Single-Item, Self-Rated Health is a Useful Indicator of Health in Myofascial Temporomandibular Disorders.
Single-Item, Self-Rated Health is a Useful Indicator of Health in Myofascial Temporomandibular Disorders.
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DOI：
10.11607/ofph.2045
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发表时间：
2019
影响因子：
2.5
通讯作者：
Raphael K
中科院分区：
文献类型：
--
作者：
Santiago V;Raphael K
目的：(1)检验一组患有肌筋膜颞下颌关节紊乱病(MTMD)的女性与对照组之间自评健康(SRH)的差异；(2)确定疼痛、心理健康和身体功能在多大程度上调节这些差异；以及(3)探索MTMD病例中解释SRH的特定MTMD症状和损害。现有的数据集包括患有MTMD的女性样本(n=125)和一组人口学上相似的对照组(n=49)。SRH由5个选项组成，从差(SRH=1)到优(SRH=5)。用简明健康调查量表测量身体疼痛、心理健康和身体功能。以SRH为结果进行回归分析。与对照组相比，MTMD患者报告的SRH较差，身体疼痛评分完全调节了这些较低的评分。身体功能部分中介了MTMD和SRH之间的联系，而心理健康并不能解释SRH的大部分差异。这一模式在仅限案例的分析中适用。这种联系不能用MTMD特有的症状或局部的MTMD疼痛严重程度来解释，尽管MTMD残疾与较低的SRH独立相关。在MTMD研究中，SRH是一个简单而有用的工具，因为它根据疼痛和身体功能区分病例和对照，并与MTMD残疾有关。
To (1) examine differences in self-rated health (SRH) between a group of women with myofascial temporomandibular disorders (mTMD) and controls; (2) determine the extent to which pain, mental health, and physical function mediate these differences; and (3) explore specific mTMD symptoms and impairments explaining SRH among mTMD cases. An existing dataset of a sample of women with mTMD (n = 125) and a group of demographically similar controls (n = 49) was used. SRH was measured via a single item with 5 answer options ranging from poor (SRH = 1) to excellent (SRH = 5). Bodily pain, mental health, and physical function were measured with the Short-Form Health Survey. Regression analyses with SRH as the outcome were conducted. mTMD cases reported poorer SRH compared to controls, and bodily pain score fully mediated these lower scores. Physical function partially mediated the association between mTMD and SRH, while mental health did not explain much of the variance in SRH. This pattern held in case-only analyses. The association was not explained by mTMD-specific symptoms or by localized mTMD pain severity, although mTMD disability was independently associated with lower SRH. SRH is a simple and useful tool to consider in mTMD research, as it discriminates between cases and controls based on pain and physical function and is associated with mTMD disability.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
7.4
作者：
Elliott, AM;Smith, BH;Chambers, WA
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4
作者：
Slade, Gary D.;Bair, Eric;Ohrbach, Richard
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Ohrbach, Richard
影响因子：
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作者：
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作者：
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通讯作者：
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