Fatigue and fatigue-related symptoms in an orofacial pain population
Fatigue and fatigue-related symptoms in an orofacial pain population
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DOI：
10.1016/j.tripleo.2004.03.001
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发表时间：
2005-02-01
影响因子：
--
通讯作者：
Carlson, CR
中科院分区：
文献类型：
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作者：
de Leeuw, R;Studts, JL;Carlson, CR
目标。本研究的目的是调查自我报告的疲劳和疲劳相关症状的存在和程度，并确定疲劳是否可以在诊断为慢性颞下颌关节或咀嚼肌疼痛的患者样本中作为一种独特的临床症状加以区分。研究设计。55名慢性TMD患者和55名年龄、性别和教育程度相匹配的健康志愿者完成了4种不同的疲劳测量以及SCL90-R、MPI和psqi。慢性TMD患者报告疲劳和疲劳相关症状的频率明显高于健康志愿者。以躯体化、抑郁、焦虑、一般活动水平和睡眠障碍为协变量的MANCOVAs消除了患者和对照组之间的差异。逐步回归表明，疲劳和疲劳相关症状似乎不是TMD患者独有的临床症状，而仅仅是躯体化和抑郁所导致的躯体症状。疲劳和疲劳相关症状可能是慢性TMD患者躯体化和抑郁的症状。
Objectives. The aims of this study were to investigate the presence and magnitude of self-reported fatigue and fatigue-related symptoms and to determine whether fatigue can be distinguished as a unique clinical symptom in a sample of patients diagnosed with chronic temporomandibular joint or masticatory muscle pain.Study design. Fifty-five chronic TMD patients and 55 age-, sex-, and education-matched healthy volunteers completed a battery of 4 different fatigue measures as well as the SCL90-R, MPI, and PSQI.Results. Fatigue and fatigue-related symptoms were reported significantly more often by chronic TMD patients than by healthy volunteers. MANCOVAs with somatization, depression, anxiety, general activity level, and sleep disturbances as covariates eliminated the differences between patients and controls. Stepwise regression showed that fatigue and fatigue-related symptoms did not appear to be a unique clinical symptom of TMD patients, but merely emerged as somatic symptoms accounted for by somatization and depression.Conclusion. Fatigue and fatigue related symptoms may be symptoms of somatization and depression in this sample of chronic TMD patients.