Characteristics Associated With High-Impact Pain in People With Temporomandibular Disorder: A Cross-Sectional Study.
Adaptation, Psychological
/ physiology
Adolescent
Adult
Case-Control Studies
Catastrophization
/ physiopathology
Cross-Sectional Studies
Facial Pain
/ etiology
Female
Humans
Male
Models, Theoretical
Predictive Value of Tests
Psychological Distress
Quality of Life
Temporomandibular Joint Disorders
/ complications
Young Adult
Temporomandibular disorders
area under the receiver operating characteristic curve
pain-related disability
predictive value of tests
quality of life
Journal
The journal of pain
ISSN: 1528-8447
Titre abrégé: J Pain
Pays: United States
ID NLM: 100898657
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
30
04
2018
revised:
16
08
2018
accepted:
25
09
2018
pubmed:
8
10
2018
medline:
4
9
2020
entrez:
8
10
2018
Statut:
ppublish
Résumé
High-impact (disabling) pain diminishes the quality of life and increases health care costs. The purpose of this study was to identify the variables that distinguish between high- and low-impact pain among individuals with painful temporomandibular disorder (TMD). Community-dwelling adults (N = 846) with chronic TMD completed standardized questionnaires that assessed the following: 1) sociodemographic characteristics, 2) psychological distress, 3) clinical pain, and 4) experimental pain. We used high-impact pain, classified using the Graded Chronic Pain Scale, as the dependent variable in logistic regression modeling to evaluate the contribution of variables from each domain. Cross-validated area under the receiver operating characteristic curve (AUC) quantified model discrimination. One-third of the participants had high-impact pain. Sociodemographic variables discriminated weakly between low- and high-impact pain (AUC = .61, 95% confidence interval [CI] = 0.57, 0.65), with the exception of race. An 18-variable model encompassing all 4 domains had good discrimination (AUC = 0.79, 95% CI = 0.75, 0.82), as did a simplified model (sociodemographic variables plus catastrophizing, jaw limitation, and number of painful body sites) (AUC = 0.79, 95% CI = 0.76, 0.82). Duration of pain, sex, and experimental pain testing results were not associated. The characteristics that discriminated most effectively between people with low- and high-impact TMD pain included clinical pain features and the ability to cope with pain. PERSPECTIVE: This article presents the results of a multivariable model designed to discriminate between people with high- and low-impact pain in a community-based sample of people with painful chronic TMD. The findings emphasize the importance of catastrophizing, jaw limitation, and painful body sites associated with pain-related impact.
Identifiants
pubmed: 30292793
pii: S1526-5900(18)30665-5
doi: 10.1016/j.jpain.2018.09.007
pmc: PMC6424335
mid: NIHMS1508842
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
288-300Subventions
Organisme : NIA NIH HHS
ID : P30 AG028740
Pays : United States
Organisme : NCCIH NIH HHS
ID : T32 AT003378
Pays : United States
Organisme : NIDCR NIH HHS
ID : U01 DE017018
Pays : United States
Informations de copyright
Copyright © 2018 the American Pain Society. Published by Elsevier Inc. All rights reserved.
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