Impact of migraine and fibromyalgia on temporomandibular disorder: A retrospective study on pain, psychological factors and quality of life

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2024-07-04 DOI:10.1111/joor.13789

Pankaew Yakkaphan, Giorgio Lambru, Tara Renton

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Abstract

Objectives

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.

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偏头痛和纤维肌痛对颞下颌关节紊乱的影响：关于疼痛、心理因素和生活质量的回顾性研究。

研究目的本研究评估了偏头痛和纤维肌痛（FM）对 TMD 患者的影响，重点关注疼痛、焦虑、抑郁和生活质量（QoL）。此外，我们还调查了这些变量与合并症总数之间的关系，以深入了解它们之间的相互作用：我们在 2016 年 1 月至 2022 年 12 月期间进行了一次回顾性数据收集，涉及 409 名成年 TMD 患者。TMD患者被分为四组：无合并症（仅TMD）和合并偏头痛和/或纤维肌痛（TMD + MG、TMD + FM和TMD + MG + FM）。对其中的定量变量进行了比较。采用线性回归分析这些变量之间的关联：大多数研究对象为女性（79%），平均年龄为 44.43 岁。与单纯 TMD 患者相比，TMD + MG 患者的疼痛持续时间更长，疼痛评分更高，疼痛干扰更大。同样，与单纯 TMD 患者相比，TMD + FM 患者的疼痛强度更高。与单纯 TMD 患者相比，TMD + MG 组和 TMD + FM 组患者的焦虑、抑郁和健康受损程度都更高。三种疼痛情况（TMD + MG + FM）患者的疼痛持续时间最长、疼痛强度最高、心理压力最大、生活质量受损最严重。结果显示，疼痛结果、心理测量、疼痛对 QoL 的影响和合并症数量之间存在正相关，而总体健康状况和合并症数量之间存在负相关：这些发现强调了在治疗 TMD 患者时考虑合并症的存在并解决生理和心理问题的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.