Mood and anxiety psychopathology and temporomandibular disorder: a spectrum approach

summary  Psychological factors play an important role in the aetiopathogenesis of temporomandibular disorders (TMD), as demonstrated by an increase in stress, anxiety, depression and somatization in TMD patients. The aim of this work was to investigate the presence of mood and panic‐agoraphobic symp...

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Veröffentlicht in:Journal of oral rehabilitation 2004-10, Vol.31 (10), p.933-940
Hauptverfasser: Manfredini, D., Bandettini Di Poggio, A., Cantini, E., Dell'osso, L., Bosco, M.
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container_end_page 940
container_issue 10
container_start_page 933
container_title Journal of oral rehabilitation
container_volume 31
creator Manfredini, D.
Bandettini Di Poggio, A.
Cantini, E.
Dell'osso, L.
Bosco, M.
description summary  Psychological factors play an important role in the aetiopathogenesis of temporomandibular disorders (TMD), as demonstrated by an increase in stress, anxiety, depression and somatization in TMD patients. The aim of this work was to investigate the presence of mood and panic‐agoraphobic symptoms in different groups of TMD patients by means of a spectrum approach to psychopathology. A total of 131 subjects were included in this study and TMD signs and symptoms were investigated by means of a standardized clinical examination. Two self‐report questionnaires were used to evaluate mood (MOODS‐SR) and panic‐agoraphobic (PAS‐SR) spectrum. anova and Bonferroni's post hoc test for multiple comparisons were used to compare mean scores of all TMD groups for MOODS‐SR, PAS‐SR and all their domains. Results revealed a significantly higher prevalence of both mood (P 
doi_str_mv 10.1111/j.1365-2842.2004.01335.x
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The aim of this work was to investigate the presence of mood and panic‐agoraphobic symptoms in different groups of TMD patients by means of a spectrum approach to psychopathology. A total of 131 subjects were included in this study and TMD signs and symptoms were investigated by means of a standardized clinical examination. Two self‐report questionnaires were used to evaluate mood (MOODS‐SR) and panic‐agoraphobic (PAS‐SR) spectrum. anova and Bonferroni's post hoc test for multiple comparisons were used to compare mean scores of all TMD groups for MOODS‐SR, PAS‐SR and all their domains. Results revealed a significantly higher prevalence of both mood (P &lt; 0·001) and panic‐agoraphobic (P &lt; 0·01) symptoms in myofascial pain patients than in all other diagnostic groups (TMD‐free, disc displacement and joint disorders). With regard to mood spectrum, strong differences emerged for all domains evaluating depressive symptoms. As for the panic‐agoraphobic spectrum, myofascial pain patients differed from the other groups for the presence of stress sensitivity, panic, separation anxiety, hypochondriac and agoraphobic symptoms. 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The aim of this work was to investigate the presence of mood and panic‐agoraphobic symptoms in different groups of TMD patients by means of a spectrum approach to psychopathology. A total of 131 subjects were included in this study and TMD signs and symptoms were investigated by means of a standardized clinical examination. Two self‐report questionnaires were used to evaluate mood (MOODS‐SR) and panic‐agoraphobic (PAS‐SR) spectrum. anova and Bonferroni's post hoc test for multiple comparisons were used to compare mean scores of all TMD groups for MOODS‐SR, PAS‐SR and all their domains. Results revealed a significantly higher prevalence of both mood (P &lt; 0·001) and panic‐agoraphobic (P &lt; 0·01) symptoms in myofascial pain patients than in all other diagnostic groups (TMD‐free, disc displacement and joint disorders). With regard to mood spectrum, strong differences emerged for all domains evaluating depressive symptoms. As for the panic‐agoraphobic spectrum, myofascial pain patients differed from the other groups for the presence of stress sensitivity, panic, separation anxiety, hypochondriac and agoraphobic symptoms. It was concluded that myofascial pain patients differed from those with disc displacement, joint disorders and no TMD in relation to some psychopathological symptoms, while the last three groups presented very similar profiles.</description><subject>Adult</subject><subject>Agoraphobia - diagnosis</subject><subject>Agoraphobia - etiology</subject><subject>Analysis of Variance</subject><subject>Anxiety</subject><subject>Dentistry</subject><subject>Facial Pain - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mood Disorders - diagnosis</subject><subject>Mood Disorders - etiology</subject><subject>mood spectrum</subject><subject>Panic Disorder - diagnosis</subject><subject>Panic Disorder - etiology</subject><subject>panic-agoraphobic spectrum</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychometrics</subject><subject>psychopathology</subject><subject>Research Diagnostic Criteria for temporomandibular disorders</subject><subject>temporomandibular disorders</subject><subject>Temporomandibular Joint Disorders - psychology</subject><issn>0305-182X</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF1LwzAUhoMoOqd_QXrlXWtO0jSdF4KfU5kOZKJ3IU0y19mamrS4_ntbN_TWQMiB857nhAehAHAE3TlZRkATFpI0JhHBOI4wUMqi1RYa_Da20QBTzEJIyese2vd-iTFOKeO7aA8YTXlKYYBmD9bqQH70d5Wbug0q36qFrWS9sIV9a396tSkr62zZ1XnWFNIFOvfWaeNOAxn4yqjaNWUgq8pZqRYHaGcuC28ON-8QPd9czy5vw8l0fHd5PglVzLufEcLimHKTcImxjjMJSo20Bq4UiRWZkxFOE42BgAbIGM8IIakagTGMKgIJHaLjNbdb-9kYX4sy98oUhfwwtvEiSUaYxqwPpuugctZ7Z-aicnkpXSsAi96oWIpenOjFid6o-DEqVt3o0WZHk5VG_w1uFHaBs3XgKy9M-2-wuJ9On_qyA4RrQO5rs_oFSPcuEk45Ey-PY3F1MX6dwNW9mNBvnI-UdA</recordid><startdate>200410</startdate><enddate>200410</enddate><creator>Manfredini, D.</creator><creator>Bandettini Di Poggio, A.</creator><creator>Cantini, E.</creator><creator>Dell'osso, L.</creator><creator>Bosco, M.</creator><general>Blackwell Science Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200410</creationdate><title>Mood and anxiety psychopathology and temporomandibular disorder: a spectrum approach</title><author>Manfredini, D. ; 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As for the panic‐agoraphobic spectrum, myofascial pain patients differed from the other groups for the presence of stress sensitivity, panic, separation anxiety, hypochondriac and agoraphobic symptoms. It was concluded that myofascial pain patients differed from those with disc displacement, joint disorders and no TMD in relation to some psychopathological symptoms, while the last three groups presented very similar profiles.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15387831</pmid><doi>10.1111/j.1365-2842.2004.01335.x</doi><tpages>8</tpages></addata></record>
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subjects Adult
Agoraphobia - diagnosis
Agoraphobia - etiology
Analysis of Variance
Anxiety
Dentistry
Facial Pain - psychology
Female
Humans
Male
Middle Aged
Mood Disorders - diagnosis
Mood Disorders - etiology
mood spectrum
Panic Disorder - diagnosis
Panic Disorder - etiology
panic-agoraphobic spectrum
Psychiatric Status Rating Scales
Psychometrics
psychopathology
Research Diagnostic Criteria for temporomandibular disorders
temporomandibular disorders
Temporomandibular Joint Disorders - psychology
title Mood and anxiety psychopathology and temporomandibular disorder: a spectrum approach
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