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Does marital status influence TMD-related chronic pain? A cross-sectional study
Lucas M Maracci1, Amabelli S Rodrigues2, Jessica K Knorst3
1Post-graduate Student in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil.
Background:
Pain is a complex sensory experience and can be influenced by psychosocial factors, such as romantic relationships.
Objective:
To evaluate the association between marital status and temporomandibular disorder-related chronic pain.
Methods:
Patients diagnosed with temporomandibular disorder (TMD) through Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I were assessed for chronic pain and marital and socioeconomic status, according to Axis II. Multinomial logistic regression models assessed the association between chronic pain and the predictive variables.
Results:
Three hundred and ten patients were included in the sample, the majority being female (74.5%), single (52.3%), and diagnosed with chronic pain (85.1%). The adjusted analysis showed about a 5-time greater chance of chronic pain occurrence with high disability in individuals who were married or in a common-law marriage (OR 5.99; 95% CI 1.45-24.73). Also, women were 7.62 times more likely to develop chronic pain with high disability (OR 7.62; 95% CI 2.03-28.52).
Conclusion:
Marital status showed an impact on chronic pain, with married individuals and those in a common-law marriage being the most affected by high disability chronic pain.
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