Alexithymia and temporomandibular joint and facial pain in the general population.
Adult
Affective Symptoms
/ epidemiology
Aged
Aged, 80 and over
Cohort Studies
Facial Pain
/ epidemiology
Female
Follow-Up Studies
Germany
/ epidemiology
Headache
/ epidemiology
Humans
Male
Middle Aged
Odds Ratio
Pain Measurement
Palpation
/ adverse effects
Prevalence
Temporomandibular Joint Disorders
/ epidemiology
TAS 20
alexithymia
facial pain
headache disorders
temporomandibular joint disorders
Journal
Journal of oral rehabilitation
ISSN: 1365-2842
Titre abrégé: J Oral Rehabil
Pays: England
ID NLM: 0433604
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
21
03
2018
revised:
23
10
2018
accepted:
17
11
2018
pubmed:
26
11
2018
medline:
31
8
2019
entrez:
26
11
2018
Statut:
ppublish
Résumé
Associations of alexithymia with temporomandibular pain disorders (TMD), facial pain, head pain and migraine have been described, but the role of the different dimensions of alexithymia in pain development remained incompletely understood. We sought to investigate the associations of alexithymia and its subfactors with signs of TMD and with facial pain, head pain and migraine in the general population. A total of 1494 subjects from the general population completed the Toronto Alexithymia Scale-20 (TAS-20) and underwent a clinical functional examination with palpation of the temporomandibular joint and masticatory muscles. Facial pain, migraine and head pain were defined by questionnaire. A set of logistic regression analyses was applied with adjustment for age, sex, education, number of traumatic events, depressive symptoms and anxiety. Alexithymia was associated with TMD joint pain (Odds Ratio 2.63; 95% confidence interval 1.60-4.32 for 61 TAS-20 points vs the median of the TAS-20 score) and with facial pain severity (Odds Ratio 3.22; 95% confidence interval 1.79-5.79). Differential effects of the subfactors were discovered with difficulties in identifying feelings as main predictor for joint, facial, and head pain, and externally oriented thinking (EOT) as U-shaped and strongest predictor for migraine. Alexithymia was moderately to strongly associated with signs and symptoms of TMD. These results should encourage dental practioners using the TAS-20 in clinical practice, to screen TMD, facial or head pain patients for alexithymia and could also help treating alexithymic TMD, facial or head pain patients.
Sections du résumé
BACKGROUND
BACKGROUND
Associations of alexithymia with temporomandibular pain disorders (TMD), facial pain, head pain and migraine have been described, but the role of the different dimensions of alexithymia in pain development remained incompletely understood.
OBJECTIVES
OBJECTIVE
We sought to investigate the associations of alexithymia and its subfactors with signs of TMD and with facial pain, head pain and migraine in the general population.
METHODS
METHODS
A total of 1494 subjects from the general population completed the Toronto Alexithymia Scale-20 (TAS-20) and underwent a clinical functional examination with palpation of the temporomandibular joint and masticatory muscles. Facial pain, migraine and head pain were defined by questionnaire. A set of logistic regression analyses was applied with adjustment for age, sex, education, number of traumatic events, depressive symptoms and anxiety.
RESULTS
RESULTS
Alexithymia was associated with TMD joint pain (Odds Ratio 2.63; 95% confidence interval 1.60-4.32 for 61 TAS-20 points vs the median of the TAS-20 score) and with facial pain severity (Odds Ratio 3.22; 95% confidence interval 1.79-5.79). Differential effects of the subfactors were discovered with difficulties in identifying feelings as main predictor for joint, facial, and head pain, and externally oriented thinking (EOT) as U-shaped and strongest predictor for migraine.
CONCLUSION
CONCLUSIONS
Alexithymia was moderately to strongly associated with signs and symptoms of TMD. These results should encourage dental practioners using the TAS-20 in clinical practice, to screen TMD, facial or head pain patients for alexithymia and could also help treating alexithymic TMD, facial or head pain patients.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
310-320Subventions
Organisme : Federal State of Mecklenburg-West Pomerania
Informations de copyright
© 2018 John Wiley & Sons Ltd.