Depression and COVID-19 patients with chronic pain: practical considerations

Montero, A. Alcántara; Vasconcelos, S.R. Pacheco de; Tarifa, F. Peñato

doi:10.1186/s41983-021-00286-4

Cited by 1 publication

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References 6 publications

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“…The physical and psycho-emotional dimensions of TMD pain and comorbid depression may be widely connected. The COVID-19 pandemic may be threaten and elevate pain and depression in people with TMD, as it does in other chronic pain patients 19 . Patients in pain should exercise isolation or social distancing since the COVID-19 pandemic could cause their physical and emotional well-being to deteriorate 20 .…”

Section: Introductionmentioning

confidence: 99%

Clinical factors affecting depression in patients with painful temporomandibular disorders during the COVID-19 pandemic

Lee¹,

Auh²

2022

Sci Rep

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Temporomandibular disorders (TMD) are a multifactorial condition associated with both physical and psychological factors. Stress has been known to trigger or worsens TMD. We aimed to investigate whether the novel coronavirus disease-2019 (COVID-19) pandemic aggravates depression in patients with painful TMD, and the factors that affect their level of depression. We included 112 patients with painful TMD (74 females, 38 males; mean age: 35.90 ± 17.60 years; myalgia [n = 38], arthralgia [n = 43], mixed joint–muscle TMD pain [n = 31]). TMD was diagnosed based on the Diagnostic Criteria for TMD Axis I. Physical pain intensity was recorded using the visual analog scale (VAS); psycho-emotional status (depression: Beck Depression Inventory [BDI], anxiety: Beck Anxiety Inventory [BAI], and generalized stress related to COVID19: Global Assessment of Recent Stress [GARS]) was investigated twice (before [BC] and after COVID-19 [AC]). Additionally, factors affecting BDI-AC were investigated. BDI (p < 0.001), BAI (p < 0.001), GARS (p < 0.001), and VAS (p < 0.01) scores were significantly increased at AC than BC. The depression, anxiety, and stress levels were significantly positively correlated, and the AC and BC values of each factor showed a high correlation. In the mixed TMD group, BDI-AC was positively correlated with VAS-AC (p < 0.001). In the multiple regression analysis, clenching habit was the strongest predictor of an increase in the BDI scores from moderate to severe, followed by psychological distress, muscle stiffness, female sex, BAI-AC, and TMJ sounds. COVID-19 has negatively affected the psycho-emotional state of patients with painful TMD, and several clinical factors, including female sex and clenching habits, have influenced depression.

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Section: Introductionmentioning

confidence: 99%