目的:本研究评估了偏头痛和纤维肌痛(FM)对TMD患者的影响,专注于疼痛,焦虑,抑郁症,和生活质量(QoL)。此外,我们调查了这些变量与合并症总数的关系,以了解它们之间的相互作用。
方法:2016年1月至2022年12月进行了回顾性数据收集,涉及409名成人TMD患者。TMD患者分为四组:无合并症(仅TMD)和合并偏头痛和/或纤维肌痛(TMDMG,TMD+FM和TMD+MG+FM)。对它们之间的定量变量进行了比较。使用线性回归分析这些变量之间的关联。
结果:大多数研究人群为女性(79%),平均年龄为44.43岁。TMD+MG患者报告疼痛持续时间较长,与仅TMD患者相比,疼痛评分更高,疼痛干扰更大。同样,TMD+FM患者的疼痛强度高于仅TMD患者。TMD+MG和TMD+FM组均有较高的焦虑水平,抑郁症,与仅TMD患者相比,健康受损。所有三种疼痛状态(TMD+MG+FM)的患者经历了最长的疼痛持续时间,最高的疼痛强度,心理困扰,和QoL受损。结果显示疼痛结果之间呈正相关,心理措施,疼痛对QoL的影响,和合并症的数量以及总体健康状况和合并症数量之间的负相关。
结论:这些发现强调了在TMD患者的管理中考虑合并症的存在并解决身体和心理方面的重要性。
OBJECTIVE: This study assessed the impact of migraine and fibromyalgia (FM) in TMD patients, focusing on pain, anxiety, depression, and quality of life (QoL). Additionally, we investigated how these variables relate to the total number of comorbidities to gain insights into their interactions.
METHODS: A retrospective data collection was conducted during January 2016 to December 2022, involving 409 adult TMD patients. TMD patients were categorised into four groups: those without comorbidity (TMD-only) and those with comorbid migraine and/or fibromyalgia (TMD + MG, TMD + FM and TMD + MG + FM). Quantitative variables were compared among them. Linear regression was used to analyse the associations between these variables.
RESULTS: Most of study population were women (79%) with a mean age of 44.43 years. TMD + MG patients reported longer pain duration, higher pain scores and greater pain interference compared with TMD-only patients. Similarly, TMD + FM patients had higher pain intensity than patients with TMD only. Both the TMD + MG and TMD + FM groups had higher levels of anxiety, depression, and health impairment compared with patients with TMD only. Patients with all three pain conditions (TMD + MG + FM) experienced the longest pain duration, highest pain intensity, psychological distress, and impaired QoL. The result showed positive associations between pain outcomes, psychological measures, pain\'s impact on QoL, and the number of comorbidities and a negative association between overall health states and the number of comorbidities.
CONCLUSIONS: These findings underscore the importance of considering the presence of comorbidities and addressing physical and psychological aspects in the management of TMD patients.