TEMPOROMANDİBULER BOZUKLUKLARIN ETİYOLOJİSİNDE STRES

Stres çok genel olarak kişinin, kendisine dayatılan taleplerin kendi uyum sağlama yeteneklerinin sınırlarını aştığını hissettiği durumları ifade eder. Stres, başta morbidite ve mortaliteye neden olan hastalıklar da dahil olmak üzere, hastalıkların %75-90'ının ortak risk faktörüdür. Stresin kardiyovasküler hastalıklar, HIV/AIDS, klinik depresyon ve kanser üzerindeki etkileri bilinmektedir. Temporomandibuler bozuklukların etiyolojisi komplekstir ve pek çok faktör bir arada rol oynamaktadır. Biyolojik, davranışsal, çevresel, sosyal ve psikolojik faktörlerden biri veya birkaç tanesi bir arada temporomandibuler bozuklukları hazırlayan, oluşturan ve devam ettiren faktörler olarak rol oynayabilir. Temporomandibuler bozuklukların etiyolojisinde stresin rolüne ilişkin araştırmalar 1950’li yıllardan günümüze kadar ilgi konusu olmuştur. Bu derlemenin amacı temporomandibuler bozukluk stres ilişkisine genel bir bakış ve stres mekanizmasını ve temporomandibuler bozukluğa etkisini değerlendirmek ve güncel gelişmeleri incelemektir.

Anahtar Kelimeler:

Psikopatoloji, stress, temporomandibuler bozukluklar

STRESS İN THE ETİOLOGY OF TEMPOROMANDİBULAR DİSORDERS

Stress very generally refers to situations in which a person feels that the demands placed on them exceed the limits of their adaptability. Stress is a common risk factor for 75% to 90% of diseases, including diseases that cause morbidity and mortality. The effects of stress on cardiovascular diseases, HIV/AIDS, clinical depression and cancer are known. The etiology of temporomandibular disorders is complex and many factors play a role together. One or more of the biological, behavioral, environmental, social and psychological factors may play a role as factors that prepare, create and maintain temporomandibular disorders. Research on the role of stress in the etiology of temporomandibular disorders has been a subject of interest since the 1950s. The aim of this review is to give an overview of the relationship between temporomandibular disorder and stress, to evaluate the stress mechanism and its effect on temporomandibular disorder and to examine current developments.

Keywords:

Psychopathology, stress, temporomandibular disorders,

PDF

___

Referans1. Lazarus RS, Folkman S. Stress, Appraisal, and Coping. New York, NY:Springer;1984.
Referans2. Stress and İllness İntroduction to Psychology & Neuroscience. https://digitaleditions.library.dal.ca/intropsychneuro/chapter/stress-and-illness/. Accessed April 9, 2022.
Referans3. Liu YZ, Wang YX, Jiang CL. Inflammation: The common pathway of stress-related diseases. Front Hum Neurosci 2017;11:316.
Referans4. Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. J Am Med Assoc 2007;298:1685-7.
Referans5. Rohleder N. Stimulation of systemic low-grade inflammation by psychosocial stress. Psychosom Med 2014;76:181-9.
Referans6. Dolsen MR, Crosswell AD, Prather AA. Links Between Stress, Sleep, and Inflammation: Are there Sex Differences? Curr Psychiatry Rep 2019;21:1-6.
Referans7. Maydych V. The Interplay Between Stress, Inflammation, and Emotional Attention: Relevance for Depression. Front Neurosci 2019;13:384.
Referans8. Moulton R. Oral and dental manifestations of anxiety. Psychiatry 1955;18:261-273.
Referans9. Parker MW, Holmes EK, Terezhalmy GT. Personality Characteristics of Patients With Temporomandibular Disorders: Diagnostic and Therapeutic Implications. J Orofac Pain 1993;7:337-44.
Referans10. Meldolesi G, Picardi A, Accivile E, Toraldo di Francia R, Biondi M.Personality and Psychopathology in Patients with Temporomandibular Joint Pain-Dysfunction Syndrome. Psychother Psychosom 2000;69:322-8.
Referans11. Manfredini D, Marini M, Pavan C, Pavan L, Guarda-Nardini L. Psychosocial profiles of painful TMD patients. J Oral Rehabil 2009;36:193-8.
Referans12. Simoen L, van den Berghe L, Jacquet W, Marks L. Depression and anxiety levels in patients with temporomandibular disorders: comparison with the general population. Clin Oral Investig 2020;24:3939-45.
Referans13. Park S, Heo HA, Yun KI, Pyo SW. High prevalence of stress and suicidal ideation in women with temporomandibular disorder: A population-based cross-sectional survey. Cranio 2022;40:174-80.
Referans14. Kmeid E, Nacouzi M, Hallit S, Rohayem Z. Prevalence of temporomandibular joint disorder in the Lebanese population, and its association with depression, anxiety, and stress. Head Face Med 2020;16:19.
Referans15. Falla D, Asquini G, Bianchi AE, Borromeo G, Locatelli M. 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. PLoS ONE 2021;16. PubMed PMID: 33529226
Referans16. Emodi-Perlman A, Eli I. Dental and Medical Problems. Dent Med Probl 2021;58:215-8.
Referans17. Paulino MR, Moreira VG, Lemos GA, Silva PLPD, Bonan PRF, Batista AUD. Prevalence of signs and symptoms of temporomandibular disorders in college preparatory students: associations with emotional factors, parafunctional habits, and impact on quality of life. Cien Saude Colet. 2018;23:173-86.
Referans18. Pesqueira AA, Zuim PR, Monteiro DR, Ribeiro Pdo P, Garcia AR. Relationship between psychological factors and symptoms of TMD in university undergraduate students. Acta Odontol Latinoam 2010;23:182-7.
Referans19. van Selms MK, Lobbezoo F, Visscher CM, Naeije M. Myofascial temporomandibular disorder pain, parafunctions and psychological stress. J Oral Rehabil 2008;35:45-52.
Referans20. Dutra Dias H, Botelho AL, Bortoloti R, Dos Reis AC. Neuroscience contributes to the understanding of the neurobiology of temporomandibular disorders associated with stress and anxiety. Cranio 2021;13:1-6.
Referans21. Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Diatchenko L, Dubner R, Bair E, Baraian C, Mack N, Slade GD, Maixner W. Psychological Factors Associated with Development of TMD: the OPPERA Prospective Cohort Study. J Pain 2013;14:T75-90
Referans22. Jung W, Lee KE, Suh BJ. Influence of psychological factors on the prognosis of temporomandibular disorders pain. J Dent Sci 2021;16:349-55.
Referans23. Derogatis LR, Rickels K, Rock AF. The SCL-90 and the MMPI: a step in the validation of a new self-report scale. Br J Psychiatry 1976;128:280-9.
Referans24. Staniszewski K, Lygre H, Bifulco E, Kvinnsland S, Willassen L, Helgeland E, Berge T, Rosén A. Temporomandibular Disorders Related to Stress and HPA-Axis Regulation. Pain Res Manag 2018 May 2018; 2018: 7020751 PubMed PMID: 29854038