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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Junhyong Park (Wonkwang University Daejeon Dental Hospital) Young-Joo Shim (Wonkwang University Daejeon Dental Hospital) Hyun-Dae Lim (Wonkwang University) You-Mee Lee (Wonkwang University) Jin-Kyu Kang (Wonkwang University Daejeon Dental Hospital)
저널정보
대한안면통증구강내과학회 Journal of Oral Medicine and Pain Journal of Oral Medicine and Pain Vol.43 No.4
발행연도
2018.12
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125 - 130 (6page)

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Purpose: The etiology of temporomandibular disorders (TMDs) is complex and multifactorial including trauma, anatomical, pathophysiological, social and psychological factors. Psychological factors can induce or sustain TMDs in various ways. And psychological problems, such as anxiety and depression can be occurred due to TMDs. Therefore, evaluation of psychological factors in patients with TMDs is important. Although disc displacement (DD) is crucial in clinical situation, most of studies have focused on the relationship of psychosocial factors and myofascial pain. And also, Subtypes of DD can cause different degrees of discomfort, it is necessary to evaluate the psychological states of the patients according to the subtype. The Hospital Anxiety Depression Scale (HADS) is one of the self-report questionnaire to evaluate the psychological factors. HADS-Anxiety (HADS-A) and HADS-Depression (HADS-D) are assessed through 14 questions. The purpose of this study was to evaluate anxiety and depression assessed by HADS in patients diagnosed with subtypes of DD according to diagnostic criteria for TMDs.
Methods: Four hundred thirty nine patients were diagnosed as one of the subtypes of DD. One hundred fourty nine subjects with no symptoms were set as control groups. All of them answered the HADS for Koreans. The cut-off score for anxiety and depression was set a score of 8. The chi-square test was performed to evaluate association between DD and anxiety/depression.
Results: There was a significant difference in HADS-D between five groups (p<0.01). However, there was no significant difference in HADS-A. All the DD groups showed a significant difference in HADS-D compared with the control group except the DD without reduction without limited opening group. The DD without reduction with limited opening group showed the highest rates in HADS-D (40.4%).
Conclusions: Based on the above results, it is necessary to consider the depression in treatment of the patients with DDs.
#Anxiety #Depression #Diagnostic criteria for temporomandibular disorder #Disc displacement #Temporomandibular disorders

목차

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (26)

참고문헌 신청
[단행본] - De Leeuw R / 2013 / Orofacial pain: guideline for assessment, diagnosis, and management / Quintessence Pub. Co : 130 ~ google schola [단행본] - Korean academy of orofacial pain and oral medicine / 2012 / Orofacial pain and temporomandibular disorders / Yenang : 69 ~ google schola [학술지(정기간행물)] - Giannakopoulos NN / 2010 / Anxiety and depression in patients with chronic temporomandibular pain and in controls / J Dent 38 : 369 ~ 376 google schola [단행본] - Okeson JP / 2013 / Management of temporomandibular disorders and occlusion / Elsevier : 107 ~ google schola [단행본] - Simons DG / 1999 / Travell & Simons’ myofascial pain and dysfunction: the trigger point manual: volume 1: upper half of body / Lippincott Williams &Wilkins : 221 ~ google schola

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