心理社会,临床和调制机制在慢性TMD相关残疾中的相互作用
Rafaela Stocker Salbego1, Paulo César Rodrigues Conti2, Matheus Herreira-Ferreira1
1Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
在部疾病 (TMD) 中的功能障碍是复杂的. 临床疼痛和心理社会因素显著预测残疾,而疼痛调节提供了更高水平的保护.
科学领域:
- 口腔健康 口腔健康
- 疼痛研究 疼痛研究
- 精神病体医学是一种精神病体医学.
背景情况:
- 部部疾病 (TMD) 导致面部或面部疼痛和功能障碍.
- 心理社会和心理物理因素对TMD功能障碍的影响尚未完全理解.
研究的目的:
- 调查肌肉TMD功能障碍的临床,心理社会和心理物理预测因素.
- 利用主要组件分析 (PCA) 和后勤回归来分析这些关系.
主要方法:
- 对77名患有疼痛性TMD的女性进行横截面研究.
- 评估了临床 (疼痛强度,频率,并发症,持续时间),心理社会 (压力,焦虑,抑郁,睡眠质量,疼痛灾难化) 和心理物理 (疼痛值,疼痛调节) 变量.
- 分析了与慢性疼痛关联的主要成分等级.
主要成果:
- 确定了五个主要组成部分:心理社会,临床疼痛,疼痛持续时间/程度,疼痛调节和感官.
- 临床疼痛和心理社会因素显著预测功能障碍.
- 疼痛调节在最高残疾级别显示出保护作用.
结论:
- 在TMD中,功能障碍是临床,心理社会和心理物理因素复杂相互作用的结果.
- 临床疼痛和心理社会因素是残疾的关键预测因素.
- 疼痛调节在严重的TMD病例中起着保护作用.
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