- Book学术

发布求助

文献互助智能选刊最新文献

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2025-03-01 Epub Date: 2025-03-12 DOI:10.22514/jofph.2025.006

Soo Haeng Lee, Jung Hwan Jo, Ji Woon Park

{"title":"Temporomandibular disorders patients with migraine symptoms have increased disease burden due to psychological conditions.","authors":"Soo Haeng Lee, Jung Hwan Jo, Ji Woon Park","doi":"10.22514/jofph.2025.006","DOIUrl":null,"url":null,"abstract":"Background: Various studies have demonstrated a close link between headaches and temporomandibular disorders (TMD). However, the results are often limited to certain clinical aspects and are based on a cross-sectional study design. This study aimed to examine the clinical characteristics of patients with both TMD and migraine symptoms and to assess the long-term treatment outcomes compared to TMD patients without migraine.Methods: Sixty-four TMD patients were evaluated using the Diagnostic Criteria for TMD protocol and validated questionnaires, including Generalized Anxiety Disorder-7, Patient Health Questionnaire (PHQ)-9, PHQ-15, the Graded Chronic Pain Scale, and the Symptom Checklist-90-Revision (SCL-90-R). Patients were divided into two groups based on the presence of migraine symptoms requiring medication. The study compared psychological and clinical profiles, as well as long-term treatment outcomes.Results: The migraine group exhibited greater psychological distress, as indicated by higher scores in the SCL-90-R subscales for somatization (p = 0.035), obsessive-compulsive behavior (p = 0.015), interpersonal sensitivity (p = 0.002), depression (p = 0.035), anxiety (p = 0.042), hostility (p = 0.004), paranoid ideation (p = 0.016), and psychoticism (p = 0.044). Additionally, they scored higher on the PHQ-9 (p = 0.023) and PHQ-15 (p = 0.016). Pain levels were higher in the migraine group at 3 months post-treatment (p = 0.023) but the difference with the non-migraine group disappeared 6 months post-treatment. Younger age (odds ratio (OR) = 0.844, p = 0.001), female (OR = 0.001, p = 0.011), and more positive sites on masticatory muscle palpation (OR = 2.580, p = 0.011) were associated with a higher likelihood of experiencing migraine. Mental illness history (β = -0.465, p = 0.002), tongue ridging (β = -0.683, p < 0.001), and Oral Behavior Checklist scores (β = 0.483, p = 0.002) were associated with TMD pain intensity in the migraine group.Conclusions: TMD patients using sumatriptan for migraine symptoms had higher levels of disability and psychological distress, leading to an increased disease burden. Although the migraine group had worse short-term TMD treatment outcomes, these differences resolved after six months of treatment.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":"39 1","pages":"70-80"},"PeriodicalIF":1.9000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933985/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral & Facial Pain and Headache","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.22514/jofph.2025.006","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/12 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

摘要

背景：多项研究表明，头痛与颞下颌关节紊乱症（TMD）之间存在密切联系。然而，这些研究结果往往局限于某些临床方面，而且是基于横断面研究设计的。本研究旨在考察同时伴有 TMD 和偏头痛症状的患者的临床特征，并评估与不伴有偏头痛的 TMD 患者相比的长期治疗效果：采用 TMD 诊断标准方案和有效问卷对 64 名 TMD 患者进行了评估，包括广泛性焦虑症-7、患者健康问卷 (PHQ)-9、PHQ-15、慢性疼痛分级量表和症状检查表-90-修订版 (SCL-90-R)。根据是否出现需要药物治疗的偏头痛症状将患者分为两组。研究比较了心理和临床概况以及长期治疗效果：偏头痛组患者的心理压力更大，SCL-90-R分量表中躯体化（p = 0.035）、强迫行为（p = 0.015）、人际关系敏感（p = 0.002）、抑郁（p = 0.035）、焦虑（p = 0.042）、敌意（p = 0.004）、偏执想法（p = 0.016）和精神病性（p = 0.044）的得分更高。此外，他们在 PHQ-9 (p = 0.023) 和 PHQ-15 (p = 0.016) 中的得分也较高。治疗后3个月，偏头痛组的疼痛程度较高（p = 0.023），但治疗后6个月，与非偏头痛组的差异消失。年龄较小（几率比（OR）= 0.844，p = 0.001）、女性（OR = 0.001，p = 0.011）、咀嚼肌触诊阳性部位较多（OR = 2.580，p = 0.011）与偏头痛发生几率较高有关。精神疾病史（β = -0.465，p = 0.002）、舌脊（β = -0.683，p < 0.001）和口腔行为检查表评分（β = 0.483，p = 0.002）与偏头痛组的 TMD 疼痛强度相关：结论：使用舒马曲普坦治疗偏头痛症状的 TMD 患者的残疾和心理困扰程度更高，导致疾病负担加重。虽然偏头痛组的 TMD 短期治疗效果较差，但这些差异在治疗 6 个月后消失。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Temporomandibular disorders patients with migraine symptoms have increased disease burden due to psychological conditions.

Background: Various studies have demonstrated a close link between headaches and temporomandibular disorders (TMD). However, the results are often limited to certain clinical aspects and are based on a cross-sectional study design. This study aimed to examine the clinical characteristics of patients with both TMD and migraine symptoms and to assess the long-term treatment outcomes compared to TMD patients without migraine.

Methods: Sixty-four TMD patients were evaluated using the Diagnostic Criteria for TMD protocol and validated questionnaires, including Generalized Anxiety Disorder-7, Patient Health Questionnaire (PHQ)-9, PHQ-15, the Graded Chronic Pain Scale, and the Symptom Checklist-90-Revision (SCL-90-R). Patients were divided into two groups based on the presence of migraine symptoms requiring medication. The study compared psychological and clinical profiles, as well as long-term treatment outcomes.

Results: The migraine group exhibited greater psychological distress, as indicated by higher scores in the SCL-90-R subscales for somatization (p = 0.035), obsessive-compulsive behavior (p = 0.015), interpersonal sensitivity (p = 0.002), depression (p = 0.035), anxiety (p = 0.042), hostility (p = 0.004), paranoid ideation (p = 0.016), and psychoticism (p = 0.044). Additionally, they scored higher on the PHQ-9 (p = 0.023) and PHQ-15 (p = 0.016). Pain levels were higher in the migraine group at 3 months post-treatment (p = 0.023) but the difference with the non-migraine group disappeared 6 months post-treatment. Younger age (odds ratio (OR) = 0.844, p = 0.001), female (OR = 0.001, p = 0.011), and more positive sites on masticatory muscle palpation (OR = 2.580, p = 0.011) were associated with a higher likelihood of experiencing migraine. Mental illness history (β = -0.465, p = 0.002), tongue ridging (β = -0.683, p < 0.001), and Oral Behavior Checklist scores (β = 0.483, p = 0.002) were associated with TMD pain intensity in the migraine group.

Conclusions: TMD patients using sumatriptan for migraine symptoms had higher levels of disability and psychological distress, leading to an increased disease burden. Although the migraine group had worse short-term TMD treatment outcomes, these differences resolved after six months of treatment.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

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.