Association between psychological factors and temporomandibular disorders in adolescents of rural and urban zones.
Association between psychological factors and temporomandibular disorders in adolescents of rural and urban zones.
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DOI：
10.1186/s12903-021-01485-4
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发表时间：
2021-03-20
期刊：
影响因子：
2.9
通讯作者：
Manrique R
中科院分区：
文献类型：
--
作者：
Restrepo C;Ortiz AM;Henao AC;Manrique R
颞下颌关节紊乱病（Temporomandibular disorders，TMD）与心理因素有关。青春期是心理社会脆弱性更大的人生阶段之一，这在农村和城市地区是不同的。因此，本次调查的目的是评估心理因素（焦虑，抑郁和躯体化症状）和TMD之间的关联在12至15岁的青少年，属于哥伦比亚的城市和农村地区。纳入了180名受试者，年龄12-15岁（平均13.8岁，SD 1.2），就读于农村（n = 90）和城市（n = 90）地区的公立学校。所有受试者均采用DC/TMD量表进行评估，轴I用于临床检查，轴II用于心理评估。资料分析采用T-student检验、Mann-Whitney检验、Kruskall-Wallis检验、Pearson卡方检验和Logistic回归多变量分析。40%的受试者表现出某种类型的TMD。与疼痛相关的TMD最常见（占研究青少年的25.5%），肌痛最常见（城市地区青少年的20%和农村地区青少年的31.1%）。男性和女性的TMD症状无显著性差异，但焦虑、躯体化症状有显著性差异（P < 0.05）。13岁以下儿童TMD和心理因素的患病率较高。在农村地区的受试者中，TMD与焦虑（Pearson Chi平方25.57，p = 0.04），抑郁（Pearson Chi平方33.28，p = 0.03）和躯体化（Pearson Chi平方25.79，p = 0.04）症状之间存在统计学显著相关。在来自城市地区的受试者中，心理方面与TMD之间没有发现任何联系，但总体而言，所有心理因素都显着影响TMD。这项研究表明，肌痛是研究的哥伦比亚青少年中最普遍的TMD。疼痛相关的TMD与哥伦比亚农村青少年人群的心理因素有关。焦虑、抑郁和躯体化症状被发现与TMD相关，即使频率不一定严重。
Temporomandibular disorders (TMD) are related to psychological factors. Adolescence is one of the stages in life with more psychosocial vulnerability, which is dissimilar in rural and urban zones. Thus, the aim of this investigation was to evaluate the association between psychological factors (symptoms of anxiety, depression and somatization) and TMD in adolescents between 12 and 15 years, belonging to urban and rural zones of Colombia. 180 subjects aged 12–15 years (mean 13.8, SD 1.2), enrolled in public schools in the rural (n = 90) and urban (n = 90) zones were included. All subjects were evaluated using the DC/TMD instrument; the Axis I was applied for the clinical examination and the Axis II for the psychological evaluation. Data were analyzed by means of T-student, Mann–Whitney, Kruskall–Wallis tests, Pearson Chi square and multiple-variable analysis with logistic regression. Forty percent of the included subjects presented some type of TMD. TMD related to pain were the most common (25.5% of the studied adolescents), being myalgia the most common (20% of the adolescents in urban zone and 31.1% of the adolescents in the rural zone). There was no difference between the TMD present in males and females, but there were differences in the symptoms of Anxiety, and Somatization (p < 0.05). TMD and psychological factors were more prevalent in children with 13 years of age. A statistically significant association between TMD and symptoms of Anxiety (Pearson Chi squared 25.57, p = 0.04), depression (Pearson Chi squared 33.28, p = 0.03) and somatization (Pearson Chi squared 25.79, p = 0.04) was found in subjects from rural zones. No associations between psychological aspects and TMD were found in subjects from urban zones, but overall all psychological factors significantly influenced TMD. This study indicates Myalgia to be the most prevalent TMD in studied Colombian adolescents. Pain-related TMDs are associated with psychological factors in the adolescent population of rural Colombia. Symptoms of anxiety, depression and somatization were found to be associated to TMD, even when the frequency was not necessarily severe.
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影响因子：
3.7
作者：
Bertoli FMP;Bruzamolin CD;Pizzatto E;Losso EM;Brancher JA;de Souza JF
通讯作者：
de Souza JF
影响因子：
2.5
作者：
Kobayashi, Fernanda Yukie;Gaviao, Maria Beatriz Duarte;Castelo, Paula Midori
通讯作者：
Castelo, Paula Midori
DOI：
10.4067/s0034-98872018000400479
发表时间：
2018-04-01
期刊：
Revista médica de Chile
影响因子：
--
作者：
Borghero, Francesca;Martínez, Vania;Rojas, Graciela
通讯作者：
Rojas, Graciela
影响因子：
2.9
作者：
Fernandes, G.;van Selms, M. K. A.;Camparis, C. M.
通讯作者：
Camparis, C. M.
影响因子：
8
作者：
Chumlea, WC;Schubert, CM;Sun, SS
通讯作者：
Sun, SS