Assessment of the State-Trait Anxiety Relationship in Patients with Myalgia of Masticatory Muscles

Abstract Background In clinical practice, non-dental facial pain patients are often seen. The hypothesis of this trial was that a link exists between trait anxiety and local myalgia of masticatory muscles. The study aimed to determine both the pre- and post-treatment anxiety levels of patients diagnosed with local myalgia. Materials and Methods Sixty patients diagnosed with local myalgia were asked to complete the State-Continuous Anxiety Inventory questionnaire before and 2 months after treatment. Scores were compared with a reference standard previously standardized for Turkish people on dental anxiety. Results State and trait anxiety levels were lower after the treatment than before the treatment. Trait anxiety before the treatment was the most intensive type, whereas that after the treatment was the least intensive type. Conclusion Although establishing a cause–effect relationship between local myalgia and anxiety is difficult, patients presenting with local myalgia symptoms should also be evaluated for clinical anxiety.

Keywords:

Anxiety, State–trait anxiety Myalgia, Temporomandibular disorders, TMD,

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1. Bell WE. Clinical diagnosis of the pain dysfunction syndrome. J Am Dent Assoc 1969; 79(1):154-160.
2. Simmons HC. A Critical Review of Dr. Charles S. Greene’s Article titled “Managing the Care of Patients with Temporomandibular Disorders: A New Guideline for Care” and A Revision of the American Association for Dental Research’s 1996 Policy Statement on Temporomandibular Disorders, approved by the AADR Council in March 2010, Published in the Journal of the American Dental Association September 2010. J Craniomand Pract.2012;30(1):9-24.
3. Peck CC, Goulet JP, et al. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil. 2014;41(1):2–23 .
4. Schiffman E, Ohrbach R, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium network and orofacial pain special interest Groupdagger. J Oral Facial Pain Headache. 2014;28(1):6–27.
5. Önder E, Işıklı S, Pampu A. Miyofasiyal ağrı disfonksiyon sendromu ile durumluk sürekli kaygının ilişkisi. [Relationship between Myofascial Pain-Dysfunction Syndrome and State-Trait Anxiety] TDB Derg. 2009; 76:130- 132. Turkish. 6. Spielberger CD. Manual for the State-Trait Anxiety Inventory STAI. Consulting Psychologists Press, Inc, Redwood City, CA (1983)
7. Epker J, Gatchel RJ. Coping profile differences in the biopschosocial functioning of patients with temporomandibular disorder. Psychosom Med.2000;62:69- 75.
8. Öner N, Le Compte A. Durumluk-sürekli kaygı envanteri el kitabı. [A Handbook of State-Trait Anxiety Invantory] İstanbul: Boğaziçi Üniversitesi Yayınları, 1985. Turkish
9. Turner JA, Dworkin SF, Mancl L, et al. The role of beliefs, catastrophizing, and coping in the functioning of patients with temporomandibular disorders. Pain.2001;92:41-51.
10. Dworkin SF, Sherman J, Mancl L, et al. Reliability, validity, and clinical utility of the research diagnostic criteria for temporomandibular disorders axis II scales: depression, non specific physical symptoms, and graded chronic pain. J Orofac Pain.2002;16:207-220.
11. Madland G, Feinman C, Newman S. Factors associated with anxiety and depression in facial arthromyalgia. Pain. 2000;84:225-232.
12. Gatchel RJ, Garofalo JP, Ellis E, et al. Major psychological disorders in acute and chronic TMD: an initial examination. J Am Dent Assoc.1996;127:1365-1370.
13. Auerbach S, Laskin D, Frantseve LME, et al. Depression, pain, exposure to stressful life events and long term outcomes in temporomandibular disorder patients. J Oral Maxillofac Surg. 2001;59:628-633.
14. Manfredini D, Bandettini diPA, Romagnoli M, et al. A spectrum approach for the assessment of manicdepressive symptoms accompaying temporomandibular disorders. Minerva Stomatol. 2003;52: 231-240.
15. Mongini F, Ciccine J, Ibertis F, et al. Personality characteristics and accompaying symptoms in temporomandibular joint dysfunctions, headache and facial pain. J Orofac Pain. 2000;14:52-58.
16. Yap AU, Dworkin SF, Chua EK, et al. Prevalance of temporomandibular disorders subtypes, psyhcologic distress and psychosocial dysfunction in Asian patients. J Orofac Pain. 2003;17:21-28.
17. Nifosi F, Violato E, Sifari L, et al. Clinical psychiatric assessment and pyscopathological measure of patients with myofacial and temporomandibular joint pain. Int J Pyschiatry Med.2007;37:238-240.
18. Miyachi H, Wake H, Tamaki K. Detecting mental disorders in dental patients with occlusion related problems. Phychiatry Clin Neurosci.2007;61:313-319. Katı Ş. et al. 4-11 Page 11 Eurasia J Oral Maxillofac Surg 2021 Mar;1(2):
19. Friction JR, Kroening R, Haley D, et al. Myofacial pain syndrome of the head and neck: A review of clinical characteristics of 164 patients. Oral surgery, Oral Medicine, Oral Pathol.1985;60: 615-623.
20. Fricton JR. Clinical care for myofacial pain. Dent Clin North Am.1991;35:1-8.
21. Marbach JJ. Temporomandibular pain and dysfunction syndrome. History, physical examination and treatment. Rheumatic Dis Clin North Am.1996;22:477-498.
22. Nekora-Azak A, Evlioğlu G, Ordulu M, et al. Prevalance of symptoms associated with temporomandibular disorders in a Turkish population. J Oral Rehab.2006;33:81-84.
23. Ari, H. Miyofasyal ağrı sendromunda laser ve tetik nokta enjeksiyonunun karşılaştırılması. [Comparison of Laser and Trigger Point Injection Methods in Myofascial Pain Syndrome] PhD Thesis (2002) Gülhane Askeri Tıp Akademisi, İstanbul. Turkish
24. Bessete RW, Jacobs JS. Grabb and Smith’s Plastic Surgery, Temporomandibular Joint Dysfunction, Lippincott-Raven Publishers 1997; pp:88-90.
25. Glaros AG, Williams K, Lausten L. The role of parafunctions, emotions and stress in predicting facial pain. J Am Dent Assoc.2005;136(4):451-458.
26. Simons DG, Travell JG, Simons LS. Travell&Simons Myofascial Pain and Dysfunction. The triger point manual, Vol 1. Upper Half of Body.2nd ed. Baltimore, Philadelphia. Wilkins&Wilkins, 1999; pp:120-124.
27. Frederikson L, Alstergen P, Kopp S. Absolute and relative facial pressure pain thresholds in healthy individuals. J Orofac Pain.2000;14(2):98-104.
28. Han SC, Harrison P. Myofascial pain syndrome and triger point management. Reg Anest.1997;22: 89-91.
29. Cooper BC, Alleva M, Cooper DL, et al. Myofascial pain dysfunction analysis of 476 patients. Laryngoscope.1986;96:1099-1102.
30. Merskey H, Brown J, Brown A, et al. Psycological normality and abnormality in persistent headache patient. Pain.1985;Sep23(1):35-37.
31. Suvinen TI, Reade PC, Kemppainen P, et al. Review of aetilogical concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psycological and psycosocial illness impact factors. Eur J Pain.2005;9:613-633.
32. Koh KB. Anger and somatization. J Psychosom Res.2003;55:113-120.
33. Krishnan KR, France RD, Pelton S, et al. Chronic pain and depression.I. Classification of depression in chronic low back pain patients. Pain.1985;Jul22(3):279-287.
34. Brown GK. A casual analysis of chronic pain and depression. J Abnorm Psychol.1990;99(2):127-137.

EurAsian Journal of Oral and Maxillofacial Surgery-Cover

Başlangıç: 2020
Yayıncı: Ağız ve Çene Yüz Cerrahisi Birliği Derneği

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