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Inter-relationships between pain-related temporomandibular disorders, somatic and psychological symptoms in Asian youths

机译:亚洲青年疼痛相关颞下颌障碍,体细胞和心理症状的间相互关系

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Objective This cross-sectional, observational study assessed the inter-relationships between painful TMDs, somatic and psychological symptoms in Asian youths. Methods Study subjects were recruited from a local Polytechnic. Pain-related TMDs were established with the TMD pain screener (TPS), while somatic and psychological symptoms were assessed with the Patient Health Questionnaire-15 (PHQ-15) and Depression, Anxiety and Stress Scales-21 (DASS-21). Demographic information, TPS, PHQ-15 and DASS-21 responses were gathered with the CDRSS system and analysed using the binomial-exact test, Mann-Whitney U test, Spearman's rho correlation and logistic regression analysis (P < .05). Results Data from a total of 400 participants were collected and examined. The "no TMDs" (NT) group comprised of 366 subjects (180 males; 186 females) with a mean age of 18.72 +/- 1.49 years, while the "with TMDs" (WT) group consisted of 34 subjects (11 males; 23 females) aged 19.26 +/- 1.89 years. Significant differences in median PHQ-15 and DASS-21 scores were observed between the NT and WT groups (P <= .007). The WT group was observed to have moderate somatic symptoms, moderate depression, moderate-to-severe anxiety and mild stress. For subjects with pain-related TMDs, correlation between somatic and psychological symptoms was moderate-to-strong (r(s) = .55-.69). Stepwise logistic regression indicated that somatisation and anxiety were possible risk factors for painful TMDs with odds ratios of 1.08 and 1.07, respectively. Conclusions The prevalence of pain-related TMDs was 8.5%. Subjects with painful TMDs had significantly higher levels of somatic and psychological distress. In addition, somatic symptoms were strongly correlated with anxiety and stress but less so with depression.
机译:目的:这项横断面、观察性研究评估了亚洲青少年疼痛性TMD、躯体和心理症状之间的相互关系。方法研究对象来自当地一所理工学院。使用TMD疼痛筛查仪(TPS)建立疼痛相关TMD,使用患者健康问卷-15(PHQ-15)和抑郁、焦虑和压力量表-21(DASS-21)评估躯体和心理症状。使用CDRSS系统收集人口统计学信息、TPS、PHQ-15和DASS-21反应,并使用二项精确检验、Mann-Whitney U检验、Spearman rho相关和逻辑回归分析进行分析(P<0.05)。结果共收集和检查了400名参与者的数据。“无TMD”(NT)组包括366名受试者(180名男性;186名女性),平均年龄为18.72+/-1.49岁,而“有TMD”(WT)组包括34名受试者(11名男性;23名女性),年龄为19.26+/-1.89岁。NT组和WT组的PHQ-15和DASS-21得分中位数存在显著差异(P<0.007)。观察到WT组有中度躯体症状、中度抑郁、中度至重度焦虑和轻度压力。对于患有疼痛相关TMD的受试者,躯体症状和心理症状之间的相关性为中度至重度(r(s)=.55-.69)。逐步逻辑回归显示,躯体化和焦虑可能是疼痛性TMD的危险因素,优势比分别为1.08和1.07。结论疼痛相关TMD的患病率为8.5%。患有疼痛性TMD的受试者的躯体和心理痛苦程度明显更高。此外,躯体症状与焦虑和压力密切相关,但与抑郁的相关性较小。

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