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Psychological distress in chronic craniomandibular and cervical spinal pain patients

Identifieur interne : 008413 ( Main/Exploration ); précédent : 008412; suivant : 008414

Psychological distress in chronic craniomandibular and cervical spinal pain patients

Auteurs : C. M. Visscher [Pays-Bas] ; F. Lobbezoo [Pays-Bas] ; W. De Boer [Pays-Bas] ; M. J. Van Der Meulen [Pays-Bas] ; M. Naeije [Pays-Bas]

Source :

RBID : ISTEX:350EAE13ED764948EE77C5D59ADBC0242F35FBDD

Descripteurs français

English descriptors

Abstract

In chronic craniomandibular disorders, a relationship with psychological distress has often been investigated, with contradictory results. Recent studies on chronic pain patients have shown that the level of psychological distress is related to the number of painful body areas. Therefore, the aim of this study was to analyse differences in psychological distress between craniomandibular pain patients with or without cervical spinal pain, taking the number of painful body areas below the cervical spine also into account. Based on an oral history and, independently performed, dynamic/static tests, the presence or absence of a painful CMD or CSD was recognized. To assess the level of psychological distress, the Dutch version of the Symptom Checklist 90 (SCL‐90) was used. The number of painful body areas was indicated on the body drawing of the McGill Pain Questionnaire (MPQ‐DLV). From the initial 250 participants, 103 persons could unequivocally be classified as having or not having a painful CMD and/or CSD and fully completed both questionnaires. Patients with both craniomandibular and cervical spinal pain showed higher levels of psychological distress than patients with only local craniomandibular pain and persons without pain (ancova and t‐tests, P=0·026–0·000). Further, persons with more painful body areas below the cervical spine showed higher SCL‐90 scores (ancova and t‐tests, P=0·045–0·000). In conclusion, chronic craniomandibular pain patients with a coexistent cervical spinal pain show more psychological distress than patients with only local craniomandibular pain and asymptomatic persons. (Supported by the IOT)

Url:
DOI: 10.1046/j.1365-2842.2002.01026_9.x


Affiliations:


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Le document en format XML

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<term>Appliance</term>
<term>Arbitrary moulding</term>
<term>Arthrogenous origin</term>
<term>Auscultation</term>
<term>Bennett movement</term>
<term>Bennett side shift</term>
<term>Bilateral</term>
<term>Bilateral clenching</term>
<term>Bilateral measurement</term>
<term>Blackwell</term>
<term>Blackwell science</term>
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<term>Cervical spine</term>
<term>Clenching</term>
<term>Clinical assessment</term>
<term>Clinical signs</term>
<term>Complete dentures</term>
<term>Contraction episodes</term>
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<term>Control appliance</term>
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<term>Craniomandibular</term>
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<term>Dentistry</term>
<term>Dentistry amsterdam</term>
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<term>Diagnostic criteria</term>
<term>Different design</term>
<term>Different foods</term>
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<term>Disorder</term>
<term>Edentate people</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Experimental muscle pain</term>
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<term>Flemish adolescent girls</term>
<term>Food resistance</term>
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<term>Masseter muscles</term>
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<term>Masticatory muscle palpation</term>
<term>Masticatory muscles</term>
<term>Masticatory performance</term>
<term>Masticatory system</term>
<term>Mcgill pain questionnaire</term>
<term>Molar</term>
<term>Mouth opening</term>
<term>Multiple regression analysis</term>
<term>Muscle activity</term>
<term>Myofascial pain</term>
<term>Myogenous</term>
<term>Myogenous pain</term>
<term>Naeije department</term>
<term>Narrow occlusal surface</term>
<term>Natural environment</term>
<term>Nerve responses</term>
<term>Netherlands</term>
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<term>Occlusal anatomy</term>
<term>Occlusal appliance therapy</term>
<term>Occlusal surface</term>
<term>Occlusal tooth</term>
<term>Odds ratio</term>
<term>Okayama university</term>
<term>Oral function</term>
<term>Oral habits</term>
<term>Oral physiology</term>
<term>Oral rehabilitation</term>
<term>Other techniques</term>
<term>Other variables</term>
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<term>Pain intensity</term>
<term>Painful body areas</term>
<term>Palatal</term>
<term>Palatal appliances</term>
<term>Palpation</term>
<term>Patient group</term>
<term>Periodontal receptors</term>
<term>Personality characteristics</term>
<term>Physiology</term>
<term>Physiotherapeutic treatment modalities</term>
<term>Physiotherapy</term>
<term>Physiotherapy group</term>
<term>Positive effect</term>
<term>Posterior digastric</term>
<term>Posterior digastric muscle palpation</term>
<term>Posterior part</term>
<term>Posterior temporalis</term>
<term>Predictor variables</term>
<term>Premature contact</term>
<term>Present study</term>
<term>Pressure onset</term>
<term>Previous study</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Psychological characteristics</term>
<term>Psychological distress</term>
<term>Psychological factors</term>
<term>Psychosomatic disorders</term>
<term>Pulpal blood circulation</term>
<term>Randomized</term>
<term>Recent studies</term>
<term>Recurrent headache</term>
<term>Reliability</term>
<term>Removable prosthodontics</term>
<term>Replacement dentures</term>
<term>Ridge incisal edge</term>
<term>Right masseter muscle</term>
<term>Ring rates</term>
<term>Risk factors</term>
<term>Sagittal distance</term>
<term>Several types</term>
<term>Side mandible</term>
<term>Spearman correlation</term>
<term>Splint therapy</term>
<term>Stabilization appliance</term>
<term>Statistical analysis</term>
<term>Sternocleidomastoid muscles</term>
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<term>Stomatognathic physiology</term>
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<term>Tongue motion</term>
<term>Tooth plastic rims</term>
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<term>Treatment demand</term>
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<term>Unilateral clenching</term>
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<term>Vertical distance</term>
<term>Visual analogue scale</term>
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<term>Academic centre</term>
<term>Anterior temporalis</term>
<term>Anticipatory activity</term>
<term>Apnoea</term>
<term>Appliance</term>
<term>Arbitrary moulding</term>
<term>Arthrogenous origin</term>
<term>Auscultation</term>
<term>Bennett movement</term>
<term>Bennett side shift</term>
<term>Bilateral</term>
<term>Bilateral clenching</term>
<term>Bilateral measurement</term>
<term>Blackwell</term>
<term>Blackwell science</term>
<term>Bosman department</term>
<term>Botulinum toxin</term>
<term>Bres</term>
<term>Bruxers</term>
<term>Bruxism</term>
<term>Bruxism time index</term>
<term>Central incisor</term>
<term>Centre</term>
<term>Cervical</term>
<term>Cervical spine</term>
<term>Clenching</term>
<term>Clinical assessment</term>
<term>Clinical signs</term>
<term>Complete dentures</term>
<term>Contraction episodes</term>
<term>Contraction time</term>
<term>Contralateral side</term>
<term>Control appliance</term>
<term>Control group</term>
<term>Corresponding amas</term>
<term>Craniomandibular</term>
<term>Craniomandibular disorders</term>
<term>Crown height</term>
<term>Daily stress</term>
<term>Deformation displacement</term>
<term>Dental research</term>
<term>Dentine exposure</term>
<term>Dentistry</term>
<term>Dentistry amsterdam</term>
<term>Denture</term>
<term>Diagnostic criteria</term>
<term>Different design</term>
<term>Different foods</term>
<term>Digastric</term>
<term>Disorder</term>
<term>Edentate people</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Experimental muscle pain</term>
<term>Experimental occlusal interference</term>
<term>Facial pain</term>
<term>Flemish adolescent girls</term>
<term>Food resistance</term>
<term>Force transducer</term>
<term>Full dentures</term>
<term>Functional impression trays</term>
<term>Functional impressions</term>
<term>Glenoid fossa</term>
<term>Haemodynamic changes</term>
<term>Healthy subjects</term>
<term>Horizontal forces</term>
<term>Hospital anxiety</term>
<term>Hydrodynamic stimulation</term>
<term>Implant</term>
<term>Incisor</term>
<term>Interference period</term>
<term>Interobserver reliability</term>
<term>Interrater reliability</term>
<term>Item scores</term>
<term>Laryngeal</term>
<term>Laryngeal elevation</term>
<term>Laryngeal vibration</term>
<term>Lateral</term>
<term>Lateral pterygoid muscles</term>
<term>Life quality</term>
<term>Little modulation</term>
<term>Local anaesthesia</term>
<term>Local application</term>
<term>Local craniomandibular pain</term>
<term>Lower ridge region</term>
<term>Lower ridge resorption</term>
<term>Magnetic resonance imaging</term>
<term>Main complaint</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular contact movements</term>
<term>Mandibular movement</term>
<term>Mandibular movements</term>
<term>Mandibular posture</term>
<term>Masseter</term>
<term>Masseter muscle activity</term>
<term>Masseter muscles</term>
<term>Masticatory</term>
<term>Masticatory muscle palpation</term>
<term>Masticatory muscles</term>
<term>Masticatory performance</term>
<term>Masticatory system</term>
<term>Mcgill pain questionnaire</term>
<term>Molar</term>
<term>Mouth opening</term>
<term>Multiple regression analysis</term>
<term>Muscle activity</term>
<term>Myofascial pain</term>
<term>Myogenous</term>
<term>Myogenous pain</term>
<term>Naeije department</term>
<term>Narrow occlusal surface</term>
<term>Natural environment</term>
<term>Nerve responses</term>
<term>Netherlands</term>
<term>Occlusal</term>
<term>Occlusal anatomy</term>
<term>Occlusal appliance therapy</term>
<term>Occlusal surface</term>
<term>Occlusal tooth</term>
<term>Odds ratio</term>
<term>Okayama university</term>
<term>Oral function</term>
<term>Oral habits</term>
<term>Oral physiology</term>
<term>Oral rehabilitation</term>
<term>Other techniques</term>
<term>Other variables</term>
<term>Outcome variables</term>
<term>Pain intensity</term>
<term>Painful body areas</term>
<term>Palatal</term>
<term>Palatal appliances</term>
<term>Palpation</term>
<term>Patient group</term>
<term>Periodontal receptors</term>
<term>Personality characteristics</term>
<term>Physiology</term>
<term>Physiotherapeutic treatment modalities</term>
<term>Physiotherapy</term>
<term>Physiotherapy group</term>
<term>Positive effect</term>
<term>Posterior digastric</term>
<term>Posterior digastric muscle palpation</term>
<term>Posterior part</term>
<term>Posterior temporalis</term>
<term>Predictor variables</term>
<term>Premature contact</term>
<term>Present study</term>
<term>Pressure onset</term>
<term>Previous study</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Psychological characteristics</term>
<term>Psychological distress</term>
<term>Psychological factors</term>
<term>Psychosomatic disorders</term>
<term>Pulpal blood circulation</term>
<term>Randomized</term>
<term>Recent studies</term>
<term>Recurrent headache</term>
<term>Reliability</term>
<term>Removable prosthodontics</term>
<term>Replacement dentures</term>
<term>Ridge incisal edge</term>
<term>Right masseter muscle</term>
<term>Ring rates</term>
<term>Risk factors</term>
<term>Sagittal distance</term>
<term>Several types</term>
<term>Side mandible</term>
<term>Spearman correlation</term>
<term>Splint therapy</term>
<term>Stabilization appliance</term>
<term>Statistical analysis</term>
<term>Sternocleidomastoid muscles</term>
<term>Stimulation cavity</term>
<term>Stomatognathic physiology</term>
<term>Such treatment</term>
<term>Superior laryngeal nerve</term>
<term>Supramedullary region</term>
<term>Symptom</term>
<term>Temporal muscles</term>
<term>Temporalis</term>
<term>Temporalis muscle</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Temporomandibular joints</term>
<term>Tongue motion</term>
<term>Tooth plastic rims</term>
<term>Treatment contrast</term>
<term>Treatment demand</term>
<term>Treatment effect</term>
<term>Treatment group</term>
<term>Treatment need</term>
<term>Treatment outcome</term>
<term>Twitch force</term>
<term>Unilateral</term>
<term>Unilateral clenching</term>
<term>Vallon department</term>
<term>Vertical distance</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
<term>Visual feedback</term>
<term>Younger persons</term>
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<div type="abstract" xml:lang="en">In chronic craniomandibular disorders, a relationship with psychological distress has often been investigated, with contradictory results. Recent studies on chronic pain patients have shown that the level of psychological distress is related to the number of painful body areas. Therefore, the aim of this study was to analyse differences in psychological distress between craniomandibular pain patients with or without cervical spinal pain, taking the number of painful body areas below the cervical spine also into account. Based on an oral history and, independently performed, dynamic/static tests, the presence or absence of a painful CMD or CSD was recognized. To assess the level of psychological distress, the Dutch version of the Symptom Checklist 90 (SCL‐90) was used. The number of painful body areas was indicated on the body drawing of the McGill Pain Questionnaire (MPQ‐DLV). From the initial 250 participants, 103 persons could unequivocally be classified as having or not having a painful CMD and/or CSD and fully completed both questionnaires. Patients with both craniomandibular and cervical spinal pain showed higher levels of psychological distress than patients with only local craniomandibular pain and persons without pain (ancova and t‐tests, P=0·026–0·000). Further, persons with more painful body areas below the cervical spine showed higher SCL‐90 scores (ancova and t‐tests, P=0·045–0·000). In conclusion, chronic craniomandibular pain patients with a coexistent cervical spinal pain show more psychological distress than patients with only local craniomandibular pain and asymptomatic persons. (Supported by the IOT)</div>
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