Psychosomatic Study on Anxiety and Depression in Patients with Temporomandibular Disorders.
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概要
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The purpose of this study was to evaluate anxiety and depression in patients with temporomandibular disorders (TMD) who were treated at the First Department of Oral and Maxillofacial Surgery, Tokyo Medical and Dental University Hospital, Tokyo. The subjects were 41 males and 172 females with a mean age of 35.0 years (range: 13-70 years). Clinical evaluation was conducted using a Hospital Anxiety and Depression Scale (HAD). Anxiety and depression scores were compared between subjects and non-TMD patients. The two groups were mached for age and sex. The HAD results showed that TMD patients had significantly higher (P<0.001) anxiety scores and depression scores than non-TMD patients (based on the Mann-Whitney U test).<BR>Then, the influence of 19 factors on anxiety or depression of TMD patients was assessed. The results of logistic regression analysis suggested that limitation in activities of daily living, lack of social support, neurotic personality traits and dizziness might be associated with anxiety in TMD patients, and neurotic personality traits, introverted personality traits and limitation in activities of daily living during the past 12 months might be associated with depression. In this study, personality traits were assessed using the Eysenk Personality Questionnaire (EPQ). TMD symptoms (joint and muscle pain, limited range of motion, and noise during movement), other physical symptoms (headaches, stiffness of shoulders and neck, arm and back pain, arm and back numbness), age, sex, and classification of TMD (mainly myogenous, combined myogenous and arthrogenous, and mainly arthrogenous) were not strongly associated with anxiety or depression in TMD patients.
- 特定非営利活動法人 日本口腔科学会の論文
特定非営利活動法人 日本口腔科学会 | 論文
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