Abstract

Objectives

The objective of this study was to compare levels of depression and anxiety of a group of patients with orofacial pain attributed to a temporomandibular disorder (TMD) to the general population.

Materials and methods

Diagnosis of orofacial pain attributed to a TMD was given according the DC/TMD classification system. PHQ-9 and GAD-7 questionnaires were used to respectively screen for depression and anxiety. Scores of these two questionnaires in the study group were compared to the scores of two large population samples representing normative data in the general population.

Results

Two hundred forty-three patients (191 females and 52 males) were included in the study. Both Kolmogorov-Smirnov and chi-square testing showed statistically significant higher scores (p ≤ 0.05) for both PHQ-9 and GAD-7 in the study group in comparison with the general population and PHQ-9 and GAD-7 scores were strongly correlated.

Conclusions

The results of this study indicate that screening for depression and anxiety should be considered in the diagnosis of patients with orofacial pain attributed to a TMD.

Clinical relevance

PHQ-9 and GAD-7 could be used to assist clinicians, without specific training in mental health, to screen for potential signs of existing comorbidity of depression or anxiety disorders in patients with orofacial pain attributed to TMD.

中文翻译：

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颞下颌关节疾病患者的抑郁和焦虑水平：与普通人群的比较

摘要

目标

这项研究的目的是比较普通人群的一组因颞下颌疾病（TMD）引起的口面疼痛的抑郁和焦虑水平。

材料和方法

根据DC / TMD分类系统对TMD引起的口面疼痛进行了诊断。PHQ-9和GAD-7问卷分别用于筛查抑郁和焦虑。将研究组中这两个问卷的得分与代表普通人群中规范数据的两个大型人群样本的得分进行比较。

结果

243例患者（191名女性和52名男性）被纳入研究。两者的Kolmogorov-斯米尔诺夫和卡方测试表明统计学显著较高分数（p 为PHQ-9都和GAD-7的研究组在与一般人群和PHQ-9和GAD-7分数比较≤0.05）显着相关。

结论

这项研究的结果表明，在诊断由TMD引起的口面疼痛的患者时，应考虑筛查抑郁症和焦虑症。

临床相关性

PHQ-9和GAD-7可以用于协助临床医生，而无需进行特殊的心理健康培训，以筛查TMD引起的口腔性疼痛患者中现有的抑郁症或焦虑症合并症的潜在征象。