Jens C Türp1, Gabriele Schmutzer2, Elmar Brähler2, Winfried Häuser3. 1. Clinic for Reconstructive Dentistry and Temporomandibular Disorders, Dental School, University of Basel, Hebelstr. 3, 4056, Basel, Switzerland. jens.tuerp@unibas.ch. 2. Department of Medical Psychology and Medical Sociology, Universität Leipzig, Leipzig, Germany. 3. Department of Internal Medicine I, Klinikum Saarbrücken, Department of Psychosomatic Medicine, Technische Universität München, München, Germany.
Abstract
OBJECTIVES: This study evaluated the prevalence of jaw pain as a local, regional, or widespread pain condition and its association with psychosocial variables in a large representative group of the general population from all regions in Germany. METHODS: In two representative samples consisting of 2524 and 2515 subjects, respectively, the 7-day and 3-month pain prevalences were measured by using the Regional Pain Scale (RPS). Somatic symptom burden (somatization) and pain-related depression were assessed with the Patient Health Questionnaire and the Somatic Symptom Scale, respectively. Binary logistic regression was chosen to calculate the associations between demographic and psychological clinical predictor variables with jaw pain. RESULTS: The 7-day jaw pain prevalence was 4.0 % (95 % CI = 3.2-4.8). Of the subjects with jaw pain, only 9 % had local pain (1 pain site), while the remaining 91 % reported regional pain (2-5 pain sites), or widespread pain (6-19 pain sites). The 3-month prevalence of generally present jaw pain was 0.9 % (95 % CI = 0.6-1.0). Regional or widespread pain was present in 82 % of the participants. Jaw pain was predicted by somatic symptom burden (past 7 days, OR = 1.15 [95 % CI = 1.09-1.22]; past 3 months, OR = 1.13 [95 % CI = 1.02-1.25]), but not by depression. CONCLUSIONS: Most individuals with jaw pain have additional pain in other anatomical regions. They might also exhibit a greater risk for pain-associated somatic symptom burden. CLINICAL RELEVANCE: Assessment of pain distribution in the whole body and the use of a psychometric screening questionnaire for somatic symptom burden are recommended for individuals presenting with jaw pain in a clinical setting.
OBJECTIVES: This study evaluated the prevalence of jaw pain as a local, regional, or widespread pain condition and its association with psychosocial variables in a large representative group of the general population from all regions in Germany. METHODS: In two representative samples consisting of 2524 and 2515 subjects, respectively, the 7-day and 3-month pain prevalences were measured by using the Regional Pain Scale (RPS). Somatic symptom burden (somatization) and pain-related depression were assessed with the Patient Health Questionnaire and the Somatic Symptom Scale, respectively. Binary logistic regression was chosen to calculate the associations between demographic and psychological clinical predictor variables with jaw pain. RESULTS: The 7-day jaw pain prevalence was 4.0 % (95 % CI = 3.2-4.8). Of the subjects with jaw pain, only 9 % had local pain (1 pain site), while the remaining 91 % reported regional pain (2-5 pain sites), or widespread pain (6-19 pain sites). The 3-month prevalence of generally present jaw pain was 0.9 % (95 % CI = 0.6-1.0). Regional or widespread pain was present in 82 % of the participants. Jaw pain was predicted by somatic symptom burden (past 7 days, OR = 1.15 [95 % CI = 1.09-1.22]; past 3 months, OR = 1.13 [95 % CI = 1.02-1.25]), but not by depression. CONCLUSIONS: Most individuals with jaw pain have additional pain in other anatomical regions. They might also exhibit a greater risk for pain-associated somatic symptom burden. CLINICAL RELEVANCE: Assessment of pain distribution in the whole body and the use of a psychometric screening questionnaire for somatic symptom burden are recommended for individuals presenting with jaw pain in a clinical setting.
Entities:
Keywords:
Depression; General population survey; Pain; Self-report; Somatic symptom burden; Temporomandibular disorders
Authors: Corine M Visscher; Lannie Ligthart; Annemarie A Schuller; Frank Lobbezoo; Ad de Jongh; Caroline M H H van Houtem; Dorret I Boomsma Journal: J Oral Facial Pain Headache Date: 2015
Authors: Ana Miriam Velly; John O Look; Charles Carlson; Patricia A Lenton; Wenjun Kang; Christina A Holcroft; James R Fricton Journal: Pain Date: 2011-08-25 Impact factor: 6.961
Authors: W Häuser; S Schild; M Kosseva; S Hayo; H von Wilmowski; R Alten; J Langhorst; W Hofmann; J Maus; H Glaesmer Journal: Schmerz Date: 2010-06 Impact factor: 1.107
Authors: Outi S Huhtela; Ritva Näpänkangas; Anna Liisa Suominen; Jaro Karppinen; Kristina Kunttu; Kirsi Sipilä Journal: Clin Exp Dent Res Date: 2021-07-20