Rafaela Stocker Salbego, Paulo César Rodrigues Conti, Matheus Herreira-Ferreira, Beatriz Amaral de Lima Netto, Tiffany Karoline Barroso Santos, Yuri Martins Costa, Leonardo Rigoldi Bonjardim
{"title":"慢性tmd相关残疾的社会心理、临床和调节机制的相互作用。","authors":"Rafaela Stocker Salbego, Paulo César Rodrigues Conti, Matheus Herreira-Ferreira, Beatriz Amaral de Lima Netto, Tiffany Karoline Barroso Santos, Yuri Martins Costa, Leonardo Rigoldi Bonjardim","doi":"10.1111/joor.70008","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Temporomandibular disorder (TMD) is a multifactorial condition characterised by pain and functional impairment in the orofacial region. Although psychosocial and psychophysical factors significantly influence chronic pain, their combined impact on functional disability remains poorly understood.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To investigate the influence of clinical, psychosocial and psychophysical variables on functional disability related to chronic pain in muscular TMD, utilising principal component analysis (PCA) and logistic regression.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A cross-sectional study with 77 women with painful TMD assessed clinical parameters (pain intensity, frequency, comorbidities and duration), psychosocial characteristics (stress, anxiety, depression, sleep quality and pain catastrophising) and psychophysical assessments (pressure pain threshold, mechanical pain threshold and conditioned pain modulation). PCA identified principal components, which were analysed using logistic regression to evaluate their association with chronic pain grades through the Graded Chronic Pain Scale.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Five principal components were identified: psychosocial, clinical pain, duration and extent of pain, pain modulation and sensory. The clinical pain component significantly predicted functional disability across all chronic pain grades (<i>p</i> < 0.05). The psychosocial component was a strong predictor of higher disability levels, whereas the pain modulation component showed a protective effect at the highest disability grade.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Functional disability in TMD is influenced by a complex interplay of clinical, psychosocial and psychophysical factors. Among five components founded, clinical pain and psychosocial components emerged as the most significant predictors of functional disability, with pain modulation providing a protective role at higher disability levels. This study elucidates the intricate interplay between clinical, psychosocial and psychophysical factors contributing to functional disability in chronic TMD-related pain.</p>\n </section>\n </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2021-2030"},"PeriodicalIF":4.0000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70008","citationCount":"0","resultStr":"{\"title\":\"Interplay of Psychosocial, Clinical and Modulation Mechanisms in Chronic TMD-Related Disability\",\"authors\":\"Rafaela Stocker Salbego, Paulo César Rodrigues Conti, Matheus Herreira-Ferreira, Beatriz Amaral de Lima Netto, Tiffany Karoline Barroso Santos, Yuri Martins Costa, Leonardo Rigoldi Bonjardim\",\"doi\":\"10.1111/joor.70008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Temporomandibular disorder (TMD) is a multifactorial condition characterised by pain and functional impairment in the orofacial region. Although psychosocial and psychophysical factors significantly influence chronic pain, their combined impact on functional disability remains poorly understood.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>To investigate the influence of clinical, psychosocial and psychophysical variables on functional disability related to chronic pain in muscular TMD, utilising principal component analysis (PCA) and logistic regression.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A cross-sectional study with 77 women with painful TMD assessed clinical parameters (pain intensity, frequency, comorbidities and duration), psychosocial characteristics (stress, anxiety, depression, sleep quality and pain catastrophising) and psychophysical assessments (pressure pain threshold, mechanical pain threshold and conditioned pain modulation). PCA identified principal components, which were analysed using logistic regression to evaluate their association with chronic pain grades through the Graded Chronic Pain Scale.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Five principal components were identified: psychosocial, clinical pain, duration and extent of pain, pain modulation and sensory. The clinical pain component significantly predicted functional disability across all chronic pain grades (<i>p</i> < 0.05). The psychosocial component was a strong predictor of higher disability levels, whereas the pain modulation component showed a protective effect at the highest disability grade.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Functional disability in TMD is influenced by a complex interplay of clinical, psychosocial and psychophysical factors. Among five components founded, clinical pain and psychosocial components emerged as the most significant predictors of functional disability, with pain modulation providing a protective role at higher disability levels. This study elucidates the intricate interplay between clinical, psychosocial and psychophysical factors contributing to functional disability in chronic TMD-related pain.</p>\\n </section>\\n </div>\",\"PeriodicalId\":16605,\"journal\":{\"name\":\"Journal of oral rehabilitation\",\"volume\":\"52 11\",\"pages\":\"2021-2030\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70008\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of oral rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/joor.70008\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/joor.70008","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Interplay of Psychosocial, Clinical and Modulation Mechanisms in Chronic TMD-Related Disability
Background
Temporomandibular disorder (TMD) is a multifactorial condition characterised by pain and functional impairment in the orofacial region. Although psychosocial and psychophysical factors significantly influence chronic pain, their combined impact on functional disability remains poorly understood.
Objectives
To investigate the influence of clinical, psychosocial and psychophysical variables on functional disability related to chronic pain in muscular TMD, utilising principal component analysis (PCA) and logistic regression.
Methods
A cross-sectional study with 77 women with painful TMD assessed clinical parameters (pain intensity, frequency, comorbidities and duration), psychosocial characteristics (stress, anxiety, depression, sleep quality and pain catastrophising) and psychophysical assessments (pressure pain threshold, mechanical pain threshold and conditioned pain modulation). PCA identified principal components, which were analysed using logistic regression to evaluate their association with chronic pain grades through the Graded Chronic Pain Scale.
Results
Five principal components were identified: psychosocial, clinical pain, duration and extent of pain, pain modulation and sensory. The clinical pain component significantly predicted functional disability across all chronic pain grades (p < 0.05). The psychosocial component was a strong predictor of higher disability levels, whereas the pain modulation component showed a protective effect at the highest disability grade.
Conclusion
Functional disability in TMD is influenced by a complex interplay of clinical, psychosocial and psychophysical factors. Among five components founded, clinical pain and psychosocial components emerged as the most significant predictors of functional disability, with pain modulation providing a protective role at higher disability levels. This study elucidates the intricate interplay between clinical, psychosocial and psychophysical factors contributing to functional disability in chronic TMD-related pain.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
