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首页> 外文期刊>Journal of oral rehabilitation >Alexithymia and temporomandibular joint and facial pain in the general population
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Alexithymia and temporomandibular joint and facial pain in the general population

机译:亚伦思西亚和颞下颌关节和普通人群的面部疼痛

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Summary Background Associations of alexithymia with temporomandibular pain disorders (TMD), facial pain, head pain and migraine have been described, but the role of the different dimensions of alexithymia in pain development remained incompletely understood. Objectives We sought to investigate the associations of alexithymia and its subfactors with signs of TMD and with facial pain, head pain and migraine in the general population. Methods A total of 1494 subjects from the general population completed the Toronto Alexithymia Scale‐20 (TAS‐20) and underwent a clinical functional examination with palpation of the temporomandibular joint and masticatory muscles. Facial pain, migraine and head pain were defined by questionnaire. A set of logistic regression analyses was applied with adjustment for age, sex, education, number of traumatic events, depressive symptoms and anxiety. Results Alexithymia was associated with TMD joint pain (Odds Ratio 2.63; 95% confidence interval 1.60‐4.32 for 61 TAS‐20 points vs the median of the TAS‐20 score) and with facial pain severity (Odds Ratio 3.22; 95% confidence interval 1.79‐5.79). Differential effects of the subfactors were discovered with difficulties in identifying feelings as main predictor for joint, facial, and head pain, and externally oriented thinking (EOT) as U‐shaped and strongest predictor for migraine. Conclusion Alexithymia was moderately to strongly associated with signs and symptoms of TMD. These results should encourage dental practioners using the TAS‐20 in clinical practice, to screen TMD, facial or head pain patients for alexithymia and could also help treating alexithymic TMD, facial or head pain patients.
机译:概述亚朗与颞下颌疼痛障碍(TMD),面部疼痛,头痛和偏头痛的背景结果,但不同维度在疼痛发育中的作用保持不完全理解。我们试图调查亚伦西亚炎及其子因素与TMD迹象的关联以及普通人群中的面部疼痛,头痛和偏头痛。方法共有1494名受试者从一般人群中完成多伦多ALEXITHYMIA SCALE-20(TAS-20),并在临床功能检查中进行临床功能检查,触觉颞下颌关节和咀嚼肌肉。面部疼痛,偏头痛和头痛由问卷定义。应用年龄,性别,教育,创伤性事件数量,抑郁症状和焦虑的调整,应用了一系列逻辑回归分析。结果亚灵差异与TMD关节疼痛有关(大量比率2.63; 95%置信区间1.60-4.32为61吨TAS-20点,与TAS-20评分的中值)和面部疼痛严重程度(差距3.22; 95%置信区间1.79-5.79)。由于难以识别作为关节,面部和头痛的主要预测因子,以及外部导向的思维(EOT)作为偏头痛的U形和最强的预测因子,发现了困难的困难。结论Alexithymia适度以与TMD的迹象和症状强烈相关。这些结果应该鼓励使用临床实践中TAS-20的牙科实例,筛选TMD,面部或头痛患者,也可以帮助治疗Alexithymic TMD,面部或头痛患者。

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