database up to October 26, 2018, and were combined with a hand search. Articles focusing on levels of catastrophizing and how catastrophizing affects pain levels and treatment outcomes for patients diagnosed with TMD were included, as well as studies reporting how treatment outcomes were affected by cognitive behavioral treatment as an addition to standard treatment for TMD. Reviews and case reports were excluded. Risk of bias was assessed with the Newcastle-Ottawa scale.
Results: The literature search identified 266 articles. After screening of abstracts, the full texts of 59 articles were assessed. Of these, 37 articles, including 4,789 patients with TMD and 6,617 controls, met the inclusion criteria. Higher levels of pain catastrophizing were reported in patients with TMD, with a large effect size (Hedges' g = 0.86) compared to pain-free controls. Furthermore, associations of higher levels of catastrophizing with higher symptom severity and with poorer treatment outcome were reported together with indications of positive effects from cognitive behavioral therapy.
Conclusion: The results suggest an association between catastrophizing and TMD that may affect not only symptom severity but also treatment outcome. Assessing levels of pain catastrophizing might therefore be valuable in the assessment and management of patients with TMD.
目的:评估颞下颌疾病(TMD)患者巨灾化的患病率以及巨灾化与治疗结果之间的可能关联。方法:本综述在Prospero数据库(CRD42018114233)中注册。从每个数据库建立之初到2018年10月26日，在PubMed、Scopus和PsycINFO中进行电子检索，并与手工检索相结合。文章集中在灾难化水平和灾难化如何影响诊断为TMD的患者的疼痛水平和治疗结果，以及研究如何影响治疗结果的认知行为治疗作为TMD标准治疗的补充。综述和病例报告被排除在外。偏倚风险采用纽卡斯尔-渥太华量表进行评估。结果:检索到266篇文献。摘要筛选后，对59篇文章的全文进行评估。其中，37篇文章，包括4,789例TMD患者和6,617例对照，符合纳入标准。据报道，与无痛对照相比，TMD患者的疼痛灾难化程度更高，效应量大(Hedges' g = 0.86)。此外，高水平的灾难化与较高的症状严重程度和较差的治疗结果的关联，以及认知行为治疗的积极作用的迹象被报道。结论:结果提示灾难化与TMD之间的关联不仅影响症状严重程度，而且影响治疗结果。因此，评估疼痛灾变程度可能对TMD患者的评估和管理有价值。
期刊介绍：
Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.
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