Psychosomatic Symptoms in Patients With Myofascial Pain and Temporomandibular Joint Dysfunction- A Case Control Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Psychosomatic symptom burden
研究概览
简要总结
Temporomandibular joint disorder poses an intricate etiology. Biomechanical, neuromuscular and psychosocial factors may contribute to the disorder among which psychological and psychosocial disturbances have shown strong direct or indirect contribution to the disease especially when the pain is of muscular origin.
详细描述
Temporomandibular disorders (TMDs) are defined as the group of musculoskeletal and neuromuscular conditions that involves temporomandibular joint (TMJ), masticatory muscles, and their associated structures (1). Clinically, TMDs are characterized by jaw pain, mandibular movement limitation, joint sounds, and often referred pain in the head, neck, or shoulders region (2). The myofascial pain, a subtype of TMD, is most prevalent condition and it accounts for approximately 50% of all TMD cases in clinical settings (3). Although it's a prevalent condition, but its complex aetiology makes it difficult to diagnose (4).
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •diagnosed patients with myofascial pain and TMD for at least six months based on Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), Axis I, age between 20 and 60 years, literate and able to comprehend the questionnaire no prior psychological treatment for pain.
排除标准
- •age <20 or >60 years, low literacy (less than five years of formal education), history of major psychiatric or neurological disorders, diagnosed joint pathologies (e.g., arthritis, disc displacement with reduction), history of migraine or facial trauma, drug dependency and pregnancy or current use of psychotropic medication.
研究组 & 干预措施
Case
A total of 300 participants aged between 20 and 60 years were recruited using survivor sampling, consisting of 150 patients with a confirmed diagnosis of myofascial pain and temporomandibular joint dysfunction (TMD) and 150 age- and gender-matched healthy controls
干预措施: Casr (Other)
Control
A total of 300 participants aged between 20 and 60 years were recruited using survivor sampling, consisting of 150 patients with a confirmed diagnosis of myofascial pain and temporomandibular joint dysfunction (TMD) and 150 age- and gender-matched healthy controls
干预措施: Casr (Other)
结局指标
主要结局
Psychosomatic symptom burden
时间窗: 2 months
Psychosomatic symptom burden is defined as the overall severity and frequency of physical symptoms that are influenced or maintained by psychological factors. It will be assessed using a validated self-report questionnaire that captures multiple somatic symptom domains (e.g., pain, gastrointestinal, cardiovascular, and fatigue-related symptoms). Higher scores indicate a greater psychosomatic symptom burden.
次要结局
未报告次要终点
研究者
Dr Rida Zulfiqar
Registrar
Bahria University