Evaluation of state and trate of anxiety in individuals with temporomandibular dysfunction and asymptomatic
DOI:
https://doi.org/10.5902/223658346523Keywords:
Anxiety, Temporomandibular joint disorders, Mastication.Abstract
Several psychological diseases, mainly stress, anxiety and depression can be associated to temporomandibular disorder (TMD), acting as important collaborators for the settlement and maintenance of this dysfunction. Emotional states and/ or traits associated to stressor factors can lead to oral dysfunctional habits and, consequently, hyperactivity of masticatory musculature, constituting triggering factors of orofacial pain. The aim of this study was to evaluate the presence of anxiety state or trait in asymptomatic individuals and with temporomandibular disorder. Thirty-five volunteers took part in the study, 20 with TMD and 15 asymptomatic ones. The participants were evaluated for the presence and degree of TMD (Anamnestic Index of Fonseca and Anamnestic and Clinical Index of Dysfunction and Occlusal State). Then, the evaluation of anxiety state and trait was carried out by the State-Trait Anxiety Inventory (STAI). It was observed a significant higher incidence of anxiety state (43.3 versus 35.7) and trait (48.1 versus 36.73) in subjects with TMD when comparing them to the asymptomatic individuals. The results suggest that the state and trait of anxiety can contribute for the development and perpetuation of the temporomandibular disorders.Downloads
References
Manfredi APS, Bortolleto PPB, Da Silva AA, Araújo IEM, Araújo S, Vendite LL. Environmental stress and temporomandibular disorder (TMD) among members of a public university in Brazil. Braz J Oral Sci. 2006; 5(18):1074-78.
Steenks MH, de Wijer A. Disfunções da articulação têmporomandibular do ponto de vista da fisioterapia e da odontologia. São Paulo: Ed Santos, 1996.
Turk DC, Rudy TE, Zaki H S. Avaliação multiaxial e classificação de pacientes com dor de desordem temporomandibular. In: Dor orofacial e desordens temporomandibulares. São Paulo: Ed. Santos; 2003.
Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6:301-355.
Serralta FB, Martins EA, Ávila JF. Adaptação de um instrumento de triagem para problemas psicológicos em pacientes com disfunção craniomandibular e dor orofacial. JBA. 2001;1(1):80-85.
Fonseca DM. Disfunção craniomandibular (DCM): diagnóstico pela anamnese [Dissertação]. Bauru: FOB-USP; 1994.
Helkimo M. Studies on function and dysfunction of the masticatory system - II Index for anamnesic and clinical dysfunction and oclusal state. Swet Dent J. 1974;67(2):101-121.
Oliveira AS. Caracterização multifatorial de uma população de portadores de desordens temporomandibulares [tese]. Piracicaba: FOP-UNICAMP; 2002.
Spielberger CD, Gorsush RL, Lushene RE. Inventário de Ansiedade Traço-Estado. Manual. Rio de Janeiro: CEPA; 1979.
Pallegama RW, Ranasinghe AW, Weerasinghe VS, Sitheeque MAM. Anxiety and personality traits in patients with muscle related temporomandibular disorders. J Oral Rehab. 2005;32: 701-707.
Rugh, JD, Dahlström, L. Mecanismos psicológicos e comportamentais. In: Disfunção da articulação têmporo-mandibular e dos músculos da mastigação. São Paulo: Ed. Santos, 2000.
Visscher CM, Lobbezoo F, De Boer W, Van der Meulen M, Naeije M. Psychological distress in chronic craniomandibular and cervical spinal pain patients. Eur J Oral Sci. 2001;109:165-171.
Kino K, Sugisaki M, Haketa T, Amemori Y et al. The comparison between pains, difficulties in function, and associating factors of patients in subtypes of temporomandibular disorders. J Oral Rehab. 2005;32:315-325.
Barbosa MB. Avaliação dos limiares sensitivo, motor e doloroso nas diferentes fases do ciclo menstrual. [dissertação]. Piracicaba:UNIMEP;2006. Disponível em: http://www.unimep.br/phpg/bibdig/.
Anselmo SM. Estudo da correlação dos distúrbios psiquiátricos menores e as desordens temporomandibulares [dissertação]. Piracicaba: FOP-UNICAMP; 2003.
Martinez TM. Ansiedade e raiva em bruxômanos e nãobruxômanos. Psicologia: Reflexão e Crítica. 1996;8:301-312.
Serralta FB, Martins EA, Chaves KB. DTM e Problemas psicológicos em estudantes de odontologia. Jornal Multidisciplinar da Dor Craniofacial 2003;3(12):312-315.
Gameiro GH, Andrade AS, Nouer DF, Veiga MCFA. How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Invest. 2006;10:261-268.
Bove SRK, Guimarães AS, Smith RL. Caracterização dos pacientes de um ambulatório de disfunção têmporo-mandibular e dor orofacial. Rev Latino-am Enfermagem 2005;13(5):686-91.
Corrêa ECR, Bérzin F. Temporomandibular disorder and dysfunctional breathing. Braz J Oral Sci. 2004;3(10):498-502.
Pasinato F, Corrêa ECR, Peroni ABF. Avaliação da mecânica ventilatória em indivíduos com disfunção têmporo-mandibular e assintomáticos. Rev Bras Fisioter. 2006;10(3):285-289.
