Journal of Oral & Facial Pain and Headache最新文献_第9页

Catastrophizing and Hypervigilance Influence Subjective Sleep Quality in Painful TMD Patients 痛苦性TMD患者的灾难化和高警觉性影响主观睡眠质量

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2023-01-01 DOI: 10.11607/ofph.3269

Rodrigo Lorenzi Poluha, Giancarlo De la Torre Canales, Dyna Mara Ferreira, Juliana Stuginski-Barbosa, Paulo César Rodrigues Conti

{"title":"Catastrophizing and Hypervigilance Influence Subjective Sleep Quality in Painful TMD Patients","authors":"Rodrigo Lorenzi Poluha, Giancarlo De la Torre Canales, Dyna Mara Ferreira, Juliana Stuginski-Barbosa, Paulo César Rodrigues Conti","doi":"10.11607/ofph.3269","DOIUrl":"10.11607/ofph.3269","url":null,"abstract":"Aims: To determine sleep quality and associated factors in a group of patients with painful TMDs. Methods: The medical records of 80 patients with arthralgia and/or myofascial pain were reviewed and compared to a healthy control group. Data about sex, age, subjective pain, physical activity, social activity, subjective sleep quality (Pittsburgh Sleep Quality Index [PSQI]), pain vigilance (Pain Vigilance and Awareness Questionnaire [PVAQ]), and pain catastrophizing (Pain Catastrophizing Scale [PCS]) were collected. Relationships between PSQI, age, pain intensity, PVAQ, and PCS in the TMD group were also analyzed. Data from the control group were used to transform the PSQI results into T-scores, which were then used to divide the TMD group into two subgroups: normal and impaired sleep. Results: TMD patients presented a significantly higher (P < .001) PSQI score than the control group. Also, in the TMD group, there was a low to moderate correlation between PSQI and pain intensity and a significant correlation between PVAQ and PCS. The impaired sleep group presented a significantly higher (P < .001) PSQI T-score than the normal sleep group. Univariate analysis showed that subjective pain, social activity, and the PCS total and subscale scores differed significantly between the different PSQI T-score groups. The comparison between TMD pain patients and control subjects showed a significantly higher prevalence of T-score discordance in almost all PSQI components in TMD patients with impaired sleep. Conclusion: Subjective sleep quality in painful TMD patients could be associated with and influenced by psychosocial factors (catastrophizing and hypervigilance), social activity, and pain intensity.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"37 1","pages":"47-53"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Meta-Synthesis of the Experience of Chronic Temporomandibular Disorder Patients Within Health Care Services 慢性颞下颌疾病患者在卫生保健服务中的经验综合

IF 1.9 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2023-01-01 DOI: 10.11607/ofph.3112

Dina Taimeh, Rachel Leeson, Stefano Fedele, Richeal Ni Riordain

{"title":"A Meta-Synthesis of the Experience of Chronic Temporomandibular Disorder Patients Within Health Care Services","authors":"Dina Taimeh, Rachel Leeson, Stefano Fedele, Richeal Ni Riordain","doi":"10.11607/ofph.3112","DOIUrl":"10.11607/ofph.3112","url":null,"abstract":"Aims: To systematically review the qualitative evidence related to experiences of patients with temporomandibular disorders (TMD) and to explore their journeys within health care services. Methods: A systematic search of the following databases was conducted: MEDLINE, Embase, PsycINFO, Web of Science, CINAHL Complete, and the Cochrane database. Thematic synthesis was used to analyze and synthesize the data from qualitative studies that explored the journeys of TMD patients within health care services. The Critical Appraisal Skills Programme (CASP) tool was used to critically appraise the quality of the included studies. Results: The search strategies yielded 4,563 articles across all databases, and 18 articles were eventually included. Six themes were derived: care-seeking attitudes; expectations and health care experience; the patient-clinician interaction; diagnosis as a stepping stone for improvement; management; and social support. Conclusion: The journey within health care services may play a valuable role in the ability to cope with chronic TMDs. Receiving a diagnosis, being listened to, and being believed are among the most important elements making for a positive clinical experience.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"37 1","pages":"55-73"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychologic Impact of Chronic Orofacial Pain: A Critical Review. 慢性口面部疼痛的心理影响:综述。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2022-02-01 DOI: 10.11607/ofph.3010

Aalia Karamat, Jared G Smith, Lydia Nabil Fouad Melek, Tara Renton

{"title":"Psychologic Impact of Chronic Orofacial Pain: A Critical Review.","authors":"Aalia Karamat, Jared G Smith, Lydia Nabil Fouad Melek, Tara Renton","doi":"10.11607/ofph.3010","DOIUrl":"10.11607/ofph.3010","url":null,"abstract":"Aims: To explore the prevalence of clinically significant anxiety and depression in adult patients with chronic orofacial pain (COFP) conditions.Methods: A systematic online search of the Medline (PubMed) and Ovid databases was performed for articles published from 2006 to 2019. Observational studies- including cross-sectional, case-control, and case series-and longitudinal prospective studies were included. A total of 118 articles were selected for inclusion, and the prevalence rates of clinically significant anxiety and depression were summarized.Results: Most studies focused on temporomandibular disorder (TMD) pain and less often on neuropathic COFP conditions. Prevalence rates varied widely across studies according to OFP condition and assessment measure; most questionnaire-based assessments yielded rates of clinically significant depression and anxiety in, respectively, 40% to 60% and 40% to 65% of individuals with TMD and in 20% to 50% and 25% to 55% of patients with neuropathic, mixed, or idiopathic/atypical COFP conditions. Rates of anxiety and depression were lower in studies using diagnostic instruments and in TMD studies with nonpatient samples. Most controlled studies showed a higher prevalence of anxiety and depression in individuals with COFP than in those without. Higher COFP pain levels and the presence of comorbid conditions such as migraines or widespread pain increased the likelihood of anxiety and/or depressive symptoms in individuals.Conclusion: Clinically significant anxiety and depression were commonly observed in patients with COFP, were present at higher rates than in pain-free participants in controlled studies, and were closely linked to pain severity. More research is needed to evaluate the psychologic impact of multiple COFP conditions in an individual and the prevalence of precondition psychologic morbidity.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"36 2","pages":"103-140"},"PeriodicalIF":2.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40596598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Evaluation of Anxiety Levels in Children and Their Mothers and Appearance of Sleep Bruxism in Turkish Children and Associated Risk Factors: A Cross-Sectional Study. 评估儿童及其母亲的焦虑水平和土耳其儿童睡眠磨牙症的出现及相关的危险因素:一项横断面研究。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2022-02-01 DOI: 10.11607/ofph.3011

İffet Yazıcıoğlu, Perihan Çam Ray

{"title":"Evaluation of Anxiety Levels in Children and Their Mothers and Appearance of Sleep Bruxism in Turkish Children and Associated Risk Factors: A Cross-Sectional Study.","authors":"İffet Yazıcıoğlu, Perihan Çam Ray","doi":"10.11607/ofph.3011","DOIUrl":"10.11607/ofph.3011","url":null,"abstract":"Aims: To evaluate the anxiety of children and their mothers in relation to sleep bruxism (SB) and associated risk factors.Methods: A total of 96 children (48 with and 48 without bruxism) and their mothers participated in this study. A form with comprehensive history and oral and parafunctional habits associated with SB was used. Screen for Child Anxiety and Related Disorders (SCARED) was used to measure anxiety in children. The anxiety levels of the mothers were evaluated with the State-Trait Anxiety Inventory (STAI). SPSS version 21.0 was used for the analyses. Chi-square test was used to compare categorical data. Student t test or Mann-Whitney U test was used for the comparison of continuous data, and multiple logistic regression model was applied to detect the real factors associated with SB.Results: The comparisons of SCARED total (P = .005), factor 3 (separation anxiety; P = .015), factor 4 (social anxiety; P = .011) and factor 5 (school fear; P = .005) showed significant differences between groups. State anxiety scores of the mothers were significantly higher in the bruxism group (P < .001). Statistically significant differences were seen for learning/behavioral/anger problems, mouth breathing, snoring, bad breath, parasitic infections, sleep difficulty, chewing a pen or pencil, and sleeping in their own room (P < .05). The real risk factors associated with SB were learning/behavioral/anger problems, an experience causing stress, snoring, and increased anxiety levels of mothers and children.Conclusion: Elevated anxiety levels of mother or children, learning/behavioral/anger problems, experience causing stress, and snoring increased the risk of having SB in children.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"36 2","pages":"147-154"},"PeriodicalIF":2.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40596600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Sensory Changes Related to Dental Implant Placement: A Scoping Review. 与种植体植入相关的感觉变化:范围综述。

IF 1.9 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2022-02-01 DOI: 10.11607/ofph.3027

Sowmya Ananthan, Amey G Patil, Deepika Jaiswal, Cibele Nasri-Heir, Gary M Heir, Rafael Benoliel

{"title":"Sensory Changes Related to Dental Implant Placement: A Scoping Review.","authors":"Sowmya Ananthan, Amey G Patil, Deepika Jaiswal, Cibele Nasri-Heir, Gary M Heir, Rafael Benoliel","doi":"10.11607/ofph.3027","DOIUrl":"10.11607/ofph.3027","url":null,"abstract":"Aims: To perform a scoping review of the literature to elucidate the occurrence of nerve damage related to dental implant placement and the factors causing the sensory changes.Methods: An extensive electronic search was conducted using the Cochrane Library, Medline via Ovid, PubMed, Wiley Online, Science Direct, CINAHL, and the Google Scholar databases from the year 1950 to 2020.Results: The search resulted in 1,067 articles, out of which 76 were selected for this review. The articles were categorized as literature review articles, retrospective studies, prospective studies, and case series/case reports. Altogether, 2,526 subjects were assessed retrospectively, with 5.27% transient and 1.39% persistent sensory changes, and a cohort of 2,750 subjects were followed prospectively, with 6.22% transient and 1.31% persistent sensory changes. A total of 336 subjects were enrolled in various case reports and case series, with 5.95% transient sensory changes and 84.52% persistent neurosensory changes. The articles included were not of high quality and have variations in their study designs and reporting procedures, with limited sensory change data to include in this study.Conclusion: After surgical placement of dental implants in 5,612 patients, the incidence of transient sensory changes was 5.63%, and the incidence of persistent sensory changes was 6.33%. Factors affecting the incidence were: mandibular location of the implant, with the inferior alveolar nerve as the most commonly affected nerve. The common symptoms reported were paresthesia and dysesthesia. Age and gender were among other factors, for which data were not available in all the articles.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"36 2","pages":"165-186"},"PeriodicalIF":1.9,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40613033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fatigue in Adults with Chronic Arthralgia/Myalgia in the Temporomandibular Region: Associations with Poor Sleep Quality, Depression, Pain Intensity, and Future Pain Interference. 成人颞下颌区慢性关节痛/肌痛患者的疲劳:与睡眠质量差、抑郁、疼痛强度和未来疼痛干扰的关系

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2022-02-01 DOI: 10.11607/ofph.2944

Ian A Boggero, Hannah M Pickerill, Christopher D King

{"title":"Fatigue in Adults with Chronic Arthralgia/Myalgia in the Temporomandibular Region: Associations with Poor Sleep Quality, Depression, Pain Intensity, and Future Pain Interference.","authors":"Ian A Boggero, Hannah M Pickerill, Christopher D King","doi":"10.11607/ofph.2944","DOIUrl":"10.11607/ofph.2944","url":null,"abstract":"Aims: To examine associations between fatigue and poor sleep quality, depression symptoms, and pain intensity in an adult population with chronic arthralgia/myalgia in the temporomandibular region and to test whether fatigue predicted future pain-related interference above and beyond these other constructs.Methods: The sample included 40 participants with chronic arthralgia and/or myalgia in the temporomandibular region and 21 healthy controls. Participants self-reported fatigue (PROMIS fatigue score), sleep quality (PSQI), depression symptoms (PROMIS depression score), and average pain intensity and completed four weekly surveys of pain-related interference with daily activities.Results: The chronic arthralgia/myalgia group reported greater fatigue than healthy controls (t = 4.85, P < .001). Fatigue was significantly correlated with poor sleep quality (r = .46), higher depression symptoms (r = .41), and higher pain intensity (r = .46) in the chronic arthralgia/myalgia group, and these three variables together explained 39% of variance in fatigue. Greater fatigue-above and beyond sleep quality, depression symptoms, and average pain intensity-was associated with a higher average level of pain-related interference (β = 0.56, t score = 3.30, P = .002) over the following month. Depression symptoms, poor sleep quality, and pain intensity did not significantly predict pain interference above and beyond fatigue (all P > .05).Conclusion: The results suggest that fatigue is a clinically relevant symptom distinct from depression, poor sleep quality, or pain intensity and may be related to worse pain outcomes over the following month in adults with chronic temporomandibular arthralgia/myalgia. Clinicians should assess, monitor, and treat fatigue to the best of their abilities when working with this population.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"36 2","pages":"155-163"},"PeriodicalIF":2.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40613032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Double-Puncture Versus Single-Puncture Arthrocentesis: A Randomized Controlled Trial with 3 Years of Follow-Up. 双穿刺与单穿刺关节穿刺:一项随访3年的随机对照试验。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2022-02-01 DOI: 10.11607/ofph.3074

Eduardo Grossmann, Rodrigo Lorenzi Poluha

{"title":"Double-Puncture Versus Single-Puncture Arthrocentesis: A Randomized Controlled Trial with 3 Years of Follow-Up.","authors":"Eduardo Grossmann, Rodrigo Lorenzi Poluha","doi":"10.11607/ofph.3074","DOIUrl":"10.11607/ofph.3074","url":null,"abstract":"Aims: To compare the clinical effectiveness of conventional double-puncture vs single-puncture type 2 arthrocentesis for management of temporomandibular joint (TMJ) disc displacement without reduction (DDWOR) after 3 years of follow-up.Methods: A total of 26 patients with DDWOR were randomly and blindly allocated into two treatment groups (n = 13 each): group 1 = conventional double-puncture arthrocentesis; group 2 = single-puncture type 2 arthrocentesis. Data on gender, side of painful joint complaint, age (years), duration of joint pain (months), maximum interincisal distance (MID, mm), and pain intensity (self-reported with a 0-10 visual analog scale [VAS]) were collected. VAS scores and MID were measured before (baseline) and 3 years after (final) the arthrocentesis.Results: Twenty-three patients completed the study (group 1, n = 11; group 2, n = 12). Both techniques resulted in significantly reduced VAS scores and increased MID (P = .001) after the 3 years of follow-up; however, there were no statistically significant differences between techniques (P > 0.05).Conclusion: The two arthrocentesis methods tested were both effective in reducing VAS scores and increasing MID in patients with DDWOR.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"36 2","pages":"141-146"},"PeriodicalIF":2.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40596599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Orofacial Pain and Snoring/Obstructive Sleep Apnea in Individuals with Head and Neck Cancer: A Critical Review. 头颈癌患者的口面部疼痛和打鼾/阻塞性睡眠呼吸暂停:一个重要的回顾。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2022-01-01 DOI: 10.11607/ofph.3176

Cibele Dal Fabbro, Philippe Harris, Eric Dufresne, Alberto Herrero Babiloni, Pierre Mayer, Houda Bahig, Edith Filion, Felix Nguyen, Julien Ghannoum, Matthieu Schmittbuhl, Gilles Lavigne

{"title":"Orofacial Pain and Snoring/Obstructive Sleep Apnea in Individuals with Head and Neck Cancer: A Critical Review.","authors":"Cibele Dal Fabbro, Philippe Harris, Eric Dufresne, Alberto Herrero Babiloni, Pierre Mayer, Houda Bahig, Edith Filion, Felix Nguyen, Julien Ghannoum, Matthieu Schmittbuhl, Gilles Lavigne","doi":"10.11607/ofph.3176","DOIUrl":"10.11607/ofph.3176","url":null,"abstract":"Aims: (1) To summarize current knowledge on the prevalence, intensity, and descriptors of orofacial pain and snoring/obstructive sleep apnea (OSA) before and after head and neck cancer (HNC) treatment; and (2) to propose future directions for research.Methods: The median prevalence for each condition was estimated from the most recent systematic reviews (SRs) and updated with new findings retrieved from the PubMed, Web of Science, Embase, and Cochrane databases up to December 2021.Results: The prevalence of HNC pain seems relatively stable over time, with a median of 31% before treatment in three studies to a median of 39% at 1 month to 16 years after treatment in six studies. HNC pain intensity remains mild to moderate. There was a threefold increase in temporomandibular pain prevalence after surgery (median 7.25% before to 21.3% after). The data for snoring prevalence are unreliable. The OSA/HNC prevalence seems relatively stable over time, with a median of 72% before treatment in three studies to 77% after treatment in 14 studies.Conclusion: With the exception of temporomandibular pain, the prevalence of HNC pain and OSA seems to be stable over time. Future studies should: (1) compare the trajectory of change over time according to each treatment; (2) compare individuals with HNC to healthy subjects; (3) use a standardized and comparable method of data collection; and (4) assess tolerance to oral or breathing devices, since HNC individuals may have mucosal sensitivity or pain.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"36 2","pages":"85-102"},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40596597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Potential Contribution of Hypertension to Evolution of Chronic Migraine and Related Mechanisms. 高血压对慢性偏头痛演变的潜在贡献及其相关机制。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2022-01-01 Epub Date: 2022-11-28 DOI: 10.11607/ofph.3174

Matteo Cotta Ramusino, Giulia Perini, Marco Capelli, Gloria Vaghi, Roberto Fogari, Daniele Bosone, Alfredo Costa

{"title":"Potential Contribution of Hypertension to Evolution of Chronic Migraine and Related Mechanisms.","authors":"Matteo Cotta Ramusino, Giulia Perini, Marco Capelli, Gloria Vaghi, Roberto Fogari, Daniele Bosone, Alfredo Costa","doi":"10.11607/ofph.3174","DOIUrl":"10.11607/ofph.3174","url":null,"abstract":"Aims: To investigate the potential contributions of diastolic and systolic blood pressure (BP) and the circadian rhythm of BP to chronic migraine evolution.Methods: This cross-sectional study included four groups of patients selected based on migraine frequency (high frequency ≥ 10 days per month and low frequency < 10) and on the presence of hypertension. Among-group and pairwise comparisons were carried out to investigate potential neurophysiologic differences in the cerebral vessel reactivity to a nitroglycerin test, in autonomic balance (tilting test), and BP circadian rhythm.Results: A more marked decrease in cerebral blood flow velocity was observed in hypertensive high-frequency migraineurs compared to all other groups (P = .037). Moreover, a smaller decrease in vagal tone was recorded in the orthostatic position in hypertensive subjects, whether they were high- (P = .032) or low-frequency migraineurs (P = .014), with a consistently higher vagal to sympathetic tone ratio (P = .033). Finally, in nonhypertensive subjects, a higher but not significant prevalence of systolic nondippers was detected in high-frequency migraineurs (67%) compared to low-frequency subjects (25%; P = .099).Conclusion: These findings suggest that hypertension may contribute to the chronic evolution of headache with mechanisms shared with migraine; ie, vascular tone alteration and autonomic dysregulation.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"36 3-4","pages":"221–228"},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10353012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy and Safety of Melatonin as Prophylaxis for Migraine in Adults: A Meta-analysis. 褪黑素预防成人偏头痛的有效性和安全性:一项荟萃分析。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2022-01-01 Epub Date: 2022-11-28 DOI: 10.11607/ofph.3211

Haridas Mundot Puliappadamb, Rituparna Maiti, Archana Mishra, Monalisa Jena, Biswa Ranjan Mishra

{"title":"Efficacy and Safety of Melatonin as Prophylaxis for Migraine in Adults: A Meta-analysis.","authors":"Haridas Mundot Puliappadamb, Rituparna Maiti, Archana Mishra, Monalisa Jena, Biswa Ranjan Mishra","doi":"10.11607/ofph.3211","DOIUrl":"10.11607/ofph.3211","url":null,"abstract":"Aims: To evaluate the efficacy and safety of melatonin for migraine prophylaxis in adults.Methods: After a comprehensive literature search in the MEDLINE, Cochrane Database, and International Clinical Trial Registry Platform databases, reviewers extracted data from three relevant articles. PRISMA guidelines were followed in the selection, analysis, and reporting of the findings. Quality assessment was performed using the Cochrane risk of bias assessment tool. A random-effects model was used to estimate the effect size, and meta-regression was performed for variables with a likely influence on effect size. Subgroup analysis was performed based on the comparison used in the included studies.Results: Melatonin therapy in migraine was associated with a significantly higher responder rate when compared to both placebo and standard therapy (OR = 1.84; 95% CI: 1.08 to 3.14; P = .03). The results of the meta-analyses indicated that melatonin can achieve a significant reduction in frequency of migraine attacks (MD = 1.00; 95% CI: 0.02 to 1.98; P = .04), migraine attack duration (MD = 5.02; 95% CI: 0. 91 to 9.13; P = .02), use of analgesics (MD = 1.43; 95% CI: 0.38 to 2.48; P = .008), and migraine severity (MD = 1.93; 95% CI: 1.23 to 2.63; P < .0001) over placebo, but had no significant effects in comparison to amitriptyline or valproate. There was no significant difference in the occurrence of common adverse drug reactions, such as drowsiness and fatigue, between the melatonin group and the comparison groups.Conclusions: Melatonin showed a beneficial prophylactic role in migraine, with a better responder rate in comparison to placebo in reducing migraine severity, mean attack duration, mean attack frequency, and analgesic use, but did not show significant effects in comparison to amitriptyline or valproate.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"36 3-4","pages":"207–219"},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10413313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0