두통 및 경부통의 빈도, 근압통, 수면의 질과 심리적 상태간의 관련성에 대한 연구
Relationship between Psychologic Factors and Frequency of Headache and Neck Pain, Muscle Tenderness, and Quality of Sleep
한경수, 이정현, 임현대,
소속 상세정보
한경수 ( ) - 원광대학교 치과대학 구강내과학
이정현 ( ) - 원광대학교 치과대학 구강내과학
임현대 ( ) - 원광대학교 치과대학 구강내과학
KMID : 0355220020270040475
Abstract
This study was performed to investigate the relationship between psychologic factors and frequency of headache and neck pain, muscle tenderness, and quality of sleep in patients with temporomandibular disorders(TMD). 80 patients with temporomandibular disorders without any psychologic and neurologic problem were selected from the patients presented to Wonkwang university dental hospital. Routine clinical examination for TMD was carried out, especially for the frequency of headache and neck pain, and palpation of the masticatory muscles and the craniocervical muscles were also done by the author in the first visit. All the subjects filled out the questionnaires, that was, for the evaluation of sleep quality using Pittsburgh sleep quality index(PSQI), and for the analysis of psychologic status using SCL-90-R, respectively. Data obtained were statistically processed by the SPSS Windows program and the results of this study were as follows :
Mean T-scores of SCL-90-R in the subjects with a frequency of headache almost daily were significantly higher than those in the subjects with a frequency of headache less than once a week with regard to some subscales, such as somatization, depression, anxiety, global symptom index(GSI), and positive symptom total(PST), but the T-scores classified by and compared with the frequency of neck pain were not different between the two subjects groups.
The subjects group with a score of muscle tenderness more than 24 showed significantly higher T-scores of SCL-90-R in subscales, such as somatization, depression, anxiety, global symptom index(GSI), and positive symptom total(PST) when compared with the T-score of the subjects group with a score of muscle tenderness 12 or less than 12.
T-scores of SCL_90-R in the subjects group with global PSQI score of 5 or less than 5 were lower half of 40's, the scores in the subjects group with 6~8 were upper half of 40's, and the scores in the subjects group with 9 or more than 9 were middle of 50's in nearly all subscales. As a result, difference of the T-scores by the subclasses of global PSQI score were significant in all the subscales of SCL-90-R.
Correlation between frequency of headache and neck pain, score of muscle tenderness, quality of sleep(global PSQI score) were very highly significant, and the correlation between frequency of headache and neck pain, score of muscle tenderness, quality of sleep and T-scores of SCL-90-R were also significant with regard to some subscales, such as somatization, depression, anxiety, hostility, paranoid ideation, global symptom index(GSI), and positive symptom total(PST).
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