Psychometric features of temporomandibular disorders patients in relation to pain diffusion, location, intensity and duration

Abstract

The aim of the present investigation was to assess the psychological profile of a sample of patients with temporomandibular disorders (TMD) and to compare the psychometric scores between patients with pain of different diffusion, location, intensity and duration. One hundred and ten (N = 110) patients with painful TMD fulfilled three psychometric instruments. Pain features were assessed as categorical variables as concerns its diffusion, viz., diffuse or localised, duration, viz., more or <6 months, and location, viz., joint and/or muscles. Pain intensity was scored on a 0-100 Visual Analog Scale (VAS) rating. Patients with diffuse pain showed higher psychometric scores than patients with localised pain. No significant differences were detected between patients with pain lasting from more or equal than 6 months and those with pain lasting from <6 months as well as between patients with pain localised in the jaw muscles, joints or both, even if a trend for lower scores for patients with joint pain alone was observed. Pain intensity was significantly related with anxiety (ANX), depression (DEP) and somatisation(SOM) scores. In conclusion, pain diffusion and intensity were strongly related with high levels of SOM, ANX and DEP, while no differences in psychometric scores were detected between patients with pain of different duration and location.

Mental Status as a Common Factor for Masticatory Muscle Pain: A Systematic Review

“…Eleven of these, performed on a population of 5802 subjects, showed this relationship to be significantly correlated (Mongini et al, 2007; Nifosì et al, 2007; Komiyama et al, 2008; de Tommaso et al, 2009; Galli et al, 2009; Manfredini et al, 2011; Guarda-Nardini et al, 2012; Kindler et al, 2012; Klasser et al, 2014; Nadendla et al, 2014). The quality of evidence for this group was moderate.…”

“…Among the selected studies, 16 mentioned relationships between anxiety and MFP (Mongini et al, 2007; Nifosì et al, 2007; Komiyama et al, 2008; de Tommaso et al, 2009; Galli et al, 2009; Pfau et al, 2009; Vedolin et al, 2009; Giannakopoulos et al, 2010; Manfredini et al, 2011; Guarda-Nardini et al, 2012; Kindler et al, 2012; Pizolato et al, 2013; Calixtre et al, 2014; Klasser et al, 2014; Nadendla et al, 2014; García-Moya et al, 2015). Eleven of these, performed on a population of 5802 subjects, showed this relationship to be significantly correlated (Mongini et al, 2007; Nifosì et al, 2007; Komiyama et al, 2008; de Tommaso et al, 2009; Galli et al, 2009; Manfredini et al, 2011; Guarda-Nardini et al, 2012; Kindler et al, 2012; Klasser et al, 2014; Nadendla et al, 2014).…”

“…Thirty research teams have investigated the relationship between MFP and depression. Twenty-four of these (Mongini et al, 2007; Slade et al, 2007; Ivkovic et al, 2008; de Tommaso et al, 2009; Galli et al, 2009; Manfredini et al, 2009; Penna et al, 2009; Shibuya et al, 2009; Giannakopoulos et al, 2010; Park et al, 2010; Velly et al, 2010, 2011; Buenaver et al, 2012; Guarda-Nardini et al, 2012; Kim et al, 2012; Kindler et al, 2012; Shedden Mora et al, 2012; Yachida et al, 2012; Pelkonen et al, 2013; Cioffi et al, 2014; Klasser et al, 2014; Mladenović et al, 2014; Boggero et al, 2016; Vidaković et al, 2016) have found a significant correlation between these issues and six studies have not (Nifosì et al, 2007; Reissmann et al, 2008; Pfau et al, 2009; Manfredini et al, 2011; Pizolato et al, 2013; Calixtre et al, 2014). The quality of evidence in the first group was moderate due to the limited generalizability of the reported results, while in the second group the score was low.…”

“…Similar findings were reported by Giannakopoulos et al (2010), who established that patients with MFP were significantly more depressed than patients with joint pain. However, some researchers have not found any significant relationships between depression and muscle pain when comparing three groups of patients suffering from (1) muscle disorder, (2) arthralgia and/or osteoarthritis, and (3) both (Reissmann et al, 2008; Manfredini et al, 2009; Guarda-Nardini et al, 2012). Unfortunately in all these studies, there were no controls to compare with.…”

Temporomandibular disorder – current state of knowledge

“…podkreślają, że zaburzenia snu oraz poczucie niepokoju o podłożu psychoemocjonalnym mogą stanowić czynnik ryzyka wystąpienia TMD [16]. Istnieją doniesienia, że natężenie siły objawów bólowych oraz czas trwania bólu może mieć ścisły związek z poziomem eskalacji objawów lęku i depresji [17].…”