Publication: Relación de factores psicológicos y comportamentales en pacientes con trastornos temporomandibulares y pacientes con migraña
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2020-01-20
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Universidad Complutense de Madrid
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Abstract
Los trastornos temporomandibulares (TTM) se refieren a un grupo de patologías que incluyen dolor en la articulación temporomandibular (ATM), área preauricular, músculos masticatorios, ruidos articulares y desviación o restricción en el rango de movimiento mandibular; abundantes pruebas han identificado numerosos factores biopsicosociales que aumentan el riesgo de aparición y persistencia de TTM. La migraña se define como un dolor de cabeza primario con ataques que duran de 4 a 72 horas y se caracteriza por un dolor pulsátil unilateral de intensidad moderada a severa agravada por la actividad física de rutina y asociada con náuseas, fotofobia y / o fonofobia. Ambas patologías, presenta una comorbilidad de alrededor del 70%, son deshabilitantes y afectan a todas las áreas de la vida, incluido el funcionamiento social y ocupacional. Tanto en migraña como en TTM juegan un papel muy importante los factores psicológicos, que ha sido ampliamente descritos en la literatura, tales como ansiedad, depresión, somatización e incluso algunos rasgos de personalidad. Por tanto, es muy relevante en el diagnóstico el eje II o biopsicosocial del individuo para su estudio y como parte de la enfermedad. Al evaluar todos los factores que contribuyen a la enfermedad, en lugar de dar primacía a los factores biológicos por sí solos, un modelo biopsicosocial permitiría explicar por qué algunos individuos experimentan como condiciones de "enfermedad" lo que otros consideran simplemente como "problemas de la vida". Aunque existen numerosos estudios sobre cómo afectan los factores psicológicos a las migrañas y al TTM, hay pocos precedentes que estudien ambas patologías de forma conjunta, a pesar de su comorbilidad. Además, aunque si se describe, no se suele tener en cuenta y se controla la presencia de migraña en los estudios sobre TTM, y la presencia de TTM en los estudios sobre migraña. Objetivo: Describir los factores psicológicos y comportamentales implicados en pacientes que padecen migrañas; en pacientes con TTM dolorosos musculares, pacientes con la combinación de ambas patologías, así como en la población control del estudio...
Temporomandibular disorders (TMD) refer to a group of pathologies that include pain in the temporomandibular joint (TMJ), preauricular area, masticatory muscles, joint noises and deviation or restriction in the range of mandibular movement; Abundant tests have identified numerous biopsychosocial factors that increase the risk of onset and persistence of TMD. Migraine is defined as a primary headache with attacks that last from 4 to 72 hours and is characterized by a unilateral pulsating pain of moderate to severe intensity aggravated by routine physical activity and associated with nausea, photophobia and/or phonophobia. Both pathologies present a comorbidity of around 70%, are disabling and affect all areas of life, including social and occupational functioning. In both migraine and TTM, psychological factors play a very important role, which has been widely described in the literature, such as anxiety, depression, somatization and even some personality traits. Therefore, the axis II or biopsychosocial axis of the individual is very relevant in the diagnosis for its study and as part of the disease. By evaluating all the factors that contribute to the disease, instead of giving primacy to the biological factors alone, a biopsychosocial model would explain why some individuals experience as "disease" conditions what others simply consider "health problems". lifetime". Although there are numerous studies on how psychological factors affect migraines and TTM, there are few precedents that study both pathologies together, despite their comorbidity. In addition, although it is described, it is not usually taken into account and the presence of migraine is controlled in the studies on TMD, and the presence of TMD in studies on migraine. Objective: Describe the psychological and behavioral factors involved in patients suffering from migraines; in patients with painful muscular TMD, patients with the combination of both pathologies, as well as in the control population of the study...
Temporomandibular disorders (TMD) refer to a group of pathologies that include pain in the temporomandibular joint (TMJ), preauricular area, masticatory muscles, joint noises and deviation or restriction in the range of mandibular movement; Abundant tests have identified numerous biopsychosocial factors that increase the risk of onset and persistence of TMD. Migraine is defined as a primary headache with attacks that last from 4 to 72 hours and is characterized by a unilateral pulsating pain of moderate to severe intensity aggravated by routine physical activity and associated with nausea, photophobia and/or phonophobia. Both pathologies present a comorbidity of around 70%, are disabling and affect all areas of life, including social and occupational functioning. In both migraine and TTM, psychological factors play a very important role, which has been widely described in the literature, such as anxiety, depression, somatization and even some personality traits. Therefore, the axis II or biopsychosocial axis of the individual is very relevant in the diagnosis for its study and as part of the disease. By evaluating all the factors that contribute to the disease, instead of giving primacy to the biological factors alone, a biopsychosocial model would explain why some individuals experience as "disease" conditions what others simply consider "health problems". lifetime". Although there are numerous studies on how psychological factors affect migraines and TTM, there are few precedents that study both pathologies together, despite their comorbidity. In addition, although it is described, it is not usually taken into account and the presence of migraine is controlled in the studies on TMD, and the presence of TMD in studies on migraine. Objective: Describe the psychological and behavioral factors involved in patients suffering from migraines; in patients with painful muscular TMD, patients with the combination of both pathologies, as well as in the control population of the study...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Odontología, Departamento de Odontología Conservadora y Prótesis Bucofacial, leída el 8/11/2019