Browse > Article
http://dx.doi.org/10.14476/jomp.2020.45.3.56

Quantitative and Qualitative Gradient of Pain Experience, Sleep Quality and Psychological Distress in Patients with Different Phenotypes of Temporomandibular Disorders  

Choi, Hee Hun (Ipyeonhan Dental Clinic)
Kim, Hye-Kyoung (Department of Oral Medicine, Collage of Dentistry, Dankook University)
Kim, Mee-Eun (Department of Oral Medicine, Collage of Dentistry, Dankook University)
Publication Information
Journal of Oral Medicine and Pain / v.45, no.3, 2020 , pp. 56-64 More about this Journal
Abstract
Purpose: Temporomandibular disorders (TMD) is a mosaic of clinical signs and symptoms that can be regarded as a set of phenotypes that are affected by various factors including pain sensitivity, pain disability, sleep and psychological functioning. The aims of this study were to evaluate association of pain experience, sleep quality and psychological distress with different phenotypes of TMD patients. Methods: This retrospective study included a cohort (n=1,858; 63.8% for female, mean age=34.9±15.9 years) of patients with TMD. A set of self-administered questionnaires concerning pain interference (Brief Pain Inventory), pain disability (Graded Chronic Pain Scale), sleep quality (Pittsburg Sleep Questionnaire Index), psychological distress (Symptom Checklist-90 revised), and pain catastrophizing (Pain Catastrophizing Scale) were administered to all participants at the first consultation. All TMD patients were classified into four groups including TMD with internal derangement without pain (TMD_ID, n=370), TMD with joint pain (TMD_J, n=571), TMD with muscle pain (TMD_M, n=541) and TMD with muscle-joint combined pain (TMD_MJ, n=376). Results: The female ratio was particularly high in the group with TMD_MJ (p=0.001). The patients with muscle pain and both muscle and joint pain had longer symptom duration (p=0.004) and presented significantly higher scores in pain experience (p<0.001), subjective sleep quality (p<0.001), pain catastrophizing (p<0.001) and psychological distress (p<0.05) except for paranoid-ideation than the groups with only joint problems. Conclusions: The results of this study highlight the importance of multi-dimensional approach that consider pain disability, sleep quality, and psychological functioning in the management of TMD with muscle component. This study would contribute to a better understanding of interaction between heterogeneous TMD and multiple risk factors in order to build tailored treatment based on different phenotypes.
Keywords
Catastrophization; Pain; Phenotype; Psychological distress; Sleep; Temporomandibular disorder;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Kim SA, Yang KI, Oh KY, Hwangbo Y. Association between sleep quality and myofascial pain syndrome in Korean adults: questionnaire based study. J Musculoskelet Pain 2014;22:232-236.   DOI
2 Riley JL 3rd, Benson MB, Gremillion HA, et al. Sleep disturbance in orofacial pain patients: pain-related or emotional distress? Cranio 2001;19:106-113.   DOI
3 Yatani H, Studts J, Cordova M, Carlson CR, Okeson JP. Comparison of sleep quality and clinical and psychologic characteristics in patients with temporomandibular disorders. J Orofac Pain 2002;16:221-228.
4 Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res 2002;81:284-288.   DOI
5 Jung JS, Hur YK, Choi JK. Evaluation of quality of life in patient with temporomandibular disorders. J Oral Med Pain 2006;31:127-139.
6 Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singap 1994;23:129-138.
7 Radbruch L, Loick G, Kiencke P, et al. Validation of the German version of the Brief Pain Inventory. J Pain Symptom Manage 1999;18:180-187.   DOI
8 Von Korff M, Ormel J, Keefe FJ, Dworkin SF. Grading the severity of chronic pain. Pain 1992;50:133-149.   DOI
9 Sullivan MJL. The Pain Catastrophizing Scale [Internet]. Montreal: Frederic Chappe; c2019 [cited 2020 Aug 18]. Available form: http://sullivan-painresearch.mcgill.ca/pcs.php
10 Sullivan MJL, Bishop SR, Pivik J. The Pain Catastrophizing Scale: development and validation. Psychol Assess 1995;7:524-532.   DOI
11 Derogatis LR. SCL-90 R: administration, scoring and procedures. Baltimore: Clinical Psychometric Research; 1977.
12 Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193-213.   DOI
13 LeResche L, Saunders K, Von Korff MR, Barlow W, Dworkin SF. Use of exogenous hormones and risk of temporomandibular disorder pain. Pain 1997;69:153-160.   DOI
14 Dao TT, Knight K, Ton-That V. Modulation of myofascial pain by the reproductive hormones: a preliminary report. J Prosthet Dent 1998;79:663-670.   DOI
15 Andersson HI, Ejlertsson G, Leden I, Rosenberg C. Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. Clin J Pain 1993;9:174-182.   DOI
16 Perquin CW, Hazebroek-Kampschreur AA, Hunfeld JA, et al. Pain in children and adolescents: a common experience. Pain 2000;87:51-58.   DOI
17 Tatli U, Machon V. Internal derangements of the temporomandibular joint: diagnosis and management. In: Emes Y, ed. Temporomandibular joint pathology-current approaches and understanding. Intech Open; 2018. pp. 436-476.
18 Manfredini D, Piccotti F, Ferronato G, Guarda-Nardini L. Age peaks of different RDC/TMD diagnoses in a patient population. J Dent 2010;38:392-399.   DOI
19 Guarda-Nardini L, Piccotti F, Mogno G, Favero L, Manfredini D. Age-related differences in temporomandibular disorder diagnoses. Cranio 2012;30:103-109.   DOI
20 Dworkin SF, LeResche L, Von Korff MR. Diagnostic studies of temporomandibular disorders: challenges from an epidemiologic perspective. Anesth Prog 1990;37:147-154.
21 Hadjimichael O, Kerns RD, Rizzo MA, Cutter G, Vollmer T. Persistent pain and uncomfortable sensations in persons with multiple sclerosis. Pain 2007;127:35-41.   DOI
22 Lavigne GJ, Nashed A, Manzini C, Carra MC. Does sleep differ among patients with common musculoskeletal pain disorders? Curr Rheumatol Rep 2011;13:535-542.   DOI
23 Sayar K, Arikan M, Yontem T. Sleep quality in chronic pain patients. Can J Psychiatry 2002;47:844-848.   DOI
24 Arnow BA, Blasey CM, Constantino MJ, et al. Catastrophizing, depression and pain-related disability. Gen Hosp Psychiatry 2011;33:150-156.   DOI
25 Dworkin SF, Turner JA, Mancl L, et al. A randomized clinical trial of a tailored comprehensive care treatment program for temporomandibular disorders. J Orofac Pain 2002;16:259-276.
26 Manfredini D, Ahlberg J, Winocur E, Guarda-Nardini L, Lobbezoo F. Correlation of RDC/TMD axis I diagnoses and axis II pain-related disability. A multicenter study. Clin Oral Investig 2002;15:749-756.   DOI
27 Severeijns R, Vlaeyen JW, van den Hout MA, Weber WE. Pain catastrophizing predicts pain intensity, disability, and psychological distress independent of the level of physical impairment. Clin J Pain 2001;17:165-172.   DOI
28 Yap AU, Dworkin SF, Chua EK, List T, Tan KB, Tan HH. Prevalence of temporomandibular disorder subtypes, psychologic distress, and psychosocial dysfunction in Asian patients. J Orofac Pain 2003;17:21-28.
29 Yap AU, Tan KB, Chua EK, Tan HH. Depression and somatization in patients with temporomandibular disorders. J Prosthet Dent 2002;88:479-484.   DOI
30 Celic R, Braut V, Petricevic N. Influence of depression and somatization on acute and chronic orofacial pain in patients with single or multiple TMD diagnoses. Coll Antropol 2011;35:709-713.
31 Manfredini D, Marini M, Pavan C, Pavan L, Guarda-Nardini L. Psychosocial profiles of painful TMD patients. J Oral Rehabil 2009;36:193-198.   DOI
32 Romero-Reyes M, Uyanik JM. Orofacial pain management: current perspectives. J Pain Res 2014;7:99-115.   DOI
33 Traebert J, de Lacerda JT, Fischer TK, Jinbo Y. Dental caries and orofacial pain trends in 12-year-old school children between 1997 and 2003. Oral Health Prev Dent 2005;3:243-248.
34 Scully C. Oral and maxillofacial medicine: the basis of diagnosis and treatment. 2nd ed. Edinburgh: Churchill Livingstone; 2008. pp. 98-108.
35 Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 2014;28:6-27.   DOI
36 Rollman GB, Gillespie JM. The role of psychosocial factors in temporomandibular disorders. Curr Rev Pain 2000;4:71-81.   DOI
37 Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:453-462.   DOI
38 Okeson JP. The classification of orofacial pains. Oral Maxillofac Surg Clin North Am 2008;20:133-144, v.   DOI
39 Poveda Roda R, Bagan JV, Diaz Fernandez JM, Hernandez Bazan S, Jimenez Soriano Y. Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal 2007;12:E292-E298.
40 Oral K, Bal Kucuk B, Ebeoglu B, Dincer S. Etiology of temporomandibular disorder pain. Agri 2009;21:89-94.
41 Rossetti LM, Pereira de Araujo Cdos R, Rossetti PH, Conti PC. Association between rhythmic masticatory muscle activity during sleep and masticatory myofascial pain: a polysomnographic study. J Orofac Pain 2008;22:190-200.
42 LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8:291-305.   DOI
43 McCreary CP, Clark GT, Merril RL, Flack V, Oakley ME. Psychological distress and diagnostic subgroups of temporomandibular disorder patients. Pain 1991;44:29-34.   DOI
44 Pereira LJ, Pereira-Cenci T, Pereira SM, et al. Psychological factors and the incidence of temporomandibular disorders in early adolescence. Braz Oral Res 2009;23:155-160.   DOI
45 Guarda-Nardini L, Pavan C, Arveda N, Ferronato G, Manfredini D. Psychometric features of temporomandibular disorders patients in relation to pain diffusion, location, intensity and duration. J Oral Rehabil 2012;39:737-743.   DOI
46 Song KW, Kim ME. Sleep quality of patients with temporomandibular disorders: relationship to clinical and psychological characteristics. J Oral Med Pain 2015;40:155-162.   DOI
47 Jaspers JP, Heuvel F, Stegenga B, de Bont LG. Strategies for coping with pain and psychological distress associated with temporomandibular joint osteoarthrosis and internal derangement. Clin J Pain 1993;9:94-103.   DOI
48 Ferrando M, Andreu Y, Galdon MJ, Dura E, Poveda R, Bagan JV. Psychological variables and temporomandibular disorders: distress, coping, and personality. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:153-160.   DOI
49 Park JH, Kim HK, Kim KS, Kim ME. Pain catastrophizing for patients with temporomandibular disorders. J Oral Med Pain 2015;40:47-54.   DOI
50 Choi SH, Kim KS, Kim ME. Pain disability of orofacial pain patients. J Oral Med Pain 2009;34:217-225.
51 Schmitter M, Kares-Vrincianu A, Kares H, Bermejo JL, Schindler HJ. Sleep-associated aspects of myofascial pain in the orofacial area among temporomandibular disorder patients and controls. Sleep Med 2015;16:1056-1061.   DOI