Fear of Movement and Catastrophizing in Participants with Temporomandibular Disorders.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-12-01 DOI:10.11607/ofph.3060

Birgitta Häggman-Henrikson, Nora Jawad, Xochitl Mena Acuña, Corine M Visscher, Eric Schiffman, Thomas List

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引用次数: 5

Abstract

Aims: To assess differences in catastrophizing and kinesiophobia in relation to areas of pain and somatic symptoms among participants with temporomandibular disorders (TMDs) and controls.

Methods: In total, 401 participants (333 women, 68 men, mean age: 45.8 years) in the TMJ Impact Project were examined in accordance with the Diagnostic Criteria for TMD, including clinical examination (Axis I) and psychosocial assessment (Axis II) augmented with imaging of the temporomandibular joint (TMJ). Of these, 218 participants had a painful TMD pain diagnosis, 63 had a nonpainful TMD diagnosis, and 111 had no TMD. Nine participants had missing data. Participants completed the Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia, Areas of Pain figure, and the Patient Health Questionnaire-15 for assessing somatic symptoms.

Results: Compared to controls, participants with TMD pain showed higher levels of catastrophizing (P = .017), kinesiophobia (P < .001), areas of pain (P < .001), and somatic symptoms (P < .001). Participants with nonpainful TMD showed a higher level of kinesiophobia (P < .001) than controls. There was a positive correlation between catastrophizing and kinesiophobia for participants with TMD pain (r = 0.33, P < .001) and nonpainful TMD (r = 0.42, P < .001).

Discussion: The results suggest more fear of movement, as well as an association between catastrophizing and fear of movement, in participants with TMD pain and in participants with nonpainful TMD compared to controls. Assessment and management of fear of movement as well as catastrophizing may be useful as part of individualized treatment strategies for patients with TMD.

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颞下颌障碍患者的运动恐惧和灾难化。

目的:评估与颞下颌障碍(TMDs)和对照组的疼痛区域和躯体症状相关的灾难化和运动恐惧症的差异。方法:共有401名参与TMJ影响项目的参与者(333名女性，68名男性，平均年龄:45.8岁)按照TMD诊断标准进行检查，包括临床检查(轴I)和社会心理评估(轴II)，并辅以颞下颌关节(TMJ)成像。其中，218名参与者被诊断为疼痛性TMD, 63名被诊断为非疼痛性TMD, 111名没有TMD。9名参与者的数据缺失。参与者完成疼痛灾难化量表、坦帕运动恐惧症量表、疼痛区域图和评估躯体症状的患者健康问卷-15。结果:与对照组相比，患有TMD疼痛的参与者表现出更高水平的灾难化(P = 0.017)、运动恐惧症(P < 0.001)、疼痛区域(P < 0.001)和躯体症状(P < 0.001)。非疼痛性TMD患者的运动恐惧症水平高于对照组(P < 0.001)。有TMD疼痛(r = 0.33, P < 0.001)和非疼痛性TMD (r = 0.42, P < 0.001)的参与者的灾难化和运动恐惧症呈正相关。讨论:结果表明，与对照组相比，TMD疼痛患者和非疼痛TMD患者对运动有更多的恐惧，以及灾难化和运动恐惧之间的联系。评估和管理运动恐惧以及灾难化可能是TMD患者个性化治疗策略的一部分。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.