The Relationship of Somatization and Depression to Experimental Pain Response in Women With Temporomandibular Disorders

Sherman, Jeffrey J.; LeResche, Linda; Huggins, Kimberly Hanson; Mancl, Lloyd; Sage, Julie C; Dworkin, Samuel F.

doi:10.1097/01.psy.0000140006.48316.80

Cited by 79 publications

(100 citation statements)

References 45 publications

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“…The cervical mobility evaluation did not confirm such association, since there was no difference between groups, supporting the hypothesis of hyperalgesia in TMD patients (27,28) .…”

Section: Discussionmentioning

confidence: 64%

“…For this, some authors proposed to evaluate the pain threshold at pressure in areas distant from the orofacial region. Pain threshold at pressure was lower in hipotenar region (27) and also in other body areas (28) in subjects with TMD compared to asymptomatic subjects. Therefore, the sensibilization at central level may be one of the explanations to the comorbidity between CDD and TMD and also support the algic complaints referred in several parts of the body by subjects with myogenic and mixed TMD (15) .…”

Section: Discussionmentioning

confidence: 92%

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Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

Weber

Corrêa

Ferreira

et al. 2012

J. Soc. Bras. Fonoaudiol.

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PURPOSE: To study the frequency of cervical spine dysfunction (CCD) signs and symptoms in subjects with and without temporomandibular disorder (TMD) and to assess the craniocervical posture influence on TMD and CCD coexistence. METHODS: Participants were 71 women (19 to 35 years), assessed about TMD presence; 34 constituted the TMD group (G1) and 37 comprised the group without TMD (G2). The CCD was evaluated through the Craniocervical Dysfunction Index and the Cervical Mobility Index. Subjects were also questioned about cervical pain. Craniocervical posture was assessed by cephalometric analysis. RESULTS: There was no difference in the craniocervical posture between groups. G2 presented more mild CCD frequency and less moderate and severe CCD frequency (p=0.01). G1 presented higher percentage of pain during movements (p=0.03) and pain during cervical muscles palpation (p=0.01) compared to G2. Most of the TMD patients (88.24%) related cervical pain with significant difference when compared to G2 (p=0.00). CONCLUSION: Craniocervical posture assessment showed no difference between groups, suggesting that postural alterations could be more related to the CCD. Presence of TMD resulted in higher frequency of cervical pain symptom. Thus the coexistence of CCD and TMD signs and symptoms appear to be more related to the common innervations of the trigeminocervical complex and hyperalgesia of the TMD patients than to craniocervical posture deviations.

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“…The cervical mobility evaluation did not confirm such association, since there was no difference between groups, supporting the hypothesis of hyperalgesia in TMD patients (27,28) .…”

Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 92%

Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

Weber

Corrêa

Ferreira

et al. 2012

J. Soc. Bras. Fonoaudiol.

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“…In general, men show higher activation of the cognitive areas, central sympathetic area, and inhibition of the limbic region, whereas women present higher activation of the affective and autonomic regions (6,16) . Sexual hormones, especially estrogen, perform an important role in the painful sensitivity, even in the muscles of mastication and TMD pathogenesis, and the pain threshold, and its tolerance varies according to the menstrual cycle phase (4,5,8,17) . As estrogen is a risk factor for TMD and other craniofacial pain conditions, studies with animals and humans have showed that it can have a peripheral and central action in pain modulation (14) .…”

Section: Discussionmentioning

confidence: 99%

Sinais e sintomas de desordem temporomandibular em mulheres e homens

Ferreira

Silva

Felício

2016

CoDAS

100

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RESUMO Introdução: Mulheres são mais susceptíveis às desordens temporomandibulares (DTM), contudo, estudos que tenham comparado os gêneros em amostras brasileiras são raros. Objetivo: Analisar a proporção de homens e mulheres, bem como a associação entre o gênero e as variáveis idade, duração do problema e sintomas de DTM em pacientes admitidos para tratamento em uma clínica universitária. Métodos: Foram coletados e analisados dados de entrevista e avaliação de mil protocolos de pacientes com diagnóstico de DTM, divididos em 2 grupos, masculino (n=177) e feminino (n=823). Foi realizada a análise exploratória a partir de tabelas de contingência e teste do χ2. Posteriormente, foi utilizado o modelo de regressão logística e calculadas as odds ratio brutas (OR) referentes às comparações avaliadas. Resultados: Na amostra prevaleceu o gênero feminino e as médias de idade e de duração da DTM foram semelhantes entre os grupos, predominando a faixa etária de adultos jovens (19 a 40 anos). Os valores de OR evidenciaram associação entre o gênero feminino e os sinais/sintomas dor na articulação temporomandibular (ATM), dor nos músculos faciais, pescoço e ombros, cefaleia, fadiga nos músculos mastigatórios, sintoma otológico e disfonia, tendo sido a chance das mulheres os apresentassem duas vezes maior do que os homens. Conclusão: Na amostra de pacientes brasileiros com DTM foi maior o número de mulheres e essas apresentaram maior prevalência de sintomas dolorosos, seguidos pelos otológicos e queixas de disfonia. A prevalência de ruído articular foi semelhante nos grupos estudados.

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“…Spasm of the masticatory muscles is a painful symptom in TMD and is caused by muscle distension, contraction, or fatigue due to the presence of parafunctional habits such as bruxism and onychophagia (2,3,5). Several studies, in different populations, have shown that these habits are triggered or aggravated by emotional stress (2,(3)(4)(5)(6)(7)(8)(9)(10). Evidence indicates that myofascial pain and functional somatic syndromes such as fibromyalgia and chronic fatigue syndrome are comorbidities of the muscular pain that may be due to psychosocial factors.…”

Section: Introductionmentioning

confidence: 99%

Association of temporomandibular disorder symptoms with anxiety and depression in Portuguese college students

2014

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Abstract:We investigated the prevalence of temporomandibular disorder (TMD) and its association with anxiety and depression among 1,493 Portuguese college students (age 17-69 years) at Piaget Institute. The assessment instruments were the Fonseca Anamnestic Questionnaire and the Hospital Anxiety and Depression Scale. TMD was present in 633 (42.4%) students, and anxiety or depression was present in 456 (30.5%) students. Regarding the association of TMD with anxiety and depression, 280 of the 633 students (61.4%) with TMD symptoms also had signs of anxiety or depression (P < 0.001). As compared with men, women had an odds ratio of 1.9 (95% confidence interval: 1.53-2.46; P < 0.001) for TMD. As compared with students without signs of anxiety or depression, students with such signs had an odds ratio of 3.1 (95% confidence interval: 2.42-3.84; P < 0.001) for TMD. College students from various fields of study and regions of Portugal had a high prevalence of TMD, which was significantly associated with anxiety and depression. (J Oral Sci 56, 127-133, 2014)

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The Relationship of Somatization and Depression to Experimental Pain Response in Women With Temporomandibular Disorders

Abstract: These findings suggest that depression and somatization are associated with different measures of experimental pain. Somatization may be related to more attentional and perceptual measures of clinically relevant pain while depression may be related to more behavioral measures of pain.

Cited by 79 publications

References 45 publications

Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

Sinais e sintomas de desordem temporomandibular em mulheres e homens

Association of temporomandibular disorder symptoms with anxiety and depression in Portuguese college students

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