Does marital status influence TMD-related chronic pain? A cross-sectional study

Maracci, Lucas Machado; Rodrigues, Amabelli S.; Knorst, Jéssica Klöckner; Salbego, Rafaela Stocker; Ferrazzo, Vilmar Antônio; Liedke, Gabriela Salatino; Silva, Tatiana Bernardon; Marquezan, Mariana

doi:10.1016/j.jbmt.2021.12.001

Cited by 2 publications

(2 citation statements)

References 35 publications

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“…Among the demographic factors, marital status was significant, with higher TMD pain among married patients. This is consistent with findings by Maracci et al, 26 who reported a 5-fold higher risk of chronic TMD pain among married or cohabiting than that among unmarried individuals. We suggest that the attention and support of a spouse encourage the expression of pain, which reinforces pain symptoms.…”

Section: Discussionsupporting

confidence: 93%

Analysis of risk factors and interactions for pain in temporomandibular disorder: A cross‐sectional study

Yang,

Xu,

Liu

et al. 2024

J of Oral Rehabilitation

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BackgroundRisk factors for temporomandibular disorder (TMD) pain remain unclear.ObjectivesThis study aimed to identify risk factors for TMD pain using a biopsychosocial model and to investigate interactions between potential risk factors—oral behaviours (OBs), psychological factors and sleep quality—and their direct and indirect effects on TMD pain.MethodsThis was a cross‐sectional study of 488 patients with TMDs (422 women; 30.8 ± 9.4 years). Pain was assessed using the Numerical Rating Scale. Demographic, behavioural, psychological and biomedical data were collected through clinical examination, face‐to‐face interviews and questionnaires. Multiple linear regression analysis was used to identify factors associated with TMD pain. Mediation and moderation analysis were used to evaluate interactions between variables. Significant mediation (‘0’ not included in the 95% confidence interval (CI)) and moderation (p < .05) effects on TMD pain were identified.ResultsMarital status, diagnosis subgroup, previous medication use, depression and sleep quality were significant risk factors for TMD pain (p < .05). Significant mediation effects were observed as follows: depression and sleep quality mediated the association between OBs and pain; sleep quality mediated the association between somatization, depression, anxiety and pain; and depression mediated the association between sleep quality and pain (all 95% CI did not contain ‘0’).Conclusions(1) Marital status, diagnosis subgroup, previous medication use, depression and sleep quality were associated with TMD pain. (2) OBs can exacerbate pain by promoting depression and reducing sleep quality. Psychological factors and sleep quality can interact to exacerbate pain.

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Section: Discussionsupporting

confidence: 93%

Analysis of risk factors and interactions for pain in temporomandibular disorder: A cross‐sectional study

Yang,

Xu,

Liu

et al. 2024

J of Oral Rehabilitation

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show abstract

“…This is consistent with previous research suggesting that individuals in hostile marital relationships are more likely to experience chronic pain. 22 The Saudi Arabian study found no association between marital status and painful TMD. 23 However, in a Swedish study, single individuals had a greater prevalence of TMD pain than did couples.…”

Section: Discussionmentioning

confidence: 95%

Awake and Sleep Oral Behaviours in Patients With Painful Temporomandibular Disorders

Keela,

Itthikul,

Mitrirattanakul

et al. 2024

International Dental Journal

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Does marital status influence TMD-related chronic pain? A cross-sectional study

Cited by 2 publications

References 35 publications

Analysis of risk factors and interactions for pain in temporomandibular disorder: A cross‐sectional study

Analysis of risk factors and interactions for pain in temporomandibular disorder: A cross‐sectional study

Awake and Sleep Oral Behaviours in Patients With Painful Temporomandibular Disorders

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