Depressive and Anxiety Symptoms as Risk Factors for Temporomandibular Joint Pain: A Prospective Cohort Study in the General Population

摘要: Previous studies have associated depression and temporomandibular joint disorders (TMDs). The temporality, however, remains to be clarified. Most patient selected sub- jects from treatment facilities, whereas in epidemiological a clinical examination has not been performed. In this study the 5-year follow-up data of population-based Study Health Pomerania (SHIP) were analyzed. To estimate effect symptoms those anxiety on risk TMD pain, Composite International Diagnostic-Screener (CID-S) functional with palpation masticatory muscles used. After exclusion subjects having pain at baseline, sample 3,006 Caucasian par- ticipants mean age 49 years resulted. Of those, 122 participants had signs upon palpation. Subjects an increased (rate ratio: 2.1; 95% confidence interval: 1.5-3.0; P < .001). Anxiety associ- ated muscle pain. diagnosis, prevention, therapy should also consider anxiety, appropriate therapies if necessary. Perspective: Depressiveand anxietysymptomsshouldbeconsidered asriskfactors for pain.De- pressivesymptomsarespecificforjointpainwhereasanxietysymptomsarespecificformusclepain,find- ings that deserve detailed examination. These findings may support decision-making treating TMD. 2012 by American Pain Society