Impacts of Depression, Somatization, and Jaw Disability on Graded Chronic Pain in TMD Patients
¼Ò¼Ó »ó¼¼Á¤º¸
±èö
½ÅÀº¼·/Á¤Áø¿ì
KMID : 0355220050300030353
Abstract
ÃøµÎÇϾÇÀå¾Ö ¿¬±¸Áø´Ü±âÁØ (Research Diagnostic Criteria for Temporomandibular Disorders; RDC/TMD)À» ÀÌ¿ëÇÏ¿© ÃøµÎÇϾÇÀå¾Ö ȯÀڵ鿡¼ ½É¸®ÇÐÀû »óÅ ¹× Åαâ´ÉÀå¾ÖÀÇ Á¤µµ°¡ ÅëÁõÀÇ Á¤µµ ¹× Áö¼Ó±â°£, ÅëÁõ°ú °ü·ÃµÈ ÀÏ»ó»ýÈ° Àå¾ÖÀÇ Á¤µµ ¹× ±â°£, ¸¸¼ºÅëÁõôµµ¿¡ ¹ÌÄ¡´Â ¿µÇâ µîÀ» ¾Ë¾Æº¸±â À§ÇÏ¿© RDC/TMD axis I criteria¿¡ µû¶ó ÃøµÎÇϾÇÀå¾Ö·Î Áø´Ü¹ÞÀº Æò±Õ¿¬·É 30.1¡¾12.5 ¼¼ÀÎ 93 ¸íÀÇ È¯ÀÚµé(³²¼º 17¸í, ¿©¼º 76¸í)À» ´ë»óÀ¸·Î RDC/TMD axis II º´·Â ¼³¹®Áö¸¦ ÀÛ¼ºÇÏ°Ô ÇÑ µÚ, ¿ì¿ïÁõÁ¡¼ö, ½ÅüÈÀå¾ÖÁ¡¼ö, Åαâ´ÉÀå¾ÖÁ¡¼ö¿Í ¸¸¼ºÅëÁõôµµÀÇ ÅëÁõ °µµ, ÅëÁõ Áö¼Ó±â°£, ÅëÁõ°ú ¿¬°üµÈ Àå¾Ö Á¡¼ö, ÅëÁõ°ú ¿¬°üµÈ Àå¾ÖÀÇ ±â°£ ¹× ¸¸¼ºÅëÁõôµµ »çÀÌÀÇ ¿¬°ü¼ºÀ» ºÐ¼®ÇÏ¿© ´ÙÀ½°ú °°Àº °á·ÐÀ» ¾ò¾ú´Ù.
1. 93¸íÀÇ ÃøµÎÇϾÇÀå¾Ö ȯÀڵ鿡¼ ¸¸¼ºÅëÁõôµµÀÇ °æµµÀÇ Àå¾Ö¸¦ º¸ÀÌ´Â ±º (low disability group, grade I and II)Àº 42.0% À̾úÀ¸¸ç, ½ÉµµÀÇ Àå¾Ö¸¦ º¸ÀÌ´Â ±º (high disability group, grade III and IV)Àº 51.5% À̾ú´Ù.
2. ¿ì¿ïÁõÁ¡¼ö´Â ÅëÁõ °µµ, ÅëÁõ Áö¼Ó±â°£, ÅëÁõ°ú ¿¬°üµÈ Àå¾Ö Á¡¼ö, ÅëÁõ°ú ¿¬°üµÈ Àå¾ÖÀÇ ±â°£, ¸¸¼ºÅëÁõôµµ ¸ðµÎ¿¡ Åë°èÀûÀ¸·Î À¯ÀÇÇÑ ¿µÇâÀ» ¹ÌÄ¡Áö ¾Ê¾Ò´Ù.
3. ½ÅüÈÀå¾ÖÁ¡¼ö´Â ÅëÁõ °µµ (p≶0.01), ÅëÁõ°ú ¿¬°üµÈ Àå¾ÖÀÇ ±â°£ (p≶0.01), ¸¸¼ºÅëÁõôµµ (p≶0.01)¿¡ À¯ÀÇÇÑ ¿µÇâÀ» ¹ÌÃÆÀ¸³ª, ÅëÁõ Áö¼Ó±â°£À̳ª ÅëÁõ°ú ¿¬°üµÈ Àå¾Ö Á¡¼ö¿¡´Â Åë°èÀûÀ¸·Î À¯ÀÇÇÑ ¿µÇâÀ» ¹ÌÄ¡Áö ¾Ê¾Ò´Ù.
4. Åαâ´ÉÀå¾ÖÁ¡¼ö´Â ÅëÁõ °µµ (p≶0.001), ÅëÁõ°ú ¿¬°üµÈ Àå¾ÖÀÇ ±â°£ (p≶0.01), ¸¸¼ºÅëÁõôµµ (p≶0.001)¿¡ À¯ÀÇÇÑ ¿µÇâÀ» ¹ÌÃÆÀ¸³ª, ÅëÁõ Áö¼Ó±â°£À̳ª ÅëÁõ°ú ¿¬°üµÈ Àå¾Ö Á¡¼ö¿¡´Â Åë°èÀûÀ¸·Î À¯ÀÇÇÑ ¿µÇâÀ» ¹ÌÄ¡Áö ¾Ê¾Ò´Ù.
ÃøµÎÇϾÇÀå¾ÖȯÀÚ¿¡¼ ½ÅüÈÀå¾Ö¿Í Åαâ´ÉÀå¾Ö´Â ȯÀÚ°¡ ´À³¢´Â ÅëÁõÀÇ °µµ ¹× Àå¾ÖÀÇ Á¤µµ¿Í ¹ÐÁ¢ÇÏ°Ô °ü·ÃµÇ¾î ³ªÅ¸³¯ ¼ö ÀÖÀ¸¸ç, ȯÀÚ°¡ È£¼ÒÇÏ´Â Á¤¼Àû ½ºÆ®·¹½º¿¡ ´ëÇÑ Æ÷°ýÀûÀÎ ÀÌÇØ¿Í ±â´ÉÀå¾Ö¿¡ ´ëÇÑ ÀûÀýÇÑ °ü¸®°¡ ÃøµÎÇϾÇÀå¾Ö ȯÀÚÀÇ ¼º°øÀûÀÎ Ä¡·á¿¡ ¸Å¿ì Áß¿äÇϸ®¶ó »ý°¢µÈ´Ù.
The aim of this study was to investigate the impact of depression, somatization, and jaw disability on graded chronic pain of TMD using Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Ninety-three patients (17 men and 76 women, mean¡¾SD age of 30.1¡¾12.5 years) diagnosed with TMD based on RDC/TMD axis I criteria were administered RDC/TMD axis II history questionnaire. The relationships between depression, somatization, jaw disability, and each parameters of graded chronic pain (e.g. pain intensity, pain days, disability score, disability days, graded chronic pain scale) were analyzed by multiple regression analysis. The obtained results were as follows:
1. Among 93 TMD patients, the prevalence of low disability group of graded chronic pain scale was 42.0% and high disability group of graded chronic pain scale was 51.5%.
2. Depression did not show any significant influences on pain intensity, pain days, disability score, disability days, and graded chronic pain scale.
3. Somatization showed a significant effect on pain intensity (p≶0.01), disability days (p≶0.01), and graded chronic pain scale (p≶0.01) except for both pain days and disability score.
4. Jaw disability also showed a significant effect on pain intensity (P≶0.001), disability days (p≶0.01), and graded chronic pain scale (P≶0.001) except for both pain days and disability score.
Somatization and jaw disability may closely relate to the pain intensity and degree of disability that TMD patients perceive. Therefore, comprehensive understanding of psychological profile and improvement of functional limitation of jaw movements in the patient should be considered to obtain an excellent outcome of chronic TMD management.
Å°¿öµå
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸