东亚不同颞下颌疾病诊断亚型患者的躯体症状作为痛苦的惯用语

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal Pub Date : 2025-04-01 DOI:10.1016/j.identj.2025.03.010

Adrian Ujin Yap , Sunghae Kim , Jung Hwan Jo , Byeong-min Lee , Ji Woon Park

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引用次数: 0

摘要

目的本横断面研究调查东亚不同颞下颌疾病诊断亚型患者躯体症状的患病率/严重程度及其与心理困扰和口腔行为的关系，并确定与抑郁、焦虑和下颌过度使用行为相关的生物心理社会因素。方法对某三级口腔医学门诊连续新发TMD患者的匿名化资料进行评价。采用DC/TMD方法确定TMD诊断，同时使用患者健康问卷(PHQ)-15、PHQ-9、广泛性焦虑障碍量表-7和口腔行为检查表评估躯体症状、抑郁、焦虑和口腔行为。数据采用卡方/非参数检验和多元线性回归分析（α = 0.05）。结果699例患者中，分别有36.8%、54.0%和48.2%的患者存在关节内（IT）、疼痛相关（PT）和联合（CT）的躯体症状。躯体症状负担/抑郁（PT、CT和gt）的显著差异；IT)和焦虑(CT >；IT)。对于所有TMD亚型，与没有躯体症状的患者相比，有躯体症状的患者表现出明显更大的抑郁、焦虑和下颌过度使用行为。躯体症状与抑郁、焦虑中度相关（rs = 0.51 ~ 0.65）。结论躯体症状负担与抑郁和焦虑相关，支持躯体化现象在不同TMD亚型中的存在。

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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Somatic Symptoms as Idioms of Distress in East Asian Patients With Differing Temporomandibular Disorder Diagnostic Subtypes

Objective

This cross-sectional study investigated the prevalence/severity of somatic symptoms, their relationship with psychological distress and oral behaviors in different temporomandibular disorder (TMD) diagnostic subtypes, and identified biopsychosocial factors associated with depression, anxiety, and jaw overuse behavior among East Asian patients.

Methods

Anonymized data from consecutive new TMD patients at a tertiary oral medicine clinic were evaluated. TMD diagnoses were determined using the DC/TMD methodology, while somatic symptoms, depression, anxiety, and oral behaviors were assessed with the Patient Health Questionnaire (PHQ)-15, PHQ-9, Generalized Anxiety Disorder Scale-7, and Oral Behavior Checklist. Data were examined using the Chi-square/non-parametric tests and multivariate linear regression analysis (α = 0.05).

Results

Among the 699 patients, somatic symptoms were present in 36.8%, 54.0%, and 48.2% of individuals with intra-articular (IT), pain-related (PT), and combined (CT) TMDs respectively. Significant differences in somatic symptom burden/depression (PT, CT > IT) and anxiety (CT > IT) were observed. For all TMD subtypes, patients with somatic symptoms showed significantly greater depression, anxiety, and jaw overuse behavior compared to those without somatic symptoms. Somatic symptoms were moderately correlated with depression and anxiety (r_s = 0.51-0.65).

Conclusion

Somatic symptom burden was linked to depression and anxiety, supporting the phenomenon of somatization across different TMD subtypes.

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来源期刊

International dental journal 医学-牙科与口腔外科

CiteScore

4.80

自引率

6.10%

发文量

159

审稿时长

63 days

期刊介绍： The International Dental Journal features peer-reviewed, scientific articles relevant to international oral health issues, as well as practical, informative articles aimed at clinicians.