Abstract：
BACKGROUND: Psychosocial function of Chinese temporomandibular disorders (TMD) pain patients and the correlation with somatosensory function has not been sufficiently studied.
OBJECTIVE: The study aims at assessing the psychosocial function of Chinese TMD pain patients by visualisation method and evaluating the correlations with somatosensory function quantitatively.
METHODS: The Symptom Checklist 90 (SCL-90) questionnaire and standardised quantitative sensory testing (QST) were administered to 70 Chinese TMD pain patients and age- and gender-matched healthy controls (HCs). Of these, 40 TMD arthralgia patients received QST before and after medication. Psychosocial and somatosensory parameters were transformed into standardised scores. Differences within groups were assessed through t tests. Correlations between psychosocial and somatosensory profiles were explored through correlation analyses with Bonferroni correction for multiple comparisons.
RESULTS: 100% of the Chinese TMD pain patients exhibited psychosocial distress in contrast to HCs. Anger and hostility showed negative correlation with the thermal nonnociceptive parameter (thermal sensory limen, p =.002) and nociceptive parameters (cold pain threshold and pain pressure threshold, p<.001). Correlation analysis indicated that cold detection threshold was negatively correlated with somatization and mechanical pain sensitivity had a negative correlation with anger and hostility through medical treatment (p <.001).
CONCLUSIONS: Visual psychosocial profiles provided an easy overview of psychosocial function in Chinese TMD pain patients. Anger and hostility was associated with increased thermal nonnociceptive and nociceptive sensitivity to stimuli. Psychosocial distress might be negatively associated with TMD treatment response which indicated a possible need for psychological intervention during treatment.
OBJECTIVE: The study aims at assessing the psychosocial function of Chinese TMD pain patients by visualisation method and evaluating the correlations with somatosensory function quantitatively.
METHODS: The Symptom Checklist 90 (SCL-90) questionnaire and standardised quantitative sensory testing (QST) were administered to 70 Chinese TMD pain patients and age- and gender-matched healthy controls (HCs). Of these, 40 TMD arthralgia patients received QST before and after medication. Psychosocial and somatosensory parameters were transformed into standardised scores. Differences within groups were assessed through t tests. Correlations between psychosocial and somatosensory profiles were explored through correlation analyses with Bonferroni correction for multiple comparisons.
RESULTS: 100% of the Chinese TMD pain patients exhibited psychosocial distress in contrast to HCs. Anger and hostility showed negative correlation with the thermal nonnociceptive parameter (thermal sensory limen, p =.002) and nociceptive parameters (cold pain threshold and pain pressure threshold, p<.001). Correlation analysis indicated that cold detection threshold was negatively correlated with somatization and mechanical pain sensitivity had a negative correlation with anger and hostility through medical treatment (p <.001).
CONCLUSIONS: Visual psychosocial profiles provided an easy overview of psychosocial function in Chinese TMD pain patients. Anger and hostility was associated with increased thermal nonnociceptive and nociceptive sensitivity to stimuli. Psychosocial distress might be negatively associated with TMD treatment response which indicated a possible need for psychological intervention during treatment.
摘要：
背景：中国颞下颌关节紊乱病（TMD）疼痛患者的心理社会功能及其与体感功能的相关性尚未得到充分研究。
目的：本研究旨在通过可视化方法评估中国TMD疼痛患者的心理社会功能，并定量评估其与体感功能的相关性。
方法：对70名中国TMD疼痛患者和年龄和性别匹配的健康对照（HC）进行症状自评量表90（SCL-90）问卷和标准化定量感觉测试（QST）。其中,40例TMD关节痛患者在用药前后接受了QST。将心理社会和体感参数转换为标准化评分。通过t检验评估组内的差异。通过相关分析和Bonferroni校正进行多重比较，探索了心理社会和体感特征之间的相关性。
结果：100％的中国TMD疼痛患者表现出与HCs相反的社会心理困扰。愤怒和敌意与热非伤害感受参数(热感觉limen，p=.002）和伤害性参数（冷痛阈值和疼痛压力阈值，p<.001)。相关分析显示，冷检测阈值与躯体化呈负相关，机械性疼痛敏感性与药物治疗后的愤怒和敌意呈负相关（p<.001）。
结论：视觉心理社会概况为中国TMD疼痛患者的心理社会功能提供了一个简单的概述。愤怒和敌意与对刺激的热非伤害性和伤害性敏感性增加有关。心理社会困扰可能与TMD治疗反应呈负相关，这表明在治疗期间可能需要心理干预。
目的：本研究旨在通过可视化方法评估中国TMD疼痛患者的心理社会功能，并定量评估其与体感功能的相关性。
方法：对70名中国TMD疼痛患者和年龄和性别匹配的健康对照（HC）进行症状自评量表90（SCL-90）问卷和标准化定量感觉测试（QST）。其中,40例TMD关节痛患者在用药前后接受了QST。将心理社会和体感参数转换为标准化评分。通过t检验评估组内的差异。通过相关分析和Bonferroni校正进行多重比较，探索了心理社会和体感特征之间的相关性。
结果：100％的中国TMD疼痛患者表现出与HCs相反的社会心理困扰。愤怒和敌意与热非伤害感受参数(热感觉limen，p=.002）和伤害性参数（冷痛阈值和疼痛压力阈值，p<.001)。相关分析显示，冷检测阈值与躯体化呈负相关，机械性疼痛敏感性与药物治疗后的愤怒和敌意呈负相关（p<.001）。
结论：视觉心理社会概况为中国TMD疼痛患者的心理社会功能提供了一个简单的概述。愤怒和敌意与对刺激的热非伤害性和伤害性敏感性增加有关。心理社会困扰可能与TMD治疗反应呈负相关，这表明在治疗期间可能需要心理干预。
