Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of applied oral science (Online) |
Texto Completo: | https://www.revistas.usp.br/jaos/article/view/158557 |
Resumo: | Objective: the aim of this study was to describe the frequency of psychosocial diagnoses in a large sample of patients attending a tertiary clinic for treatment of temporomandibular disorders (TMD). Material and Methods: six hundred and ninety-one patients who sought treatment for painrelated TMD were selected. Chronic pain-related disability (Graded Chronic Pain Scale, GCPS), depression [Symptoms Checklist-90 (SCL-90) scale for depression, DEP] and somatization levels (SCL-90 scale for non-specific physical symptoms, SOM) were evaluated through the Research Diagnostic Criteria for TMD (RDC/TMD) Axis II psychosocial assessment; TMD diagnoses were based on the Axis I criteria. Results: the majority of patients presented a low disability or no disability at all, with only a small portion of individuals showing a severely limiting, high disability pain-related impairment (4.3%). On the other hand, abnormal scores of depression and somatization were high, with almost half of the individuals having moderate-to-severe levels of depression and three-fourths presenting moderate-to-severe levels of somatization. The prevalence of high pain-related disability (GCPS grades III or IV), severe/moderate depression and somatization was 14.3%, 44% and 74.1% respectively. Gender differences in scores of SCL-DEP (p=0.031) and SCL-SOM (p=0.001) scales were signficant, with females presenting the highest percentage of abnormal values. Conclusion: patients with TMD frequently present an emotional profile with low disability, high intensity pain-related impairment, and high to moderate levels of somatization and depression. Therefore, given the importance of psychosocial issues at the prognostic level, it is recommended that clinical trials on TMD treatment include an evaluation of patients’ psychosocial profiles. |
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Journal of applied oral science (Online) |
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Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disordersTemporomandibular disordersPsychosocial impactDepressionObjective: the aim of this study was to describe the frequency of psychosocial diagnoses in a large sample of patients attending a tertiary clinic for treatment of temporomandibular disorders (TMD). Material and Methods: six hundred and ninety-one patients who sought treatment for painrelated TMD were selected. Chronic pain-related disability (Graded Chronic Pain Scale, GCPS), depression [Symptoms Checklist-90 (SCL-90) scale for depression, DEP] and somatization levels (SCL-90 scale for non-specific physical symptoms, SOM) were evaluated through the Research Diagnostic Criteria for TMD (RDC/TMD) Axis II psychosocial assessment; TMD diagnoses were based on the Axis I criteria. Results: the majority of patients presented a low disability or no disability at all, with only a small portion of individuals showing a severely limiting, high disability pain-related impairment (4.3%). On the other hand, abnormal scores of depression and somatization were high, with almost half of the individuals having moderate-to-severe levels of depression and three-fourths presenting moderate-to-severe levels of somatization. The prevalence of high pain-related disability (GCPS grades III or IV), severe/moderate depression and somatization was 14.3%, 44% and 74.1% respectively. Gender differences in scores of SCL-DEP (p=0.031) and SCL-SOM (p=0.001) scales were signficant, with females presenting the highest percentage of abnormal values. Conclusion: patients with TMD frequently present an emotional profile with low disability, high intensity pain-related impairment, and high to moderate levels of somatization and depression. Therefore, given the importance of psychosocial issues at the prognostic level, it is recommended that clinical trials on TMD treatment include an evaluation of patients’ psychosocial profiles.Universidade de São Paulo. Faculdade de Odontologia de Bauru2019-05-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/jaos/article/view/15855710.1590/1678-7757-2018-0210Journal of Applied Oral Science; Vol. 27 (2019); e20180210Journal of Applied Oral Science; Vol. 27 (2019); e20180210Journal of Applied Oral Science; v. 27 (2019); e201802101678-77651678-7757reponame:Journal of applied oral science (Online)instname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/jaos/article/view/158557/153614Copyright (c) 2019 Journal of Applied Oral Scienceinfo:eu-repo/semantics/openAccessCanales, Giancarlo De La TorreGuarda-Nardini, LucaRizzatti-Barbosa, Célia MarisaConti, Paulo César RodriguesManfredini, Daniele2019-06-06T16:06:27Zoai:revistas.usp.br:article/158557Revistahttp://www.scielo.br/jaosPUBhttps://www.revistas.usp.br/jaos/oai||jaos@usp.br1678-77651678-7757opendoar:2019-06-06T16:06:27Journal of applied oral science (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders |
title |
Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders |
spellingShingle |
Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders Canales, Giancarlo De La Torre Temporomandibular disorders Psychosocial impact Depression |
title_short |
Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders |
title_full |
Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders |
title_fullStr |
Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders |
title_full_unstemmed |
Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders |
title_sort |
Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders |
author |
Canales, Giancarlo De La Torre |
author_facet |
Canales, Giancarlo De La Torre Guarda-Nardini, Luca Rizzatti-Barbosa, Célia Marisa Conti, Paulo César Rodrigues Manfredini, Daniele |
author_role |
author |
author2 |
Guarda-Nardini, Luca Rizzatti-Barbosa, Célia Marisa Conti, Paulo César Rodrigues Manfredini, Daniele |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Canales, Giancarlo De La Torre Guarda-Nardini, Luca Rizzatti-Barbosa, Célia Marisa Conti, Paulo César Rodrigues Manfredini, Daniele |
dc.subject.por.fl_str_mv |
Temporomandibular disorders Psychosocial impact Depression |
topic |
Temporomandibular disorders Psychosocial impact Depression |
description |
Objective: the aim of this study was to describe the frequency of psychosocial diagnoses in a large sample of patients attending a tertiary clinic for treatment of temporomandibular disorders (TMD). Material and Methods: six hundred and ninety-one patients who sought treatment for painrelated TMD were selected. Chronic pain-related disability (Graded Chronic Pain Scale, GCPS), depression [Symptoms Checklist-90 (SCL-90) scale for depression, DEP] and somatization levels (SCL-90 scale for non-specific physical symptoms, SOM) were evaluated through the Research Diagnostic Criteria for TMD (RDC/TMD) Axis II psychosocial assessment; TMD diagnoses were based on the Axis I criteria. Results: the majority of patients presented a low disability or no disability at all, with only a small portion of individuals showing a severely limiting, high disability pain-related impairment (4.3%). On the other hand, abnormal scores of depression and somatization were high, with almost half of the individuals having moderate-to-severe levels of depression and three-fourths presenting moderate-to-severe levels of somatization. The prevalence of high pain-related disability (GCPS grades III or IV), severe/moderate depression and somatization was 14.3%, 44% and 74.1% respectively. Gender differences in scores of SCL-DEP (p=0.031) and SCL-SOM (p=0.001) scales were signficant, with females presenting the highest percentage of abnormal values. Conclusion: patients with TMD frequently present an emotional profile with low disability, high intensity pain-related impairment, and high to moderate levels of somatization and depression. Therefore, given the importance of psychosocial issues at the prognostic level, it is recommended that clinical trials on TMD treatment include an evaluation of patients’ psychosocial profiles. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-05-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/jaos/article/view/158557 10.1590/1678-7757-2018-0210 |
url |
https://www.revistas.usp.br/jaos/article/view/158557 |
identifier_str_mv |
10.1590/1678-7757-2018-0210 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/jaos/article/view/158557/153614 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Journal of Applied Oral Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Journal of Applied Oral Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Odontologia de Bauru |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Odontologia de Bauru |
dc.source.none.fl_str_mv |
Journal of Applied Oral Science; Vol. 27 (2019); e20180210 Journal of Applied Oral Science; Vol. 27 (2019); e20180210 Journal of Applied Oral Science; v. 27 (2019); e20180210 1678-7765 1678-7757 reponame:Journal of applied oral science (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Journal of applied oral science (Online) |
collection |
Journal of applied oral science (Online) |
repository.name.fl_str_mv |
Journal of applied oral science (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||jaos@usp.br |
_version_ |
1800221681148493824 |