Correlation of somatization, depression, and chronic pain with clinical findings of the temporomandibular disorders in asymptomatic women

Cranio. 2021 Jan;39(1):17-23. doi: 10.1080/08869634.2018.1554294. Epub 2018 Dec 11.

Abstract

Objective: The aim of this study was to correlate degree of depression, somatization, and chronic pain in asymptomatic women with clinical findings, using Research Diagnostic Criteria/Temporomandibular disorders (RDC/TMD). Methods: A total of 200 female participants, ages 18-65, filled out a standard RDC/TMD axis II form for the assessment of chronic pain, disability, depression, and non-specific physical symptoms and underwent clinical examination of the temporomandibular joint. Correlation of clinical findings (axis I) and axis II assessment was performed using Spearman's correlation test, with significance set at p < 0.05. Results: There was a significant correlation between depression scores (p < 0.04), chronic pain (p < 0.001), and non-specific physical symptoms without questions about pain (p = 0.008). Discussion: The highest scores on the Graded Chronic Pain Scale were observed in patients with arthralgia, while patients with myofascial pain scored higher on depression and somatization tests.

Keywords: Temporomandibular joint; chronic pain; depression; myofascial pain dysfunction syndrome; temporomandibular joint disorders; temporomandibular joint dysfunction syndrome.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Arthralgia
  • Chronic Pain*
  • Depression / complications
  • Facial Pain / epidemiology
  • Facial Pain / etiology
  • Female
  • Humans
  • Middle Aged
  • Somatoform Disorders / complications
  • Temporomandibular Joint Disorders* / complications
  • Temporomandibular Joint Disorders* / epidemiology
  • Temporomandibular Joint Dysfunction Syndrome* / complications
  • Young Adult