Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Đau vùng mặt trong viêm khớp thiếu niên vô căn có liên quan đến stress cũng như những hạn chế tâm lý xã hội và chức năng
Tóm tắt
Mục tiêu của nghiên cứu này là khám phá mối quan hệ giữa các yếu tố tâm lý xã hội, triệu chứng và dấu hiệu đau vùng mặt cũng như rối loạn chức năng hàm ở những bệnh nhân viêm khớp thiếu niên vô căn (JIA). Bốn mươi lăm bệnh nhân JIA (tuổi trung vị 12 tuổi) và 16 đối chứng khỏe mạnh phù hợp (tuổi trung vị 13 tuổi) đã được khảo sát theo tiêu chuẩn chẩn đoán các rối loạn khớp thái dương hàm (DC/TMD). Các đối tượng đã trả lời các bảng câu hỏi của DC/TMD liên quan đến các yếu tố tâm lý xã hội (cường độ đau, khuyết tật liên quan đến đau, trầm cảm, căng thẳng, tưởng tượng tồi tệ về tình trạng sức khỏe, các vị trí đau và chức năng hàm). Những bệnh nhân JIA có đau vùng mặt có cấp độ căng thẳng, trầm cảm, tưởng tượng tồi tệ hơn và rối loạn chức năng hàm cao hơn so với các đối tượng không có. Ngược lại, những yếu tố này có liên quan đến cường độ đau vùng mặt. Ngoài ra, các bệnh nhân có đau vùng mặt còn có mức độ hoạt động viêm toàn thân cao hơn. Đau vùng mặt ở bệnh nhân JIA có liên quan đến căng thẳng, sự khó chịu tâm lý, rối loạn chức năng hàm và mất đi các hoạt động sinh hoạt hàng ngày. Cường độ đau dường như là khía cạnh đau chính liên quan đến các yếu tố này. Thêm vào đó, hoạt động viêm toàn thân xuất hiện có thể là một yếu tố quan trọng góp phần vào đau vùng mặt ở JIA.
Từ khóa
#đau vùng mặt #viêm khớp thiếu niên vô căn #căng thẳng #chức năng hàm #triệu chứng tâm lý xã hộiTài liệu tham khảo
Petty RE, Southwood TR, Manners P, Baum J, Glass DN, Goldenberg J, et al. International league of associations for rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol. 2004;31(2):390–2.
Prakken B, Albani S, Martini A. Juvenile idiopathic arthritis. Lancet (London, England). 2011;377(9783):2138–49.
Ravelli A, Martini A. Juvenile idiopathic arthritis. Lancet (London, England). 2007;369(9563):767–78.
Andersson Gare B, Fasth A, Andersson J, Berglund G, Ekstrom H, Eriksson M, et al. Incidence and prevalence of juvenile chronic arthritis: a population survey. Ann Rheum Dis. 1987;46(4):277–81.
Tong A, Jones J, Craig JC, Singh-Grewal D. Children's experiences of living with juvenile idiopathic arthritis: a thematic synthesis of qualitative studies. Arthritis care & research. 2012;64(9):1392–404.
Bomba M, Meini A, Molinaro A, Cattalini M, Oggiano S, Fazzi E, et al. Body experiences, emotional competence, and psychosocial functioning in juvenile idiopathic arthritis. Rheumatol Int. 2013;33(8):2045–52.
Rashid A, Cordingley L, Carrasco R, Foster HE, Baildam EM, Chieng A, et al. Patterns of pain over time among children with juvenile idiopathic arthritis. Arch Dis Child. 2018;103(5):437–43.
Stoll ML, Kau CH, Waite PD, Cron RQ. Temporomandibular joint arthritis in juvenile idiopathic arthritis, now what? Pediatr rheumatol online j. 2018;16(1):32.
Svensson B, Adell R, Kopp S. Temporomandibular disorders in juvenile chronic arthritis patients. A clinical study. Swed Dent J. 2000;24(3):83–92.
Stoustrup P, Glerup M, Bilgrau AE, Kuseler A, Verna C, Christensen AE, et al. Cumulative incidence of Orofacial manifestations in early juvenile idiopathic arthritis: a regional, three year cohort study. Arthritis care res. 2019.
Kjellberg H. Craniofacial growth in juvenile chronic arthritis. Acta Odontol Scand. 1998;56(6):360–5.
Stabrun AE, Larheim TA, Hoyeraal HM, Rosler M. Reduced mandibular dimensions and asymmetry in juvenile rheumatoid arthritis. Pathogenetic factors Arthritis rheum. 1988;31(5):602–11.
Berntson L, Andersson Gare B, Fasth A, Herlin T, Kristinsson J, Lahdenne P, et al. Incidence of juvenile idiopathic arthritis in the Nordic countries. A population based study with special reference to the validity of the ILAR and EULAR criteria. J Rheumatol. 2003;30(10):2275–82.
Consolaro A, Giancane G, Schiappapietra B, Davi S, Calandra S, Lanni S, et al. Clinical outcome measures in juvenile idiopathic arthritis. Pediatric rheumatology online journal. 2016;14(1):23.
Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, 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. Journal of oral & facial pain and headache. 2014;28(1):6–27.
Stoustrup P, Twilt M, Spiegel L, Kristensen KD, Koos B, Pedersen TK, et al. Clinical Orofacial examination in juvenile idiopathic arthritis: international consensus-based recommendations for monitoring patients in clinical practice and research studies. J Rheumatol. 2017;44(3):326–33.
Von Korff M, Ormel J, Keefe FJ, Dworkin SF. Grading the severity of chronic pain. Pain. 1992;50(2):133–49.
Nilsson IM, Drangsholt M, List T. Impact of temporomandibular disorder pain in adolescents: differences by age and gender. J Orofac Pain. 2009;23(2):115–22.
Ohrbach R, Larsson P, List T. The jaw functional limitation scale: development, reliability, and validity of 8-item and 20-item versions. J Orofac Pain. 2008;22(3):219–30.
Kroenke K, Spitzer RL, Williams JB, Lowe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50(6):613–21.
Lowe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, et al. A 4-item measure of depression and anxiety: validation and standardization of the patient health Questionnaire-4 (PHQ-4) in the general population. J Affect Disord. 2010;122(1–2):86–95.
Papadopulos NA, Niehaus R, Keller E, Henrich G, Papadopoulos ON, Staudenmaier R, et al. The Psychologic and psychosocial impact of Otoplasty on children and adults. J craniofac surg. 2015;26(8):2309–14.
Sullivan MJBS, Pivik J. The pain Catastrophizing scale development and validation. Psychol Assess. 1995;4(7):524–32.
Crombez G, Bijttebier P, Eccleston C, Mascagni T, Mertens G, Goubert L, et al. The child version of the pain catastrophizing scale (PCS-C): a preliminary validation. Pain. 2003;104(3):639–46.
Tremblay I, Beaulieu Y, Bernier A, Crombez G, Laliberte S, Thibault P, et al. Pain Catastrophizing scale for francophone adolescents: a preliminary validation. Pain Res Manag. 2008;13(1):19–24.
Fisher E, Heathcote LC, Eccleston C, Simons LE, Palermo TM. Assessment of pain anxiety, pain Catastrophizing, and fear of pain in children and adolescents with chronic pain: a systematic review and meta-analysis. J Pediatr Psychol. 2018;43(3):314–25.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96.
Cohen S WG. Perceived stress in a probability sample of the United States. The social psychology of health, in S Spacapan & S Oskamp (Eds) Claremont Symposium on applied social psychology Newbury Park, CA: Sag. 1988.
Nordin M, Nordin S. Psychometric evaluation and normative data of the Swedish version of the 10-item perceived stress scale. Scand J Psychol. 2013;54(6):502–7.
Maritta V, Ruthaychonnee S, Minna A. Survey of adolescents' stress in school life in Thailand: implications for school health. Journal of child health care : for professionals working with children in the hospital and community. 2017;21(2):222–30.
Andersson Gare B, Ruperto N, Berg S, Hagelberg S, Jonsson NO, Magnusson B, et al. The Swedish version of the childhood health assessment questionnaire (CHAQ) and the child health questionnaire (CHQ). Clin Exp Rheumatol. 2001;19(4 Suppl 23):S146–50.
Ruperto N, Ravelli A, Pistorio A, Malattia C, Cavuto S, Gado-West L, et al. Cross-cultural adaptation and psychometric evaluation of the childhood health assessment questionnaire (CHAQ) and the child health questionnaire (CHQ) in 32 countries. Review of the general methodology. Clin Exp Rheumatol. 2001;19(4 Suppl 23):S1–9.
Turp JC, Kowalski CJ, Stohler CS. Temporomandibular disorders--pain outside the head and face is rarely acknowledged in the chief complaint. J Prosthet Dent. 1997;78(6):592–5.
Koutris M, Visscher CM, Lobbezoo F, Naeije M. Comorbidity negatively influences the outcomes of diagnostic tests for musculoskeletal pain in the orofacial region. Pain. 2013;154(6):927–32.
Consolaro A, Ruperto N, Bazso A, Pistorio A, Magni-Manzoni S, Filocamo G, et al. Development and validation of a composite disease activity score for juvenile idiopathic arthritis. Arthritis Rheum. 2009;61(5):658–66.
Abramowicz S, Kim S, Susarla HK, Kaban LB. Differentiating arthritic from myofascial pain in children with juvenile idiopathic arthritis: preliminary report. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2013;71(3):493–6.
Hanns L, Radziszewska A, Suffield L, Josephs F, Chaplin H, Peckham H, et al. Anxiety associates with pain and disability but not increased measures of inflammation for adolescent patients with juvenile idiopathic arthritis. Arthritis care & research. 2019.
Osteras B, Sigmundsson H, Haga M. Pain is prevalent among adolescents and equally related to stress across genders. Scand J Pain. 2016;12:100–7.
Hannibal KE, Bishop MD. Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Phys Ther. 2014;94(12):1816–25.
Faresjo M. The link between psychological stress and autoimmune response in children. Crit Rev Immunol. 2015;35(2):117–34.
Carlsson E, Frostell A, Ludvigsson J, Faresjo M. Psychological stress in children may alter the immune response. J immunol (Baltimore, Md : 1950). 2014;192(5):2071–81.
Chapman CR, Tuckett RP, Song CW. Pain and stress in a systems perspective: reciprocal neural, endocrine, and immune interactions. j pain : official j American Pain Society. 2008;9(2):122–45.
Voog U, Alstergren P, Leibur E, Kallikorm R, Kopp S. Impact of temporomandibular joint pain on activities of daily living in patients with rheumatoid arthritis. Acta Odontol Scand. 2003;61(5):278–82.
Flato B, Aasland A, Vandvik IH, Forre O. Outcome and predictive factors in children with chronic idiopathic musculoskeletal pain. Clin Exp Rheumatol. 1997;15(5):569–77.
La Hausse de Lalouviere L, Ioannou Y, Fitzgerald M. Neural mechanisms underlying the pain of juvenile idiopathic arthritis. Nat Rev Rheumatol. 2014;10(4):205–11.
Nilsson IM, List T, Drangsholt M. Incidence and temporal patterns of temporomandibular disorder pain among Swedish adolescents. J Orofac Pain. 2007;21(2):127–32.
Lovgren A, Haggman-Henrikson B, Visscher CM, Lobbezoo F, Marklund S, Wanman A. Temporomandibular pain and jaw dysfunction at different ages covering the lifespan--A population based study. European journal of pain (London, England). 2016;20(4):532–40.
Perquin CW, Hazebroek-Kampschreur AA, Hunfeld JA, Bohnen AM, van Suijlekom-Smit LW, Passchier J, et al. Pain in children and adolescents: a common experience. Pain. 2000;87(1):51–8.
Barnreumaregistret S. Nationellt Kvalitetsregister Stockholm: Svenska Barnreumaregistret; 2009 updated 20 juni 2019. Available from: http://barnreumaregistret.se/wp-content/uploads/2019/11/Barnreuma_rapport_2018-final-.pdf.
Rongo R, Alstergren P, Ammendola L, Bucci R, Alessio M, D'Anto V, et al. Temporomandibular joint damage in juvenile idiopathic arthritis: diagnostic validity of diagnostic criteria for temporomandibular disorders. J Oral Rehabil. 2019.
