The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders
This study aimed to understand the impact of COVID-19 distress on psychological status, features of central sensitization and facial pain severity in people with temporomandibular disorders (TMDs). In this prospective cohort study, 45 adults (19 chronic, 26 acute/subacute TMD) were recruited prior t...
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| description | This study aimed to understand the impact of COVID-19 distress on psychological status, features of central sensitization and facial pain severity in people with temporomandibular disorders (TMDs). In this prospective cohort study, 45 adults (19 chronic, 26 acute/subacute TMD) were recruited prior to the COVID-19 outbreak. Baseline assessment took place before the outbreak while a follow-up was performed immediately after the lockdown period. Multiple variables were investigated including age, gender, perceived life quality, sleep quality, anxiety and depression, coping strategies, central sensitization, pain intensity, pain-related disability and oral behaviour. COVID Stress Scales (CSS) were applied at follow-up to measure the extent of COVID-related distress. CSS were significantly higher in those with chronic TMDs compared to those with acute/subacute TMDs (p |
| doi_str_mv | 10.1371/journal.pone.0245999 |
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In this prospective cohort study, 45 adults (19 chronic, 26 acute/subacute TMD) were recruited prior to the COVID-19 outbreak. Baseline assessment took place before the outbreak while a follow-up was performed immediately after the lockdown period. Multiple variables were investigated including age, gender, perceived life quality, sleep quality, anxiety and depression, coping strategies, central sensitization, pain intensity, pain-related disability and oral behaviour. COVID Stress Scales (CSS) were applied at follow-up to measure the extent of COVID-related distress. CSS were significantly higher in those with chronic TMDs compared to those with acute/subacute TMDs (p<0.05). In people with chronic TMD, the variation in anxiety and depression from baseline to follow-up was significantly correlated with scores on the CSS (r = 0.72; p = 0.002). Variations of the central sensitization inventory (r = 0.57; p = 0.020) and graded chronic pain scale (r = 0.59; p = 0.017) were significantly correlated with scores on the CSS. These initial findings indicate that people with chronic TMD were more susceptible to COVID-19 distress with deterioration of psychological status, worsening features of central sensitization and increased chronic facial pain severity. These findings reinforce the role of stress as a possible amplifier of central sensitization, anxiety, depression, chronic pain and pain-related disability in people with TMDs. Trial Registration: ClinicalTrials.gov ID: NCT03990662.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0245999</identifier><identifier>PMID: 33529226</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Anxieties ; Anxiety ; Behavior ; Biology and Life Sciences ; Coping ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - psychology ; Data collection ; Demographic aspects ; Development and progression ; Diagnosis ; Editing ; Environmental science ; Environmental sciences ; Epidemics ; Female ; Humans ; Italy ; Italy - epidemiology ; Male ; Manipulative therapy ; Medicine and Health Sciences ; Methodology ; Pain ; Pain - epidemiology ; Pandemics ; Patient outcomes ; People and Places ; Physical therapy ; Physiotherapy ; Post traumatic stress disorder ; Prospective Studies ; Psychological aspects ; Psychological Distress ; Quality of life ; Questionnaires ; Rehabilitation ; Research design ; Severe acute respiratory syndrome coronavirus 2 ; Severity of Illness Index ; Signs and symptoms ; Sleep ; Social Sciences ; Spine ; Temporomandibular joint disorders ; Temporomandibular Joint Disorders - epidemiology ; Temporomandibular Joint Disorders - therapy ; Viral diseases ; Viruses</subject><ispartof>PloS one, 2021-02, Vol.16 (2), p.e0245999</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Asquini et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Variations of the central sensitization inventory (r = 0.57; p = 0.020) and graded chronic pain scale (r = 0.59; p = 0.017) were significantly correlated with scores on the CSS. These initial findings indicate that people with chronic TMD were more susceptible to COVID-19 distress with deterioration of psychological status, worsening features of central sensitization and increased chronic facial pain severity. These findings reinforce the role of stress as a possible amplifier of central sensitization, anxiety, depression, chronic pain and pain-related disability in people with TMDs. 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In this prospective cohort study, 45 adults (19 chronic, 26 acute/subacute TMD) were recruited prior to the COVID-19 outbreak. Baseline assessment took place before the outbreak while a follow-up was performed immediately after the lockdown period. Multiple variables were investigated including age, gender, perceived life quality, sleep quality, anxiety and depression, coping strategies, central sensitization, pain intensity, pain-related disability and oral behaviour. COVID Stress Scales (CSS) were applied at follow-up to measure the extent of COVID-related distress. CSS were significantly higher in those with chronic TMDs compared to those with acute/subacute TMDs (p<0.05). In people with chronic TMD, the variation in anxiety and depression from baseline to follow-up was significantly correlated with scores on the CSS (r = 0.72; p = 0.002). Variations of the central sensitization inventory (r = 0.57; p = 0.020) and graded chronic pain scale (r = 0.59; p = 0.017) were significantly correlated with scores on the CSS. These initial findings indicate that people with chronic TMD were more susceptible to COVID-19 distress with deterioration of psychological status, worsening features of central sensitization and increased chronic facial pain severity. These findings reinforce the role of stress as a possible amplifier of central sensitization, anxiety, depression, chronic pain and pain-related disability in people with TMDs. Trial Registration: ClinicalTrials.gov ID: NCT03990662.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33529226</pmid><doi>10.1371/journal.pone.0245999</doi><tpages>e0245999</tpages><orcidid>https://orcid.org/0000-0002-7266-0679</orcidid><orcidid>https://orcid.org/0000-0003-1689-6190</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-02, Vol.16 (2), p.e0245999 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2485496381 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adult Anxieties Anxiety Behavior Biology and Life Sciences Coping Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - psychology Data collection Demographic aspects Development and progression Diagnosis Editing Environmental science Environmental sciences Epidemics Female Humans Italy Italy - epidemiology Male Manipulative therapy Medicine and Health Sciences Methodology Pain Pain - epidemiology Pandemics Patient outcomes People and Places Physical therapy Physiotherapy Post traumatic stress disorder Prospective Studies Psychological aspects Psychological Distress Quality of life Questionnaires Rehabilitation Research design Severe acute respiratory syndrome coronavirus 2 Severity of Illness Index Signs and symptoms Sleep Social Sciences Spine Temporomandibular joint disorders Temporomandibular Joint Disorders - epidemiology Temporomandibular Joint Disorders - therapy Viral diseases Viruses |
| title | The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T13%3A51%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20impact%20of%20Covid-19-related%20distress%20on%20general%20health,%20oral%20behaviour,%20psychosocial%20features,%20disability%20and%20pain%20intensity%20in%20a%20cohort%20of%20Italian%20patients%20with%20temporomandibular%20disorders&rft.jtitle=PloS%20one&rft.au=Asquini,%20Giacomo&rft.date=2021-02-02&rft.volume=16&rft.issue=2&rft.spage=e0245999&rft.pages=e0245999-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0245999&rft_dat=%3Cgale_plos_%3EA650493477%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2485496381&rft_id=info:pmid/33529226&rft_galeid=A650493477&rft_doaj_id=oai_doaj_org_article_8b7b9be6b1c148b2ae97ca9faa2f833a&rfr_iscdi=true |