Symptom severity in burning mouth syndrome associates with psychological factors

Autor: Pauli Puukka, Tuija Teerijoki-Oksa, Heli Forssell, Ann-Mari Estlander
Přispěvatelé: HUS Perioperative, Intensive Care and Pain Medicine, Clinicum, Anestesiologian yksikkö, Helsinki University Hospital Area, University of Helsinki
Rok vydání: 2019
Předmět:
Biopsychosocial model
medicine.medical_specialty
Depression scale
media_common.quotation_subject
Pain Interference
Pain
AXIS II
Burning Mouth Syndrome
comorbid pain
Anxiety
sleep disturbances
TEMPOROMANDIBULAR DISORDERS
AWARENESS QUESTIONNAIRE PVAQ
CHRONIC MUSCULOSKELETAL PAIN
DEPRESSION SCALE DEPS
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
SLEEP DISTURBANCE
3125 Otorhinolaryngology
ophthalmology
psychosocial factors
FEAR-AVOIDANCE
General Dentistry
media_common
Pain Measurement
Pain related anxiety
pain diary
business.industry
Depression
PRIMARY-CARE
Symptom severity
Mean age
030206 dentistry
Burning mouth syndrome
Middle Aged
3126 Surgery
anesthesiology
intensive care
radiology
3. Good health
biopsychosocial assessment
RESEARCH DIAGNOSTIC-CRITERIA
PSYCHOMETRIC PROPERTIES
Female
medicine.symptom
business
030217 neurology & neurosurgery
Vigilance (psychology)
Zdroj: Journal of oral rehabilitationREFERENCES. 47(6)
ISSN: 1365-2842
Popis: Background Burning mouth syndrome (BMS) patients are psychologically distressed, but whether this associates with symptom severity is unclear. Objective To investigate the association of psychological factors with pain intensity and interference in BMS. Methods 52 women (mean age 63.1, SD 10.9) with BMS participated. Pain intensity and interference data was collected using 2-week pain diaries. Psychological factors were evaluated using Depression scale (DEPS), Pain anxiety symptom scale (PASS) and Pain vigilance and awareness questionnaire (PVAQ). The local ethical committee approved the study. Patients were divided into groups based on pain severity distribution tertiles: low intensity (NRS ≤ 3.7) or interference (NRS ≤2.9) (tertiles 1-2, n=35) and moderate to intense intensity (NRS > 3.7) or interference (>2.9)(tertile 3, n= 17). T-test, Wilcoxon Test and Pearson's Correlation Coefficient were used in the analyses. Results Patients in the highest intensity and interference tertiles reported more depression (P = .0247 and P = .0169) and pain anxiety symptoms (P = .0359 and P = .0293), and were more preoccupied with pain (P = .0004 and P = .0003) than patients in the low intensity and interference groups. The score of the pain vigilance questionnaire correlated significantly with pain intensity (r= .366, P= .009 and interference (r= .482, P = .009). Depression (r=. 399, P = .003) and pain anxiety symptoms (r= .452, P = .001) correlated with pain interference. Conclusion Symptom severity in BMS associates with symptoms of psychological distress emphasizing the need to develop multidimensional diagnostics for the assessment of BMS pain.
Databáze: OpenAIRE
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