Associations between pain-related temporomandibular disorders and dental anxiety at 46 years of age in the Northern Finland Birth Cohort 1966.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-11-01 Epub Date: 2023-07-19 DOI:10.1080/00016357.2023.2236229

Jarno Knuutila, Satu Lahti, Kirsi Sipilä, Mimmi Tolvanen

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引用次数: 0

Abstract

Objectives: The aims were (1) to study the association between dental anxiety (DA) and temporomandibular disorders (TMDs) and whether subgroups formed differ in psychological symptoms and pain sensitivity in the Northern Finland Birth Cohort 1966 and (2) to confirm the factor structure of the Hopkins Symptom Checklist-25 assessing psychological symptoms.

Materials and methods: Data were acquired using questionnaires and clinical examinations at age 46 years (n = 1889). Dental anxiety was assessed with Modified Dental Anxiety Scale (MDAS). Pain-related TMD (myalgia, arthralgia) were assessed according to modified diagnostic criteria for temporomandibular disorders. Pressure pain threshold and tolerance were measured with an algometer. Explanatory factor analysis revealed three factors, named 'depression', 'anxiety' and 'distress'.

Results: Those with high DA and myalgia and/or arthralgia reported higher depression (mean = 1.52), anxiety (mean = 1.61) and distress (mean = 2.06) scores, and lower pressure pain threshold (mean = 496 kPa) and tolerance (mean = 741 kPa) values than those with only DA (1.22; 1.56; 1.84; 613; 875), TMD (1.21; 1.39; 1.83; 600; 908) or neither (1.12; 1.29; 1.58; 707; 1006), respectively.

Conclusions: Patients with DA and/or myalgia/arthralgia have similar profiles regarding pain sensitivity and psychological symptoms, the burden being highest among those with DA and a TMD diagnosis.

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1966年芬兰北部出生队列中46岁时疼痛相关颞下颌关节紊乱与牙齿焦虑的关系。

目的：（1）研究牙科焦虑（DA）与颞下颌关节紊乱病（TMDs）之间的关系，以及1966年芬兰北部出生队列中形成的亚组在心理症状和疼痛敏感性方面是否存在差异；（2）确认霍普金斯症状检查表-25评估心理症状的因素结构。材料和方法：数据采用问卷调查和临床检查获得，年龄46岁（n=1889）。采用改良牙科焦虑量表（MDAS）评定牙科焦虑。根据颞下颌关节紊乱病的改良诊断标准评估疼痛相关TMD（肌痛、关节痛）。压力-疼痛阈值和耐受性用算法仪测量。解释性因素分析揭示了三个因素，即“抑郁”、“焦虑”和“痛苦”。结果：DA高、肌痛和/或关节痛患者的抑郁（平均值=1.52）、焦虑（平均值1.61）和痛苦（平均值2.06）得分较高，压痛阈值较低（平均值496 kPa）和公差（平均值=741 kPa）值分别高于仅具有DA（1.22；1.56；1.84；613；875）、TMD（1.21；1.39；1.83；600；908）或两者都没有（1.12；1.29；1.58；707；1006）的值。结论：DA和/或肌痛/关节痛患者在疼痛敏感性和心理症状方面具有相似的特征，在诊断为DA和TMD的患者中负担最高。

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.