The role of pain-related disability on treatment outcome and psychosocial symptoms in patients with temporomandibular disorders - a pilot study
Hietaharju, Maria; Näpänkangas, Ritva; Ahtonen, Pinja; Kuoppala, Ritva; Sipilä, Kirsi (2023-01-02)
Hietaharju, Maria
Näpänkangas, Ritva
Ahtonen, Pinja
Kuoppala, Ritva
Sipilä, Kirsi
Taylor & Francis
02.01.2023
Maria Hietaharju, Ritva Näpänkangas, Pinja Ahtonen, Ritva Kuoppala & Kirsi Sipilä (2023) The role of pain-related disability on treatment outcome and psychosocial symptoms in patients with temporomandibular disorders – a pilot study, Acta Odontologica Scandinavica, 81:5, 402-407, DOI: 10.1080/00016357.2022.2162575
https://creativecommons.org/licenses/by-nc/4.0/
© 2023 Acta Odontologica Scandinavica Society. This is an Accepted Manuscript version of the following article, accepted for publication in Acta Odontologica Scandinavica. Maria Hietaharju, Ritva Näpänkangas, Pinja Ahtonen, Ritva Kuoppala & Kirsi Sipilä (2023) The role of pain-related disability on treatment outcome and psychosocial symptoms in patients with temporomandibular disorders – a pilot study, Acta Odontologica Scandinavica, 81:5, 402-407, DOI: 10.1080/00016357.2022.2162575. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
https://creativecommons.org/licenses/by-nc/4.0/
© 2023 Acta Odontologica Scandinavica Society. This is an Accepted Manuscript version of the following article, accepted for publication in Acta Odontologica Scandinavica. Maria Hietaharju, Ritva Näpänkangas, Pinja Ahtonen, Ritva Kuoppala & Kirsi Sipilä (2023) The role of pain-related disability on treatment outcome and psychosocial symptoms in patients with temporomandibular disorders – a pilot study, Acta Odontologica Scandinavica, 81:5, 402-407, DOI: 10.1080/00016357.2022.2162575. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
https://creativecommons.org/licenses/by-nc/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202311273349
https://urn.fi/URN:NBN:fi:oulu-202311273349
Tiivistelmä
Abstract
Objective:
The aim of the pilot study was to investigate the association of pain-related disability with the outcome of conservative treatment of temporomandibular disorders (TMD) and with depressive and non-specific physical symptoms among TMD pain patients utilizing Graded Chronic Pain Scale 1.0 (GCPS1.0) as a screening instrument.
Material and methods:
The study included 80 adult patients who were referred to the Oral and Maxillofacial Department, Oulu University Hospital, Finland, due to TMD pain. At baseline, pain-related disability was assessed by using the GCPS1.0 according to the Research Diagnostic Criteria for TMD (RDC/TMD), and the patients were categorized into three TMD subtypes, 1–3. Patients were given conservative TMD treatment. At follow-up visits (1, 3, 6, and 12 months), patients evaluated the pain intensity on an NRS and described the treatment outcome and the severity of the TMD symptoms on a numerical scale.
Results and conclusions:
Patients with TMD subtype 3 (moderate/severe disability) had the highest NRS scores and described their symptoms as most severe at each time point, statistically significantly so at 1-month and 6-month follow-up (p < .05). The highest proportion of depressive symptoms was found in TMD subtype 3 (p < .05). The current pilot study showed that moderate/severe TMD-related disability, based on the GCPS 1.0 as a screening tool, may be linked with poor treatment outcome and depressive symptoms. Studies with larger samples are needed to confirm the results.
Objective:
The aim of the pilot study was to investigate the association of pain-related disability with the outcome of conservative treatment of temporomandibular disorders (TMD) and with depressive and non-specific physical symptoms among TMD pain patients utilizing Graded Chronic Pain Scale 1.0 (GCPS1.0) as a screening instrument.
Material and methods:
The study included 80 adult patients who were referred to the Oral and Maxillofacial Department, Oulu University Hospital, Finland, due to TMD pain. At baseline, pain-related disability was assessed by using the GCPS1.0 according to the Research Diagnostic Criteria for TMD (RDC/TMD), and the patients were categorized into three TMD subtypes, 1–3. Patients were given conservative TMD treatment. At follow-up visits (1, 3, 6, and 12 months), patients evaluated the pain intensity on an NRS and described the treatment outcome and the severity of the TMD symptoms on a numerical scale.
Results and conclusions:
Patients with TMD subtype 3 (moderate/severe disability) had the highest NRS scores and described their symptoms as most severe at each time point, statistically significantly so at 1-month and 6-month follow-up (p < .05). The highest proportion of depressive symptoms was found in TMD subtype 3 (p < .05). The current pilot study showed that moderate/severe TMD-related disability, based on the GCPS 1.0 as a screening tool, may be linked with poor treatment outcome and depressive symptoms. Studies with larger samples are needed to confirm the results.
Kokoelmat
- Avoin saatavuus [32481]